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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74169/psn-pdfDecember 08, 2021 - Pointing fingers: verbosity of patient safety narratives is associated with attribution of blame. December 8, 2021 Ackerman RS, Patel SY, Costache M, et al. Anesthesiology News. November 21, 2021. https://psnet.ahrq.gov/issue/pointing-fingers-verbosity-patient-safety-narratives-associated-attribution- bl… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46070/psn-pdfMay 10, 2017 - Frequency, expected effects, obstacles, and facilitators of disclosure of patient safety incidents: a systematic review. May 10, 2017 Ock M, Lim SY, Jo M-W, et al. Frequency, Expected Effects, Obstacles, and Facilitators of Disclosure of Patient Safety Incidents: A Systematic Review. J Prev Med Public Health. 2017… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46270/psn-pdfApril 16, 2018 - Impact of a restraint management bundle on restraint use in an intensive care unit. April 16, 2018 Hall DK, Zimbro KS, Maduro RS, et al. Impact of a Restraint Management Bundle on Restraint Use in an Intensive Care Unit. J Nurs Care Qual. 2018;33(2):143-148. doi:10.1097/NCQ.0000000000000273. https://psnet.ahrq.gov… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/865661/psn-pdfApril 24, 2024 - Pay-for-performance and patient safety in acute care: a systematic review. April 24, 2024 Slawomirski L, Hensher M, Campbell JL, et al. Pay-for-performance and patient safety in acute care: a systematic review. Health Policy. 2024;143:105051. doi:10.1016/j.healthpol.2024.105051. https://psnet.ahrq.gov/issue/pay-pe… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837801/psn-pdfAugust 10, 2022 - Decreasing misdiagnoses of urinary tract infections in a pediatric emergency department. August 10, 2022 Ostrow O, Prodanuk M, Foong Y, et al. Decreasing misdiagnoses of urinary tract infections in a pediatric emergency department. Pediatrics. 2022;150(1):e2021055866. doi:10.1542/peds.2021-055866. https://psnet.ah… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73296/psn-pdfMay 19, 2021 - AHRQ Safety Program for Methicillin-Resistant Staphylococcus Aureus Prevention. Request for Proposal Comment. May 19, 2021 Agency for Healthcare Research and Quality. May 3, 2021. Fed Register. 2021;86(83):23366-23369. https://psnet.ahrq.gov/issue/ahrq-safety-program-methicillin-resistant-staphylococcus-aureus-pre… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60190/psn-pdfApril 01, 2020 - Potentially Preventable Readmissions: Conceptual Framework To Rethink the Role of Primary Care. Executive Summary. April 1, 2020 Maxwell J, Bourgoin A, Crandall J. Potentially Preventable Readmissions: Conceptual Framework To Rethink The Role Of Primary Care. Executive Summary. Rockville, MD : Agency for Healthcar… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47394/psn-pdfJanuary 27, 2019 - Evaluating the implementation of Project Re-Engineered Discharge (RED) in five Veterans Health Administration (VHA) hospitals. January 27, 2019 Sullivan JL, Shin MH, Engle RL, et al. Evaluating the Implementation of Project Re-Engineered Discharge (RED) in Five Veterans Health Administration (VHA) Hospitals. Jt Co… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72832/psn-pdfMarch 10, 2021 - Communication and Transparency as a Means to Strengthening Workplace Culture During COVID-19. March 10, 2021 Nadkarni A, Levy-Carrick NC, Kroll DS, et al. Communication And Transparency As A Means To Strengthening Workplace Culture During Covid-19. National Academy of Medicine; 2021. doi:10.31478/202103a. https:/… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47108/psn-pdfJune 06, 2018 - Cognitive bias in clinical practice—nurturing healthy skepticism among medical students. June 6, 2018 Bhatti A. Cognitive bias in clinical practice - nurturing healthy skepticism among medical students. Adv Med Educ Pract. 2018;9:235-237. doi:10.2147/AMEP.S149558. https://psnet.ahrq.gov/issue/cognitive-bias-clinic… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837152/psn-pdfMay 18, 2022 - AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUTI: Final Report. May 18, 2022 Molefe A, Hung L, Hayes K, et al. Rockville MD: Agency for healthcare Research and Quality; 2022. AHRQ Publication No. 17(22)-0019. https://psnet.ahrq.gov/issue/ahrq-safety-program-intensive-care-units-preventing-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47664/psn-pdfApril 03, 2019 - Minor flow disruptions, traffic-related factors and their effect on major flow disruptions in the operating room. April 3, 2019 Joseph A, Khoshkenar A, Taaffe KM, et al. Minor flow disruptions, traffic-related factors and their effect on major flow disruptions in the operating room. BMJ Qual Saf. 2019;28(4):276-283… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50938/psn-pdfFebruary 26, 2020 - Risks and medication errors analysis to evaluate the impact of a chemotherapy compounding workflow management system on cancer patients' safety. February 26, 2020 Marzal-Alfaro MB, Rodriguez-Gonzalez CG, Escudero-Vilaplana V, et al. Risks and medication errors analysis to evaluate the impact of a chemotherapy comp… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44935/psn-pdfApril 15, 2016 - Pharmacy-led medication reconciliation programmes at hospital transitions: a systematic review and meta- analysis. April 15, 2016 Mekonnen AB, McLachlan AJ, Brien J-AE. Pharmacy-led medication reconciliation programmes at hospital transitions: a systematic review and meta-analysis. J Clin Pharm Ther. 2016;41(2):12… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60196/psn-pdfApril 01, 2020 - Mask shortage straps pharmacists who need them to keep medicines pure. April 1, 2020 Jewett C, Lupkin S. Health Shots. National Public Radio. March 20, 2020. https://psnet.ahrq.gov/issue/mask-shortage-straps-pharmacists-who-need-them-keep-medicines-pure Disruptions in medication compounding activities can impact s… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/838080/psn-pdfSeptember 14, 2022 - Effect on diagnostic accuracy of cognitive reasoning tools for the workplace setting: systematic review and meta-analysis. September 14, 2022 Staal J, Hooftman J, Gunput STG, et al. Effect on diagnostic accuracy of cognitive reasoning tools for the workplace setting: systematic review and meta-analysis. BMJ Qual S… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/860383/psn-pdfJanuary 10, 2024 - Addressing nursing shortages and patient safety using Maslow's hierarchy of needs. January 10, 2024 Giuffrida P, Davila S. Addressing nursing shortages and patient safety using Maslow's hierarchy of needs. Nursing. 2024;54(1):35-40. doi:10.1097/01.nurse.0000995608.56374.f5. https://psnet.ahrq.gov/issue/addressing-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44490/psn-pdfSeptember 16, 2015 - Implementation of a custom alert to prevent medication- timing errors associated with computerized prescriber order entry. September 16, 2015 Idemoto LM, Williams BL, Ching JM, et al. Implementation of a custom alert to prevent medication-timing errors associated with computerized prescriber order entry. Am J Heal… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72672/psn-pdfJanuary 27, 2021 - Use of simulation to measure the effects of just-in-time information to prevent nursing medication errors: a randomized controlled study. January 27, 2021 Berg TA, Hebert SH, Chyka D, et al. Use of Simulation to Measure the Effects of Just-in-Time Information to Prevent Nursing Medication Errors. Simul Healthc. 20… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47158/psn-pdfAugust 15, 2018 - A standardized handoff simulation promotes recovery from auditory distractions in resident physicians. August 15, 2018 Matern LH, Farnan JM, Hirsch KW, et al. A Standardized Handoff Simulation Promotes Recovery From Auditory Distractions in Resident Physicians. Simul Healthc. 2018;13(4):233-238. doi:10.1097/SIH.00…
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