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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846453/psn-pdf
    March 02, 2021 - The dollar or disease burden: caps on healthcare spending may save money, but at what "cost" to patients? March 2, 2021 Ciarametaro M, Houghton K, Wamble D, et al. The dollar or disease burden: caps on healthcare spending may save money, but at what "cost" to patients? Value Health. 2021;24(3):388-396. doi:10.101…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837338/psn-pdf
    June 08, 2022 - Healthcare-related infections within nursing homes (NHS): a qualitative study of care practices based on a systemic approach. June 8, 2022 Lefosse G, Rasero L, Bellandi T, et al. Healthcare-related infections within nursing homes (NHS): A qualitative study of care practices based on a systemic approach. J Patient …
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44799/psn-pdf
    July 11, 2017 - Unintended Consequences: New Problems and New Solutions. July 11, 2017 Lehmann CU, Sroussi B, Jaulent MC, eds. Yearb Med Inform. 2016;1:1-271. https://psnet.ahrq.gov/issue/unintended-consequences-new-problems-and-new-solutions Unexpected effects associated with implementation and use of health information technolo…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45795/psn-pdf
    May 24, 2017 - Patient Hand-Off iNitiation and Evaluation (PHONE) study: a randomized trial of patient handoff methods. May 24, 2017 Clanton J, Gardner A, Subichin M, et al. Patient Hand-Off iNitiation and Evaluation (PHONE) study: A randomized trial of patient handoff methods. Am J Surg. 2017;213(2):299-306. doi:10.1016/j.amjsu…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47729/psn-pdf
    April 10, 2019 - Reclaiming the systems approach to paediatric safety. April 10, 2019 Cheung R, Roland D, Lachman P. Reclaiming the systems approach to paediatric safety. Arch Dis Child. 2019;104(12):1130-1133. doi:10.1136/archdischild-2018-316401. https://psnet.ahrq.gov/issue/reclaiming-systems-approach-paediatric-safety Children…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44742/psn-pdf
    January 06, 2016 - A piece of my mind. From shame to guilt to love. January 6, 2016 Pronovost P, Bienvenu J. A piece of my mind. From shame to guilt to love. JAMA. 2015;314(23):2507- 2508. doi:10.1001/jama.2015.11521. https://psnet.ahrq.gov/issue/piece-my-mind-shame-guilt-love While numerous studies have examined the psychological i…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837805/psn-pdf
    August 10, 2022 - Adverse events in infants less than 6 months of age after ambulatory surgery and diagnostic imaging requiring anesthesia. August 10, 2022 Uffman JC, Kim SS, Quan LN, et al. Adverse events in infants less than 6 months of age after ambulatory surgery and diagnostic imaging requiring anesthesia. Pediatr Qual Saf. 20…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60532/psn-pdf
    May 27, 2020 - Improving timely recognition and treatment of sepsis in the pediatric ICU. May 27, 2020 Vidrine R, Zackoff M, Paff Z, et al. Improving timely recognition and treatment of sepsis in the pediatric ICU. Jt Comm J Qual Patient Saf. 2020;46(5):299-307. doi:10.1016/j.jcjq.2020.02.005. https://psnet.ahrq.gov/issue/improv…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46575/psn-pdf
    December 13, 2017 - Economic evaluation of pharmacist-led medication reviews in residential aged care facilities. December 13, 2017 Hasan SS, Thiruchelvam K, Kow CS, et al. Economic evaluation of pharmacist-led medication reviews in residential aged care facilities. Expert Rev Pharmacoecon Outcomes Res. 2017;17(5):431-439. doi:10.108…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866244/psn-pdf
    July 10, 2024 - Optimizing the use of dose error reduction software on intravenous infusion pumps. July 10, 2024 Hughes K, Cole M, Tims D, et al. Optimizing the use of dose error reduction software on intravenous infusion pumps. Hosp Pediatr. 2024;14(6):448-454. doi:10.1542/hpeds.2023-007385. https://psnet.ahrq.gov/issue/optimizi…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837303/psn-pdf
    June 01, 2022 - What is the medication iatrogenic risk in elderly outpatients for chronic pain? June 1, 2022 Jambon J, Choukroun C, Roux-Marson C, et al. What is the medication iatrogenic risk in elderly outpatients for chronic pain? Clin Neuropharmacol. 2022;45(3):65-71. doi:10.1097/wnf.0000000000000505. https://psnet.ahrq.gov/i…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852451/psn-pdf
    August 16, 2023 - The impact of transition to a digital hospital on medication errors (TIME study). August 16, 2023 Engstrom T, McCourt E, Canning M, et al. The impact of transition to a digital hospital on medication errors (TIME study). NPJ Digit Med. 2023;6(1):133. doi:10.1038/s41746-023-00877-w. https://psnet.ahrq.gov/issue/imp…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43325/psn-pdf
    September 27, 2016 - Quiet please! Drug round tabards: are they effective and accepted? A mixed method study. September 27, 2016 Verweij L, Smeulers M, Maaskant JM, et al. Quiet please! Drug round tabards: are they effective and accepted? A mixed method study. J Nurs Scholarsh. 2014;46(5):340-8. doi:10.1111/jnu.12092. https://psnet.ah…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854635/psn-pdf
    January 01, 2024 - CheckPOINT: a simple tool to measure Surgical Safety Checklist implementation fidelity. October 18, 2023 Moyal-Smith R, Etheridge JC, Turley N, et al. CheckPOINT: a simple tool to measure Surgical Safety Checklist implementation fidelity. BMJ Qual Saf. 2024;33(4):223-231. doi:10.1136/bmjqs-2023-016030. https://psn…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837853/psn-pdf
    August 17, 2022 - RaDonda Vaught, medication safety, and the profession of pharmacy: steps to improve safety and ensure justice. August 17, 2022 Lambert BL, Schiff GD. RaDonda Vaught, medication safety, and the profession of pharmacy: steps to improve safety and ensure justice. J Am Coll Clin Pharm. 2022;5(9):981-987. doi:10.1002/ja…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47858/psn-pdf
    July 10, 2019 - Modification of potentially inappropriate prescribing following fall-related hospitalizations in older adults. July 10, 2019 Walsh ME, Boland F, Moriarty F, et al. Modification of potentially inappropriate prescribing following fall- related hospitalizations in older adults. Drugs Aging. 2019;36(5):461-470. doi:10.…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43472/psn-pdf
    September 03, 2014 - Nighttime cross-coverage is associated with decreased intensive care unit mortality. A single-center study. September 3, 2014 Amaral ACK-B, Barros BS, Barros CCPP, et al. Nighttime cross-coverage is associated with decreased intensive care unit mortality. A single-center study. Am J Respir Crit Care Med. 2014;189(1…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41571/psn-pdf
    October 29, 2012 - Adverse drug events caused by serious medication administration errors. October 29, 2012 Kale A, Keohane C, Maviglia SM, et al. Adverse drug events caused by serious medication administration errors. BMJ Qual Saf. 2012;21(11):933-8. doi:10.1136/bmjqs-2012-000946. https://psnet.ahrq.gov/issue/adverse-drug-events-ca…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72482/psn-pdf
    November 18, 2020 - Real-time debriefing after critical events: exploring the gap between principle and reality. November 18, 2020 Arriaga AF, Szyld D, Pian-Smith MCM. Real-time debriefing after critical events: exploring the gap between principle and reality. Anesthesiol Clin. 2020;38(4):801-820. doi:10.1016/j.anclin.2020.08.003. ht…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844545/psn-pdf
    February 15, 2023 - Providers' and patients' perspectives on diagnostic errors in the acute care setting. February 15, 2023 Schnock KO, Garber A, Fraser H, et al. Providers' and patients' perspectives on diagnostic errors in the acute care setting. Jt Comm J Qual Patient Saf. 2023;49(2):89-97. doi:10.1016/j.jcjq.2022.11.009. https://…

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