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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74082/psn-pdf
    November 17, 2021 - Associations of person-related, environment-related and communication-related factors on medication errors in public and private hospitals: a retrospective clinical audit. November 17, 2021 Manias E, Street M, Lowe G, et al. Associations of person-related, environment-related and communication-related factors on m…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866070/psn-pdf
    June 05, 2024 - Large language models for preventing medication direction errors in online pharmacies. June 5, 2024 Pais C, Liu J, Voigt R, et al. Large language models for preventing medication direction errors in online pharmacies. Nat Med. 2024;30(6):1574-1582. doi:10.1038/s41591-024-02933-8. https://psnet.ahrq.gov/issue/large…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47243/psn-pdf
    August 08, 2018 - ASHP–PPAG Guidelines for Providing Pediatric Pharmacy Services in Hospitals and Health Systems. August 8, 2018 Eiland LS, Benner K, Gumpper KF, et al. ASHP-PPAG Guidelines for Providing Pediatric Pharmacy Services in Hospitals and Health Systems. J Pediatr Pharmacol Ther. 2018;23(3):177-191. doi:10.5863/1551-6776-…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46984/psn-pdf
    April 04, 2018 - Educator toolkits on second victim syndrome, mindfulness and meditation, and positive psychology: the 2017 Resident Wellness Consensus Summit. April 4, 2018 Chung AS, Smart J, Zdradzinski M, et al. Educator Toolkits on Second Victim Syndrome, Mindfulness and Meditation, and Positive Psychology: The 2017 Resident W…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836829/psn-pdf
    March 30, 2022 - Safety in fragile, conflict-affected, and vulnerable settings: An evidence scanning approach for identifying patient safety interventions. March 30, 2022 O’Brien N, Shaw A, Flott K, et al. Safety in fragile, conflict-affected, and vulnerable settings: an evidence scanning approach for identifying patient safety in…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867381/psn-pdf
    December 18, 2024 - Promoting medication safety for older adults upon hospital discharge: guiding principles for a medication discharge plan. December 18, 2024 Zhang FH, Lauzon J, Payette J, et al. Promoting medication safety for older adults upon hospital discharge: guiding principles for a medication discharge plan. Br J Clin Pharm…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866685/psn-pdf
    September 11, 2024 - Evaluation and mitigation of the limitations of large language models in clinical decision-making. September 11, 2024 Hager P, Jungmann F, Holland R, et al. Evaluation and mitigation of the limitations of large language models in clinical decision-making. Nat Med. 2024;30(9):2613-2622. doi:10.1038/s41591-024-03097-…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45851/psn-pdf
    February 22, 2017 - Eight years of decreased methicillin-resistant Staphylococcus aureus health care–associated infections associated with a Veterans Affairs prevention initiative. February 22, 2017 Evans ME, Kralovic SM, Simbartl LA, et al. Eight years of decreased methicillin-resistant Staphylococcus aureus health care-associated i…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42744/psn-pdf
    September 01, 2016 - Physicians' responses to clinical decision support on an intensive care unit—comparison of four different alerting methods. September 1, 2016 Scheepers-Hoeks A-MJ, Grouls RJ, Neef C, et al. Physicians' responses to clinical decision support on an intensive care unit--comparison of four different alerting methods. …
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50937/psn-pdf
    February 26, 2020 - Emergency intubation of children outside of the operating room. February 26, 2020 Long E, Barrett MJ, Peters C, et al. Emergency intubation of children outside of the operating room. Paediatr Anaesth. 2020;30(3):319-330. doi:10.1111/pan.13784. https://psnet.ahrq.gov/issue/emergency-intubation-children-outside-oper…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74719/psn-pdf
    February 02, 2022 - Failure to rescue following emergency surgery: a FRAM analysis of the management of the deteriorating patient. February 2, 2022 Sujan M, Bilbro N, Ross A, et al. Failure to rescue following emergency surgery: A FRAM analysis of the management of the deteriorating patient. Appl Ergon. 2022;98:103608. doi:10.1016/j.a…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46728/psn-pdf
    March 27, 2018 - Near-miss event analysis enhances the barcode medication administration process. March 27, 2018 Magee MC; Miller K; Patzek D; Madera C; Michalek C; Shetterly M. https://psnet.ahrq.gov/issue/near-miss-event-analysis-enhances-barcode-medication-administration- process Near misses provide unique opportunities to ide…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44818/psn-pdf
    February 24, 2018 - Economic evaluation of interventions for prevention of hospital acquired infections: a systematic review. February 24, 2018 Arefian H, Vogel M, Kwetkat A, et al. Economic Evaluation of Interventions for Prevention of Hospital Acquired Infections: A Systematic Review. PLoS One. 2016;11(1):e0146381. doi:10.1371/jour…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73614/psn-pdf
    August 18, 2021 - Application of human factors methods to ensure appropriate infant identification and abduction prevention within the hospital setting. August 18, 2021 Webster KLW, Stikes R, Bunnell L, et al. Application of human factors methods to ensure appropriate infant identification and abduction prevention within the hospit…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47482/psn-pdf
    December 05, 2018 - Examining the effects of an obstetrics interprofessional programme on reductions to reportable events and their related costs. December 5, 2018 Geary M, Ruiter PJA, Yasseen AS. Examining the effects of an obstetrics interprofessional programme on reductions to reportable events and their related costs. J Interprof…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47295/psn-pdf
    September 24, 2018 - Using learning communities to support adoption of health care innovations. September 24, 2018 Carpenter D, Hassell S, Mardon R, et al. Using Learning Communities to Support Adoption of Health Care Innovations. Jt Comm J Qual Patient Saf. 2018;44(10):566-573. doi:10.1016/j.jcjq.2018.03.010. https://psnet.ahrq.gov/i…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60541/psn-pdf
    May 01, 2013 - Targeted versus universal decolonization to prevent ICU infection. May 1, 2013 Huang SS, Septimus E, Kleinman K, et al. Targeted versus universal decolonization to prevent ICU infection. N Engl J Med. 2013;368(24):2255-2265. doi:10.1056/nejmoa1207290. https://psnet.ahrq.gov/issue/targeted-versus-universal-decoloni…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42954/psn-pdf
    December 04, 2016 - "Please describe from your point of view a typical case of an error in palliative care": qualitative data from an exploratory cross-sectional survey study among palliative care professionals. December 4, 2016 Dietz I, Plog A, Jox RJ, et al. "Please describe from your point of view a typical case of an error in pal…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/864849/psn-pdf
    March 20, 2024 - Medication errors in pediatric emergency departments: a systematic review and recommendations for enhancing medication safety. March 20, 2024 Alsabri M, Eapen D, Sabesan V, et al. Medication errors in pediatric emergency departments: a systematic review and recommendations for enhancing medication safety. Pediatr …
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74751/psn-pdf
    February 09, 2022 - A quality improvement initiative to improve patient safety event reporting by residents. February 9, 2022 Herchline D, Rojas C, Shah AA, et al. A quality improvement initiative to improve patient safety event reporting by residents. Pediatr Qual Saf. 2022;7(1):e519. doi:10.1097/pq9.0000000000000519. https://psnet.…

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