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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45246/psn-pdf
    August 15, 2016 - Reliability of verbal handoff assessment and handoff quality before and after implementation of a resident handoff bundle. August 15, 2016 Feraco AM, Starmer AJ, Sectish TC, et al. Reliability of Verbal Handoff Assessment and Handoff Quality Before and After Implementation of a Resident Handoff Bundle. Acad Pediat…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40962/psn-pdf
    December 14, 2011 - American College of Surgeons' Committee on Trauma performance improvement and patient safety program: maximal impact in a mature trauma center. December 14, 2011 Sarkar B, Brunsvold ME, Cherry-Bukoweic JR, et al. American College of Surgeons' Committee on Trauma Performance Improvement and Patient Safety program: …
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853442/psn-pdf
    September 13, 2023 - Pediatric Diagnostic Safety: State of the Science and Future Directions. September 13, 2023 Grubenhoff JA, Cifra CL, Marshall T, et al. Rockville, MD: Agency for Healthcare Research and Quality; September 2023. AHRQ Publication No. 23-0040-5-EF. https://psnet.ahrq.gov/issue/pediatric-diagnostic-safety-state-scienc…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46114/psn-pdf
    June 07, 2017 - Standardizing concentrations of adult drug infusions in Indiana. June 7, 2017 Walroth TA, Dossett HA, Doolin M, et al. Standardizing concentrations of adult drug infusions in Indiana. Am J Health Syst Pharm. 2017;74(7):491-497. doi:10.2146/ajhp151018. https://psnet.ahrq.gov/issue/standardizing-concentrations-adult…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44597/psn-pdf
    October 28, 2015 - Smarter clinical checklists: how to minimize checklist fatigue and maximize clinician performance. October 28, 2015 Grigg EB. Smarter Clinical Checklists: How to Minimize Checklist Fatigue and Maximize Clinician Performance. Anesth Analg. 2015;121(2):570-3. doi:10.1213/ANE.0000000000000352. https://psnet.ahrq.gov/…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43080/psn-pdf
    March 26, 2014 - Hospital-based transfusion error tracking from 2005 to 2010: identifying the key errors threatening patient transfusion safety. March 26, 2014 Maskens C, Downie H, Wendt A, et al. Hospital-based transfusion error tracking from 2005 to 2010: identifying the key errors threatening patient transfusion safety. Transfu…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60954/psn-pdf
    September 30, 2020 - Catheter-associated urinary tract infection reduction in a pediatric safety engagement network. September 30, 2020 Foster CB, Ackerman K, Hupertz V, et al. Catheter-associated urinary tract infection reduction in a pediatric safety engagement network. Pediatrics. 2020;146(4):e20192057. doi:10.1542/peds.2019-2057. …
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35130/psn-pdf
    March 11, 2011 - A trial of automated decision support alerts for contraindicated medications using computerized physician order entry. March 11, 2011 Galanter W, Didomenico RJ, Polikaitis A. A trial of automated decision support alerts for contraindicated medications using computerized physician order entry. J Am Med Inform Assoc…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836986/psn-pdf
    April 27, 2022 - Habit and automaticity in medical alert override: cohort study. April 27, 2022 Wang L, Goh KH, Yeow A, et al. Habit and automaticity in medical alert override: cohort study. J Med Internet Res. 2022;24(2):e23355. doi:10.2196/23355. https://psnet.ahrq.gov/issue/habit-and-automaticity-medical-alert-override-cohort-s…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865978/psn-pdf
    May 29, 2024 - Ensuring safe and equitable discharge: a quality improvement initiative for individuals with hypertensive disorders of pregnancy. May 29, 2024 Zacherl KM, Sterrett EC, Hughes BL, et al. Ensuring safe and equitable discharge: a quality improvement initiative for individuals with hypertensive disorders of pregnancy.…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43836/psn-pdf
    March 11, 2015 - Hospital organisation, management, and structure for prevention of health-care-associated infection: a systematic review and expert consensus. March 11, 2015 Zingg W, Holmes A, Dettenkofer M, et al. Hospital organisation, management, and structure for prevention of health-care-associated infection: a systematic re…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36244/psn-pdf
    June 13, 2012 - With Safety in Mind: Mental Health Services and Patient Safety. June 13, 2012 Scobie S, Minghella E, Dale C, et al. London, UK: National Patient Safety Agency; 2006. https://psnet.ahrq.gov/issue/safety-mind-mental-health-services-and-patient-safety This report, the second in a series from the United Kingdom's Nati…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74710/psn-pdf
    January 26, 2022 - The evolution of the Anesthesia Patient Safety Movement in America: lessons learned and considerations to promote further improvement in patient safety. January 26, 2022 Warner MA, Warner ME. The evolution of the Anesthesia Patient Safety Movement in America: lessons learned and considerations to promote further i…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44072/psn-pdf
    August 02, 2015 - The rise of the medical scribe industry: implications for the advancement of electronic health records. August 2, 2015 Gellert GA, Ramirez R, Webster L. The rise of the medical scribe industry: implications for the advancement of electronic health records. JAMA. 2015;313(13):1315-1316. doi:10.1001/jama.2014.17128. …
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43830/psn-pdf
    February 04, 2015 - A combined teamwork training and work standardisation intervention in operating theatres: controlled interrupted time series study. February 4, 2015 Morgan L, Pickering S, Hadi M, et al. A combined teamwork training and work standardisation intervention in operating theatres: controlled interrupted time series stu…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46597/psn-pdf
    November 01, 2017 - A novel process audit for standardized perioperative handoff protocols. November 1, 2017 Pallekonda V, Scholl AT, McKelvey GM, et al. A Novel Process Audit for Standardized Perioperative Handoff Protocols. Jt Comm J Qual Patient Saf. 2017;43(11):611-618. doi:10.1016/j.jcjq.2017.04.011. https://psnet.ahrq.gov/issue…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45228/psn-pdf
    June 29, 2016 - An innovative approach to the surgical time out: a patient- focused model. June 29, 2016 Kozusko SD, Elkwood L, Gaynor D, et al. An Innovative Approach to the Surgical Time Out: A Patient- Focused Model. AORN J. 2016;103(6):617-22. doi:10.1016/j.aorn.2016.04.001. https://psnet.ahrq.gov/issue/innovative-approach-su…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844748/psn-pdf
    February 15, 2023 - 'They were his best shot. And they failed to help’: why did EMS workers neglect Tyre Nichols? February 15, 2023 Renault M. STAT. February 6, 2023. https://psnet.ahrq.gov/issue/they-were-his-best-shot-and-they-failed-help-why-did-ems-workers-neglect- tyre-nichols Emergent care situations are vulnerable to a range …
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46633/psn-pdf
    November 22, 2017 - The high costs of unnecessary care. November 22, 2017 Carroll AE. The High Costs of Unnecessary Care. JAMA. 2017;318(18):1748-1749. doi:10.1001/jama.2017.16193. https://psnet.ahrq.gov/issue/high-costs-unnecessary-care The provision of unneeded care can result in physical, financial, and psychological harm to patie…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46130/psn-pdf
    June 21, 2017 - High 5s initiative: implementation of medication reconciliation in France a 5 years experimentation. June 21, 2017 Dufay É, Doerper S, Michel B, et al. High 5s initiative: implementation of medication reconciliation in France a 5 years experimentation. Safety in Health. 2017;3(1):6. doi:10.1186/s40886-017-0057-6. …