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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837073/psn-pdf
    May 11, 2022 - Clinical progress note: situation awareness for clinical deterioration in hospitalized children. May 11, 2022 Sosa T, Galligan MM, Brady PW. Clinical progress note: situation awareness for clinical deterioration in hospitalized children. J Hosp Med. 2022;17(3):199-202. doi:10.1002/jhm.2774. https://psnet.ahrq.gov/…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40263/psn-pdf
    March 02, 2011 - Trauma resuscitation errors and computer-assisted decision support. March 2, 2011 FitzGerald M, Cameron P, Mackenzie CF, et al. Trauma resuscitation errors and computer-assisted decision support. Arch Surg. 2011;146(2):218-25. doi:10.1001/archsurg.2010.333. https://psnet.ahrq.gov/issue/trauma-resuscitation-errors-…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73530/psn-pdf
    July 28, 2021 - The nature, severity and causes of medication incidents from an Australian community pharmacy incident reporting system: the QUMwatch study. July 28, 2021 Adie K, Fois RA, McLachlan AJ, et al. The nature, severity and causes of medication incidents from an Australian community pharmacy incident reporting system: T…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46088/psn-pdf
    May 24, 2017 - Innovative use of the electronic health record to support harm reduction efforts. May 24, 2017 Hyman D, Neiman J, Rannie M, et al. Innovative Use of the Electronic Health Record to Support Harm Reduction Efforts. Pediatrics. 2017;139(5). doi:10.1542/peds.2015-3410. https://psnet.ahrq.gov/issue/innovative-use-elect…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47495/psn-pdf
    October 31, 2018 - Developing and evaluating clinical leadership interventions for frontline healthcare providers: a review of the literature. October 31, 2018 Mianda S, Voce A. Developing and evaluating clinical leadership interventions for frontline healthcare providers: a review of the literature. BMC Health Serv Res. 2018;18(1):…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36276/psn-pdf
    October 21, 2010 - Effects of nursing rounds on patients' call light use, satisfaction, and safety. October 21, 2010 Meade CM, Bursell AL, Ketelsen L. Effects of nursing rounds: on patients' call light use, satisfaction, and safety. Am J Nurs. 2006;106(9):58-71. https://psnet.ahrq.gov/issue/effects-nursing-rounds-patients-call-light…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47224/psn-pdf
    June 27, 2018 - Managing Alarms in Acute Care Across the Life Span: Electrocardiography and Pulse Oximetry. June 27, 2018 Managing Alarms in Acute Care Across the Life Span: Electrocardiography and Pulse Oximetry. Crit Care Nurse. 2018;38(2):e16-e20. doi:10.4037/ccn2018468. https://psnet.ahrq.gov/issue/managing-alarms-acute-care-…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36698/psn-pdf
    February 24, 2011 - The impact of duty hours on resident self reports of errors. February 24, 2011 Vidyarthi A, Auerbach AD, Wachter R, et al. The impact of duty hours on resident self reports of errors. J Gen Intern Med. 2007;22(2):205-9. https://psnet.ahrq.gov/issue/impact-duty-hours-resident-self-reports-errors Residency programs…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47541/psn-pdf
    March 04, 2019 - Health outcomes of deprescribing interventions among older residents in nursing homes: a systematic review and meta-analysis. March 4, 2019 Kua C-H, Mak VSL, Lee SWH. Health Outcomes of Deprescribing Interventions Among Older Residents in Nursing Homes: A Systematic Review and Meta-analysis. J Amer Med Direct Asso…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74084/psn-pdf
    November 17, 2021 - Healthcare failure mode and effect analysis in the chemotherapy preparation process. November 17, 2021 Pueyo-López C, Sánchez-Cuervo M, Vélez-Díaz-Pallarés M, et al. Healthcare failure mode and effect analysis in the chemotherapy preparation process. J Oncol Pharm Pract. 2021;27(7):1588-1595. doi:10.1177/107815522…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866270/psn-pdf
    July 10, 2024 - Identifying and measuring administrative harms experienced by hospitalists and administrative leaders. July 10, 2024 Burden M, Astik GJ, Auerbach AD, et al. Identifying and measuring administrative harms experienced by hospitalists and administrative leaders. JAMA Intern Med. 2024;184(9):1014-1023. doi:10.1001/jam…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45898/psn-pdf
    August 16, 2017 - Estimating hospital-related deaths due to medical error: a perspective from patient advocates. August 16, 2017 Kavanagh KT, Saman DM, Bartel R, et al. Estimating Hospital-Related Deaths Due to Medical Error: A Perspective From Patient Advocates. J Patient Saf. 2017;13(1):1-5. doi:10.1097/PTS.0000000000000364. http…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865454/psn-pdf
    March 27, 2024 - create an inclusive and trusting work environment that facilitates psychological safety and ultimately reduces
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866848/psn-pdf
    September 25, 2024 - In Conversation with Eric Thomas about Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas of Agreement September 25, 2024 Thomas E, Mossburg S, Lee M. In Conversation with Eric Thomas about Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas of Agreement. …
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49640/psn-pdf
    November 01, 2011 - The Case for Patient Flow Management November 1, 2011 Litvak E, Bernheim SA. The Case for Patient Flow Management. PSNet [internet]. 2011. https://psnet.ahrq.gov/web-mm/case-patient-flow-management The Case A 52-year-old woman with a history of major depression, posttraumatic stress disorder, and alcohol abuse wa…
  16. psnet.ahrq.gov/web-mm/2-week-itch
    June 16, 2019 - The 2-Week Itch Citation Text: Cohen MR. The 2-Week Itch. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49844/psn-pdf
    October 01, 2018 - Diffusion of Responsibility Leads to Danger October 1, 2018 Balcezak TJ, Deshpande O. Diffusion of Responsibility Leads to Danger. PSNet [internet]. 2018. https://psnet.ahrq.gov/web-mm/diffusion-responsibility-leads-danger The Case A 70-year-old man was sent to the emergency department (ED) from a nursing facility…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49396/psn-pdf
    April 01, 2003 - The 2-Week Itch April 1, 2003 Cohen MR. The 2-Week Itch. PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/2-week-itch The Case A 40-year-old woman with bipolar disorder (on trazodone) came to her primary care physician with new urticaria. She received a handwritten prescription for Zyrtec and Atarax. The ha…
  19. psnet.ahrq.gov/innovation/system-approaches-social-determinants-health-screening-and-intervention-innovation
    July 23, 2024 - System Approaches to Social Determinants of Health Screening and Intervention Innovation Summary Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL September 23, 2024 View more articles from the same…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/855088/psn-pdf
    January 01, 2024 - Impact of hospital-acquired pneumonia on the Medicare program. November 8, 2023 Baker DL, Giuliano KK, Desmarais M, et al. Impact of hospital-acquired pneumonia on the Medicare program. Infect Control Hosp Epidemiol. 2024;45(3):316-321. doi:10.1017/ice.2023.221. https://psnet.ahrq.gov/issue/impact-hospital-acquire…

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