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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73239/psn-pdf
    May 12, 2021 - Patient factors associated with new prescribing of potentially inappropriate medications in multimorbid US older adults using multiple medications. May 12, 2021 Jungo KT, Streit S, Lauffenburger JC. Patient factors associated with new prescribing of potentially inappropriate medications in multimorbid US older adu…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46103/psn-pdf
    September 23, 2017 - Polypharmacy in the elderly--when good drugs lead to bad outcomes: a teachable moment. September 23, 2017 Carroll C, Hassanin A. Polypharmacy in the Elderly-When Good Drugs Lead to Bad Outcomes: A Teachable Moment. JAMA Intern Med. 2017;177(6):871. doi:10.1001/jamainternmed.2017.0911. https://psnet.ahrq.gov/issue/…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866819/psn-pdf
    September 25, 2024 - Machine learning to enhance electronic detection of diagnostic errors. September 25, 2024 Zimolzak AJ, Wei L, Mir U, et al. Machine learning to enhance electronic detection of diagnostic errors. JAMA Netw Open. 2024;7(9):e2431982. doi:10.1001/jamanetworkopen.2024.31982. https://psnet.ahrq.gov/issue/machine-learnin…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73114/psn-pdf
    April 07, 2021 - Clinical and financial implications of second-opinion surgical pathology review. April 7, 2021 Johnson SM, Samulski TD, O’Connor SM, et al. Clinical and financial implications of second-opinion surgical pathology review. Am J Clin Pathol. 2021;156(4):559-568. doi:10.1093/ajcp/aqaa263. https://psnet.ahrq.gov/issue/…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43678/psn-pdf
    April 22, 2015 - 'Connecting the dots': leveraging visual analytics to make sense of patient safety event reports. April 22, 2015 Ratwani RM, Fong A. 'Connecting the dots': leveraging visual analytics to make sense of patient safety event reports. J Am Med Inform Assoc. 2015;22(2):312-7. doi:10.1136/amiajnl-2014-002963. https://ps…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47676/psn-pdf
    December 19, 2018 - Assessment of attitudes toward deprescribing in older Medicare beneficiaries in the United States. December 19, 2018 Reeve E, Wolff JL, Skehan M, et al. Assessment of Attitudes Toward Deprescribing in Older Medicare Beneficiaries in the United States. JAMA Intern Med. 2018;178(12):1673-1680. doi:10.1001/jamaintern…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35398/psn-pdf
    February 24, 2011 - Residency work-hours reform: a cost analysis including preventable adverse events. February 24, 2011 Nuckols TK, Escarce JJ. Residency work-hours reform. A cost analysis including preventable adverse events. J Gen Intern Med. 2005;20(10):873-8. https://psnet.ahrq.gov/issue/residency-work-hours-reform-cost-analysis…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837966/psn-pdf
    September 01, 2022 - Barcode medication administration software technology use in the emergency department and medication error rates. September 1, 2022 Gauthier-Wetzel HE. Barcode medication administration software technology use in the emergency department and medication error rates. Comput Inform Nurs. 2022;40(6):382-388. doi:10.1…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46506/psn-pdf
    October 11, 2017 - Getting Ahead of Harm Before It Happens: A Guide About Proactive Analysis for Improving Surgical Care Safety. October 11, 2017 Wiley K, Davies JM. Edmonton, AB: Canadian Patient Safety Institute; 2017. https://psnet.ahrq.gov/issue/getting-ahead-harm-it-happens-guide-about-proactive-analysis-improving- surgical-car…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46042/psn-pdf
    July 12, 2017 - Implementation science for ambulatory care safety: a novel method to develop context-sensitive interventions to reduce quality gaps in monitoring high-risk patients. July 12, 2017 McDonald KM, Su G, Lisker S, et al. Implementation science for ambulatory care safety: a novel method to develop context-sensitive inte…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837672/psn-pdf
    July 13, 2022 - Optimizing post-acute care patient safety: a scoping review of multifactorial fall prevention interventions for older adults. July 13, 2022 Leland NE, Lekovitch C, Martínez J, et al. Optimizing post-acute care patient safety: a scoping review of multifactorial fall prevention interventions for older adults. J Appl…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836743/psn-pdf
    March 16, 2022 - Surgeon burnout, impact on patient safety and professionalism: a systematic review and meta-analysis. March 16, 2022 Al-Ghunaim TA, Johnson J, Biyani CS, et al. Surgeon burnout, impact on patient safety and professionalism: A systematic review and meta-analysis. Am J Surg. 2022;224(1 Pt A):228-238. doi:10.1016/j.a…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35516/psn-pdf
    February 03, 2011 - Supplemental perioperative oxygen and the risk of surgical wound infection: a randomized controlled trial. February 3, 2011 Belda J, Aguilera L, de la Asunción JG, et al. Supplemental perioperative oxygen and the risk of surgical wound infection: a randomized controlled trial. JAMA. 2005;294(16):2035-42. https://p…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73514/psn-pdf
    July 21, 2021 - Association between limiting the number of open records in a tele-critical care setting and retract-reorder errors. July 21, 2021 Udeh C, Canfield C, Briskin I, et al. Association between limiting the number of open records in a tele- critical care setting and retract–reorder errors. J Am Med Inform Assoc. 2021;28(…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841477/psn-pdf
    December 14, 2022 - Health system redesign of cardiac monitoring oversight to optimize alarm management, safety, and staff engagement. December 14, 2022 Engel JR, Lindsay M, O'Brien S, et al. Health system redesign of cardiac monitoring oversight to optimize alarm management, safety, and staff engagement. J Nurs Adm. 2022;52(10):511-…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47745/psn-pdf
    March 06, 2019 - "I am administering medication—please do not interrupt me": red tabards preventing interruptions as perceived by surgical patients. March 6, 2019 Palese A, Ferro M, Pascolo M, et al. "I Am Administering Medication-Please Do Not Interrupt Me": Red Tabards Preventing Interruptions as Perceived by Surgical Patients. …
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866859/psn-pdf
    October 02, 2024 - Severe hypertension in pregnancy: progress made and future directions for patient safety, quality improvement, and implementation of a patient safety bundle. October 2, 2024 Prior A, Taylor I, Gibson KS, et al. Severe hypertension in pregnancy: progress made and future directions for patient safety, quality improv…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48079/psn-pdf
    June 12, 2019 - Evaluating the implementation and impact of a pharmacy technician-supported medicines administration service designed to reduce omitted doses in hospitals: a qualitative study. June 12, 2019 Seston EM, Ashcroft DM, Lamerton E, et al. Evaluating the implementation and impact of a pharmacy technician-supported medi…
  19. psnet.ahrq.gov/web-mm/complicated-course-severe-alcohol-withdrawal-dexmedetomidine-infusion
    June 14, 2023 - neuronal excitability, and thereby mimicking the neurodepressant effect of alcohol. 12,13 This mechanism reduces
  20. psnet.ahrq.gov/perspective/ahrq-psnet-annual-perspective-impact-covid-19-pandemic-patient-safety
    August 31, 2020 - This strategy not only reduces unnecessary patient visits and unnecessary patient monitoring and socially

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