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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/838242/psn-pdfJanuary 01, 2023 - Are pathologists self-aware of their diagnostic accuracy? Metacognition and the diagnostic process in pathology. October 5, 2022 Clayton DA, Eguchi MM, Kerr KF, et al. Are pathologists self-aware of their diagnostic accuracy? Metacognition and the diagnostic process in pathology. Med Decis Making. 2023;43(2):164-17… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46803/psn-pdfApril 12, 2019 - Association between electronic medical record implementation of default opioid prescription quantities and prescribing behavior in two emergency departments. April 12, 2019 Delgado K, Shofer FS, Patel MS, et al. Association between Electronic Medical Record Implementation of Default Opioid Prescription Quantities … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50804/psn-pdfJanuary 15, 2020 - The use of patient digital facial images to confirm patient identity in a children's hospital's anesthesia information management system. January 15, 2020 Thomas JJ, Yaster M, Guffey P. The Use of Patient Digital Facial Images to Confirm Patient Identity in a Children's Hospital's Anesthesia Information Management… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47867/psn-pdfJune 19, 2019 - Increasing compliance of safe medication administration in pediatric anesthesia by use of a standardized checklist. June 19, 2019 Kanjia MK, Adler AC, Buck D, et al. Increasing compliance of safe medication administration in pediatric anesthesia by use of a standardized checklist. Paediatr Anaesth. 2019;29(3):258-2… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72857/psn-pdfMarch 17, 2021 - Results and lessons from a hospital-wide initiative incentivised by delivery system reform to improve infection prevention and sepsis care. March 17, 2021 Sreeramoju P, Voy-Hatter K, White C, et al. Results and lessons from a hospital-wide initiative incentivised by delivery system reform to improve infection prev… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46325/psn-pdfNovember 30, 2018 - Physician Burnout. November 30, 2018 Rockville, MD: Agency for Healthcare Research and Quality; July 2017. AHRQ Publication No. 17-M018-1- EF. https://psnet.ahrq.gov/issue/physician-burnout Clinician burnout can affect patient safety. This report highlights AHRQ-supported research to examine burnout in health car… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45922/psn-pdfApril 19, 2017 - Two sides to every story: the Dual Perspectives Method for examining interruptions in healthcare. April 19, 2017 McCurdie T, Sanderson P, Aitken LM, et al. Two sides to every story: The Dual Perspectives Method for examining interruptions in healthcare. Appl Ergon. 2017;58:102-109. doi:10.1016/j.apergo.2016.05.012.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74099/psn-pdfJanuary 01, 2022 - Hemodialysis bleeding events and deaths: an 18-year retrospective analysis of patient safety and root cause analysis reports in the Veterans Health Administration. November 24, 2021 Walton E, Charles M, Morrish W, et al. Hemodialysis bleeding events and deaths: an 18-year retrospective analysis of patient safety a… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/867636/psn-pdfFebruary 26, 2025 - Early experience of peer advocate program: using quality improvement to optimize behavioral and communication disconnect in the operating room. February 26, 2025 Eckhouse SR, Huston M, Smith ER, et al. Early experience of peer advocate program: using quality improvement to optimize behavioral and communication dis… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/867596/psn-pdfJanuary 22, 2025 - Creation of root cause analysis and action (RCA2) standard work by a multidisciplinary team to prevent harm, reduce bias, and improve safety culture. January 22, 2025 Musheno D, Harnish M, Roberts J, et al. Creation of root cause analysis and action (RCA2) standard work by a multidisciplinary team to prevent harm,… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/839822/psn-pdfNovember 09, 2022 - Understanding factors that could influence patient acceptability of the use of the PINCER intervention in primary care: a qualitative exploration using the Theoretical Framework of Acceptability. November 9, 2022 Laing L, Salema N-E, Jeffries M, et al. Understanding factors that could influence patient acceptabili… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72669/psn-pdfJanuary 27, 2021 - Nosocomial transmission and outbreaks of coronavirus disease 2019: the need to protect both patients and healthcare workers. January 27, 2021 Abbas M, Robalo Nunes T, Martischang R, et al. Nosocomial transmission and outbreaks of coronavirus disease 2019: the need to protect both patients and healthcare workers. A… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37706/psn-pdfDecember 23, 2016 - Preventing pediatric medication errors. December 23, 2016 Preventing pediatric medication errors. Sentinel event alert. 2008;39:1-4. https://psnet.ahrq.gov/issue/preventing-pediatric-medication-errors The Joint Commission issues sentinel event alerts one to two times yearly to highlight areas of high risk and to p… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837804/psn-pdfAugust 10, 2022 - Nurses' harm prevention practices during admission of an older person to the hospital: a multi-method qualitative study. August 10, 2022 Redley B, Douglas T, Hoon L, et al. Nurses' harm prevention practices during admission of an older person to the hospital: a multi?method qualitative study. J Adv Nurs. 2022;78(1… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45350/psn-pdfOctober 21, 2016 - A National Trauma Care System: Integrating Military and Civilian Trauma Systems to Achieve Zero Preventable Deaths After Injury. October 21, 2016 National Academies of Sciences, Engineering, and Medicine. Washington, DC: National Academies Press; 2016. https://psnet.ahrq.gov/issue/national-trauma-care-system-inte… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/842772/psn-pdfJanuary 18, 2023 - Short- and long-term effects of an electronic medication management system on paediatric prescribing errors. January 18, 2023 Westbrook JI, Li L, Raban MZ, et al. Short- and long-term effects of an electronic medication management system on paediatric prescribing errors. NPJ Digit Med. 2022;5(1):179. doi:10.1038/s4… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73608/psn-pdfJanuary 01, 2022 - Pharmacist-led intervention on the reduction of inappropriate medication use in patients with heart failure: a systematic review of randomized trials and non- randomized intervention studies. August 18, 2021 Hernández-Prats C, López-Pintor E, Lumbreras B. Pharmacist-led intervention on the reduction of inappropri… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60910/psn-pdfJanuary 01, 2021 - Hospital- and system-wide interventions for health care- associated infections: a systematic review. September 16, 2020 Maurer NR, Hogan TH, Walker DM. Hospital- and system-wide interventions for health care-associated infections: a systematic review. Med Care Res Rev. 2021;78(6):643-659. doi:10.1177/10775587209529… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73880/psn-pdfJanuary 01, 2022 - Decreased incidence of cesarean surgical site infection rate with hospital-wide perioperative bundle. September 29, 2021 Sood N, Lee RE, To JK, et al. Decreased incidence of cesarean surgical site infection rate with hospital? wide perioperative bundle. Birth. 2022;49(1):141-146. doi:10.1111/birt.12586. https://ps… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866407/psn-pdfJuly 31, 2024 - Effect of digital tools to promote hospital quality and safety on adverse events after discharge. July 31, 2024 Vasudevan A, Plombon S, Piniella N, et al. Effect of digital tools to promote hospital quality and safety on adverse events after discharge. J Am Med Inform Assoc. 2024;31(10):2304-2314. doi:10.1093/jami…
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