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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/842772/psn-pdf
    January 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…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45350/psn-pdf
    October 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…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47867/psn-pdf
    June 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…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838242/psn-pdf
    January 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…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50804/psn-pdf
    January 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…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38625/psn-pdf
    November 19, 2009 - The design of the SAFE or SORRY? study: a cluster randomised trial on the development and testing of an evidence based inpatient safety program for the prevention of adverse events. November 19, 2009 van Gaal BGI, Schoonhoven L, Hulscher M, et al. The design of the SAFE or SORRY? study: a cluster randomised trial…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46803/psn-pdf
    April 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 …
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73880/psn-pdf
    January 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…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60910/psn-pdf
    January 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…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45922/psn-pdf
    April 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.…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43787/psn-pdf
    June 22, 2016 - Measuring variation in use of the WHO surgical safety checklist in the operating room: a multicenter prospective cross-sectional study. June 22, 2016 Russ S, Rout S, Caris J, et al. Measuring variation in use of the WHO surgical safety checklist in the operating room: a multicenter prospective cross-sectional stud…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36303/psn-pdf
    October 25, 2010 - Medication dispensing errors and potential adverse drug events before and after implementing bar code technology in the pharmacy. October 25, 2010 Poon EG, Cina J, Churchill WW, et al. Medication dispensing errors and potential adverse drug events before and after implementing bar code technology in the pharmacy. …
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40807/psn-pdf
    September 01, 2016 - Prevalence of medication administration errors in two medical units with automated prescription and dispensing. September 1, 2016 Rodriguez-Gonzalez CG, Herranz-Alonso A, Martin-Barbero ML, et al. Prevalence of medication administration errors in two medical units with automated prescription and dispensing. J Am M…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/856589/psn-pdf
    January 01, 2024 - Prevented harm and cost avoidance with pharmacist intervention while utilizing a discharge medication reconciliation tool. November 29, 2023 Hoffman AM, Walls JL, Prusch A, et al. Prevented harm and cost avoidance with pharmacist intervention while utilizing a discharge medication reconciliation tool. Am J Health …
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50906/psn-pdf
    February 19, 2020 - Implementation of a discharge education program to improve transitions of care for patients at high risk of medication errors. February 19, 2020 Crannage AJ, Hennessey EK, Challen LM, et al. . Implementation of a discharge education program to improve transitions of care for patients at high risk of medication err…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72530/psn-pdf
    January 01, 2021 - A realist synthesis of pharmacist-conducted medication reviews in primary care after leaving hospital: what works for whom and why? December 2, 2020 Luetsch K, Rowett D, Twigg MJ. A realist synthesis of pharmacist-conducted medication reviews in primary care after leaving hospital: what works for whom and why? BMJ…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43273/psn-pdf
    April 25, 2016 - Cardiopulmonary arrest and mortality trends, and their association with rapid response system expansion. April 25, 2016 Chen J, Ou L, Hillman KM, et al. Cardiopulmonary arrest and mortality trends, and their association with rapid response system expansion. Med J Aust. 2014;201(3):167-70. https://psnet.ahrq.gov/is…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72857/psn-pdf
    March 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…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866407/psn-pdf
    July 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…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73399/psn-pdf
    June 16, 2021 - Examining causes and prevention strategies of adverse events in deceased hospital patients: a retrospective patient record review study in the Netherlands. June 16, 2021 Smits M, Langelaan M, de Groot J, et al. Examining causes and prevention strategies of adverse events in deceased hospital patients: a retrospect…

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