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  1. 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…
  2. 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. …
  3. 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…
  4. 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…
  5. 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.…
  6. 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…
  7. 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…
  8. 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…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42489/psn-pdf
    May 19, 2014 - Improving medication administration safety in solid organ transplant patients through barcode-assisted medication administration. May 19, 2014 Bonkowski J, Weber RJ, Melucci J, et al. Improving medication administration safety in solid organ transplant patients through barcode-assisted medication administration. A…
  10. 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. …
  11. 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…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40471/psn-pdf
    May 25, 2011 - Effect of admission medication reconciliation on adverse drug events from admission medication changes. May 25, 2011 Boockvar K, Blum S, Kugler A, et al. Effect of admission medication reconciliation on adverse drug events from admission medication changes. Arch Intern Med. 2011;171(9):860-1. doi:10.1001/archinter…
  13. 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…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73612/psn-pdf
    August 18, 2021 - Evaluating the impact of radio frequency identification retained surgical instruments tracking on patient safety: literature review. August 18, 2021 Schnock KO, Biggs B, Fladger A, et al. Evaluating the impact of radio frequency identification retained surgical instruments tracking on patient safety: literature re…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43109/psn-pdf
    December 10, 2014 - Creating a physician-led quality imperative. December 10, 2014 Nelson MF, Merriman CS, Magnusson PT, et al. Creating a physician-led quality imperative. Am J Med Qual. 2014;29(6):508-16. doi:10.1177/1062860613509683. https://psnet.ahrq.gov/issue/creating-physician-led-quality-imperative This commentary relates one…
  16. 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…
  17. 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 …
  18. 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…
  19. 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. …
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46311/psn-pdf
    August 23, 2017 - Swimming against the tide: primary care physicians' views on deprescribing in everyday practice. August 23, 2017 Wallis KA, Andrews A, Henderson M. Swimming Against the Tide: Primary Care Physicians’ Views on Deprescribing in Everyday Practice. Ann Fam Med. 2017;15(4):341-346. doi:10.1370/afm.2094. https://psnet.a…

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