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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866348/psn-pdf
    July 24, 2024 - How can interventions more directly address drivers of unprofessional behaviour between healthcare staff? July 24, 2024 Aunger JA, Abrams R, Mannion R, et al. How can interventions more directly address drivers of unprofessional behaviour between healthcare staff? BMJ Open Qual. 2024;13(3):e002830. doi:10.1136/bmj…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852275/psn-pdf
    January 01, 2024 - Improving emergency medicine clinician awareness of prehospital-administered medications. August 9, 2023 Kamta J, Fregoso B, Lee A, et al. Improving emergency medicine clinician awareness of prehospital- administered medications. Prehosp Emerg Care. 2024;28(3):506-512. doi:10.1080/10903127.2023.2238815. https://p…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73317/psn-pdf
    May 26, 2021 - Clinical and economic impacts of explicit tools detecting prescribing errors: a systematic review. May 26, 2021 Farhat A, Al?Hajje A, Csajka C, et al. Clinical and economic impacts of explicit tools detecting prescribing errors: A systematic review. J Clin Pharm Ther. 2021;46(4):877-886. doi:10.1111/jcpt.13408. ht…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45674/psn-pdf
    September 29, 2017 - Pain Management and Prescription Opioid-related Harms: Exploring the State of the Evidence: Proceedings of a Workshop—in Brief. September 29, 2017 Forstag EH; Committee on Pain Management and Regulatory Strategies to Address Prescription Opioid Abuse; Health and Medicine Division. Washington, DC: National Academy …
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60679/psn-pdf
    July 15, 2020 - Effect on patient safety of a resident physician schedule without 24-hour shifts. July 15, 2020 Landrigan CP, Rahman SA, Sullivan JP, et al. Effect on patient safety of a resident physician schedule without 24-hour shifts. N Engl J Med. 2020;382(26):2514-2523. doi:10.1056/nejmoa1900669. https://psnet.ahrq.gov/issu…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/850910/psn-pdf
    June 21, 2023 - Developing electronic clinical quality measures to assess the cancer diagnostic process. June 21, 2023 Murphy DR, Zimolzak AJ, Upadhyay DK, et al. Developing electronic clinical quality measures to assess the cancer diagnostic process. J Am Med Inform Assoc. 2023;30(9):1526-1531. doi:10.1093/jamia/ocad089. https:…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847534/psn-pdf
    April 12, 2023 - Prevalence and causes of diagnostic errors in hospitalized patients under investigation for COVID-19. April 12, 2023 Auerbach AD, Astik GJ, O’Leary KJ, et al. Prevalence and causes of diagnostic errors in hospitalized patients under investigation for COVID-19. J Gen Intern Med. 2023;38(8):1902-1910. doi:10.1007/s11…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72532/psn-pdf
    December 02, 2020 - Association of display of patient photographs in the electronic health record with wrong-patient order entry errors. December 2, 2020 Salmasian H, Blanchfield BB, Joyce K, et al. Association of display of patient photographs in the electronic health record with wrong-patient order entry errors. JAMA Netw Open. 202…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867192/psn-pdf
    November 20, 2024 - 2024 Network of Patient Safety Databases Chartbook: Medication and Other Substance Events. November 20, 2024 2024 Network Of Patient Safety Databases Chartbook: Medication And Other Substance Events. Rockville, MD: Agency for Healthcare Research and Quality; 2024. AHRQ Pub. No. 24-0088 https://psnet.ahrq.gov/issue…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44837/psn-pdf
    February 03, 2016 - Impact of pharmacist involvement in the transitional care of high-risk patients through medication reconciliation, medication education, and postdischarge call-backs (IPITCH Study). February 3, 2016 Phatak A, Prusi R, Ward B, et al. Impact of pharmacist involvement in the transitional care of high-risk patients t…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46000/psn-pdf
    April 26, 2017 - Diagnostic error in the emergency department: follow up of patients with minor trauma in the outpatient clinic. April 26, 2017 Moonen P-J, Mercelina L, Boer W, et al. Diagnostic error in the Emergency Department: follow up of patients with minor trauma in the outpatient clinic. Scand J Trauma Resusc Emerg Med. 2017…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845634/psn-pdf
    March 08, 2023 - Compliance with and barriers to implementing the surgical safety checklist: a mixed-methods study. March 8, 2023 Aydin Akbuga G, Sürme Y, Esenkaya D. Compliance with and barriers to implementing the surgical safety checklist: a mixed-methods study. AORN J. 2023;117(2):e1-e10. doi:10.1002/aorn.13861. https://psnet.…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73291/psn-pdf
    May 19, 2021 - How can never event data be used to reflect or improve hospital safety performance? May 19, 2021 Olivarius?McAllister J, Pandit M, Sykes A, et al. How can never event data be used to reflect or improve hospital safety performance? Anaesthesia. 2021;76(12):1616-1624. doi:10.1111/anae.15476. https://psnet.ahrq.gov/i…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851057/psn-pdf
    June 28, 2023 - The burden of peri-operative work at night as perceived by anaesthesiologists: an international survey. June 28, 2023 Cortegiani A, Ippolito M, Lakbar I, et al. The burden of peri-operative work at night as perceived by anaesthesiologists: an international survey. Eur J Anaesthesiol. 2023;40(5):326-333. doi:10.109…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44322/psn-pdf
    June 21, 2016 - Emotional harm from disrespect: the neglected preventable harm. June 21, 2016 Sokol-Hessner L, Folcarelli P, Sands KEF. Emotional harm from disrespect: the neglected preventable harm. BMJ Qual Saf. 2015;24(9):550-3. doi:10.1136/bmjqs-2015-004034. https://psnet.ahrq.gov/issue/emotional-harm-disrespect-neglected-pre…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844555/psn-pdf
    February 15, 2023 - AHRQ-Funded Patient Safety Project Highlights: Improving Healthcare Safety by Engaging Patients and Families. February 15, 2023 Rockville, MD: Agency for Healthcare Research and Quality; January 2023. AHRQ Pub. No.22(23)-0065-1. https://psnet.ahrq.gov/issue/ahrq-funded-patient-safety-project-highlights-improving-h…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46101/psn-pdf
    January 01, 2018 - Factors associated with barcode medication administration technology that contribute to patient safety: an integrative review. December 19, 2017 Strudwick G, Reisdorfer E, Warnock C, et al. Factors Associated With Barcode Medication Administration Technology That Contribute to Patient Safety: An Integrative Review…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/849610/psn-pdf
    May 31, 2023 - Implementation of ED I-PASS as a standardized handoff tool in the pediatric emergency department. May 31, 2023 Yanni E, Calaman S, Wiener E, et al. Implementation of ED I-PASS as a standardized handoff tool in the pediatric emergency department. J Healthc Qual. 2023;45(3):140-147. doi:10.1097/jhq.0000000000000374.…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866272/psn-pdf
    July 10, 2024 - Infection control measure performance in long-term care hospitals and their relationship to Joint Commission accreditation. July 10, 2024 Schmaltz SP, Longo BA, Williams SC. Infection control measure performance in long-term care hospitals and their relationship to Joint Commission accreditation. Jt Comm J Qual Pa…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46739/psn-pdf
    January 24, 2019 - Symptom–Disease Pair Analysis of Diagnostic Error (SPADE): a conceptual framework and methodological approach for unearthing misdiagnosis-related harms using big data. January 24, 2019 Liberman AL, Newman-Toker DE. Symptom-Disease Pair Analysis of Diagnostic Error (SPADE): a conceptual framework and methodologica…

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