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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837044/psn-pdf
    May 04, 2022 - How Discrimination in Health Care Affects Older Americans, and What Health Systems and Providers Can Do. May 4, 2022 Doty MM, Horstman C, Shah A et al. Issue Brief. New York, NY: Commonwealth Fund: April 2022. https://psnet.ahrq.gov/issue/how-discrimination-health-care-affects-older-americans-and-what-health- sys…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74723/psn-pdf
    February 02, 2022 - The MedSafer study-electronic decision support for deprescribing in hospitalized older adults: a cluster randomized clinical trial. February 2, 2022 McDonald EG, Wu PE, Rashidi B, et al. The MedSafer study-electronic decision support for deprescribing in hospitalized older adults: a cluster randomized clinical tri…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60541/psn-pdf
    May 01, 2013 - Targeted versus universal decolonization to prevent ICU infection. May 1, 2013 Huang SS, Septimus E, Kleinman K, et al. Targeted versus universal decolonization to prevent ICU infection. N Engl J Med. 2013;368(24):2255-2265. doi:10.1056/nejmoa1207290. https://psnet.ahrq.gov/issue/targeted-versus-universal-decoloni…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/862130/psn-pdf
    February 07, 2024 - Interventions to support nurses as second victims of patient safety incidents: a qualitative study of nurse managers' perceptions. February 7, 2024 Järvisalo P, Haatainen K, Von Bonsdorff M, et al. Interventions to support nurses as second victims of patient safety incidents: a qualitative study of nurse managers'…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46606/psn-pdf
    July 10, 2019 - Implementation of a mock root cause analysis to provide simulated patient safety training. July 10, 2019 Murphy M, Duff J, Whitney J, et al. Implementation of a mock root cause analysis to provide simulated patient safety training. BMJ Open Qual. 2017;6(2). doi:10.1136/bmjoq-2017-000096. https://psnet.ahrq.gov/iss…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35896/psn-pdf
    July 23, 2010 - Work-hour restrictions as an ethical dilemma for residents. July 23, 2010 Carpenter RO, Austin MT, Tarpley JL, et al. Work-hour restrictions as an ethical dilemma for residents. Am J Surg. 2006;191(4):527-32. https://psnet.ahrq.gov/issue/work-hour-restrictions-ethical-dilemma-residents This study surveyed 170 res…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841787/psn-pdf
    December 21, 2022 - Electronic prescribing systems in hospitals to improve medication safety: a multi-methods research programme. December 21, 2022 Sheikh A, Coleman JJ, Chuter A, et al. Electronic prescribing systems in hospitals to improve medication safety: a multimethods research programme. Programme Grants Appl Res. 2022;10(7):1-…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854380/psn-pdf
    October 11, 2023 - Associations between hospitalist shift busyness, diagnostic confidence, and resource utilization: a pilot study. October 11, 2023 Gupta AB, Greene MT, Fowler KE, et al. Associations between hospitalist shift busyness, diagnostic confidence, and resource utilization: a pilot study. J Patient Saf. 2023;19(7):447-452…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74172/psn-pdf
    December 08, 2021 - Differences in safety report event types submitted by graduate medical education trainees compared with other healthcare team members. December 8, 2021 Cohen SP, McLean HS, Milne J, et al. Differences in Safety Report Event Types Submitted by Graduate Medical Education Trainees Compared With Other Healthcare Team …
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73571/psn-pdf
    August 04, 2021 - "My whole room went into chaos because of that thing in the corner": unintended consequences of a central fetal monitoring system. August 4, 2021 Small K, Sidebotham M, Gamble J, et al. “My whole room went into chaos because of that thing in the corner”: unintended consequences of a central fetal monitoring system…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43656/psn-pdf
    September 01, 2016 - Optimization of drug–drug interaction alert rules in a pediatric hospital's electronic health record system using a visual analytics dashboard. September 1, 2016 Simpao AF, Ahumada LM, Desai BR, et al. Optimization of drug-drug interaction alert rules in a pediatric hospital's electronic health record system using…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45290/psn-pdf
    July 27, 2016 - Interventions to address potentially inappropriate prescribing in community-dwelling older adults: a systematic review of randomized controlled trials. July 27, 2016 Clyne B, Fitzgerald C, Quinlan A, et al. Interventions to Address Potentially Inappropriate Prescribing in Community-Dwelling Older Adults: A Systema…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73679/psn-pdf
    September 08, 2021 - Why an open disclosure procedure is and is not followed after an avoidable adverse event. September 8, 2021 Carrillo I, Mira JJ, Guilabert M, et al. Why an open disclosure procedure is and is not followed after an avoidable adverse event. J Patient Saf. 2021;17(6):e529-e533. doi:10.1097/pts.0000000000000405. https…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837039/psn-pdf
    May 04, 2022 - The Joint Commission's new and revised workplace violence prevention standards for hospitals: a major step forward toward improved quality and safety. May 4, 2022 Arnetz JE. The Joint Commission's new and revised workplace violence prevention standards for hospitals: a major step forward toward improved quality an…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73656/psn-pdf
    September 01, 2021 - Opioid prescribing to US children and young adults in 2019. September 1, 2021 Chua K-P, Brummett CM, Conti RM, et al. Opioid prescribing to US children and young adults in 2019. Pediatrics. 2021;148(3):e2021051539. doi:10.1542/peds.2021-051539. https://psnet.ahrq.gov/issue/opioid-prescribing-us-children-and-young-…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40645/psn-pdf
    November 26, 2012 - Rapid-response teams. November 26, 2012 Jones D, DeVita MA, Bellomo R. Rapid-response teams. N Engl J Med. 2011;365(2):139-46. doi:10.1056/NEJMra0910926. https://psnet.ahrq.gov/issue/rapid-response-teams Delays in clinical deterioration recognition and failures to rescue lead to serious adverse events. Rapid resp…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866433/psn-pdf
    August 07, 2024 - Sepsis alert systems, mortality, and adherence in emergency departments: a systematic review and meta- analysis. August 7, 2024 Kim H-J, Ko R-E, Lim SY, et al. Sepsis alert systems, mortality, and adherence in emergency departments: a systematic review and meta-analysis. JAMA Netw Open. 2024;7(7):e2422823. doi:10…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48109/psn-pdf
    January 01, 2020 - Dosing errors made by paramedics during pediatric patient simulations after implementation of a state-wide pediatric drug dosing reference. July 24, 2019 Hoyle JD, Ekblad G, Hover T, et al. Dosing Errors Made by Paramedics During Pediatric Patient Simulations After Implementation of a State-Wide Pediatric Drug Dos…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60849/psn-pdf
    January 01, 2021 - Associations between double-checking and medication administration errors: a direct observational study of paediatric inpatients. August 26, 2020 Westbrook JI, Li L, Raban MZ, et al. Associations between double-checking and medication administration errors: a direct observational study of paediatric inpatients. BM…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837705/psn-pdf
    July 20, 2022 - Understanding hazards for adverse drug events among older adults after hospital discharge: insights from frontline care professionals. July 20, 2022 Xiao Y, Smith A, Abebe E, et al. Understanding hazards for adverse drug events among older adults after hospital discharge: insights from frontline care professionals…

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