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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74141/psn-pdfDecember 01, 2021 - Incident reporting systems: what will it take to make them less frustrating and achieve anything useful? December 1, 2021 Shojania KG. Incident reporting systems: what will it take to make them less frustrating and achieve anything useful? Jt Comm J Qual Patient Saf. 2021;47(12):755-758. doi:10.1016/j.jcjq.2021.10.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74172/psn-pdfDecember 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 … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837633/psn-pdfJuly 06, 2022 - Evaluation of feedback modalities and preferences regarding feedback on decision-making in a pediatric emergency department. July 6, 2022 Graham JMK, Ambroggio L, Leonard JE, et al. Evaluation of feedback modalities and preferences regarding feedback on decision-making in a pediatric emergency department. Diagnosi… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/851457/psn-pdfJuly 19, 2023 - Root causes and preventability of unintentionally retained foreign objects after surgery: a national expert survey from Switzerland. July 19, 2023 Schwappach DLB, Pfeiffer Y. Root causes and preventability of unintentionally retained foreign objects after surgery: a national expert survey from Switzerland. Patient… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35300/psn-pdfMarch 04, 2011 - How strong is the evidence for the use of perioperative beta blockers in non-cardiac surgery? Systematic review and meta-analysis of randomised controlled trials. March 4, 2011 Devereaux PJ, Beattie WS, Choi PT-L, et al. How strong is the evidence for the use of perioperative ? blockers in non-cardiac surgery? Sys… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866438/psn-pdfAugust 07, 2024 - Using machine learning or deep learning models in a hospital setting to detect inappropriate prescriptions: a systematic review. August 7, 2024 Johns E, Alkanj A, Beck M, et al. Using machine learning or deep learning models in a hospital setting to detect inappropriate prescriptions: a systematic review. Eur J Ho… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73587/psn-pdfAugust 11, 2021 - Effects of a brief team training program on surgical teams' nontechnical skills: an interrupted time-series study. August 11, 2021 Gillespie BM, Harbeck EL, Kang E, et al. Effects of a brief team training program on surgical teams' nontechnical skills: an interrupted time-series study. J Patient Saf. 2021;17(5):e4… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50881/psn-pdfFebruary 12, 2020 - Adverse events during intrahospital transport of critically ill children: a systematic review. February 12, 2020 Haydar B, Baetzel A, Elliott A, et al. Adverse Events During Intrahospital Transport of Critically Ill Children: A Systematic Review. Anesth Analg. 2020;131(4):1135-1145. doi:10.1213/ane.0000000000004585… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/855421/psn-pdfNovember 15, 2023 - Informatics tools in deprescribing and medication optimization in older adults: development and dissemination of VIONE methodology in a high reliability organization. November 15, 2023 Winter SG, Sedgwick C, Wallace-Lacey A, et al. Informatics tools in deprescribing and medication optimization in older adults: de… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46162/psn-pdfJuly 26, 2017 - The association between patient safety indicators and medical malpractice risk: evidence from Florida and Texas. July 26, 2017 Black BS, Wagner AR, Zabinski Z. The Association between Patient Safety Indicators and Medical Malpractice Risk: Evidence from Florida and Texas. Am J Health Econ. 2017;3(2). doi:10.1162/… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837632/psn-pdfJuly 06, 2022 - Serious experience events: applying patient safety concepts to improve patient experience. July 6, 2022 Donnelly LF, Uhlhorn E, Bargmann-Losche J, et al. Serious experience events: applying patient safety concepts to improve patient experience. J Patient Exp. 2022;9:237437352211026. doi:10.1177/23743735221102670. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50795/psn-pdfJanuary 15, 2020 - Diagnostic error in the emergency department: learning from national patient safety incident report analysis. January 15, 2020 Hussain F, Cooper A, Carson-Stevens A, et al. Diagnostic error in the emergency department: learning from national patient safety incident report analysis. BMC Emerg Med. 2019;19(1):77. doi… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41132/psn-pdfMarch 13, 2012 - Spreading a medication administration intervention organizationwide in six hospitals. March 13, 2012 Kliger J, Singer SJ, Hoffman F, et al. Spreading a medication administration intervention organizationwide in six hospitals. Jt Comm J Qual Patient Saf. 2012;38(2):51-60. https://psnet.ahrq.gov/issue/spreading-medi… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837796/psn-pdfAugust 10, 2022 - Association between hospital acquired harm outcomes and membership in a national patient safety collaborative. August 10, 2022 Coffey M, Marino M, Lyren A, et al. Association between hospital acquired harm outcomes and membership in a national patient safety collaborative. JAMA Pediatr. 2022;176(9):924-932. doi:10… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44563/psn-pdfOctober 21, 2015 - The effect of staff nurses' shift length and fatigue on patient safety and nurses' health: from the National Association of Neonatal Nurses. October 21, 2015 Samra HA, Smith BA. The Effect of Staff Nurses' Shift Length and Fatigue on Patient Safety and Nurses' Health: From the National Association of Neonatal Nurs… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72710/psn-pdfFebruary 03, 2021 - A poison information centre can provide important assessment and guidance regarding medication errors in nursing homes: a prospective cohort study. February 3, 2021 Vinther S, Bøgevig S, Eriksen KR, et al. A poison information centre can provide important assessment and guidance regarding medication errors in nurs… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74153/psn-pdfDecember 08, 2021 - The benefits and harms of open notes in mental health: a Delphi survey of international experts. December 8, 2021 Blease CR, Kharko A, Hägglund M, et al. The benefits and harms of open notes in mental health: a Delphi survey of international experts. PLoS ONE. 2021;16(10):e0258056. doi:10.1371/journal.pone.0258056.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43656/psn-pdfSeptember 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… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47356/psn-pdfSeptember 05, 2018 - 'Cyberloafing' in health care: a real risk to patient safety. September 5, 2018 Ross J. 'Cyberloafing' in Health Care: A Real Risk to Patient Safety. J Perianesth Nurs. 2018;33(4):560- 562. doi:10.1016/j.jopan.2018.05.003. https://psnet.ahrq.gov/issue/cyberloafing-health-care-real-risk-patient-safety The health ca… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40645/psn-pdfNovember 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…
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