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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74110/psn-pdf
    November 24, 2021 - New problems and iatrogenic events among older adults in the first 30 days of post-acute rehabilitation. November 24, 2021 Simpson M, Kovach CR. New problems and iatrogenic events among older adults in the first 30 days of post-acute rehabilitation. Res Gerontol Nurs. 2021;14(6):293-304. doi:10.3928/19404921-202109…
  2. 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…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47607/psn-pdf
    February 13, 2019 - Infection prevention in long-term care: re-evaluating the system using a human factors engineering approach. February 13, 2019 Katz MJ, Gurses AP. Infection prevention in long-term care: re-evaluating the system using a human factors engineering approach. Infect Control Hosp Epidemiol. 2019;40(1):95-99. doi:10.1017…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837151/psn-pdf
    May 18, 2022 - Society for Maternal-Fetal Medicine Special Statement: a critique of postpartum readmission rate as a quality metric. May 18, 2022 Combs CA, Goffman D, Pettker CM. Society for Maternal-Fetal Medicine Special Statement: A critique of postpartum readmission rate as a quality metric. Am J Obstet Gynecol. 2022;226(4):…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837892/psn-pdf
    January 01, 2023 - Teamwork before and during COVID-19: the good, the same, and the ugly…. August 24, 2022 Rehder KJ, Adair KC, Eckert E, et al. Teamwork before and during COVID-19: the good, the same, and the ugly…. J Patient Saf. 2023;19(1):36-41. doi:10.1097/pts.0000000000001070. https://psnet.ahrq.gov/issue/teamwork-and-during-c…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60898/psn-pdf
    September 09, 2020 - Sequential implementation of the EQUIPPED geriatric medication safety program as a learning health system. September 9, 2020 Vandenberg AE, Kegler M, Hastings SN, et al. Sequential implementation of the EQUIPPED geriatric medication safety program as a learning health system. Int J Qual Health Care. 2020;32(7):470-…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60179/psn-pdf
    April 01, 2020 - Two cultures in modern science and technology: for safety and validity does medicine have to update? April 1, 2020 Becker RE. Two cultures in modern science and technology: for safety and validity does medicine have to update? J Patient Saf. 2020;16(1):e46-e50. doi:10.1097/pts.0000000000000260. https://psnet.ahrq.…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74055/psn-pdf
    January 01, 2022 - Registered nurses' and medical doctors' experiences of patient safety in health information exchange during interorganizational care transitions: a qualitative review. November 10, 2021 Hyvämäki P, Kääriäinen M, Tuomikoski A-M, et al. Registered nurses' and medical doctors' experiences of patient safety in health …
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73218/psn-pdf
    January 01, 2022 - Work-related factors, cognitive skills, unsafe behavior and safety incident involvement among emergency medical services crew members: relationships and indirect effects. May 5, 2021 Sedlár M. Work-related factors, cognitive skills, unsafe behavior and safety incident involvement among emergency medical services …
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74082/psn-pdf
    November 17, 2021 - Associations of person-related, environment-related and communication-related factors on medication errors in public and private hospitals: a retrospective clinical audit. November 17, 2021 Manias E, Street M, Lowe G, et al. Associations of person-related, environment-related and communication-related factors on m…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866070/psn-pdf
    June 05, 2024 - Large language models for preventing medication direction errors in online pharmacies. June 5, 2024 Pais C, Liu J, Voigt R, et al. Large language models for preventing medication direction errors in online pharmacies. Nat Med. 2024;30(6):1574-1582. doi:10.1038/s41591-024-02933-8. https://psnet.ahrq.gov/issue/large…
  12. 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…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46984/psn-pdf
    April 04, 2018 - Educator toolkits on second victim syndrome, mindfulness and meditation, and positive psychology: the 2017 Resident Wellness Consensus Summit. April 4, 2018 Chung AS, Smart J, Zdradzinski M, et al. Educator Toolkits on Second Victim Syndrome, Mindfulness and Meditation, and Positive Psychology: The 2017 Resident W…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/850354/psn-pdf
    June 14, 2023 - The effects of electronic nursing handover on patient safety in the general (non-COVID-19) and COVID-19 intensive care units: a quasi-experimental study. June 14, 2023 Tataei A, Rahimi B, Afshar HL, et al. The effects of electronic nursing handover on patient safety in the general (non-COVID-19) and COVID-19 inten…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836829/psn-pdf
    March 30, 2022 - Safety in fragile, conflict-affected, and vulnerable settings: An evidence scanning approach for identifying patient safety interventions. March 30, 2022 O’Brien N, Shaw A, Flott K, et al. Safety in fragile, conflict-affected, and vulnerable settings: an evidence scanning approach for identifying patient safety in…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866952/psn-pdf
    October 16, 2024 - Introduction of a novel patient safety advisory: evaluation of perceived information with a modified QPP questionnaire-a case-control study. October 16, 2024 Tubic B, Bånnsgård M, Gustavsson S, et al. Introduction of a novel patient safety advisory: evaluation of perceived information with a modified QPP questionn…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867381/psn-pdf
    December 18, 2024 - Promoting medication safety for older adults upon hospital discharge: guiding principles for a medication discharge plan. December 18, 2024 Zhang FH, Lauzon J, Payette J, et al. Promoting medication safety for older adults upon hospital discharge: guiding principles for a medication discharge plan. Br J Clin Pharm…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866685/psn-pdf
    September 11, 2024 - Evaluation and mitigation of the limitations of large language models in clinical decision-making. September 11, 2024 Hager P, Jungmann F, Holland R, et al. Evaluation and mitigation of the limitations of large language models in clinical decision-making. Nat Med. 2024;30(9):2613-2622. doi:10.1038/s41591-024-03097-…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45851/psn-pdf
    February 22, 2017 - Eight years of decreased methicillin-resistant Staphylococcus aureus health care–associated infections associated with a Veterans Affairs prevention initiative. February 22, 2017 Evans ME, Kralovic SM, Simbartl LA, et al. Eight years of decreased methicillin-resistant Staphylococcus aureus health care-associated i…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50937/psn-pdf
    February 26, 2020 - Emergency intubation of children outside of the operating room. February 26, 2020 Long E, Barrett MJ, Peters C, et al. Emergency intubation of children outside of the operating room. Paediatr Anaesth. 2020;30(3):319-330. doi:10.1111/pan.13784. https://psnet.ahrq.gov/issue/emergency-intubation-children-outside-oper…

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