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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74719/psn-pdfFebruary 02, 2022 - Failure to rescue following emergency surgery: a FRAM analysis of the management of the deteriorating patient. February 2, 2022 Sujan M, Bilbro N, Ross A, et al. Failure to rescue following emergency surgery: A FRAM analysis of the management of the deteriorating patient. Appl Ergon. 2022;98:103608. doi:10.1016/j.a… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46728/psn-pdfMarch 27, 2018 - Near-miss event analysis enhances the barcode medication administration process. March 27, 2018 Magee MC; Miller K; Patzek D; Madera C; Michalek C; Shetterly M. https://psnet.ahrq.gov/issue/near-miss-event-analysis-enhances-barcode-medication-administration- process Near misses provide unique opportunities to ide… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44818/psn-pdfFebruary 24, 2018 - Economic evaluation of interventions for prevention of hospital acquired infections: a systematic review. February 24, 2018 Arefian H, Vogel M, Kwetkat A, et al. Economic Evaluation of Interventions for Prevention of Hospital Acquired Infections: A Systematic Review. PLoS One. 2016;11(1):e0146381. doi:10.1371/jour… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73614/psn-pdfAugust 18, 2021 - Application of human factors methods to ensure appropriate infant identification and abduction prevention within the hospital setting. August 18, 2021 Webster KLW, Stikes R, Bunnell L, et al. Application of human factors methods to ensure appropriate infant identification and abduction prevention within the hospit… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866637/psn-pdfSeptember 04, 2024 - Impact of rounding checklists on the outcomes of patients admitted to ICUs: a systematic review and meta- analysis. September 4, 2024 MacKinnon KM, Seshadri S, Mailman JF, et al. Impact of rounding checklists on the outcomes of patients admitted to ICUs: a systematic review and meta-analysis. Crit Care Explor. 202… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44162/psn-pdfMay 27, 2015 - Computerised clinical decision support systems to improve medication safety in long-term care homes: a systematic review. May 27, 2015 Marasinghe KM. Computerised clinical decision support systems to improve medication safety in long-term care homes: a systematic review. BMJ Open. 2015;5(5):e006539. doi:10.1136/bm… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47482/psn-pdfDecember 05, 2018 - Examining the effects of an obstetrics interprofessional programme on reductions to reportable events and their related costs. December 5, 2018 Geary M, Ruiter PJA, Yasseen AS. Examining the effects of an obstetrics interprofessional programme on reductions to reportable events and their related costs. J Interprof… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47295/psn-pdfSeptember 24, 2018 - Using learning communities to support adoption of health care innovations. September 24, 2018 Carpenter D, Hassell S, Mardon R, et al. Using Learning Communities to Support Adoption of Health Care Innovations. Jt Comm J Qual Patient Saf. 2018;44(10):566-573. doi:10.1016/j.jcjq.2018.03.010. https://psnet.ahrq.gov/i… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60541/psn-pdfMay 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… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42954/psn-pdfDecember 04, 2016 - "Please describe from your point of view a typical case of an error in palliative care": qualitative data from an exploratory cross-sectional survey study among palliative care professionals. December 4, 2016 Dietz I, Plog A, Jox RJ, et al. "Please describe from your point of view a typical case of an error in pal… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73655/psn-pdfSeptember 01, 2021 - Influence of organizational climate and clinician morale on seclusion and physical restraint use in inpatient psychiatric units. September 1, 2021 Anderson E, Mohr DC, Regenbogen I, et al. Influence of organizational climate and clinician morale on seclusion and physical restraint use in inpatient psychiatric unit… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50892/psn-pdfFebruary 12, 2020 - Association of open communication and the emotional and behavioural impact of medical error on patients and families: state-wide cross-sectional survey. February 12, 2020 Prentice JC, Bell SK, Thomas EJ, et al. Association of open communication and the emotional and behavioural impact of medical error on patients … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866272/psn-pdfJuly 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… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837599/psn-pdfJune 29, 2022 - Differences in medication reconciliation interventions between six hospitals: a mixed method study. June 29, 2022 Stuijt CCM, van den Bemt BJF, Boerlage VE, et al. Differences in medication reconciliation interventions between six hospitals: a mixed method study. BMC Health Serv Res. 2022;22(1):722. doi:10.1186/s12… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60707/psn-pdfJuly 22, 2020 - The devil is in the detail: how a closed-loop documentation system for IV infusion administration contributes to and compromises patient safety. July 22, 2020 Furniss D, Dean Franklin B, Blandford A. The devil is in the detail: how a closed-loop documentation system for IV infusion administration contributes to an… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60660/psn-pdfJuly 09, 2020 - Pharmacist-led program to improve transitions from acute care to skilled nursing facility care. July 9, 2020 Achilleos M, McEwen J, Hoesly M, et al. Pharmacist-led program to improve transitions from acute care to skilled nursing facility care. Am J Health Syst Pharm. 2020;77(12). doi:10.1093/ajhp/zxaa090. https:/… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/849610/psn-pdfMay 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.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74723/psn-pdfFebruary 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… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837029/psn-pdfMay 04, 2022 - Identifying patients whose symptoms are underrecognized during treatment with breast radiotherapy. May 4, 2022 doi:10.1001/jamaoncol.2022.0114. https://psnet.ahrq.gov/issue/identifying-patients-whose-symptoms-are-underrecognized-during-treatment- breast-radiotherapy Concordance of patient-reported symptoms and p… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40743/psn-pdfFebruary 01, 2019 - Radiation risks of diagnostic imaging and fluoroscopy. December 23, 2016 Sentinel Event Alert. August 24, 2011;47:1-4. (revised February 2019). https://psnet.ahrq.gov/issue/radiation-risks-diagnostic-imaging The Joint Commission issues Sentinel Event Alerts periodically to highlight emerging patient safety issues …
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