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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73181/psn-pdfApril 28, 2021 - Critical incidents involving the medical emergency team: a 5-year retrospective assessment for healthcare improvement. April 28, 2021 Danielis M, Destrebecq A, Terzoni S, et al. Critical incidents involving the medical emergency team: a 5- year retrospective assessment for healthcare improvement. Dimens Crit Care … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43975/psn-pdfJuly 18, 2016 - Influence of the Comprehensive Unit-based Safety Program in ICUs: evidence from the Keystone ICU project. July 18, 2016 Hsu Y-J, Marsteller JA. Influence of the Comprehensive Unit-based Safety Program in ICUs: Evidence From the Keystone ICU Project. Am J Med Qual. 2016;31(4):349-357. doi:10.1177/1062860615571963. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36345/psn-pdfNovember 15, 2011 - Risk reduction for adverse drug events through sequential implementation of patient safety initiatives in a children's hospital. November 15, 2011 Leonard MS, Cimino M, Shaha S, et al. Risk reduction for adverse drug events through sequential implementation of patient safety initiatives in a children's hospital. P… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/851886/psn-pdfAugust 02, 2023 - Hospitalization due to adverse drug events in older adults with cancer: a retrospective analysis. August 2, 2023 Walsh DJ, Sahm LJ, O'Driscoll M, et al. Hospitalization due to adverse drug events in older adults with cancer: a retrospective analysis. J Geriatr Oncol. 2023;14(6):101540. doi:10.1016/j.jgo.2023.101540… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866745/psn-pdfSeptember 18, 2024 - State of the Science and Future Directions to Improve Diagnostic Safety in Older Adults. September 18, 2024 Tran AK, Syed Q, Bierman AS, et al. State Of The Science And Future Directions To Improve Diagnostic Safety In Older Adults. Rockville, MD: Agency for Healthcare Research and Quality; September 2024. AHRQ Pu… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/840147/psn-pdfNovember 16, 2022 - Electronic diagnostic support in emergency physician triage: qualitative study with thematic analysis of interviews. November 16, 2022 Sibbald M, Abdulla B, Keuhl A, et al. Electronic diagnostic support in emergency physician triage: qualitative study with thematic analysis of interviews. JMIR Hum Factors. 2022;9(… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47198/psn-pdfAugust 22, 2018 - Health IT Safe Practices for Closing the Loop. August 22, 2018 Partnership for Health IT Patient Safety. Plymouth Meeting, PA: ECRI; August 2018. https://psnet.ahrq.gov/issue/health-it-safe-practices-closing-loop Inadequate follow-up of test results can contribute to missed and delayed diagnoses. Developing optimal… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72706/psn-pdfFebruary 03, 2021 - Impact of alarm fatigue on the work of nurses in an intensive care environment--a systematic review. February 3, 2021 Lewandowska K, Weisbrot M, Cieloszyk A, et al. Impact of alarm fatigue on the work of nurses in an intensive care environment--a systematic review. Int J Environ Res Public Health. 2020;17(22):8409.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45458/psn-pdfNovember 30, 2016 - Request for comments on the proposed measures and 2020 targets for the National Action Plan for Adverse Drug Event Prevention: inpatient and outpatient measures for reduction of adverse drug events from anticoagulants, diabetes agents, and opioid analgesics. November 30, 2016 Office of Disease Prevention and Heal… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73981/psn-pdfOctober 20, 2021 - Medication errors at hospital admission and discharge: risk factors and impact of medication reconciliation process to improve healthcare. October 20, 2021 Breuker C, Macioce V, Mura T, et al. Medication errors at hospital admission and discharge: risk factors and impact of medication reconciliation process to imp… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60540/psn-pdfNovember 01, 2016 - Quality improvement initiatives lead to reduction in nulliparous term singleton vertex cesarean delivery rate. November 1, 2016 Vadnais MA, Hacker MR, Shah NT, et al. Quality improvement initiatives lead to reduction in nulliparous term singleton vertex cesarean delivery rate. Jt Comm J Qual Patient Saf. 2016;43(2)… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42281/psn-pdfMay 22, 2013 - The effect of computerized provider order entry systems on clinical care and work processes in emergency departments: a systematic review of the quantitative literature. May 22, 2013 Georgiou A, Prgomet M, Paoloni R, et al. The effect of computerized provider order entry systems on clinical care and work processe… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/851919/psn-pdfAugust 02, 2023 - A data-driven approach to evaluate barcode-assisted medication preparation alerts at a large academic medical center. August 2, 2023 Joshi RN, Kalaminsky S, Feemster A-A, et al. A data-driven approach to evaluate barcode-assisted medication preparation alerts at a large academic medical center. Jt Comm J Qual Pati… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44746/psn-pdfJanuary 20, 2016 - Creating a culture of safety around bar-code medication administration: an evidence-based evaluation framework. January 20, 2016 Kelly K, Harrington L, Matos P, et al. Creating a Culture of Safety Around Bar-Code Medication Administration: An Evidence-Based Evaluation Framework. J Nurs Adm. 2016;46(1):30-7. doi:10… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47571/psn-pdfDecember 12, 2018 - Enhancing safety culture through improved incident reporting: a case study in translational research. December 12, 2018 Flott K, Nelson D, Moorcroft T, et al. Enhancing Safety Culture Through Improved Incident Reporting: A Case Study In Translational Research. Health Aff (Millwood). 2018;37(11):1797-1804. doi:10.1… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41352/psn-pdfMay 09, 2012 - ASHP national survey of pharmacy practice in hospital settings: dispensing and administration—2011. May 9, 2012 Pedersen CA, Schneider PJ, Scheckelhoff DJ. ASHP national survey of pharmacy practice in hospital settings: Dispensing and administration—2011. American Journal of Health-System Pharmacy. 2012;69(9). doi… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47834/psn-pdfFebruary 27, 2019 - Prevalence, underlying causes, and preventability of sepsis-associated mortality in US acute care hospitals. February 27, 2019 Rhee C, Jones TM, Hamad Y, et al. Prevalence, Underlying Causes, and Preventability of Sepsis- Associated Mortality in US Acute Care Hospitals. JAMA Netw Open. 2019;2(2):e187571. doi:10.10… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/844550/psn-pdfSeptember 01, 2012 - The effect of a Lean quality improvement implementation program on surgical pathology specimen accessioning and gross preparation error frequency. September 1, 2012 Smith ML, Wilkerson T, Grzybicki DM, et al. The effect of a Lean quality improvement implementation program on surgical pathology specimen accessionin… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60838/psn-pdfJanuary 01, 2021 - Using the ecological systems theory to understand black/white disparities in maternal morbidity and mortality in the United States. August 26, 2020 Noursi S, Saluja B, Richey L. Using the ecological systems theory to understand black/white disparities in maternal morbidity and mortality in the United States. J Rac… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/847046/psn-pdfApril 05, 2023 - Indication documentation and indication-based prescribing within electronic prescribing systems: a systematic review and narrative synthesis. April 5, 2023 Feather C, Appelbaum N, Darzi A, et al. Indication documentation and indication-based prescribing within electronic prescribing systems: a systematic review an…
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