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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846449/psn-pdf
    March 22, 2023 - Healthcare professionals' perception of safety culture and the Operating Room (OR) Black Box technology before clinical implementation: a cross-sectional survey. March 22, 2023 Strandbygaard J, Dose N, Moeller KE, et al. Healthcare professionals’ perception of safety culture and the Operating Room (OR) Black Box t…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836953/psn-pdf
    April 20, 2022 - Systems-level factors affecting registered nurses during care of women in labor experiencing clinical deterioration. April 20, 2022 Bernstein SL, Catchpole K, Kelechi TJ, et al. Systems-level factors affecting registered nurses during care of women in labor experiencing clinical deterioration. Jt Comm J Qual Patien…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36208/psn-pdf
    January 05, 2017 - Implementing computerized provider order entry with an existing clinical information system. January 5, 2017 Barron WM, Reed L, Forsythe S, et al. Implementing computerized provider order entry with an existing clinical information system. Jt Comm J Qual Patient Saf. 2006;32(9):506-16. https://psnet.ahrq.gov/issue…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42789/psn-pdf
    December 04, 2013 - Development of the just culture assessment tool: measuring the perceptions of health-care professionals in hospitals. December 4, 2013 Petschonek S, Burlison JD, Cross C, et al. Development of the just culture assessment tool: measuring the perceptions of health-care professionals in hospitals. J Patient Saf. 2013…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74864/psn-pdf
    February 23, 2022 - Exploring changes in patient safety incidents during the COVID-19 pandemic in a Canadian regional hospital system: a retrospective time series analysis. February 23, 2022 Lombardi J, Strobel S, Pullar V, et al. Exploring changes in patient safety incidents during the COVID-19 pandemic in a Canadian regional hospit…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73177/psn-pdf
    April 28, 2021 - The association of nursing home characteristics and quality with adverse events after a hospitalization. April 28, 2021 Field TS, Fouayzi H, Crawford S, et al. The association of nursing home characteristics and quality with adverse events after a hospitalization. J Am Med Dir Assoc. 2021;22(10):2196-2200. doi:10.…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38608/psn-pdf
    January 02, 2017 - Using consumer-based kiosk technology to improve and standardize medication reconciliation in a specialty care setting. January 2, 2017 Lesselroth B, Adams S, Felder R, et al. Using consumer-based kiosk technology to improve and standardize medication reconciliation in a specialty care setting. Jt Comm J Qual Pati…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40040/psn-pdf
    December 21, 2014 - Patient education to prevent falls among older hospital inpatients: a randomized controlled trial. December 21, 2014 Haines TP, Hill A-M, Hill KD, et al. Patient education to prevent falls among older hospital inpatients: a randomized controlled trial. Arch Intern Med. 2011;171(6):516-24. doi:10.1001/archinternmed.…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41131/psn-pdf
    February 15, 2012 - Effects of two commercial electronic prescribing systems on prescribing error rates in hospital in-patients: a before and after study. February 15, 2012 Westbrook JI, Reckmann MH, Li L, et al. Effects of two commercial electronic prescribing systems on prescribing error rates in hospital in-patients: a before and …
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38949/psn-pdf
    January 28, 2010 - Implementing a pre-operative checklist to increase patient safety: a 1-year follow-up of personnel attitudes. January 28, 2010 Nilsson L, Lindberget O, Gupta A, et al. Implementing a pre-operative checklist to increase patient safety: a 1-year follow-up of personnel attitudes. Acta Anaesthesiol Scand. 2010;54(2):17…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60200/psn-pdf
    April 08, 2020 - Opioid prescribing patterns among medical providers in the United States, 2003-17: retrospective, observational study. April 8, 2020 Kiang MV, Humphreys K, Cullen MR, et al. Opioid prescribing patterns among medical providers in the United States, 2003-17: retrospective, observational study. BMJ. 2020;368. doi:10.…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46892/psn-pdf
    June 13, 2018 - AHRQ National Scorecard on Hospital-Acquired Conditions Updated Baseline Rates and Preliminary Results 2014–2016. June 13, 2018 Rockville, MD: Agency for Healthcare Research and Quality; June 2018. https://psnet.ahrq.gov/issue/ahrq-national-scorecard-hospital-acquired-conditions-updated-baseline-rates- and-prelim…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40993/psn-pdf
    December 14, 2011 - Anticoagulation-associated adverse drug events. December 14, 2011 Piazza G, Nguyen TN, Cios D, et al. Anticoagulation-associated Adverse Drug Events. Am J Med. 2011;124(12). doi:10.1016/j.amjmed.2011.06.009. https://psnet.ahrq.gov/issue/anticoagulation-associated-adverse-drug-events Warfarin and other anticoagulan…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50751/psn-pdf
    December 18, 2019 - Using a machine learning system to identify and prevent medication prescribing errors: a clinical and cost analysis evaluation. December 18, 2019 Rozenblum R, Rodriguez-Monguio R, Volk LA, et al. Using a machine learning system to identify and prevent medication prescribing errors: A clinical and cost analysis eva…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844040/psn-pdf
    February 08, 2023 - A customized triggers program: a children's hospital's experience in improving trigger usability. February 8, 2023 Reinhart RM, Safari-Ferra P, Badh R, et al. A customized triggers program: a children's hospital's experience in improving trigger usability. Pediatrics. 2023;151(2):e2022056452. doi:10.1542/peds.2022-…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836808/psn-pdf
    March 30, 2022 - Medication safety in the emergency department: a study of serious medication errors reported by 101 hospitals from 2011 to 2020. March 30, 2022 Kukielka E, Jones R. Medication safety in the emergency department: a study of serious medication errors reported by 101 hospitals from 2011 to 2020. Patient Safety. 2022;…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48143/psn-pdf
    January 01, 2020 - Assessing the safety of electronic health records: a national longitudinal study of medication-related decision support. August 7, 2019 Holmgren J, Co Z, Newmark L, et al. Assessing the safety of electronic health records: a national longitudinal study of medication-related decision support. BMJ Qual Saf. 2020;29(…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848819/psn-pdf
    May 10, 2023 - Family conferences to facilitate deprescribing in older outpatients with frailty and with polypharmacy: the COFRAIL cluster randomized trial. May 10, 2023 Mortsiefer A, Löscher S, Pashutina Y, et al. Family conferences to facilitate deprescribing in older outpatients with frailty and with polypharmacy: the COFRAIL…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34714/psn-pdf
    February 18, 2011 - Relation between malpractice claims and adverse events due to negligence. Results of the Harvard Medical Practice Study III. February 18, 2011 Localio AR, Lawthers AG, Brennan TA, et al. Relation between Malpractice Claims and Adverse Events Due to Negligence. New England Journal of Medicine. 2010;325(4). doi:10.1…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37803/psn-pdf
    January 06, 2017 - Paying the piper: investing in infrastructure for patient safety.  January 6, 2017 Pronovost P, Rosenstein BJ, Paine LA, et al. Paying the piper: investing in infrastructure for patient safety. Jt Comm J Qual Patient Saf. 2008;34(6):342-8. https://psnet.ahrq.gov/issue/paying-piper-investing-infrastructure-patient-…

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