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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/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(…
  3. 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.…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/857444/psn-pdf
    December 06, 2023 - The relationship between nursing home staffing and resident safety outcomes: a systematic review of reviews. December 6, 2023 Blatter C, Osi?ska M, Simon M, et al. The relationship between nursing home staffing and resident safety outcomes: a systematic review of reviews. Int J Nurs Stud. 2023;150:104641. doi:10.1…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867233/psn-pdf
    December 04, 2024 - Evaluation of a natural language processing approach to identify diagnostic errors and analysis of safety learning system case review data: retrospective cohort study. December 4, 2024 Tabaie A, Tran A, Calabria T, et al. Evaluation of a natural language processing approach to identify diagnostic errors and analys…
  6. 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…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37923/psn-pdf
    July 23, 2008 - Unit-based clinical pharmacists' prevention of serious medication errors in pediatric inpatients. July 23, 2008 Kaushal R, Bates DW, Abramson EL, et al. Unit-based clinical pharmacists' prevention of serious medication errors in pediatric inpatients. Am J Health-Syst Pharm. 2008;65(13):1254-1260. doi:10.2146/ajhp0…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60579/psn-pdf
    June 10, 2020 - Outbreak investigation of COVID-19 among residents and staff of an independent and assisted living community for older adults in Seattle, Washington. June 10, 2020 Roxby AC, Greninger AL, Hatfield KM, et al. Outbreak investigation of COVID-19 among residents and staff of an independent and assisted living communit…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37534/psn-pdf
    February 13, 2008 - Measurable outcomes of quality improvement in the trauma intensive care unit: the impact of a daily quality rounding checklist. February 13, 2008 DuBose JJ, Inaba K, Shiflett A, et al. Measurable outcomes of quality improvement in the trauma intensive care unit: the impact of a daily quality rounding checklist. J …
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60642/psn-pdf
    July 01, 2020 - Opioid prescribing after childbirth and risk for serious opioid-related events: a cohort study. July 1, 2020 Osmundson SS, Min JY, Wiese AD, et al. Opioid Prescribing After Childbirth and Risk for Serious Opioid- Related Events: A Cohort Study. Ann Intern Med. 2020;173(5):412-414. doi:10.7326/m19-3805. https://psn…
  11. 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…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61099/psn-pdf
    November 04, 2020 - Twelve-month review of infusion pump near-miss medication and dose selection errors and user-initiated "good save" corrections: retrospective study. November 4, 2020 Waterson J, Al-Jaber R, Kassab T, et al. Twelve-month review of infusion pump near-miss medication and dose selection errors and user-Initiated "good…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/849319/psn-pdf
    May 24, 2023 - Attitudes of clinicians and patient safety culture before and after the ARRIVE trial. May 24, 2023 White VanGompel E, Carlock F, Singh L, et al. Attitudes of clinicians and patient safety culture before and after the ARRIVE trial. J Obstet Gynecol Neonatal Nurs. 2023;52(3):211-222. doi:10.1016/j.jogn.2022.12.007. …
  14. psnet.ahrq.gov/innovation/handshake-antimicrobial-stewardship-model-recognize-and-prevent-diagnostic-errors
    September 08, 2021 - EMERGING INNOVATIONS Handshake antimicrobial stewardship as a model to recognize and prevent diagnostic errors Citation Text: Searns JB, Williams MC, MacBrayne CE, et al. Handshake antimicrobial stewardship as a model to recognize and prevent diagnostic errors. Diagnosis (Berl). 2020;8(3):347-352.…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33604/psn-pdf
    December 15, 2024 - Pharmacist's Role in Medication Safety December 15, 2024 The Pharmacist's Role in Medication Safety. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/pharmacists-role-medication-safety PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that they reflect current res…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49778/psn-pdf
    December 01, 2016 - One Dose, Two Errors December 1, 2016 Filice GA. One Dose, Two Errors. PSNet [internet]. 2016. https://psnet.ahrq.gov/web-mm/one-dose-two-errors The Case A 65-year-old woman was admitted to the intensive care unit (ICU) with severe sepsis and respiratory failure secondary to community-acquired pneumonia. The pati…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49481/psn-pdf
    May 01, 2005 - Discharge Against Medical Advice May 1, 2005 Hwang SW. Discharge Against Medical Advice. PSNet [internet]. 2005. https://psnet.ahrq.gov/web-mm/discharge-against-medical-advice The Case A 50-year-old man with a history of alcohol abuse and alcohol-induced dementia was admitted to the medical service with mild alco…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49489/psn-pdf
    September 01, 2005 - Double Trouble September 1, 2005 Gurwitz JH. Double Trouble. PSNet [internet]. 2005. https://psnet.ahrq.gov/web-mm/double-trouble Case Objectives Appreciate the incidence of adverse drug events in older persons List preventative measures that can be used to minimize medication errors in this population Encourage…
  19. psnet.ahrq.gov/primer/inpatient-transitions-care-challenges-and-safety-practices
    June 15, 2024 - Inpatient Transitions of Care: Challenges and Safety Practices Citation Text: Satake A, McElroy V. Inpatient Transitions of Care: Challenges and Safety Practices. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2024. Copy Citation …
  20. psnet.ahrq.gov/web-mm/right-place-right-drug-wrong-strength
    March 26, 2015 - Right Place, Right Drug, Wrong Strength Citation Text: Jelincic V, Greenall J. Right Place, Right Drug, Wrong Strength. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018. Copy Citation Format: Google Scholar BibTeX En…

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