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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45405/psn-pdf
    November 18, 2016 - Relationship between operating room teamwork, contextual factors, and safety checklist performance. November 18, 2016 Singer SJ, Molina G, Li Z, et al. Relationship Between Operating Room Teamwork, Contextual Factors, and Safety Checklist Performance. J Am Coll Surg. 2016;223(4):568-580.e2. doi:10.1016/j.jamcollsu…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38536/psn-pdf
    February 03, 2011 - Association between hospital-reported Leapfrog Safe Practices scores and inpatient mortality. February 3, 2011 Werner RM, McNutt RA. A New Strategy to Improve Quality. JAMA. 2009;301(13). doi:10.1001/jama.2009.423. https://psnet.ahrq.gov/issue/association-between-hospital-reported-leapfrog-safe-practices-scores-an…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42103/psn-pdf
    January 07, 2015 - Indication-based prescribing prevents wrong-patient medication errors in computerized provider order entry (CPOE). January 7, 2015 Galanter W, Falck S, Burns M, et al. Indication-based prescribing prevents wrong-patient medication errors in computerized provider order entry (CPOE). J Am Med Inform Assoc. 2013;20(3…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39528/psn-pdf
    May 19, 2010 - Multidisciplinary team training in a simulation setting for acute obstetric emergencies: a systematic review. May 19, 2010 Merién AER, van de Ven J, Mol BW, et al. Multidisciplinary Team Training in a Simulation Setting for Acute Obstetric Emergencies. Obstetrics & Gynecology. 2010;115(5). doi:10.1097/aog.0b013e318…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40092/psn-pdf
    December 22, 2010 - The value of adding a verbal report to written handoffs on early readmission following prolonged respiratory failure. December 22, 2010 Hess DR, Tokarczyk A, O'Malley M, et al. The value of adding a verbal report to written handoffs on early readmission following prolonged respiratory failure. Chest. 2010;138(6):14…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45804/psn-pdf
    August 03, 2017 - Meaningful use of health information technology and declines in in-hospital adverse drug events. August 3, 2017 Furukawa MF, Spector WD, Limcangco R, et al. Meaningful use of health information technology and declines in in-hospital adverse drug events. J Am Med Inform Assoc. 2017;24(4):729-736. doi:10.1093/jamia/…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46396/psn-pdf
    August 15, 2018 - An ethnographic study of health information technology use in three intensive care units. August 15, 2018 Leslie M, Paradis E, Gropper MA, et al. An Ethnographic Study of Health Information Technology Use in Three Intensive Care Units. Health Serv Res. 2017;52(4):1330-1348. doi:10.1111/1475-6773.12466. https://psn…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46774/psn-pdf
    April 12, 2019 - Association between handover of anesthesia care and adverse postoperative outcomes among patients undergoing major surgery. April 12, 2019 Jones PM, Cherry RA, Allen BN, et al. Association Between Handover of Anesthesia Care and Adverse Postoperative Outcomes Among Patients Undergoing Major Surgery. JAMA. 2018;319…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40534/psn-pdf
    March 23, 2012 - Association between waiting times and short term mortality and hospital admission after departure from emergency department: population based cohort study from Ontario, Canada. March 23, 2012 Guttmann A, Schull MJ, Vermeulen MJ, et al. Association between waiting times and short term mortality and hospital admiss…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46645/psn-pdf
    January 23, 2019 - Emergency department contribution to the prescription opioid epidemic. January 23, 2019 Axeen S, Seabury SA, Menchine M. Emergency Department Contribution to the Prescription Opioid Epidemic. Ann Emerg Med. 2018;71(6):659-667.e3. doi:10.1016/j.annemergmed.2017.12.007. https://psnet.ahrq.gov/issue/emergency-departm…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73121/psn-pdf
    April 07, 2021 - The impact of introducing automated dispensing cabinets, barcode medication administration, and closed- loop electronic medication management systems on work processes and safety of controlled medications in hospitals: a systematic review. April 7, 2021 Zheng WY, Lichtner V, Van Dort BA, et al. The impact of intr…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44168/psn-pdf
    May 27, 2015 - The PRONE score: an algorithm for predicting doctors' risks of formal patient complaints using routinely collected administrative data. May 27, 2015 Spittal MJ, Bismark M, Studdert DM. The PRONE score: an algorithm for predicting doctors' risks of formal patient complaints using routinely collected administrative …
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43664/psn-pdf
    September 01, 2016 - Insights into the problem of alarm fatigue with physiologic monitor devices: a comprehensive observational study of consecutive intensive care unit patients. September 1, 2016 Drew BJ, Harris P, Zègre-Hemsey JK, et al. Insights into the problem of alarm fatigue with physiologic monitor devices: a comprehensive ob…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46851/psn-pdf
    January 23, 2019 - To care is human—collectively confronting the clinician- burnout crisis. January 23, 2019 Dzau VJ, Kirch DG, Nasca TJ. To Care Is Human — Collectively Confronting the Clinician-Burnout Crisis. New Engl J Med. 2018;378(4):312-314. doi:10.1056/nejmp1715127. https://psnet.ahrq.gov/issue/care-human-collectively-confro…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45116/psn-pdf
    February 15, 2017 - Postoperative adverse events inconsistently improved by the World Health Organization surgical safety checklist: a systematic literature review of 25 studies. February 15, 2017 de Jager E, McKenna C, Bartlett L, et al. Postoperative adverse events inconsistently improved by the World Health Organization surgical s…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39231/psn-pdf
    January 13, 2010 - The Checklist Manifesto: How to Get Things Right. January 13, 2010 Gawande A. New York, NY: Metropolitan Books; 2009. ISBN: 9780805091748. https://psnet.ahrq.gov/issue/checklist-manifesto-how-get-things-right Harvard surgeon Atul Gawande has emerged as this generation's preeminent physician–author, through his art…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37417/psn-pdf
    March 28, 2012 - Medication use leading to emergency department visits for adverse drug events in older adults. March 28, 2012 Budnitz DS, Shehab N, Kegler SR, et al. Medication use leading to emergency department visits for adverse drug events in older adults. Ann Intern Med. 2007;147(11):755-765. https://psnet.ahrq.gov/issue/med…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46098/psn-pdf
    July 24, 2017 - Prospective evaluation of a multifaceted intervention to improve outcomes in intensive care: the Promoting Respect and Ongoing Safety through Patient Engagement Communication and Technology study. July 24, 2017 Dykes PC, Rozenblum R, Dalal A, et al. Prospective Evaluation of a Multifaceted Intervention to Improve …
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73252/psn-pdf
    January 01, 2022 - Why test results are still getting "lost" to follow-up: a qualitative study of implementation gaps. May 12, 2021 Zimolzak AJ, Shahid U, Giardina TD, et al. Why test results are still getting "lost" to follow-up: a qualitative study of implementation gaps. J Gen Intern Med. 2022;37(1):137-144. doi:10.1007/s11606-021…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37768/psn-pdf
    April 27, 2010 - The wisdom and justice of not paying for "preventable complications." April 27, 2010 Pronovost P, Goeschel CA, Wachter R. The wisdom and justice of not paying for "preventable complications". JAMA. 2008;299(18):2197-9. doi:10.1001/jama.299.18.2197. https://psnet.ahrq.gov/issue/wisdom-and-justice-not-paying-prevent…

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