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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46473/psn-pdf
    December 18, 2017 - Diagnostic errors: impact of an educational intervention on pediatric primary care. December 18, 2017 Walsh JN, Knight M, Lee AJ. Diagnostic Errors: Impact of an Educational Intervention on Pediatric Primary Care. Journal of Pediatric Health Care. 2017;32(1). doi:10.1016/j.pedhc.2017.07.004. https://psnet.ahrq.gov…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50916/psn-pdf
    February 19, 2020 - Patient safety and suicide prevention in mental health services: time for a new paradigm? February 19, 2020 Quinlivan L, Littlewood DL, Webb RT, et al. Patient safety and suicide prevention in mental health services: time for a new paradigm? J Mental Health. 2020;29(1):1-5. doi:10.1080/09638237.2020.1714013. https…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74271/psn-pdf
    January 19, 2022 - Improving shared situation awareness for high-risk therapies in hospitalized children. January 19, 2022 Sosa T, Mayer B, Chakkalakkal B, et al. Improving shared situation awareness for high-risk therapies in hospitalized children. Hosp Pediatr. 2022;12(1):37-46. doi:10.1542/hpeds.2021-006193. https://psnet.ahrq.go…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48034/psn-pdf
    May 22, 2019 - Chasing zero harm in radiation oncology: using pre- treatment peer review. May 22, 2019 Vijayakumar S, Duggar WN, Packianathan S, et al. Chasing Zero Harm in Radiation Oncology: Using Pre- treatment Peer Review. Front Oncol. 2019;9:302. doi:10.3389/fonc.2019.00302. https://psnet.ahrq.gov/issue/chasing-zero-harm-ra…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73069/psn-pdf
    March 24, 2021 - Evaluation of the quality of 'do not use' medication abbreviation audits: a key enabler to successful implementation of audit and feedback. March 24, 2021 Li E, Marrandino J, Marshall S, et al. Evaluation of the quality of ‘do not use’ medication abbreviation audits: a key enabler to successful implementation of a…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837971/psn-pdf
    September 01, 2022 - Frailty and potentially inappropriate prescribing in older people with polypharmacy: a bi-directional relationship? September 1, 2022 Randles MA. Frailty and potentially inappropriate prescribing in older people with polypharmacy: a bi- directional relationship? Drugs Aging. 2022;39(8):597-606. doi:10.1007/s40266-0…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46815/psn-pdf
    April 29, 2018 - Designing and evaluating an automated system for real- time medication administration error detection in a neonatal intensive care unit. April 29, 2018 Ni Y, Lingren T, Hall ES, et al. Designing and evaluating an automated system for real-time medication administration error detection in a neonatal intensive care …
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73987/psn-pdf
    October 20, 2021 - Impact of clinical decision support therapeutic interchanges on hospital discharge medication omissions and duplications. October 20, 2021 Maxwell E, Amerine J, Carlton G, et al. Impact of clinical decision support therapeutic interchanges on hospital discharge medication omissions and duplications. Am J Health Sy…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38993/psn-pdf
    January 04, 2010 - Relationship between call light use and response time and inpatient falls in acute care settings. January 4, 2010 Tzeng H-M, Yin C-Y. Relationship between call light use and response time and inpatient falls in acute care settings. J Clin Nurs. 2009;18(23):3333-41. doi:10.1111/j.1365-2702.2009.02916.x. https://psn…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60018/psn-pdf
    March 04, 2020 - 2019 update on pediatric medical overuse: a systematic review. March 4, 2020 Money NM, Schroeder AR, Quinonez RA, et al. 2019 Update on Pediatric Medical Overuse. JAMA Pediatr. 2020;174(4):375-382. doi:10.1001/jamapediatrics.2019.5849. https://psnet.ahrq.gov/issue/2019-update-pediatric-medical-overuse-systematic-r…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43693/psn-pdf
    January 20, 2015 - Effectiveness of facilitated introduction of a standard operating procedure into routine processes in the operating theatre: a controlled interrupted time series. January 20, 2015 Morgan L, New S, Robertson ER, et al. Effectiveness of facilitated introduction of a standard operating procedure into routine processe…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46249/psn-pdf
    July 12, 2017 - Zero preventable deaths after traumatic injury: an achievable goal. July 12, 2017 Spinella PC. Zero preventable deaths after traumatic injury. J Trauma Acute Care Surg. 2017;82:S2-S8. doi:10.1097/ta.0000000000001425. https://psnet.ahrq.gov/issue/zero-preventable-deaths-after-traumatic-injury-achievable-goal Criti…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46079/psn-pdf
    June 28, 2017 - Death due to pharmacy compounding error reinforces need for safety focus. June 28, 2017 ISMP Medication Safety Alert! Acute Care Edition. June 15, 2017;22:1-4. https://psnet.ahrq.gov/issue/death-due-pharmacy-compounding-error-reinforces-need-safety-focus Compounding pharmacies prepare medicines for patients that a…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44368/psn-pdf
    September 29, 2017 - A systematic review of the effect of distraction on surgeon performance: directions for operating room policy and surgical training. September 29, 2017 Mentis HM, Chellali A, Manser K, et al. A systematic review of the effect of distraction on surgeon performance: directions for operating room policy and surgical …
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854826/psn-pdf
    October 25, 2023 - Observing sources of system resilience using in situ alarm simulations. October 25, 2023 McLoone M, McNamara M, Jennings MA, et al. Observing sources of system resilience using in situ alarm simulations. J Hosp Med. 2023;18(11):994-998. doi:10.1002/jhm.13217. https://psnet.ahrq.gov/issue/observing-sources-system-r…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43398/psn-pdf
    July 30, 2014 - Strategies to prevent healthcare-associated infections through hand hygiene. July 30, 2014 Ellingson K, Haas JP, Aiello AE, et al. Strategies to prevent healthcare-associated infections through hand hygiene. Infect Control Hosp Epidemiol. 2014;35(8):937-960. doi:10.1086/677145. https://psnet.ahrq.gov/issue/strateg…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43182/psn-pdf
    May 14, 2014 - Quality and safety in pediatric anesthesia: how can guidelines, checklists, and initiatives improve the outcome? May 14, 2014 Hagerman NS, Varughese AM, Kurth D. Quality and safety in pediatric anesthesia: how can guidelines, checklists, and initiatives improve the outcome? Curr Opin Anaesthesiol. 2014;27(3):323-9…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50938/psn-pdf
    February 26, 2020 - Risks and medication errors analysis to evaluate the impact of a chemotherapy compounding workflow management system on cancer patients' safety. February 26, 2020 Marzal-Alfaro MB, Rodriguez-Gonzalez CG, Escudero-Vilaplana V, et al. Risks and medication errors analysis to evaluate the impact of a chemotherapy comp…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866746/psn-pdf
    September 18, 2024 - Looking beyond LinkedIn: the case for excellence and academic rigor in quality and safety programs. September 18, 2024 Bearman G, Nori P. Looking beyond LinkedIn: the case for excellence and academic rigor in quality and safety programs. Am J Med. 2024;137(8):694-697. doi:10.1016/j.amjmed.2024.04.018. https://psne…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46816/psn-pdf
    March 21, 2018 - Results of an enhanced clinic handoff and resident education on resident patient ownership and patient safety. March 21, 2018 Pincavage A, Dahlstrom M, Prochaska M, et al. Results of an enhanced clinic handoff and resident education on resident patient ownership and patient safety. Acad Med. 2013;88(6):795-801. d…