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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34874/psn-pdfFebruary 25, 2009 - Intensive care unit nurse staffing and the risk for complications after abdominal aortic surgery. February 25, 2009 Pronovost PJ, Dang D, Dorman T, et al. Intensive care unit nurse staffing and the risk for complications after abdominal aortic surgery. Eff Clin Pract. 2001;4(5):199-206. https://psnet.ahrq.gov/issu… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47568/psn-pdfMarch 06, 2019 - Trends in anesthesia-related liability and lessons learned. March 6, 2019 Mora JC, Kaye AD, Romankowski ML, et al. Trends in Anesthesia-Related Liability and Lessons Learned. Adv Anesth. 2018;36(1):231-249. doi:10.1016/j.aan.2018.07.009. https://psnet.ahrq.gov/issue/trends-anesthesia-related-liability-and-lessons-l… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72812/psn-pdfMarch 10, 2021 - High nursing staff turnover in nursing homes offers important quality information. March 10, 2021 Gandhi A, Yu H, Grabowski DC. High nursing staff turnover in nursing homes offers important quality information. Health Aff (Millwood). 2021;40(3):384-391. doi:10.1377/hlthaff.2020.00957. https://psnet.ahrq.gov/issue/… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50536/psn-pdfOctober 16, 2019 - The impact of post-fall huddles on repeat fall rates and perceptions of safety culture: a quasi-experimental evaluation of a patient safety demonstration project October 16, 2019 Jones KJ, Crowe J, Allen JA, et al. The impact of post-fall huddles on repeat fall rates and perceptions of safety culture: a quasi-expe… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73688/psn-pdfSeptember 08, 2021 - Effect of medication reconciliation on patient reported potential adverse events after hospital discharge. September 8, 2021 Stuijt CCM, Bekker CL, van den Bemt BJF, et al. Effect of medication reconciliation on patient reported potential adverse events after hospital discharge. Res Social Adm Pharm. 2021;17(8):142… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/854988/psn-pdfNovember 01, 2023 - Use of design thinking and human factors approach to improve situation awareness in the pediatric intensive care unit. November 1, 2023 Gifford A, Butcher B, Chima RS, et al. Use of design thinking and human factors approach to improve situation awareness in the pediatric intensive care unit. J Hosp Med. 2023;18(1… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/836751/psn-pdfMarch 16, 2022 - Bedside clinicians' perceptions on the contributing role of diagnostic errors in acutely ill patient presentation: a survey of academic and community practice. March 16, 2022 Huang C, Barwise A, Soleimani J, et al. Bedside clinicians' perceptions on the contributing role of diagnostic errors in acutely ill patient… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46421/psn-pdfNovember 08, 2017 - A novel ICU hand-over tool: the glass door of the patient room. November 8, 2017 Wessman BT, Sona C, Schallom M. A Novel ICU Hand-Over Tool: The Glass Door of the Patient Room. J Intensive Care Med. 2017;32(8):514-519. doi:10.1177/0885066616653947. https://psnet.ahrq.gov/issue/novel-icu-hand-over-tool-glass-door-p… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47839/psn-pdfMay 01, 2019 - Comparison of a prototype for indications-based prescribing with 2 commercial prescribing systems. May 1, 2019 Garabedian PM, Wright A, Newbury I, et al. Comparison of a Prototype for Indications-Based Prescribing With 2 Commercial Prescribing Systems. JAMA Netw Open. 2019;2(3):e191514. doi:10.1001/jamanetworkopen… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73600/psn-pdfAugust 18, 2021 - Optimizing Therapy to Prevent Avoidable Hospital Admissions in Multimorbid Older Adults (OPERAM): cluster randomised controlled trial. August 18, 2021 Blum MR, Sallevelt B, Spinewine A, et al. Optimizing Therapy to Prevent Avoidable Hospital Admissions in Multimorbid Older Adults (OPERAM): cluster randomised contr… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46187/psn-pdfDecember 06, 2017 - A randomised controlled trial assessing the efficacy of an electronic discharge communication tool for preventing death or hospital readmission. December 6, 2017 Santana MJ, Holroyd-Leduc J, Southern DA, et al. A randomised controlled trial assessing the efficacy of an electronic discharge communication tool for p… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47969/psn-pdfJune 12, 2019 - Opioid medication discontinuation and risk of adverse opioid-related health care events. June 12, 2019 Mark TL, Parish W. Opioid medication discontinuation and risk of adverse opioid-related health care events. J Subst Abuse Treat. 2019;103:58-63. doi:10.1016/j.jsat.2019.05.001. https://psnet.ahrq.gov/issue/opioid… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/848816/psn-pdfMay 10, 2023 - Racial bias in cesarean decision-making. May 10, 2023 Edwards SE, Class QA, Ford CE, et al. Racial bias in cesarean decision-making. Am J Obstet Gynecol MFM. 2023;5(5):100927. doi:10.1016/j.ajogmf.2023.100927. https://psnet.ahrq.gov/issue/racial-bias-cesarean-decision-making Racial bias negatively impacts maternal… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47359/psn-pdfOctober 10, 2018 - Is there evidence of a July effect among patients undergoing hysterectomy surgery? October 10, 2018 Varma S, Mehta A, Hutfless S, et al. Is there evidence of a July effect among patients undergoing hysterectomy surgery? Am J Obstet Gynecol. 2018;219(2):176.e1-176.e9. doi:10.1016/j.ajog.2018.05.033. https://psnet.a… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45729/psn-pdfSeptember 20, 2017 - Maximize benefits of IV workflow management systems by addressing workarounds and errors. September 20, 2017 ISMP Medication Safety Alert! Acute care edition. September 7, 2017;22:1-4. https://psnet.ahrq.gov/issue/maximize-benefits-iv-workflow-management-systems-addressing- workarounds-and-errors Workflow process… -
www.ahrq.gov/research/findings/final-reports/diabetesnetwork/actionplan.htmlOctober 01, 2014 - Hispanic Diabetes Disparities Learning Network in Community Health Centers My Action Plan Previous Page Next Page Table of Contents Hispanic Diabetes Disparities Learning Network in Community Health Centers Chapter 1. Introduction Chapter 2. Project Description Chapter 3. Structure of Learning…
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44756/psn-pdfSeptember 12, 2016 - Importance of teamwork, communication and culture on failure-to-rescue in the elderly. September 12, 2016 Ghaferi AA, Dimick JB. Importance of teamwork, communication and culture on failure-to-rescue in the elderly. Br J Surg. 2016;103(2):e47-51. doi:10.1002/bjs.10031. https://psnet.ahrq.gov/issue/importance-teamw… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44393/psn-pdfAugust 12, 2015 - FDA Drug Safety Communication: FDA warns about prescribing and dispensing errors resulting from brand name confusion with antidepressant Brintellix (vortioxetine) and antiplatelet Brilinta (ticagrelor). August 12, 2015 MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; July 30, 2015. https… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/838310/psn-pdfOctober 12, 2022 - Intravenous smart pumps at the point of care: a descriptive, observational study. October 12, 2022 Giuliano KK, Blake JWC, Bittner NP, et al. Intravenous smart pumps at the point of care: a descriptive, observational study. J Patient Saf. 2022;18(6):553-558. doi:10.1097/pts.0000000000001057. https://psnet.ahrq.gov… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45130/psn-pdfJuly 18, 2018 - Surgical fires: decreasing incidence relies on continued prevention efforts. July 18, 2018 Bruley ME, Arnold TV, Finley E, Deutsch ES, Treadwell JR. PA-PSRS Pa Patient Saf Advis. June 2018;15. https://psnet.ahrq.gov/issue/surgical-fires-decreasing-incidence-relies-continued-prevention-efforts Although surgical fir…
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