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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47271/psn-pdf
    August 08, 2018 - NAM Action Collaborative on Countering the U.S. Opioid Epidemic. August 8, 2018 National Academy of Medicine; Aspen Institute. https://psnet.ahrq.gov/issue/nam-action-collaborative-countering-us-opioid-epidemic Despite increased awareness regarding the public health impacts of opioid misuse and overdose in the Un…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35635/psn-pdf
    June 24, 2010 - Patient safety problems in adolescent medical care. June 24, 2010 Woods D, Holl JL, Klein JD, et al. Patient safety problems in adolescent medical care. J Adolesc Health. 2006;38(1):5-12. https://psnet.ahrq.gov/issue/patient-safety-problems-adolescent-medical-care Using data from the Colorado and Utah Medical Prac…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61033/psn-pdf
    October 14, 2020 - L.A.’s poorest patients endure long delays to see medical specialists. Some die waiting. October 14, 2020 Dolan J, Mejia B. Los Angeles Times. September 30, 2020. https://psnet.ahrq.gov/issue/las-poorest-patients-endure-long-delays-see-medical-specialists-some-die- waiting Socioeconomic conditions influence acces…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34914/psn-pdf
    February 27, 2009 - Drug error in anaesthetic practice: a review of 896 reports from the Australian Incident Monitoring Study database. February 27, 2009 Abeysekera A, Bergman IJ, Kluger MT, et al. Drug error in anaesthetic practice: a review of 896 reports from the Australian Incident Monitoring Study database. Anaesthesia. 2005;60(3…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866809/psn-pdf
    September 25, 2024 - Stop the line: interventions to prevent retained surgical items. September 25, 2024 Angelilli S. Stop the line: interventions to prevent retained surgical items. AORN J. 2024;120(2):71-81. doi:10.1002/aorn.14190. https://psnet.ahrq.gov/issue/stop-line-interventions-prevent-retained-surgical-items Retained surgica…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46808/psn-pdf
    February 14, 2018 - Anesthesia medication handling needs a new vision. February 14, 2018 Grigg EB, Roesler A. Anesthesia Medication Handling Needs a New Vision. Anesth Analg. 2018;126(1):346-350. doi:10.1213/ANE.0000000000002521. https://psnet.ahrq.gov/issue/anesthesia-medication-handling-needs-new-vision Anesthesiology has been a le…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46671/psn-pdf
    June 25, 2018 - Twelve tips for embedding human factors and ergonomics principles in healthcare education. June 25, 2018 Vosper H, Hignett S, Bowie P. Twelve tips for embedding human factors and ergonomics principles in healthcare education. Med Teach. 2017;40(4):357-363. doi:10.1080/0142159x.2017.1387240. https://psnet.ahrq.gov/…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853071/psn-pdf
    August 30, 2023 - A natural language processing approach to categorise contributing factors from patient safety event reports. August 30, 2023 Tabaie A, Sengupta S, Pruitt ZM, et al. BMJ Health Care Inform. 2023;30(1):e100731. https://psnet.ahrq.gov/issue/natural-language-processing-approach-categorise-contributing-factors-patient- …

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852452/psn-pdf
    August 16, 2023 - Value assessment of deprescribing interventions: suggestions for improvement. August 16, 2023 Hung A, Wang J, Moriarty F, et al. Value assessment of deprescribing interventions: suggestions for improvement. J Am Geriatr Soc. 2023;71(6):2023-2027. doi:10.1111/jgs.18298. https://psnet.ahrq.gov/issue/value-assessment…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43103/psn-pdf
    April 02, 2014 - Ten Years After Keeping Patients Safe: Have Nurses' Work Environments Been Transformed? April 2, 2014 Princeton, NJ: Robert Wood Johnson Foundation. Washington, DC: George Washington University School of Nursing. March 14, 2014;22:1-8. https://psnet.ahrq.gov/issue/ten-years-after-keeping-patients-safe-have-nurses-…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847536/psn-pdf
    April 12, 2023 - Racism and electronic health records (EHRs): perspectives for research and practice. April 12, 2023 Emani S, Rodriguez JA, Bates DW. Racism and electronic health records (EHRs): perspectives for research and practice. J Am Med Inform Assoc. 2023;30(5):995-999. doi:10.1093/jamia/ocad023. https://psnet.ahrq.gov/issu…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46058/psn-pdf
    October 23, 2018 - Centers for Disease Control and Prevention Guideline for the Prevention of Surgical Site Infection, 2017. October 23, 2018 Berríos-Torres SI, Umscheid CA, Bratzler DW, et al. Centers for Disease Control and Prevention Guideline for the Prevention of Surgical Site Infection, 2017. JAMA Surg. 2017;152(8). doi:10.100…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39773/psn-pdf
    August 18, 2010 - Preventing potentially inappropriate medication use in hospitalized older patients with a computerized provider order entry warning system. August 18, 2010 Mattison MLP, Afonso KA, Ngo LH, et al. Preventing potentially inappropriate medication use in hospitalized older patients with a computerized provider order e…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41701/psn-pdf
    September 26, 2019 - The CUSP Method September 26, 2019 The CUSP Method. https://psnet.ahrq.gov/issue/cusp-method The Comprehensive Unit-based Safety Program (CUSP), originally developed at Johns Hopkins Hospital by Dr. Peter Pronovost and colleagues, has been instrumental in driving patient safety improvement in several landmark pat…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/839329/psn-pdf
    November 02, 2022 - Eight human factors and ergonomics principles for healthcare artificial intelligence. November 2, 2022 Sujan M, Pool R, Salmon P. Eight human factors and ergonomics principles for healthcare artificial intelligence. BMJ Health Care Inform. 2022;29(1):e100516. doi:10.1136/bmjhci-2021-100516. https://psnet.ahrq.gov/…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43970/psn-pdf
    May 19, 2015 - Organisational reporting and learning systems: innovating inside and outside of the box. May 19, 2015 Sujan M, Furniss D. Organisational reporting and learning systems: Innovating inside and outside of the box. Clin Risk. 2015;21(1):7-12. doi:10.1177/1356262215574203. https://psnet.ahrq.gov/issue/organisational-re…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46749/psn-pdf
    April 04, 2018 - Toolkit for Improving Perinatal Safety. April 4, 2018 Rockville, MD: Agency for Healthcare Research and Quality. June 2017. https://psnet.ahrq.gov/issue/toolkit-improving-perinatal-safety Communication in labor and delivery units can be challenging. This AHRQ-funded program draws from comprehensive unit-based safe…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/842424/psn-pdf
    January 11, 2023 - Unsafe by design: infusion task reallocation and safety perceptions in U.S. hospitals. January 11, 2023 Pratt BR, Dunford BB, Vogus TJ, et al. Unsafe by design: infusion task reallocation and safety perceptions in U.S. hospitals. Health Care Manage Rev. 2022;48(1):14-22. doi:10.1097/hmr.0000000000000351. https://p…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45246/psn-pdf
    August 15, 2016 - Reliability of verbal handoff assessment and handoff quality before and after implementation of a resident handoff bundle. August 15, 2016 Feraco AM, Starmer AJ, Sectish TC, et al. Reliability of Verbal Handoff Assessment and Handoff Quality Before and After Implementation of a Resident Handoff Bundle. Acad Pediat…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40962/psn-pdf
    December 14, 2011 - American College of Surgeons' Committee on Trauma performance improvement and patient safety program: maximal impact in a mature trauma center. December 14, 2011 Sarkar B, Brunsvold ME, Cherry-Bukoweic JR, et al. American College of Surgeons' Committee on Trauma Performance Improvement and Patient Safety program: …
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