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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46270/psn-pdf
    April 16, 2018 - Impact of a restraint management bundle on restraint use in an intensive care unit. April 16, 2018 Hall DK, Zimbro KS, Maduro RS, et al. Impact of a Restraint Management Bundle on Restraint Use in an Intensive Care Unit. J Nurs Care Qual. 2018;33(2):143-148. doi:10.1097/NCQ.0000000000000273. https://psnet.ahrq.gov…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865661/psn-pdf
    April 24, 2024 - Pay-for-performance and patient safety in acute care: a systematic review. April 24, 2024 Slawomirski L, Hensher M, Campbell JL, et al. Pay-for-performance and patient safety in acute care: a systematic review. Health Policy. 2024;143:105051. doi:10.1016/j.healthpol.2024.105051. https://psnet.ahrq.gov/issue/pay-pe…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35575/psn-pdf
    April 11, 2011 - Parental preferences for error disclosure, reporting, and legal action after medical error in the care of their children. April 11, 2011 Hobgood C, Tamayo-Sarver JH, Elms A, et al. Parental preferences for error disclosure, reporting, and legal action after medical error in the care of their children. Pediatrics. …
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46811/psn-pdf
    May 17, 2018 - A surgical procedure grid for safety and operating room communication in multisite surgery. May 17, 2018 Insalaco LF, Spiegel JH. A Surgical Procedure Grid for Safety and Operating Room Communication in Multisite Surgery. JAMA Facial Plast Surg. 2018;20(3):185-186. doi:10.1001/jamafacial.2017.2049. https://psnet.a…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60255/psn-pdf
    April 22, 2020 - Discrepancies in written versus calculated durations in opioid prescriptions: pre-post study. April 22, 2020 Slovis BH, Kairys J, Babula B, et al. Discrepancies in written versus calculated durations in opioid prescriptions: pre-post study. JMIR Med Inform. 2020;8(3). doi:10.2196/16199. https://psnet.ahrq.gov/issu…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47869/psn-pdf
    April 17, 2019 - Minimizing Opioid Prescribing in Surgery (MOPiS) initiative: an analysis of implementation barriers. April 17, 2019 Coughlin JM, Shallcross ML, Schäfer WLA, et al. Minimizing Opioid Prescribing in Surgery (MOPiS) Initiative: An Analysis of Implementation Barriers. J Surg Res. 2019;239:309-319. doi:10.1016/j.jss.20…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74097/psn-pdf
    November 24, 2021 - Inattentional blindness in anesthesiology: a gorilla is worth one thousand words. November 24, 2021 De Cassai A, Negro S, Geraldini F, et al. Inattentional blindness in anesthesiology: a gorilla is worth one thousand words. PLoS One. 2021;16(9):e0257508. doi:10.1371/journal.pone.0257508. https://psnet.ahrq.gov/iss…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837801/psn-pdf
    August 10, 2022 - Decreasing misdiagnoses of urinary tract infections in a pediatric emergency department. August 10, 2022 Ostrow O, Prodanuk M, Foong Y, et al. Decreasing misdiagnoses of urinary tract infections in a pediatric emergency department. Pediatrics. 2022;150(1):e2021055866. doi:10.1542/peds.2021-055866. https://psnet.ah…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866728/psn-pdf
    September 18, 2024 - ROI for a fall prevention intervention: invest a little, save a lot. September 18, 2024 Cooper AS. ROI for a fall prevention intervention: invest a little, save a lot. Nurs Adm Q. 2024;48(3):248- 252. doi:10.1097/naq.0000000000000647. https://psnet.ahrq.gov/issue/roi-fall-prevention-intervention-invest-little-save…
  10. 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…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866311/psn-pdf
    January 01, 2025 - Systematic review of types of safety incidents and the processes and systems used for safety incident reporting in care homes. July 17, 2024 Scott J, Sykes K, Waring J, et al. Systematic review of types of safety incidents and the processes and systems used for safety incident reporting in care homes. J Adv Nurs. …
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/862984/psn-pdf
    February 21, 2024 - Machine learning in medication prescription: a systematic review. February 21, 2024 Iancu A, Leb I, Prokosch H-U, et al. Machine learning in medication prescription: a systematic review. Int J Med Inform. 2023;180:105241. doi:10.1016/j.ijmedinf.2023.105241. https://psnet.ahrq.gov/issue/machine-learning-medication-…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46577/psn-pdf
    April 03, 2018 - The new diagnostic team. April 3, 2018 Graber ML, Rusz D, Jones ML, et al. The new diagnostic team. Diagnosis (Berl). 2017;4(4):225-238. doi:10.1515/dx-2017-0022. https://psnet.ahrq.gov/issue/new-diagnostic-team Teamwork has been highlighted as a key component of patient safety that also applies to improving diag…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35207/psn-pdf
    December 19, 2009 - Patient safety concerns arising from test results that return after hospital discharge. December 19, 2009 Roy CL, Poon EG, Karson A, et al. Patient safety concerns arising from test results that return after hospital discharge. Ann Intern Med. 2005;143(2):121-128. https://psnet.ahrq.gov/issue/patient-safety-concer…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39277/psn-pdf
    August 22, 2018 - Preventing maternal death. August 22, 2018 Preventing maternal death. Sentinel Event Alert. 2010;44(44):1-4. https://psnet.ahrq.gov/issue/preventing-maternal-death The Joint Commission issues Sentinel Event Alerts to highlight areas of high risk and to promote the rapid adoption of risk reduction strategies. Adher…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48180/psn-pdf
    August 21, 2019 - Burnout and Resilience and Quality and Safety Programs in Obstetrics and Gynecology. August 21, 2019 Main EK, Fowler JM, Gabbe SG, eds. Clin Obstet Gynecol. 2019;62:vii-xii,403-626. https://psnet.ahrq.gov/issue/burnout-and-resilience-and-quality-and-safety-programs-obstetrics-and- gynecology Obstetrics is a high-…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44957/psn-pdf
    March 09, 2016 - Government and industry fail to protect the public when they suggest "carefully following instructions" is enough to prevent vaccine errors. March 9, 2016 ISMP Medication Safety Alert! Acute care edition. February 25, 2016;21(4):1-5. https://psnet.ahrq.gov/issue/government-and-industry-fail-protect-public-when-the…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60813/psn-pdf
    January 01, 2021 - Medication-related interventions delivered both in hospital and following discharge: a systematic review and meta-analysis. August 19, 2020 Daliri S, Boujarfi S, el Mokaddam A, et al. Medication-related interventions delivered both in hospital and following discharge: a systematic review and meta-analysis. BMJ Qua…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838080/psn-pdf
    September 14, 2022 - Effect on diagnostic accuracy of cognitive reasoning tools for the workplace setting: systematic review and meta-analysis. September 14, 2022 Staal J, Hooftman J, Gunput STG, et al. Effect on diagnostic accuracy of cognitive reasoning tools for the workplace setting: systematic review and meta-analysis. BMJ Qual S…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46247/psn-pdf
    August 08, 2018 - Distractions in the anesthesia work environment: impact on patient safety? Report of a meeting sponsored by the Anesthesia Patient Safety Foundation. August 8, 2018 van Pelt M, Weinger MB. Distractions in the Anesthesia Work Environment: Impact on Patient Safety? Report of a Meeting Sponsored by the Anesthesia Pat…

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