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  1. 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…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73296/psn-pdf
    May 19, 2021 - AHRQ Safety Program for Methicillin-Resistant Staphylococcus Aureus Prevention. Request for Proposal Comment. May 19, 2021 Agency for Healthcare Research and Quality. May 3, 2021. Fed Register. 2021;86(83):23366-23369. https://psnet.ahrq.gov/issue/ahrq-safety-program-methicillin-resistant-staphylococcus-aureus-pre…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37430/psn-pdf
    February 01, 2011 - Nonpayment for harms resulting from medical care: catheter-associated urinary tract infections. February 1, 2011 Wald HL, Kramer AM. Nonpayment for harms resulting from medical care: catheter-associated urinary tract infections. JAMA. 2007;298(23):2782-4. doi:10.1001/jama.298.23.2782. https://psnet.ahrq.gov/issue/…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47423/psn-pdf
    January 27, 2019 - A health system–wide initiative to decrease opioid-related morbidity and mortality. January 27, 2019 Weiner SG, Price CN, Atalay AJ, et al. A Health System-Wide Initiative to Decrease Opioid-Related Morbidity and Mortality. Jt Comm J Qual Patient Saf. 2019;45(1):3-13. doi:10.1016/j.jcjq.2018.07.003. https://psnet.…
  5. 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…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73878/psn-pdf
    September 29, 2021 - Interventions to improve communication at hospital discharge and rates of readmission: a systematic review and meta-analysis. September 29, 2021 Becker C, Zumbrunn S, Beck K, et al. Interventions to improve communication at hospital discharge and rates of readmission. JAMA Netw Open. 2021;4(8):e2119346. doi:10.100…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44051/psn-pdf
    August 02, 2015 - Sustainability and long-term effectiveness of the WHO surgical safety checklist combined with pulse oximetry in a resource-limited setting: two-year update from Moldova. August 2, 2015 Kim RY, Kwakye G, Kwok AC, et al. Sustainability and long-term effectiveness of the WHO surgical safety checklist combined with pu…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836825/psn-pdf
    March 30, 2022 - Antibiotic prescribing errors in patients discharged from the pediatric emergency department. March 30, 2022 LaScala EC, Monroe AK, Hall GA, et al. Antibiotic prescribing errors in patients discharged from the pediatric emergency department. Pediatr Emerg Care. 2022;38(1):e387-e392. doi:10.1097/pec.000000000000229…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74697/psn-pdf
    January 26, 2022 - The effect of medication reconciliation via a patient portal on medication discrepancies: a randomized noninferiority study. January 26, 2022 Ebbens MM, Gombert-Handoko KB, Wesselink EJ, et al. The effect of medication reconciliation via a patient portal on medication discrepancies: a randomized noninferiority stu…
  10. 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…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41759/psn-pdf
    October 10, 2012 - Optimal preoperative assessment of the geriatric surgical patient: a best practices guideline from the American College of Surgeons National Surgical Quality Improvement Program and the American Geriatrics Society. October 10, 2012 Chow WB, Rosenthal RA, Merkow RP, et al. Optimal preoperative assessment of the ge…
  12. 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 …
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/860383/psn-pdf
    January 10, 2024 - Addressing nursing shortages and patient safety using Maslow's hierarchy of needs. January 10, 2024 Giuffrida P, Davila S. Addressing nursing shortages and patient safety using Maslow's hierarchy of needs. Nursing. 2024;54(1):35-40. doi:10.1097/01.nurse.0000995608.56374.f5. https://psnet.ahrq.gov/issue/addressing-…
  14. 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…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60275/psn-pdf
    April 29, 2020 - Misreading injectable medications—causes and solutions: an integrative literature review. April 29, 2020 Borradale H, Andersen P, Wallis M, et al. Misreading injectable medications—causes and solutions: an integrative literature review. J Patient Saf. 2020. doi:10.1016/j.jcjq.2020.01.007. https://psnet.ahrq.gov/is…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838922/psn-pdf
    October 26, 2022 - Effect of pharmacist email alerts on concurrent prescribing of opioids and benzodiazepines by prescribers and primary care managers: a randomized clinical trial. October 26, 2022 Sacarny A, Safran E, Steffel M, et al. Effect of pharmacist email alerts on concurrent prescribing of opioids and benzodiazepines by pr…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44869/psn-pdf
    November 18, 2016 - Fake and expired medications in simulation-based education: an underappreciated risk to patient safety. November 18, 2016 Torrie J, Cumin D, Sheridan J, et al. Fake and expired medications in simulation-based education: an underappreciated risk to patient safety. BMJ Qual Saf. 2016;25(12):917-920. doi:10.1136/bmjqs…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47619/psn-pdf
    April 08, 2019 - A decade of health information technology usability challenges and the path forward. April 8, 2019 Ratwani RM, Reider J, Singh H. A Decade of Health Information Technology Usability Challenges and the Path Forward. JAMA. 2019;321(8):743-744. doi:10.1001/jama.2019.0161. https://psnet.ahrq.gov/issue/decade-health-in…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47574/psn-pdf
    November 21, 2018 - The architecture of safety: an emerging priority for improving patient safety. November 21, 2018 Joseph A, Henriksen K, Malone E. The Architecture Of Safety: An Emerging Priority For Improving Patient Safety. Health Aff (Millwood). 2018;37(11):1884-1891. doi:10.1377/hlthaff.2018.0643. https://psnet.ahrq.gov/issue/…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44067/psn-pdf
    June 02, 2015 - Surgical team member assessment of the safety of surgery practice in 38 South Carolina hospitals. June 2, 2015 Singer SJ, Jiang W, Huang LC, et al. Surgical team member assessment of the safety of surgery practice in 38 South Carolina hospitals. Med Care Res Rev. 2015;72(3):298-323. doi:10.1177/1077558715577479. h…

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