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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46314/psn-pdf
    November 01, 2020 - AHRQ Safety Program for Improving Antibiotic Use. July 9, 2019 Agency for Healthcare Research and Quality, Johns Hopkins Medicine Armstrong Institute for Patient Safety and Quality, and University of Chicago. https://psnet.ahrq.gov/issue/ahrq-safety-program-improving-antibiotic-use Improving antibiotic use is a st…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72672/psn-pdf
    January 27, 2021 - Use of simulation to measure the effects of just-in-time information to prevent nursing medication errors: a randomized controlled study. January 27, 2021 Berg TA, Hebert SH, Chyka D, et al. Use of Simulation to Measure the Effects of Just-in-Time Information to Prevent Nursing Medication Errors. Simul Healthc. 20…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47158/psn-pdf
    August 15, 2018 - A standardized handoff simulation promotes recovery from auditory distractions in resident physicians. August 15, 2018 Matern LH, Farnan JM, Hirsch KW, et al. A Standardized Handoff Simulation Promotes Recovery From Auditory Distractions in Resident Physicians. Simul Healthc. 2018;13(4):233-238. doi:10.1097/SIH.00…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45571/psn-pdf
    January 18, 2017 - How communication among members of the health care team affects maternal morbidity and mortality. January 18, 2017 Brennan RA, Keohane CA. How Communication Among Members of the Health Care Team Affects Maternal Morbidity and Mortality. J Obstet Gynecol Neonatal Nurs. 2016;45(6):878-884. doi:10.1016/j.jogn.2016.03…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47664/psn-pdf
    April 03, 2019 - Minor flow disruptions, traffic-related factors and their effect on major flow disruptions in the operating room. April 3, 2019 Joseph A, Khoshkenar A, Taaffe KM, et al. Minor flow disruptions, traffic-related factors and their effect on major flow disruptions in the operating room. BMJ Qual Saf. 2019;28(4):276-283…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/855001/psn-pdf
    November 01, 2023 - Rethinking Patient Safety: A Discussion Guide for Patients, Healthcare Providers and Leaders. November 1, 2023 Gilbert R, Asselbergs M, Davis D, et al. Healthcare Excellence Canada; 2023. https://psnet.ahrq.gov/issue/rethinking-patient-safety-discussion-guide-patients-healthcare-providers-and- leaders Patient saf…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44490/psn-pdf
    September 16, 2015 - Implementation of a custom alert to prevent medication- timing errors associated with computerized prescriber order entry. September 16, 2015 Idemoto LM, Williams BL, Ching JM, et al. Implementation of a custom alert to prevent medication-timing errors associated with computerized prescriber order entry. Am J Heal…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837152/psn-pdf
    May 18, 2022 - AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUTI: Final Report. May 18, 2022 Molefe A, Hung L, Hayes K, et al. Rockville MD: Agency for healthcare Research and Quality; 2022. AHRQ Publication No. 17(22)-0019. https://psnet.ahrq.gov/issue/ahrq-safety-program-intensive-care-units-preventing-…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45745/psn-pdf
    August 02, 2017 - Emergency diagnosis of cancer and previous general practice consultations: insights from linked patient survey data. August 2, 2017 Abel GA, Mendonca SC, McPhail S, et al. Emergency diagnosis of cancer and previous general practice consultations: insights from linked patient survey data. Br J Gen Pract. 2017;67(65…

  10. 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…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73667/psn-pdf
    September 01, 2021 - Cardinal Health recalls Argyle UVC insertion tray due to missing instructions for use for the Safety Scalpel N11. September 1, 2021 MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; August 20, 2021. https://psnet.ahrq.gov/issue/cardinal-health-recalls-argyle-uvc-insertion-tray-due-missing-i…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47713/psn-pdf
    June 14, 2019 - Medication appropriateness in vulnerable older adults: healthy skepticism of appropriate polypharmacy. June 14, 2019 Fried TR, Mecca MC. Medication Appropriateness in Vulnerable Older Adults: Healthy Skepticism of Appropriate Polypharmacy. J Am Geriatr Soc. 2019;67(6):1123-1127. doi:10.1111/jgs.15798. https://psne…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72832/psn-pdf
    March 10, 2021 - Communication and Transparency as a Means to Strengthening Workplace Culture During COVID-19. March 10, 2021 Nadkarni A, Levy-Carrick NC, Kroll DS, et al. Communication And Transparency As A Means To Strengthening Workplace Culture During Covid-19. National Academy of Medicine; 2021. doi:10.31478/202103a. https:/…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60213/psn-pdf
    April 08, 2020 - FDA alerts patients and health care professionals of EpiPen auto-injector errors related to device malfunctions and user administration. April 8, 2020 FDA alerts patients and health care professionals of EpiPen auto-injector errors related to device malfunctions and user administration. MedWatch Safety Alert. Silv…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836827/psn-pdf
    March 30, 2022 - Economic evaluation of quality improvement interventions to prevent catheter-associated urinary tract infections in the hospital setting: a systematic review. March 30, 2022 McCleskey SG, Shek L, Grein J, et al. Economic evaluation of quality improvement interventions to prevent catheter-associated urinary tract i…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73372/psn-pdf
    June 09, 2021 - Impact of COVID-19 on inpatient clinical emergencies: a single-center experience. June 9, 2021 Mitchell OJL, Neefe S, Ginestra JC, et al. Impact of COVID-19 on inpatient clinical emergencies: a single- center experience. Resusc Plus. 2021;6:100135. doi:10.1016/j.resplu.2021.100135. https://psnet.ahrq.gov/issue/imp…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845076/psn-pdf
    February 22, 2023 - Advancing diagnostic equity through clinician engagement, community partnerships, and connected care. February 22, 2023 Giardina TD, Woodard LCD, Singh H. Advancing diagnostic equity through clinician engagement, community partnerships, and connected care. J Gen Intern Med. 2023;38(5):1293-1295. doi:10.1007/s1160…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35332/psn-pdf
    September 21, 2005 - Are language barriers associated with serious medical events in hospitalized pediatric patients? September 21, 2005 Cohen AL. Are Language Barriers Associated With Serious Medical Events in Hospitalized Pediatric Patients? Pediatrics. 2005;116(3):575-579. doi:10.1542/peds.2005-0521. https://psnet.ahrq.gov/issue/ar…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854821/psn-pdf
    October 25, 2023 - Factors determining safety culture in hospitals: a scoping review. October 25, 2023 Carvalho REFL de, Bates DW, Syrowatka A, et al. Factors determining safety culture in hospitals: a scoping review. BMJ Open Qual. 2023;12(4):e002310. doi:10.1136/bmjoq-2023-002310. https://psnet.ahrq.gov/issue/factors-determining-s…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50416/psn-pdf
    September 04, 2019 - Perceptual and interpretive error in diagnostic radiology—causes and potential solutions. September 4, 2019 Degnan AJ, Ghobadi EH, Hardy P, et al. Perceptual and Interpretive Error in Diagnostic Radiology-Causes and Potential Solutions. Acad Radiol. 2019;26(6):833-845. doi:10.1016/j.acra.2018.11.006. https://psnet…
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