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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/843326/psn-pdf
    February 01, 2023 - Surgical site infection prevention: a review. February 1, 2023 Seidelman JL, Mantyh CR, Anderson DJ. Surgical site infection prevention: a review. JAMA. 2023;329(3):244-252. doi:10.1001/jama.2022.24075. https://psnet.ahrq.gov/issue/surgical-site-infection-prevention-review Surgical site infections (SSIs) remain a …
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848816/psn-pdf
    May 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…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836785/psn-pdf
    March 23, 2022 - Impact of CancelRx on discontinuation of controlled substance prescriptions: an interrupted time series analysis. March 23, 2022 Watterson TL, Stone JA, Gilson A, et al. Impact of CancelRx on discontinuation of controlled substance prescriptions: an interrupted time series analysis. BMC Med Inform Decis Mak. 2022;…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60281/psn-pdf
    April 29, 2020 - How can task shifting put patient safety at risk? A qualitative study of experiences among general practitioners in Norway. April 29, 2020 Malterud K, Aamland A, Fosse A. How can task shifting put patient safety at risk? A qualitative study of experiences among general practitioners in Norway. Scand J Prim Health …
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43669/psn-pdf
    November 12, 2014 - Multiple interacting factors influence adherence, and outcomes associated with surgical safety checklists: a qualitative study. November 12, 2014 Gagliardi AR, Straus SE, Shojania KG, et al. Multiple interacting factors influence adherence, and outcomes associated with surgical safety checklists: a qualitative stu…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46772/psn-pdf
    March 04, 2019 - Case: a second victim support program in pediatrics: successes and challenges to implementation. March 4, 2019 Dukhanin V, Edrees HH, Connors CA, et al. Case: A Second Victim Support Program in Pediatrics: Successes and Challenges to Implementation. J Pediatr Nurs. 2018;41:54-59. doi:10.1016/j.pedn.2018.01.011. h…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44360/psn-pdf
    July 29, 2015 - Maximizing smart pump technology to enhance patient safety. July 29, 2015 Makic MBF. Maximizing smart pump technology to enhance patient safety. Clin Nurs Spec. 2015;29(4):195-197. doi:10.1097/NUR.0000000000000139. https://psnet.ahrq.gov/issue/maximizing-smart-pump-technology-enhance-patient-safety Smart pumps ar…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47659/psn-pdf
    January 27, 2019 - Medical overuse as a physician cognitive error: looking under the hood. January 27, 2019 Korenstein D. Medical overuse as a physician cognitive error: looking under the hood. JAMA Intern Med. 2019;179(1):26-27. doi:10.1001/jamainternmed.2018.5136. https://psnet.ahrq.gov/issue/medical-overuse-physician-cognitive-er…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838624/psn-pdf
    October 19, 2022 - Association of rapid response teams with hospital mortality in Medicare patients. October 19, 2022 Girotra S, Jones PG, Peberdy MA, et al. Association of rapid response teams with hospital mortality in Medicare patients. Circ Cardiovasc Qual Outcomes. 2022;15(9):e008901. doi:10.1161/circoutcomes.122.008901. https…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60532/psn-pdf
    May 27, 2020 - Improving timely recognition and treatment of sepsis in the pediatric ICU. May 27, 2020 Vidrine R, Zackoff M, Paff Z, et al. Improving timely recognition and treatment of sepsis in the pediatric ICU. Jt Comm J Qual Patient Saf. 2020;46(5):299-307. doi:10.1016/j.jcjq.2020.02.005. https://psnet.ahrq.gov/issue/improv…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73061/psn-pdf
    March 24, 2021 - Timeout procedure in paediatric surgery: effective tool or lip service? A randomised prospective observational study. March 24, 2021 Muensterer OJ, Kreutz H, Poplawski A, et al. Timeout procedure in paediatric surgery: effective tool or lip service? A randomised prospective observational study. BMJ Qual Saf. 2021;…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72482/psn-pdf
    November 18, 2020 - Real-time debriefing after critical events: exploring the gap between principle and reality. November 18, 2020 Arriaga AF, Szyld D, Pian-Smith MCM. Real-time debriefing after critical events: exploring the gap between principle and reality. Anesthesiol Clin. 2020;38(4):801-820. doi:10.1016/j.anclin.2020.08.003. ht…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41571/psn-pdf
    October 29, 2012 - Adverse drug events caused by serious medication administration errors. October 29, 2012 Kale A, Keohane C, Maviglia SM, et al. Adverse drug events caused by serious medication administration errors. BMJ Qual Saf. 2012;21(11):933-8. doi:10.1136/bmjqs-2012-000946. https://psnet.ahrq.gov/issue/adverse-drug-events-ca…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/862152/psn-pdf
    February 07, 2024 - Risk identification and prediction of complaints and misconduct against health practitioners: a scoping review. February 7, 2024 Wang Y, Ram SS, Scahill S. Risk identification and prediction of complaints and misconduct against health practitioners: a scoping review. Int J Qual Health Care. 2024;36(1):mzad114. doi…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47109/psn-pdf
    June 06, 2018 - Principles of automation for patient safety in intensive care: learning from aviation. June 6, 2018 Dominiczak J, Khansa L. Principles of Automation for Patient Safety in Intensive Care: Learning From Aviation. Jt Comm J Qual Patient Saf. 2018;44(6):366-371. doi:10.1016/j.jcjq.2017.11.008. https://psnet.ahrq.gov/i…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45130/psn-pdf
    July 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…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46187/psn-pdf
    December 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…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44756/psn-pdf
    September 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…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43472/psn-pdf
    September 03, 2014 - Nighttime cross-coverage is associated with decreased intensive care unit mortality. A single-center study. September 3, 2014 Amaral ACK-B, Barros BS, Barros CCPP, et al. Nighttime cross-coverage is associated with decreased intensive care unit mortality. A single-center study. Am J Respir Crit Care Med. 2014;189(1…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47953/psn-pdf
    January 01, 2021 - Impact of medication reviews delivered by community pharmacist to elderly patients on polypharmacy: a meta- analysis of randomized controlled trials. June 26, 2019 Tasai S, Kumpat N, Dilokthornsakul P, et al. Impact of Medication Reviews Delivered by Community Pharmacist to Elderly Patients on Polypharmacy: A Meta…

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