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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46101/psn-pdf
    January 01, 2018 - Factors associated with barcode medication administration technology that contribute to patient safety: an integrative review. December 19, 2017 Strudwick G, Reisdorfer E, Warnock C, et al. Factors Associated With Barcode Medication Administration Technology That Contribute to Patient Safety: An Integrative Review…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/849610/psn-pdf
    May 31, 2023 - Implementation of ED I-PASS as a standardized handoff tool in the pediatric emergency department. May 31, 2023 Yanni E, Calaman S, Wiener E, et al. Implementation of ED I-PASS as a standardized handoff tool in the pediatric emergency department. J Healthc Qual. 2023;45(3):140-147. doi:10.1097/jhq.0000000000000374.…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866272/psn-pdf
    July 10, 2024 - Infection control measure performance in long-term care hospitals and their relationship to Joint Commission accreditation. July 10, 2024 Schmaltz SP, Longo BA, Williams SC. Infection control measure performance in long-term care hospitals and their relationship to Joint Commission accreditation. Jt Comm J Qual Pa…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74723/psn-pdf
    February 02, 2022 - The MedSafer study-electronic decision support for deprescribing in hospitalized older adults: a cluster randomized clinical trial. February 2, 2022 McDonald EG, Wu PE, Rashidi B, et al. The MedSafer study-electronic decision support for deprescribing in hospitalized older adults: a cluster randomized clinical tri…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/862130/psn-pdf
    February 07, 2024 - Interventions to support nurses as second victims of patient safety incidents: a qualitative study of nurse managers' perceptions. February 7, 2024 Järvisalo P, Haatainen K, Von Bonsdorff M, et al. Interventions to support nurses as second victims of patient safety incidents: a qualitative study of nurse managers'…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46606/psn-pdf
    July 10, 2019 - Implementation of a mock root cause analysis to provide simulated patient safety training. July 10, 2019 Murphy M, Duff J, Whitney J, et al. Implementation of a mock root cause analysis to provide simulated patient safety training. BMJ Open Qual. 2017;6(2). doi:10.1136/bmjoq-2017-000096. https://psnet.ahrq.gov/iss…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854989/psn-pdf
    November 01, 2023 - Understanding the facilitators and barriers to barcode medication administration by nursing staff using behavioural science frameworks. A mixed methods study. November 1, 2023 Grailey K, Hussain R, Wylleman E, et al. Understanding the facilitators and barriers to barcode medication administration by nursing staff …
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841787/psn-pdf
    December 21, 2022 - Electronic prescribing systems in hospitals to improve medication safety: a multi-methods research programme. December 21, 2022 Sheikh A, Coleman JJ, Chuter A, et al. Electronic prescribing systems in hospitals to improve medication safety: a multimethods research programme. Programme Grants Appl Res. 2022;10(7):1-…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73571/psn-pdf
    August 04, 2021 - "My whole room went into chaos because of that thing in the corner": unintended consequences of a central fetal monitoring system. August 4, 2021 Small K, Sidebotham M, Gamble J, et al. “My whole room went into chaos because of that thing in the corner”: unintended consequences of a central fetal monitoring system…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43656/psn-pdf
    September 01, 2016 - Optimization of drug–drug interaction alert rules in a pediatric hospital's electronic health record system using a visual analytics dashboard. September 1, 2016 Simpao AF, Ahumada LM, Desai BR, et al. Optimization of drug-drug interaction alert rules in a pediatric hospital's electronic health record system using…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73679/psn-pdf
    September 08, 2021 - Why an open disclosure procedure is and is not followed after an avoidable adverse event. September 8, 2021 Carrillo I, Mira JJ, Guilabert M, et al. Why an open disclosure procedure is and is not followed after an avoidable adverse event. J Patient Saf. 2021;17(6):e529-e533. doi:10.1097/pts.0000000000000405. https…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837039/psn-pdf
    May 04, 2022 - The Joint Commission's new and revised workplace violence prevention standards for hospitals: a major step forward toward improved quality and safety. May 4, 2022 Arnetz JE. The Joint Commission's new and revised workplace violence prevention standards for hospitals: a major step forward toward improved quality an…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73656/psn-pdf
    September 01, 2021 - Opioid prescribing to US children and young adults in 2019. September 1, 2021 Chua K-P, Brummett CM, Conti RM, et al. Opioid prescribing to US children and young adults in 2019. Pediatrics. 2021;148(3):e2021051539. doi:10.1542/peds.2021-051539. https://psnet.ahrq.gov/issue/opioid-prescribing-us-children-and-young-…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40645/psn-pdf
    November 26, 2012 - Rapid-response teams. November 26, 2012 Jones D, DeVita MA, Bellomo R. Rapid-response teams. N Engl J Med. 2011;365(2):139-46. doi:10.1056/NEJMra0910926. https://psnet.ahrq.gov/issue/rapid-response-teams Delays in clinical deterioration recognition and failures to rescue lead to serious adverse events. Rapid resp…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866433/psn-pdf
    August 07, 2024 - Sepsis alert systems, mortality, and adherence in emergency departments: a systematic review and meta- analysis. August 7, 2024 Kim H-J, Ko R-E, Lim SY, et al. Sepsis alert systems, mortality, and adherence in emergency departments: a systematic review and meta-analysis. JAMA Netw Open. 2024;7(7):e2422823. doi:10…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48109/psn-pdf
    January 01, 2020 - Dosing errors made by paramedics during pediatric patient simulations after implementation of a state-wide pediatric drug dosing reference. July 24, 2019 Hoyle JD, Ekblad G, Hover T, et al. Dosing Errors Made by Paramedics During Pediatric Patient Simulations After Implementation of a State-Wide Pediatric Drug Dos…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60849/psn-pdf
    January 01, 2021 - Associations between double-checking and medication administration errors: a direct observational study of paediatric inpatients. August 26, 2020 Westbrook JI, Li L, Raban MZ, et al. Associations between double-checking and medication administration errors: a direct observational study of paediatric inpatients. BM…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866904/psn-pdf
    October 09, 2024 - Crying wolf, alarm safety and management in paediatrics: a scoping review. October 9, 2024 Cole R, Roderick G, Cheema O, et al. Crying wolf, alarm safety and management in paediatrics: a scoping review. J Adv Nurs. 2024;Epub Sep 25. doi:10.1111/jan.16398. https://psnet.ahrq.gov/issue/crying-wolf-alarm-safety-and-m…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74695/psn-pdf
    January 26, 2022 - Impact of teamwork and communication training interventions on safety culture and patient safety in emergency departments: a systematic review. January 26, 2022 Alsabri M, Boudi Z, Lauque D, et al. Impact of teamwork and communication training interventions on safety culture and patient safety in emergency departm…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837972/psn-pdf
    September 01, 2022 - Patient safety: where to aim when zero harm is not the target-a case for learning and resilience. September 1, 2022 Stockwell DC, Kayes DC, Thomas EJ. Patient safety: where to aim when zero harm is not the target-a case for learning and resilience. J Patient Saf. 2022;18(5):e877-e882. doi:10.1097/pts.00000000000009…

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