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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72710/psn-pdf
    February 03, 2021 - A poison information centre can provide important assessment and guidance regarding medication errors in nursing homes: a prospective cohort study. February 3, 2021 Vinther S, Bøgevig S, Eriksen KR, et al. A poison information centre can provide important assessment and guidance regarding medication errors in nurs…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74110/psn-pdf
    November 24, 2021 - New problems and iatrogenic events among older adults in the first 30 days of post-acute rehabilitation. November 24, 2021 Simpson M, Kovach CR. New problems and iatrogenic events among older adults in the first 30 days of post-acute rehabilitation. Res Gerontol Nurs. 2021;14(6):293-304. doi:10.3928/19404921-202109…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74082/psn-pdf
    November 17, 2021 - Associations of person-related, environment-related and communication-related factors on medication errors in public and private hospitals: a retrospective clinical audit. November 17, 2021 Manias E, Street M, Lowe G, et al. Associations of person-related, environment-related and communication-related factors on m…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41186/psn-pdf
    January 03, 2017 - The costs of adverse drug events in community hospitals. January 3, 2017 Hug BL, Keohane C, Seger DL, et al. The costs of adverse drug events in community hospitals. Jt Comm J Qual Patient Saf. 2012;38(3):120-6. https://psnet.ahrq.gov/issue/costs-adverse-drug-events-community-hospitals Adverse drug events (ADEs) a…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837743/psn-pdf
    July 27, 2022 - The New Electronic Health Record’s Unknown Queue Caused Multiple Events of Patient Harm. July 27, 2022 Washington, DC: VA Office of the Inspector General; July 14 2022. Report No. 22-01137-204. https://psnet.ahrq.gov/issue/new-electronic-health-records-unknown-queue-caused-multiple-events-patient- harm Problems w…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47001/psn-pdf
    August 17, 2018 - Realist synthesis of intentional rounding in hospital wards: exploring the evidence of what works, for whom, in what circumstances and why. August 17, 2018 Sims S, Leamy M, Davies N, et al. Realist synthesis of intentional rounding in hospital wards: exploring the evidence of what works, for whom, in what circumst…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61026/psn-pdf
    October 14, 2020 - A blinded, prospective study of error detection during physician chart rounds in radiation oncology. October 14, 2020 Talcott WJ, Lincoln H, Kelly JR, et al. A blinded, prospective study of error detection during physician chart rounds in radiation oncology. Pract Radiat Oncol. 2020;10(5):312-320. doi:10.1016/j.prr…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867011/psn-pdf
    October 23, 2024 - Outcomes of Michigan Medicine's integrated patient safety and communication and resolution program, 2013–2022. October 23, 2024 Burney RE, Mckeown ES, Zhang Y, et al. Outcomes of Michigan Medicine's integrated patient safety and communication and resolution program, 2013–2022. J Patient Saf Risk Manag. 2024;29(5):…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47391/psn-pdf
    September 12, 2018 - Improving diagnosis by improving education: a policy brief on education in healthcare professions. September 12, 2018 Graber ML, Rencic J, Rusz D, et al. Improving diagnosis by improving education: a policy brief on education in healthcare professions. Diagnosis (Berl). 2018;5(3):107-118. doi:10.1515/dx-2018-0033. …
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72717/psn-pdf
    February 10, 2021 - Hospital-acquired SARS-Cov-2 infections in patients: inevitable conditions or medical malpractice? February 10, 2021 Barranco R, Vallega Bernucci Du Tremoul L, Ventura F. Hospital-acquired SARS-Cov-2 infections in patients: inevitable conditions or medical malpractice? Int J Environ Res Public Health. 2021;18(2):48…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61067/psn-pdf
    January 01, 2021 - A program to provide clinicians with feedback on their diagnostic performance in a learning health system. October 28, 2020 Meyer AND, Upadhyay DK, Collins CA, et al. A program to provide clinicians with feedback on their diagnostic performance in a learning health system. Jt Comm J Qual Patient Saf. 2021;47(2):120…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73979/psn-pdf
    January 01, 2022 - The work of nurses to provide good and safe services to children receiving hospital-at-home: a qualitative interview study from the perspectives of hospital nurses and physicians. October 20, 2021 Aasen L, Johannessen A?K, Ruud Knutsen I, et al. The work of nurses to provide good and safe services to children rec…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845304/psn-pdf
    March 01, 2023 - For children admitted to hospital, what interventions improve medication safety on ward rounds? March 1, 2023 King C, Dudley J, Mee A, et al. For children admitted to hospital, what interventions improve medication safety on ward rounds? A systematic review. Arch Dis Child. 2023;108(7):583-588. doi:10.1136/archdis…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45247/psn-pdf
    August 15, 2016 - Physician transition of care: benefits of I-PASS and an electronic handoff system in a community pediatric residency program. August 15, 2016 Walia J, Qayumi Z, Khawar N, et al. Physician Transition of Care: Benefits of I-PASS and an Electronic Handoff System in a Community Pediatric Residency Program. Acad Pediat…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46041/psn-pdf
    September 20, 2017 - The economic burden of nurse-sensitive adverse events in 22 medical-surgical units: retrospective and matching analysis. September 20, 2017 Tchouaket E, Dubois C-A, D'Amour D. The economic burden of nurse-sensitive adverse events in 22 medical-surgical units: retrospective and matching analysis. J Adv Nurs. 2017;7…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837151/psn-pdf
    May 18, 2022 - Society for Maternal-Fetal Medicine Special Statement: a critique of postpartum readmission rate as a quality metric. May 18, 2022 Combs CA, Goffman D, Pettker CM. Society for Maternal-Fetal Medicine Special Statement: A critique of postpartum readmission rate as a quality metric. Am J Obstet Gynecol. 2022;226(4):…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74153/psn-pdf
    December 08, 2021 - The benefits and harms of open notes in mental health: a Delphi survey of international experts. December 8, 2021 Blease CR, Kharko A, Hägglund M, et al. The benefits and harms of open notes in mental health: a Delphi survey of international experts. PLoS ONE. 2021;16(10):e0258056. doi:10.1371/journal.pone.0258056.…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/862615/psn-pdf
    August 12, 2019 - Information and power: women of color's experiences interacting with health care providers in pregnancy and birth. August 12, 2019 Altman MR, Oseguera T, McLemore MR, et al. Information and power: women of color's experiences interacting with health care providers in pregnancy and birth. Soc Sci Med. 2019;238:1124…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/862154/psn-pdf
    June 18, 2020 - Listening to women: recommendations from women of color to improve experiences in pregnancy and birth care. June 18, 2020 Altman MR, McLemore MR, Oseguera T, et al. Listening to women: recommendations from women of color to improve experiences in pregnancy and birth care. J Midwifery Womens Health. 2020;65(4):466-4…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74125/psn-pdf
    January 01, 2022 - Understanding preventable deaths in the geriatric trauma population: analysis of 3,452,339 patients from the Center of Medicare and Medicaid Services Database. December 1, 2021 Ang D, Nieto K, Sutherland M, et al. Understanding preventable deaths in the geriatric trauma population: analysis of 3,452,339 patients f…

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