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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60636/psn-pdf
    July 01, 2020 - Measuring the impact of medication-related interventions on 30-day readmission rates in a skilled nursing facility. July 1, 2020 Amin PB, Bradford CD, Rizos AL, et al. Measuring the Impact of Medication-Related Interventions on 30- Day Readmission Rates in a Skilled Nursing Facility. J Pharm Pract. 2020;33(3):306-3…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866637/psn-pdf
    September 04, 2024 - Impact of rounding checklists on the outcomes of patients admitted to ICUs: a systematic review and meta- analysis. September 4, 2024 MacKinnon KM, Seshadri S, Mailman JF, et al. Impact of rounding checklists on the outcomes of patients admitted to ICUs: a systematic review and meta-analysis. Crit Care Explor. 202…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60898/psn-pdf
    September 09, 2020 - Sequential implementation of the EQUIPPED geriatric medication safety program as a learning health system. September 9, 2020 Vandenberg AE, Kegler M, Hastings SN, et al. Sequential implementation of the EQUIPPED geriatric medication safety program as a learning health system. Int J Qual Health Care. 2020;32(7):470-…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837632/psn-pdf
    July 06, 2022 - Serious experience events: applying patient safety concepts to improve patient experience. July 6, 2022 Donnelly LF, Uhlhorn E, Bargmann-Losche J, et al. Serious experience events: applying patient safety concepts to improve patient experience. J Patient Exp. 2022;9:237437352211026. doi:10.1177/23743735221102670. …
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74719/psn-pdf
    February 02, 2022 - Failure to rescue following emergency surgery: a FRAM analysis of the management of the deteriorating patient. February 2, 2022 Sujan M, Bilbro N, Ross A, et al. Failure to rescue following emergency surgery: A FRAM analysis of the management of the deteriorating patient. Appl Ergon. 2022;98:103608. doi:10.1016/j.a…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47194/psn-pdf
    August 22, 2018 - Labeling morphine milligram equivalents on opioid packaging: a potential patient safety intervention. August 22, 2018 Stone AB, Urman RD, Kaye AD, et al. Labeling Morphine Milligram Equivalents on Opioid Packaging: a Potential Patient Safety Intervention. Curr Pain Headache Rep. 2018;22(7):46. doi:10.1007/s11916-01…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40743/psn-pdf
    February 01, 2019 - Radiation risks of diagnostic imaging and fluoroscopy. December 23, 2016 Sentinel Event Alert. August 24, 2011;47:1-4. (revised February 2019). https://psnet.ahrq.gov/issue/radiation-risks-diagnostic-imaging The Joint Commission issues Sentinel Event Alerts periodically to highlight emerging patient safety issues …
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73635/psn-pdf
    August 25, 2021 - Impact of smart pump-electronic health record interoperability on patient safety and finances at a community hospital August 25, 2021 Wei W, Coffey W, Adeola M, et al. Impact of smart pump-electronic health record interoperability on patient safety and finances at a community hospital. Am J Health Syst Pharm. 2021…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853242/psn-pdf
    September 06, 2023 - Protocolization of analgesia and sedation through smart technology in intensive care: improving patient safety. September 6, 2023 Ojeda IM, Sánchez-Cuervo M, Candela-Toha Á, et al. Protocolization of Analgesia and Sedation Through Smart Technology in Intensive Care: Improving Patient Safety. Crit Care Nurs. 2023;43…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72790/psn-pdf
    March 03, 2021 - Parent engagement in perinatal mortality reviews: an online survey of clinicians from six high-income countries. March 3, 2021 Boyle FM, Horey D, Siassakos D, et al. Parent engagement in perinatal mortality reviews: an online survey of clinicians from six high?income countries. BJOG. 2020;128(4):696-703. doi:10.11…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837796/psn-pdf
    August 10, 2022 - Association between hospital acquired harm outcomes and membership in a national patient safety collaborative. August 10, 2022 Coffey M, Marino M, Lyren A, et al. Association between hospital acquired harm outcomes and membership in a national patient safety collaborative. JAMA Pediatr. 2022;176(9):924-932. doi:10…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74141/psn-pdf
    December 01, 2021 - Incident reporting systems: what will it take to make them less frustrating and achieve anything useful? December 1, 2021 Shojania KG. Incident reporting systems: what will it take to make them less frustrating and achieve anything useful? Jt Comm J Qual Patient Saf. 2021;47(12):755-758. doi:10.1016/j.jcjq.2021.10.…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43416/psn-pdf
    August 13, 2014 - Compliance with a time-out procedure intended to prevent wrong surgery in hospitals: results of a national patient safety programme in the Netherlands. August 13, 2014 van Schoten SM, Kop V, de Blok C, et al. Compliance with a time-out procedure intended to prevent wrong surgery in hospitals: results of a national…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40376/psn-pdf
    July 06, 2012 - Electronic prescribing in an ambulatory care setting: a cluster randomized trial. July 6, 2012 Dainty KN, Adhikari NKJ, Kiss A, et al. Electronic prescribing in an ambulatory care setting: a cluster randomized trial. J Eval Clin Pract. 2012;18(4):761-7. doi:10.1111/j.1365-2753.2011.01657.x. https://psnet.ahrq.gov/…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837029/psn-pdf
    May 04, 2022 - Identifying patients whose symptoms are underrecognized during treatment with breast radiotherapy. May 4, 2022 doi:10.1001/jamaoncol.2022.0114. https://psnet.ahrq.gov/issue/identifying-patients-whose-symptoms-are-underrecognized-during-treatment- breast-radiotherapy Concordance of patient-reported symptoms and p…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36843/psn-pdf
    January 05, 2017 - Improving medication reconciliation in the outpatient setting. January 5, 2017 Varkey P, Cunningham J, Bisping S. Improving medication reconciliation in the outpatient setting. Jt Comm J Qual Patient Saf. 2007;33(5):286-92. https://psnet.ahrq.gov/issue/improving-medication-reconciliation-outpatient-setting The Jo…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44792/psn-pdf
    January 13, 2016 - At the hospital, better responses to those beeping alarms. January 13, 2016 Landro L. Wall Street Journal. January 4, 2016. https://psnet.ahrq.gov/issue/hospital-better-responses-those-beeping-alarms Alert fatigue is a well-known problem in hospitals. This newspaper article reports on efforts to reduce unnecessary…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47440/psn-pdf
    April 07, 2019 - Improving inpatient mental health medication safety through the process of obtaining HIMSS Stage 7: a case report. April 7, 2019 Sulkers H, Tajirian T, Paterson J, et al. JAMIA Open. 2019;2:35–39. https://psnet.ahrq.gov/issue/improving-inpatient-mental-health-medication-safety-through-process- obtaining-himss-sta…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34666/psn-pdf
    December 22, 2009 - Error reduction and performance improvement in the emergency department through formal teamwork training: evaluation results of the MedTeams project. December 22, 2009 Morey JC, Simon R, Jay G, et al. Error reduction and performance improvement in the emergency department through formal teamwork training: evaluati…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41719/psn-pdf
    November 27, 2012 - A systematic review of the effectiveness, compliance, and critical factors for implementation of safety checklists in surgery. November 27, 2012 Borchard A, Schwappach DLB, Barbir A, et al. A systematic review of the effectiveness, compliance, and critical factors for implementation of safety checklists in surgery…

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