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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74203/psn-pdfDecember 22, 2021 - Surgical safety checklist audits may be misleading! Improving the implementation and adherence of the surgical safety checklist: a quality improvement project. December 22, 2021 Brown B, Bermingham S, Vermeulen M, et al. Surgical safety checklist audits may be misleading! Improving the implementation and adherence… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47346/psn-pdfFebruary 22, 2019 - The prevalence of dose errors among paediatric patients in hospital wards with and without health information technology: a systematic review and meta-analysis. February 22, 2019 Gates PJ, Meyerson SA, Baysari M, et al. The Prevalence of Dose Errors Among Paediatric Patients in Hospital Wards with and without Heal… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74077/psn-pdfNovember 17, 2021 - Factors associated with wrong blood in tube errors: an international case series - The BEST collaborative study. November 17, 2021 Dunbar NM, Kaufman RM. Factors associated with wrong blood in tube errors: an international case series – The BEST collaborative study. Transfusion (Paris). 2022;62(1):44-50. doi:10.111… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866950/psn-pdfOctober 16, 2024 - Impact of team performance on the surgical safety checklist on patient outcomes: an operating room black box analysis. October 16, 2024 Al Abbas AI, Meier J, Daniel W, et al. Impact of team performance on the surgical safety checklist on patient outcomes: an operating room black box analysis. Surg Endosc. 2024;38(… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39512/psn-pdfJune 11, 2010 - An intervention to decrease patient identification band errors in a children's hospital. June 11, 2010 Hain PD, Joers B, Rush M, et al. An intervention to decrease patient identification band errors in a children's hospital. Qual Saf Health Care. 2010;19(3):244-7. doi:10.1136/qshc.2008.030288. https://psnet.ahrq.g… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/849120/psn-pdfMay 17, 2023 - Systematic literature review on the effectiveness and safety of paediatric hospital-at-home care as a substitute for hospital care. May 17, 2023 Detollenaere J, Van Ingelghem I, Van den Heede K, et al. Systematic literature review on the effectiveness and safety of paediatric hospital-at-home care as a substitute … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/61021/psn-pdfOctober 14, 2020 - Deficiencies in provider-reported interpreter use in a clinical trial comparing telephonic and video interpretation in a pediatric emergency department. October 14, 2020 Gutman CK, Klein EJ, Follmer K, et al. Deficiencies in provider-reported interpreter use in a clinical trial comparing telephonic and video inter… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37871/psn-pdfJanuary 06, 2017 - A controlled trial of a rapid response system in an academic medical center. January 6, 2017 Rothschild JM, Woolf S, Finn KM, et al. A controlled trial of a rapid response system in an academic medical center. Jt Comm J Qual Patient Saf. 2008;34(7):417-25, 365. https://psnet.ahrq.gov/issue/controlled-trial-rapid-r… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47069/psn-pdfJune 18, 2021 - Physical and verbal violence against health care workers. June 18, 2021 Physical and verbal violence against health care workers. Sentinel Event Alert. 2018;59:1-9 (revised June 18, 2021). https://psnet.ahrq.gov/issue/physical-and-verbal-violence-against-health-care-workers The Joint Commission issues sentinel eve… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73159/psn-pdfApril 21, 2021 - Drug-drug interactions and prescription appropriateness at hospital discharge: experience with COVID-19 patients. April 21, 2021 Cattaneo D, Pasina L, Maggioni AP, et al. Drug-drug interactions and prescription appropriateness at hospital discharge: experience with COVID-19 patients. Drugs Aging. 2021;38(4):341-346… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/851919/psn-pdfAugust 02, 2023 - A data-driven approach to evaluate barcode-assisted medication preparation alerts at a large academic medical center. August 2, 2023 Joshi RN, Kalaminsky S, Feemster A-A, et al. A data-driven approach to evaluate barcode-assisted medication preparation alerts at a large academic medical center. Jt Comm J Qual Pati… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/48051/psn-pdfJune 05, 2019 - Estimating the attributable cost of physician burnout in the United States. June 5, 2019 Han S, Shanafelt TD, Sinsky CA, et al. Estimating the Attributable Cost of Physician Burnout in the United States. Ann Intern Med. 2019;170(11):784-790. doi:10.7326/M18-1422. https://psnet.ahrq.gov/issue/estimating-attributabl… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44556/psn-pdfDecember 23, 2016 - Preventing falls and fall-related injuries in health care facilities. December 23, 2016 Sentinel Event Alert. September 28, 2015;(55):1-5. https://psnet.ahrq.gov/issue/preventing-falls-and-fall-related-injuries-health-care-facilities Falls in the hospital are common, particularly among elderly patients, and falls … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/847046/psn-pdfApril 05, 2023 - Indication documentation and indication-based prescribing within electronic prescribing systems: a systematic review and narrative synthesis. April 5, 2023 Feather C, Appelbaum N, Darzi A, et al. Indication documentation and indication-based prescribing within electronic prescribing systems: a systematic review an… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46024/psn-pdfJune 15, 2017 - Introductions during time-outs: do surgical team members know one another's names? June 15, 2017 Birnbach DJ, Rosen LF, Fitzpatrick M, et al. Introductions during time-outs: do surgical team members know one another's names? Jt Comm J Qual Patient Saf. 2017;43(6):284-288. doi:10.1016/j.jcjq.2017.03.001. https://p… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47454/psn-pdfMay 29, 2019 - Development and implementation of a subcutaneous insulin pen label bar code scanning protocol to prevent wrong-patient insulin pen errors. May 29, 2019 MacMaster HW, Gonzalez S, Maruoka A, et al. Development and Implementation of a Subcutaneous Insulin Pen Label Bar Code Scanning Protocol to Prevent Wrong-Patient … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/853616/psn-pdfSeptember 20, 2023 - Wake-up call: night shifts adversely affect nurse health and retention, patient and public safety, and costs. September 20, 2023 Imes CC, Tucker SJ, Trinkoff AM, et al. Wake-up call: night shifts adversely affect nurse health and retention, patient and public safety, and costs. Nurs Adm Q. 2023;47(4):E38-E53. doi:… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42699/psn-pdfOctober 30, 2013 - A prospective, observational study of the effects of implementation strategy on compliance with a surgical safety checklist. October 30, 2013 Hannam JA, Glass L, Kwon J, et al. A prospective, observational study of the effects of implementation strategy on compliance with a surgical safety checklist. BMJ Qual Saf.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45701/psn-pdfDecember 21, 2016 - Clinical decision support for drug related events: moving towards better prevention. December 21, 2016 Kane-Gill SL, Achanta A, Kellum JA, et al. Clinical decision support for drug related events: Moving towards better prevention. World J Crit Care Med. 2016;5(4):204-211. https://psnet.ahrq.gov/issue/clinical-deci… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47382/psn-pdfAugust 29, 2018 - Parenteral opioid shortage—treating pain during the opioid-overdose epidemic. August 29, 2018 Bruera E. Parenteral Opioid Shortage - Treating Pain during the Opioid-Overdose Epidemic. N Engl J Med. 2018;379(7):601-603. doi:10.1056/NEJMp1807117. https://psnet.ahrq.gov/issue/parenteral-opioid-shortage-treating-pain-…
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