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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37923/psn-pdf
    July 23, 2008 - Unit-based clinical pharmacists' prevention of serious medication errors in pediatric inpatients. July 23, 2008 Kaushal R, Bates DW, Abramson EL, et al. Unit-based clinical pharmacists' prevention of serious medication errors in pediatric inpatients. Am J Health-Syst Pharm. 2008;65(13):1254-1260. doi:10.2146/ajhp0…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37534/psn-pdf
    February 13, 2008 - Measurable outcomes of quality improvement in the trauma intensive care unit: the impact of a daily quality rounding checklist. February 13, 2008 DuBose JJ, Inaba K, Shiflett A, et al. Measurable outcomes of quality improvement in the trauma intensive care unit: the impact of a daily quality rounding checklist. J …
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836953/psn-pdf
    April 20, 2022 - Systems-level factors affecting registered nurses during care of women in labor experiencing clinical deterioration. April 20, 2022 Bernstein SL, Catchpole K, Kelechi TJ, et al. Systems-level factors affecting registered nurses during care of women in labor experiencing clinical deterioration. Jt Comm J Qual Patien…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/856583/psn-pdf
    January 01, 2024 - Prescription opioid dose reductions and potential adverse events: a multi-site observational cohort study in diverse US health systems. November 29, 2023 Metz VE, Ray GT, Palzes V, et al. Prescription opioid dose reductions and potential adverse events: a multi-site observational cohort study in diverse US health …
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846449/psn-pdf
    March 22, 2023 - Healthcare professionals' perception of safety culture and the Operating Room (OR) Black Box technology before clinical implementation: a cross-sectional survey. March 22, 2023 Strandbygaard J, Dose N, Moeller KE, et al. Healthcare professionals’ perception of safety culture and the Operating Room (OR) Black Box t…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48143/psn-pdf
    January 01, 2020 - Assessing the safety of electronic health records: a national longitudinal study of medication-related decision support. August 7, 2019 Holmgren J, Co Z, Newmark L, et al. Assessing the safety of electronic health records: a national longitudinal study of medication-related decision support. BMJ Qual Saf. 2020;29(…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/849319/psn-pdf
    May 24, 2023 - Attitudes of clinicians and patient safety culture before and after the ARRIVE trial. May 24, 2023 White VanGompel E, Carlock F, Singh L, et al. Attitudes of clinicians and patient safety culture before and after the ARRIVE trial. J Obstet Gynecol Neonatal Nurs. 2023;52(3):211-222. doi:10.1016/j.jogn.2022.12.007. …
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34714/psn-pdf
    February 18, 2011 - Relation between malpractice claims and adverse events due to negligence. Results of the Harvard Medical Practice Study III. February 18, 2011 Localio AR, Lawthers AG, Brennan TA, et al. Relation between Malpractice Claims and Adverse Events Due to Negligence. New England Journal of Medicine. 2010;325(4). doi:10.1…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61099/psn-pdf
    November 04, 2020 - Twelve-month review of infusion pump near-miss medication and dose selection errors and user-initiated "good save" corrections: retrospective study. November 4, 2020 Waterson J, Al-Jaber R, Kassab T, et al. Twelve-month review of infusion pump near-miss medication and dose selection errors and user-Initiated "good…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36279/psn-pdf
    May 27, 2011 - Evaluation of laboratory monitoring alerts within a computerized physician order entry system for medication orders. May 27, 2011 Palen TE, Raebel MA, Lyons E, et al. Evaluation of laboratory monitoring alerts within a computerized physician order entry system for medication orders. Am J Manag Care. 2006;12(7):389…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41131/psn-pdf
    February 15, 2012 - Effects of two commercial electronic prescribing systems on prescribing error rates in hospital in-patients: a before and after study. February 15, 2012 Westbrook JI, Reckmann MH, Li L, et al. Effects of two commercial electronic prescribing systems on prescribing error rates in hospital in-patients: a before and …
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36208/psn-pdf
    January 05, 2017 - Implementing computerized provider order entry with an existing clinical information system. January 5, 2017 Barron WM, Reed L, Forsythe S, et al. Implementing computerized provider order entry with an existing clinical information system. Jt Comm J Qual Patient Saf. 2006;32(9):506-16. https://psnet.ahrq.gov/issue…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848819/psn-pdf
    May 10, 2023 - Family conferences to facilitate deprescribing in older outpatients with frailty and with polypharmacy: the COFRAIL cluster randomized trial. May 10, 2023 Mortsiefer A, Löscher S, Pashutina Y, et al. Family conferences to facilitate deprescribing in older outpatients with frailty and with polypharmacy: the COFRAIL…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42789/psn-pdf
    December 04, 2013 - Development of the just culture assessment tool: measuring the perceptions of health-care professionals in hospitals. December 4, 2013 Petschonek S, Burlison JD, Cross C, et al. Development of the just culture assessment tool: measuring the perceptions of health-care professionals in hospitals. J Patient Saf. 2013…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38949/psn-pdf
    January 28, 2010 - Implementing a pre-operative checklist to increase patient safety: a 1-year follow-up of personnel attitudes. January 28, 2010 Nilsson L, Lindberget O, Gupta A, et al. Implementing a pre-operative checklist to increase patient safety: a 1-year follow-up of personnel attitudes. Acta Anaesthesiol Scand. 2010;54(2):17…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49388/psn-pdf
    February 01, 2003 - Unexplained Apnea Under Anesthesia February 1, 2003 Barach P. Unexplained Apnea Under Anesthesia. PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/unexplained-apnea-under-anesthesia Case Objectives Clinical Objectives List the causes of prolonged apnea in the operating room Describe the steps in management …
  17. psnet.ahrq.gov/curated-library/artificial-intelligence-system-level-considerations
    March 27, 2024 - Breadcrumb Home The PSNet Collection Curated Libraries Subscribed Artificial Intelligence: System-Level Considerations  Download  Share Facebook Twitter Linkedin Copy URL Subscribe Created By: Lorri Zipper…
  18. psnet.ahrq.gov/web-mm/when-vomit-gets-way-aspiration-resulting-death-during-endoscopy
    March 18, 2020 - When Vomit Gets in the Way: Aspiration Resulting in Death During Endoscopy Citation Text: Do T, Scott FJ. When Vomit Gets in the Way: Aspiration Resulting in Death During Endoscopy. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2024…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49825/psn-pdf
    April 01, 2018 - When Patients and Providers Speak Different Languages April 1, 2018 Karliner LS. When Patients and Providers Speak Different Languages. PSNet [internet]. 2018. https://psnet.ahrq.gov/web-mm/when-patients-and-providers-speak-different-languages Case Objectives Understand the legal and regulatory obligations to prov…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49648/psn-pdf
    March 01, 2012 - Postdischarge Follow-Up Phone Call March 1, 2012 Mourad M, Rennke S. Postdischarge Follow-Up Phone Call. PSNet [internet]. 2012. https://psnet.ahrq.gov/web-mm/postdischarge-follow-phone-call Case Objectives Understand why preventing readmissions through postdischarge phone calls is important. Describe evidence su…

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