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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45583/psn-pdf
    January 18, 2017 - ASHP IV Adult Continuous Infusions. January 18, 2017 Bethesda, MD: American Society of Health-System Pharmacists; 2016. https://psnet.ahrq.gov/issue/ashp-iv-adult-continuous-infusions Miscalculations of intravenous infusion concentrations can result in patient harm. Representing the first phase of a standards deve…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33914/psn-pdf
    September 29, 2017 - Inpatient Quality Indicators. September 29, 2017 Agency for Healthcare Research and Quality; AHRQ; University of California, San Francisco-Stanford Evidence-based Practice Center. https://psnet.ahrq.gov/issue/inpatient-quality-indicators The Agency for Healthcare Research and Quality's (AHRQ) Quality Indicators (Q…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42601/psn-pdf
    September 18, 2013 - 'You talking to me?' Docs and feedback. September 18, 2013 Diamond F. 'You talking to me?' Docs and feedback. Managed care (Langhorne, Pa.). 2013;22(7):30-2. https://psnet.ahrq.gov/issue/you-talking-me-docs-and-feedback Reporting on barriers to teamwork, this magazine article relates how hierarchy influences speaki…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837512/psn-pdf
    January 01, 2024 - Team cognition in handoffs: relating system factors, team cognition functions and outcomes in two handoff processes. June 22, 2022 Wooldridge AR, Carayon P, Hoonakker PLT, et al. Team cognition in handoffs: relating system factors, team cognition functions and outcomes in two handoff processes. Hum Factors. 2024;6…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/860724/psn-pdf
    January 17, 2024 - Retrospective cohort study of wrong-patient imaging order errors: how many reach the patient? January 17, 2024 Kneifati-Hayek JZ, Geist E, Applebaum JR, et al. Retrospective cohort study of wrong-patient imaging order errors: how many reach the patient? BMJ Qual Saf. 2024;33(2):132-135. doi:10.1136/bmjqs-2023- 016…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73063/psn-pdf
    March 24, 2021 - Clinical data sharing improves quality measurement and patient safety. March 24, 2021 D’Amore JD, McCrary LK, Denson J, et al. Clinical data sharing improves quality measurement and patient safety. J Am Med Inform Assoc. 2021;28(7):1534-1542. doi:10.1093/jamia/ocab039. https://psnet.ahrq.gov/issue/clinical-data-sh…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837313/psn-pdf
    June 01, 2022 - Are you well positioned to resolve conflicts with the safety of an order? Learning from a physician’s homicide trial and the firing of multiple healthcare workers. June 1, 2022 ISMP Medication Safety Alert! Acute care edition. May 19, 2022;27(10):1-5. https://psnet.ahrq.gov/issue/are-you-well-positioned-resolve-co…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60532/psn-pdf
    May 27, 2020 - Improving timely recognition and treatment of sepsis in the pediatric ICU. May 27, 2020 Vidrine R, Zackoff M, Paff Z, et al. Improving timely recognition and treatment of sepsis in the pediatric ICU. Jt Comm J Qual Patient Saf. 2020;46(5):299-307. doi:10.1016/j.jcjq.2020.02.005. https://psnet.ahrq.gov/issue/improv…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838911/psn-pdf
    October 26, 2022 - Medication adverse events in the ambulatory setting: a mixed-methods analysis. October 26, 2022 Wong J, Lee S-Y, Sarkar U, et al. Medication adverse events in the ambulatory setting: a mixed-methods analysis. Am J Health Syst Pharm. 2022;79(24):2230-2243. doi:10.1093/ajhp/zxac253. https://psnet.ahrq.gov/issue/medi…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74208/psn-pdf
    December 22, 2021 - Early warning systems and rapid response systems for the prevention of patient deterioration on acute adult hospital wards. December 22, 2021 McGaughey J, Fergusson DA, Van Bogaert P, et al. Early warning systems and rapid response systems for the prevention of patient deterioration on acute adult hospital wards. …
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72802/psn-pdf
    March 03, 2021 - What does safety in mental healthcare transitions mean for service users and other stakeholder groups: an open- ended questionnaire study. March 3, 2021 Tyler N, Wright N, Panagioti M, et al. What does safety in mental healthcare transitions mean for service users and other stakeholder groups: an open?ended questi…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847539/psn-pdf
    April 12, 2023 - Potential uses of AI for perioperative nursing handoffs: a qualitative study. April 12, 2023 King CR, Shambe A, Abraham J. Potential uses of AI for perioperative nursing handoffs: a qualitative study. JAMIA Open. 2023;6(1):ooaf015. doi:10.1093/jamiaopen/ooad015. https://psnet.ahrq.gov/issue/potential-uses-ai-perio…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865534/psn-pdf
    April 10, 2024 - Improving formal incivility reporting in ambulatory oncology: implementing the CIVIC Duty program. April 10, 2024 Gordon JN. Improving formal incivility reporting in ambulatory oncology: implementing the CIVIC Duty program. Clin J Oncol Nurs. 2023;27(6):602-606. doi:10.1188/23.cjon.602-606. https://psnet.ahrq.gov/…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36878/psn-pdf
    August 31, 2011 - Potentially inappropriate medication use and healthcare expenditures in the US community-dwelling elderly. August 31, 2011 Fu AZ, Jiang JZ, Reeves JH, et al. Potentially inappropriate medication use and healthcare expenditures in the US community-dwelling elderly. Med Care. 2007;45(5):472-6. https://psnet.ahrq.gov…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34783/psn-pdf
    March 28, 2005 - The organizational and intraorganizational development of disasters. March 28, 2005 Turner BA. The Organizational and Interorganizational Development of Disasters. Adm Sci Q. 1976;21(3):378. doi:10.2307/2391850. https://psnet.ahrq.gov/issue/organizational-and-intraorganizational-development-disasters This article…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43612/psn-pdf
    August 02, 2015 - Time of day and the decision to prescribe antibiotics. August 2, 2015 Linder JA, Doctor JN, Friedberg MW, et al. Time of day and the decision to prescribe antibiotics. JAMA Intern Med. 2014;174(12):2029-31. doi:10.1001/jamainternmed.2014.5225. https://psnet.ahrq.gov/issue/time-day-and-decision-prescribe-antibiotics…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38117/psn-pdf
    September 29, 2017 - Advances in Patient Safety: New Directions and Alternative Approaches. September 29, 2017 Rockville, MD: Agency for Healthcare Research and Quality; July 2008. AHRQ Publication Nos. 080034 (1- 4). https://psnet.ahrq.gov/issue/advances-patient-safety-new-directions-and-alternative-approaches The 115 articles freel…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50860/psn-pdf
    February 05, 2020 - Does team reflexivity impact teamwork and communication in interprofessional hospital-based healthcare teams? A systematic review and narrative synthesis. February 5, 2020 McHugh SK, Lawton R, O'Hara JK, et al. Does team reflexivity impact teamwork and communication in interprofessional hospital-based healthcare …
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838313/psn-pdf
    October 12, 2022 - Investigation of interventions to reduce nurses' medication errors in adult intensive care units: a systematic review. October 12, 2022 Mohanna Z, Kusljic S, Jarden R. Investigation of interventions to reduce nurses’ medication errors in adult intensive care units: a systematic review. Aust Crit Care. 2022;35(4):4…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47932/psn-pdf
    August 21, 2019 - Ensuring effective care transition communication: implementation of an electronic medical record-based tool for improved cancer treatment handoffs between clinic and infusion nurses. August 21, 2019 Pandya C, Clarke T, Scarsella E, et al. Ensuring Effective Care Transition Communication: Implementation of an Elec…

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