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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836778/psn-pdf
    March 23, 2022 - Medication errors and processes to reduce them in care homes in the United Kingdom: a scoping review. March 23, 2022 Irons MW, Auta A, Portlock JC, et al. Medication errors and processes to reduce them in care homes in the United Kingdom: a scoping review. Home Health Care Serv Q. 2022;41(2):91-123. doi:10.1080/01…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/862601/psn-pdf
    February 14, 2024 - Why simulation matters: a systematic review on medical errors occurring during simulated health care. February 14, 2024 Bokka L, Ciuffo F, Clapper TC. Why simulation matters: a systematic review on medical errors occurring during simulated health care. J Patient Saf. 2024;20(2):110-118. doi:10.1097/pts.000000000000…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865678/psn-pdf
    April 24, 2024 - Enhancing implementation of the I-PASS handoff tool using a provider handoff task force at a Comprehensive Cancer Center. April 24, 2024 Franco Vega MC, Ait Aiss M, George M, et al. Enhancing implementation of the I-PASS handoff tool using a provider handoff task force at a Comprehensive Cancer Center. Jt Comm J Q…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837793/psn-pdf
    August 10, 2022 - The effect of structured medication review followed by face-to-face feedback to prescribers on adverse drug events recognition and prevention in older inpatients - a multicenter interrupted time series study. August 10, 2022 Klopotowska JE, Kuks PFM, Wierenga PC, et al. The effect of structured medication review f…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853238/psn-pdf
    September 06, 2023 - Potentially inappropriate medication use is associated with increased risk of incident disability in healthy older adults. September 6, 2023 Lockery JE, Collyer TA, Woods RL, et al. Potentially inappropriate medication use is associated with increased risk of incident disability in healthy older adults. J Am Geria…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36205/psn-pdf
    May 27, 2011 - Physician characteristics, attitudes, and use of computerized order entry. May 27, 2011 Lindenauer PK, Ling D, Pekow PS, et al. Physician characteristics, attitudes, and use of computerized order entry. J Hosp Med. 2006;1(4):221-30. https://psnet.ahrq.gov/issue/physician-characteristics-attitudes-and-use-computeri…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845637/psn-pdf
    March 08, 2023 - Using Failure Mode, Effect and Criticality Analysis to improve safety in the cancer treatment prescription and administration process. March 8, 2023 Buja A, De Luca G, Ottolitri K, et al. Using Failure Mode, Effect and Criticality Analysis to improve safety in the cancer treatment prescription and administration p…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44866/psn-pdf
    March 15, 2016 - Associations between attending physician workload, teaching effectiveness, and patient safety. March 15, 2016 Wingo MT, Halvorsen AJ, Beckman T, et al. Associations between attending physician workload, teaching effectiveness, and patient safety. J Hosp Med. 2016;11(3):169-73. doi:10.1002/jhm.2540. https://psnet.a…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72521/psn-pdf
    December 02, 2020 - I-PASS illness diversity identifies patients at risk for overnight clinical deterioration. December 2, 2020 Shah C, Sanber K, Jacobson R, et al. I-PASS illness diversity identifies patients at risk for overnight clinical deterioration. J Grad Med Educ. 2020;12(5):578-582. doi:10.4300/jgme-d-19-00755.1. https://psn…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867044/psn-pdf
    October 30, 2024 - "Near miss": a mixed-methods analysis of medical student assignments in patient safety. October 30, 2024 Plugge T, Breviu A, Lappé K, et al. "Near miss": a mixed-methods analysis of medical student assignments in patient safety. Am J Med Qual. 2024;39(4):168-173. doi:10.1097/jmq.0000000000000196. https://psnet.ahr…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37471/psn-pdf
    February 17, 2011 - Delayed time to defibrillation after in-hospital cardiac arrest. February 17, 2011 Chan PS, Krumholz HM, Nichol G, et al. Delayed time to defibrillation after in-hospital cardiac arrest. N Engl J Med. 2008;358(1):9-17. doi:10.1056/NEJMoa0706467. https://psnet.ahrq.gov/issue/delayed-time-defibrillation-after-hospit…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61092/psn-pdf
    November 04, 2020 - Patient race and opioid misuse history influence provider risk perceptions for future opioid-related problems. November 4, 2020 Hirsh AT, Anastas TM, Miller MM, et al. Patient race and opioid misuse history influence provider risk perceptions for future opioid-related problems. Am Psychol. 2020;75(6):784-795. doi:…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/850346/psn-pdf
    June 14, 2023 - The good, the bad, and the ugly: operative staff perspectives of surgeon coping with intraoperative errors. June 14, 2023 D’Angelo A-LD, Kapur N, Kelley SR, et al. The good, the bad, and the ugly: operative staff perspectives of surgeon coping with intraoperative errors. Surgery. 2023;174(2):222-228. doi:10.1016/j…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46256/psn-pdf
    August 09, 2017 - What stage are low-income and middle-income countries (LMICs) at with patient safety curriculum implementation and what are the barriers to implementation? A two-stage cross-sectional study. August 9, 2017 Ginsburg LR, Dhingra-Kumar N, Donaldson LJ. What stage are low-income and middle-income countries (LMICs) at…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36634/psn-pdf
    March 03, 2011 - Surgeon information transfer and communication: factors affecting quality and efficiency of inpatient care. March 3, 2011 Williams RG, Silverman R, Schwind C, et al. Surgeon information transfer and communication: factors affecting quality and efficiency of inpatient care. Ann Surg. 2007;245(2):159-69. https://psn…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854630/psn-pdf
    October 18, 2023 - Physician behaviors associated with increased physician and nurse communication during bedside interdisciplinary rounds. October 18, 2023 Huang KX, Chen CK, Pessegueiro AM, et al. Physician behaviors associated with increased physician and nurse communication during bedside interdisciplinary rounds. J Hosp Med. 20…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853959/psn-pdf
    September 27, 2023 - Scaling up a diagnostic pause at the ICU-to-ward transition: an exploration of barriers and facilitators to implementation of the ICU-PAUSE handoff tool. September 27, 2023 Cornell EG, Harris E, McCune E, et al. Scaling up a diagnostic pause at the ICU-to-ward transition: an exploration of barriers and facilitator…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866078/psn-pdf
    June 05, 2024 - Second victim experiences of health care learners and the influence of the training environment on postevent adaptation. June 5, 2024 Huang L, Riggan KA, Torbenson VE, et al. Second victim experiences of health care learners and the influence of the training environment on postevent adaptation. Mayo Clin Proc Inno…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41211/psn-pdf
    January 03, 2017 - He thought the "lady in the door" was the "lady in the window": a qualitative study of patient identification practices. January 3, 2017 Phipps E, Turkel M, Mackenzie ER, et al. He thought the "lady in the door" was the "lady in the window": a qualitative study of patient identification practices. Jt Comm J Qual P…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836830/psn-pdf
    March 30, 2022 - Routine multidisciplinary review of severe maternal morbidity is associated with a reduction in preventable cases of severe maternal morbidity. March 30, 2022 Ozimek JA, Greene N, Geller AI, et al. Routine multidisciplinary review of severe maternal morbidity is associated with a reduction in preventable cases of …

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