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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50866/psn-pdf
    February 05, 2020 - Effectiveness of acute care remote triage systems: a systematic review. February 5, 2020 Boggan JC, Shoup JP, Whited JD, et al. Effectiveness of acute care remote triage systems: a systematic review. J Gen Intern Med. 2020;35(7):2136-2145. doi:10.1007/s11606-019-05585-4. https://psnet.ahrq.gov/issue/effectiveness-…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847534/psn-pdf
    April 12, 2023 - Prevalence and causes of diagnostic errors in hospitalized patients under investigation for COVID-19. April 12, 2023 Auerbach AD, Astik GJ, O’Leary KJ, et al. Prevalence and causes of diagnostic errors in hospitalized patients under investigation for COVID-19. J Gen Intern Med. 2023;38(8):1902-1910. doi:10.1007/s11…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847541/psn-pdf
    April 12, 2023 - Improving medication safety in a paediatric hospital: a mixed-methods evaluation of a newly implemented computerised provider order entry system. April 12, 2023 Liang MQ, Thibault M, Jouvet P, et al. BMJ Health Care Inform. 2023;30(1):e100622. https://psnet.ahrq.gov/issue/improving-medication-safety-paediatric-hos…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837331/psn-pdf
    June 08, 2022 - Can a targeted educational approach improve situational awareness in paramedicine during 911 emergency calls? June 8, 2022 Hunter J, Porter M, Cody P, et al. Can a targeted educational approach improve situational awareness in paramedicine during 911 emergency calls? Int Emerg Nurs. 2022;63:101174. doi:10.1016/j.i…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836715/psn-pdf
    March 09, 2022 - Non-technical skills in surgery during the COVID-19 pandemic: an observational study. March 9, 2022 Etheridge JC, Moyal-Smith R, Sonnay Y, et al. Non-technical skills in surgery during the COVID-19 pandemic: an observational study. Int J Surg. 2022;98:106210. doi:10.1016/j.ijsu.2021.106210. https://psnet.ahrq.gov/…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847535/psn-pdf
    April 12, 2023 - Using the Generic Analysis Method to analyze sentinel event reports across hospitals: a retrospective cross- sectional study. April 12, 2023 Baartmans MC, van Schoten SM, Smit BJ, et al. Using the Generic Analysis Method to analyze sentinel event reports across hospitals: a retrospective cross-sectional study. J P…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837762/psn-pdf
    August 03, 2022 - A scoping review of real-time automated clinical deterioration alerts and evidence of impacts on hospitalised patient outcomes. August 3, 2022 Blythe R, Parsons R, White NM, et al. A scoping review of real-time automated clinical deterioration alerts and evidence of impacts on hospitalised patient outcomes. BMJ Qu…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837700/psn-pdf
    July 20, 2022 - Temporal associations between EHR-derived workload, burnout, and errors: a prospective cohort study. July 20, 2022 Lou SS, Lew D, Harford DR, et al. Temporal associations between EHR-derived workload, burnout, and errors: a prospective cohort study. J Gen Intern Med. 2022;37(9):2165-2172. doi:10.1007/s11606-022- 0…
  9. 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…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836957/psn-pdf
    April 20, 2022 - Relationship between physician burnout and the quality and cost of care for Medicare beneficiaries is complex. April 20, 2022 Casalino LP, Li J, Peterson LE, et al. Relationship between physician burnout and the quality and cost of care for Medicare beneficiaries is complex. Health Aff (Millwood). 2022;41(4):549-55…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852272/psn-pdf
    January 01, 2024 - Investigating racial and ethnic disparities in maternal care at the system level using patient safety incident reports. August 9, 2023 Alfred MC, Wilson D, DeForest E, et al. Investigating racial and ethnic disparities in maternal care at the system level using patient safety incident reports. Jt Comm J Qual Patien…
  12. psnet.ahrq.gov/perspective/conversation-withbrent-c-james-md-mstat
    February 26, 2025 - RW: You were looking at care delivery from a business, a process, and a statistical perspective. … And you come at this from a data background and a statistical background.
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853620/psn-pdf
    September 20, 2023 - Impact of pharmacist-led admission medication reconciliation on patient outcomes in a large health system. September 20, 2023 Kramer JS, Hayley Burgess L, Warren C, et al. Impact of pharmacist-led admission medication reconciliation on patient outcomes in a large health system. J Patient Saf Risk Manag. 2023;28(6)…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845301/psn-pdf
    March 01, 2023 - Evaluation of effectiveness and safety of pharmacist independent prescribers in care homes: cluster randomised controlled trial. March 1, 2023 Holland R, Bond CM, Alldred DP, et al. Evaluation of effectiveness and safety of pharmacist independent prescribers in care homes: cluster randomised controlled trial. BMJ.…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61093/psn-pdf
    November 04, 2020 - Impact of a nationwide prospective drug utilization review program to improve prescribing safety of potentially inappropriate medications in older adults: an interrupted time series with segmented regression analysis. November 4, 2020 Jang S, Jeong S, Kang E, et al. Impact of a nationwide prospective drug utilizat…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34117/psn-pdf
    December 23, 2016 - Sentinel Event. December 23, 2016 The Joint Commission. https://psnet.ahrq.gov/issue/sentinel-event Since 1998, The Joint Commission has issued sentinel event alerts in response to unexpected incidents involving death or serious physical or psychological injury (or risk thereof). These events are identified as se…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46104/psn-pdf
    May 03, 2017 - Secret data on hospital inspections may soon become public. May 3, 2017 Ornstein C. Health Shots. National Public Radio and ProPublica. April 18, 2017. https://psnet.ahrq.gov/issue/secret-data-hospital-inspections-may-soon-become-public Summary data about serious errors in hospitals are available, but often detail…
  18. psnet.ahrq.gov/innovation/veterans-health-administration-stratification-tool-opioid-risk-mitigation-storm-shows
    October 30, 2024 - Veterans Health Administration Stratification Tool for Opioid Risk Mitigation (STORM) Shows Promise for Targeting Prevention Interventions to Reduce Mortality in Patients Who Are Prescribed Opioids Save Save to your library Print Download PDF Share Facebook Twitte…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44698/psn-pdf
    April 08, 2016 - Relationship between patient safety climate and standard precaution adherence: a systematic review of the literature. April 8, 2016 Hessels AJ, Larson EL. Relationship between patient safety climate and standard precaution adherence: a systematic review of the literature. J Hosp Infect. 2016;92(4):349-62. doi:10.1…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46240/psn-pdf
    June 21, 2017 - Implementation of a modified bedside handoff for a postpartum unit. June 21, 2017 Wollenhaup CA, Stevenson EL, Thompson J, et al. Implementation of a Modified Bedside Handoff for a Postpartum Unit. J Nurs Admin. 2017;47(6):320-326. doi:10.1097/NNA.0000000000000487. https://psnet.ahrq.gov/issue/implementation-modif…

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