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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60762/psn-pdf
    August 05, 2020 - Implementation and sustainability of a medication reconciliation toolkit: a mixed methods evaluation. August 5, 2020 Stolldorf DP, Mixon AS, Auerbach AD, et al. Implementation and sustainability of a medication reconciliation toolkit: a mixed methods evaluation. Am J Health Syst Pharm. 2020;77(14):1135-1143. doi:1…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35716/psn-pdf
    July 10, 2008 - Adherence to black box warnings for prescription medications in outpatients. July 10, 2008 Lasser KE, Seger DL, Yu T, et al. Adherence to black box warnings for prescription medications in outpatients. Arch Intern Med. 2006;166(3):338-44. https://psnet.ahrq.gov/issue/adherence-black-box-warnings-prescription-medic…
  3. digital.ahrq.gov/ahrq-funded-projects/using-evidence-based-nursing-practices-and-electronic-health-record-decision/final-report
    January 01, 2023 - Using nursing practices and health IT to reduce fall-related injuries. Citation Hook ML, Lang NM, Joosse L, et al. Using nursing practices and health IT to reduce fall-related injuries. (Prepared by Aurora Health Care System Nursing Research, the University of Wisconsin-Milwaukee Colleges of Nursing a…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43614/psn-pdf
    October 22, 2014 - Hardwiring patient blood management: harnessing information technology to optimize transfusion practice. October 22, 2014 Dunbar NM, Szczepiorkowski ZM. Hardwiring patient blood management: harnessing information technology to optimize transfusion practice. Curr Opin Hematol. 2014;21(6):515-20. doi:10.1097/MOH.000…
  5. cds.ahrq.gov/sites/default/files/cds/artifact/1181/Logic_Flow_Brief_Intervention_and_Referral_CDS.pdf
    July 14, 2020 - Brief Intervention and Referral CDS Logic Flow 7/14/2020 Clinical Decision Support (CDS) Logic Flow: Brief Behavioral Counseling Interventions for Excessive Alcohol Consumption with Optional Referral to Treatment The CDS logic flow diagram in Figure 1 displays an overview of the CDS logic that applies to pat…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46719/psn-pdf
    December 20, 2017 - Frustrated with your EHR? Don't blame your vendor—safety is a shared responsibility. December 20, 2017 Singh H, Sittig DF. NEJM Catalyst. December 7, 2017. https://psnet.ahrq.gov/issue/frustrated-your-ehr-dont-blame-your-vendor-safety-shared-responsibility The promise of health information technology has yet to be…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60791/psn-pdf
    August 12, 2020 - Adaptive design: adaptation and adoption of patient safety practices in daily routines, a multi-site study. August 12, 2020 Dekker - van Doorn C, Wauben LSGL, van Wijngaarden JDH, et al. Adaptive design: adaptation and adoption of patient safety practices in daily routines, a multi-site study. BMC Health Serv Res. …
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37411/psn-pdf
    March 28, 2012 - Professionalism in medicine: results of a national survey of physicians. March 28, 2012 Campbell EG, Regan S, Gruen RL, et al. Professionalism in medicine: results of a national survey of physicians. Ann Intern Med. 2007;147(11):795-802. https://psnet.ahrq.gov/issue/professionalism-medicine-results-national-survey…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73681/psn-pdf
    September 08, 2021 - Medical errors during training: how do residents cope?: a descriptive study. September 8, 2021 Fatima S, Soria S, Esteban- Cruciani N. Medical errors during training: how do residents cope?: a descriptive study. BMC Med Educ. 2021;21(1):408. doi:10.1186/s12909-021-02850-1. https://psnet.ahrq.gov/issue/medical-erro…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866937/psn-pdf
    October 09, 2024 - Improving nursing home safety through adoption of a practical resilient health care approach. October 9, 2024 Hartmann CW, Clark V, Nash P, et al. Improving nursing home safety through adoption of a practical resilient health care approach. J Am Med Dir Assoc. 2024;25(9):105014. doi:10.1016/j.jamda.2024.03.124. ht…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50834/psn-pdf
    January 29, 2020 - Medication reconciliation improvement utilizing process redesign and clinical decision support. January 29, 2020 Rungvivatjarus T, Kuelbs CL, Miller L, et al. Medication Reconciliation Improvement Utilizing Process Redesign and Clinical Decision Support. Jt Comm J Qual Patient Saf. 2020;46(1):27-36. doi:10.1016/j.…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34921/psn-pdf
    February 27, 2009 - A controlled trial of smart infusion pumps to improve medication safety in critically ill patients. February 27, 2009 Rothschild JM, Keohane C, Cook F, et al. A controlled trial of smart infusion pumps to improve medication safety in critically ill patients. Crit Care Med. 2005;33(3):533-540. https://psnet.ahrq.go…
  13. 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…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852451/psn-pdf
    August 16, 2023 - The impact of transition to a digital hospital on medication errors (TIME study). August 16, 2023 Engstrom T, McCourt E, Canning M, et al. The impact of transition to a digital hospital on medication errors (TIME study). NPJ Digit Med. 2023;6(1):133. doi:10.1038/s41746-023-00877-w. https://psnet.ahrq.gov/issue/imp…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73439/psn-pdf
    June 30, 2021 - Nurses as 'second victims' to their patients' suicidal attempts: a mixed-method study. June 30, 2021 Amit Aharon A, Fariba M, Shoshana F, et al. Nurses as ‘second victims’ to their patients’ suicidal attempts: a mixed?method study. J Clin Nurs. 2021;30(21-22):3290-3300. doi:10.1111/jocn.15839. https://psnet.ahrq.g…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45412/psn-pdf
    November 18, 2016 - The multidisciplinary approach to GI cancer results in change of diagnosis and management of patients. Multidisciplinary care impacts diagnosis and management of patients. November 18, 2016 Meguid C, Schulick RD, Schefter TE, et al. The Multidisciplinary Approach to GI Cancer Results in Change of Diagnosis and Ma…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73624/psn-pdf
    August 25, 2021 - System factors affecting patient safety in the OR: an analysis of safety threats and resiliency. August 25, 2021 Adams-McGavin RC, Jung JJ, van Dalen ASHM, et al. System factors affecting patient safety in the OR: an analysis of safety threats and resiliency. Ann Surg. 2021;274(1):114-119. doi:10.1097/sla.00000000…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40180/psn-pdf
    February 02, 2011 - Large-scale deployment of the Global Trigger Tool across a large hospital system: refinements for the characterisation of adverse events to support patient safety learning opportunities. February 2, 2011 Good VS, Saldaña M, Gilder R, et al. Large-scale deployment of the Global Trigger Tool across a large hospital…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/855424/psn-pdf
    November 15, 2023 - Medical students' experiences, perceptions, and management of second victim: an interview study. November 15, 2023 Krogh TB, Mielke-Christensen A, Madsen MD, et al. Medical students’ experiences, perceptions, and management of second victim: an interview study. BMC Med Educ. 2023;23(1):786. doi:10.1186/s12909- 023…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866408/psn-pdf
    July 31, 2024 - Influences of leadership, organizational culture, and hierarchy on raising concerns about patient deterioration: a qualitative study. July 31, 2024 Vehvilainen E, Charles A, Sainsbury J, et al. Influences of leadership, organizational culture, and hierarchy on raising concerns about patient deterioration: a qualit…