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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837500/psn-pdf
    June 22, 2022 - Analysis of hospital-level readmission rates and variation in adverse events among patients with pneumonia in the United States. June 22, 2022 Wang Y, Eldridge N, Metersky ML, et al. Analysis of hospital-level readmission rates and variation in adverse events among patients with pneumonia in the United States. JAM…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838186/psn-pdf
    September 28, 2022 - Understanding teamwork in rapidly deployed interprofessional teams in intensive and acute care: a systematic review of reviews. September 28, 2022 Schilling S, Armaou M, Morrison Z, et al. Understanding teamwork in rapidly deployed interprofessional teams in intensive and acute care: a systematic review of reviews…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60299/psn-pdf
    May 06, 2020 - Impact of multidisciplinary team huddles on patient safety: a systematic review and proposed taxonomy. May 6, 2020 Franklin BJ, Gandhi TK, Bates DW, et al. Impact of multidisciplinary team huddles on patient safety: a systematic review and proposed taxonomy. BMJ Qual Saf. 2020;29(10):844–853. doi:10.1136/bmjqs-2019…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43691/psn-pdf
    August 28, 2017 - Computerized dose range checking using hard and soft stop alerts reduces prescribing errors in a pediatric intensive care unit. August 28, 2017 Balasuriya L, Vyles D, Bakerman P, et al. Computerized Dose Range Checking Using Hard and Soft Stop Alerts Reduces Prescribing Errors in a Pediatric Intensive Care Unit. J…
  5. www.ahrq.gov/patient-safety/resources/simulation-issue-brief.html
    July 01, 2024 - Simulation To Improve Patient Safety: Getting Started Next Page Table of Contents Simulation To Improve Patient Safety: Getting Started Introduction Leverage Patient Safety Infrastructure Use Simulation To Adopt and Adapt Best Practices Use Simulation To Improve Healthcare Delivery Systems A…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47427/psn-pdf
    June 19, 2019 - Failures in the respectful care of critically ill patients. June 19, 2019 Law AC, Roche S, Reichheld A, et al. Failures in the Respectful Care of Critically Ill Patients. Jt Comm J Qual Patient Saf. 2019;45(4):276-284. doi:10.1016/j.jcjq.2018.05.008. https://psnet.ahrq.gov/issue/failures-respectful-care-critically-…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73289/psn-pdf
    May 19, 2021 - Clinical characteristics and short-term outcomes of acute kidney injury missed diagnosis in older patients with severe COVID-19 in intensive care unit. May 19, 2021 Li Q, Hu P, Kang H, et al. Clinical characteristics and short-term outcomes of acute kidney injury missed diagnosis in older patients with severe COVI…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74162/psn-pdf
    December 08, 2021 - Impact of state nurse practitioner regulations on potentially inappropriate medication prescribing between physicians and nurse practitioners: a national study in the United States. December 8, 2021 Tzeng H-M, Raji MA, Chou L-N, et al. Impact of state nurse practitioner regulations on potentially inappropriate me…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866737/psn-pdf
    September 18, 2024 - Rates of Patient Safety Indicators in Belgian hospitals were low but generally higher than in US hospitals, 2016- 18. September 18, 2024 Van Wilder A, Bruyneel L, Cox B, et al. Rates of Patient Safety Indicators in Belgian hospitals were low but generally higher than in US hospitals, 2016-18. Health Aff. 2024;43(9…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60759/psn-pdf
    August 05, 2020 - Private patient rooms and hospital-acquired methicillin- resistant Staphylococcus aureus: hospital-level analysis of administrative data from the United States. August 5, 2020 Park S-H, Stockbridge EL, Miller TL, et al. Private patient rooms and hospital-acquired methicillin-resistant Staphylococcus aureus: a hosp…
  11. www.ahrq.gov/teamstepps-program/evidence-base/trauma.html
    May 01, 2023 - TeamSTEPPS Research/Evidence Base: Trauma Capella, J., Smith, S., et al. (2010). Teamwork training improves the clinical care of trauma patients.  Journal of Surgical Education  67(6), 439-43. Select to access the  abstract . Barach, P., & Weinger, M. B. (2007). Trauma team performance. In: W. C. Wilson, C. M…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853618/psn-pdf
    September 20, 2023 - Improving patients' intensive care admission through multidisciplinary simulation-based crisis resource management: a qualitative study. September 20, 2023 Jensen JF, Ramos J, Ørom M?L, et al. Improving patients' intensive care admission through multidisciplinary simulation?based crisis resource management: a qual…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60556/psn-pdf
    June 03, 2020 - The impact of technology on prescribing errors in pediatric intensive care: a before and after study. June 3, 2020 Howlett MM, Butler E, Lavelle KM, et al. The impact of technology on prescribing errors in pediatric intensive care: a before and after study. Appl Clin Inform. 2020;11(02). doi:10.1055/s-0040-1709508.…
  14. Dos and Donts (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/handouts/dos-donts-factsheet.pdf
    March 01, 2022 - Dos and Donts AHRQ Pub. No. 20(22)-0036 March 2022 Section 10-6 – Decolonization of Non-ICU Patients With Devices Dos and Don’ts DO • Use chlorhexidine gluconate (CHG) daily instead of regular soap for all bathing/showering needs for entire hospital stay • Use 2% leave-on CHG cloths for daily bed …
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43709/psn-pdf
    December 04, 2014 - A team-based approach to reducing cardiac monitor alarms. December 4, 2014 Dandoy CE, Davies SM, Flesch L, et al. A team-based approach to reducing cardiac monitor alarms. Pediatrics. 2014;134(6):e1686-e1694. doi:10.1542/peds.2014-1162. https://psnet.ahrq.gov/issue/team-based-approach-reducing-cardiac-monitor-alar…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865591/psn-pdf
    January 01, 2025 - "Black Women Should Not Die Giving Life": The lived experiences of Black women diagnosed with severe maternal morbidity in the United States. April 17, 2024 Post W, Thomas AD, Sutton KM. “Black Women Should Not Die Giving Life”: The lived experiences of Black women diagnosed with severe maternal morbidity in the U…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38010/psn-pdf
    August 27, 2008 - Detection of adverse events in surgical patients using the Trigger Tool approach. August 27, 2008 Griffin FA, Classen DC. Detection of adverse events in surgical patients using the Trigger Tool approach. Qual Saf Health Care. 2008;17(4):253-258. doi:10.1136/qshc.2007.025080. https://psnet.ahrq.gov/issue/detection-…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60657/psn-pdf
    July 08, 2020 - Predictors of serious opioid-related adverse drug events in hospitalized patients. July 8, 2020 Minhaj FS, Rappaport SH, Foster J, et al. Predictors of serious opioid-related adverse drug events in hospitalized patients. J Patient Saf. 2020;17(8):e1585-e1588. doi:10.1097/pts.0000000000000735. https://psnet.ahrq.go…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/842429/psn-pdf
    January 11, 2023 - How timely is diagnosis of lung cancer? Cohort study of individuals with lung cancer presenting in ambulatory care in the United States. January 11, 2023 Zigman Suchsland M, Kowalski L, Burkhardt HA, et al. How timely is diagnosis of lung cancer? Cohort study of individuals with lung cancer presenting in ambulator…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46981/psn-pdf
    May 04, 2019 - Lessons learned from implementing a principled approach to resolution following patient harm. May 4, 2019 Smith KM, Smith LL, (Jack) Gentry JC, et al. Lessons learned from implementing a principled approach to resolution following patient harm. J Patient Saf Risk Manag. 2018;24(2):83-89. doi:10.1177/25160435188138…