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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/862987/psn-pdf
    February 21, 2024 - Use of professional interpreters for patients with limited English proficiency undergoing surgery. February 21, 2024 Cevallos J, Lee C, Bongiovanni T. Use of professional interpreters for patients with limited English proficiency undergoing surgery. JAMA Netw Open. 2024;7(2):e2355014. doi:10.1001/jamanetworkopen.2…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836862/psn-pdf
    April 06, 2022 - What are we missing? The quality of intraoperative handover before and after introduction of a checklist. April 6, 2022 Lane S, Gross M, Arzola C, et al. What are we missing? The quality of intraoperative handover before and after introduction of a checklist. Can J Anaesth. 2022;69(7):832-840. doi:10.1007/s12630-02…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854260/psn-pdf
    October 04, 2023 - Surgeons' leadership style and team behavior in the hybrid operating room: prospective cohort study. October 4, 2023 Soenens G, Marchand B, Doyen B, et al. Surgeons' leadership style and team behavior in the hybrid operating room: prospective cohort study. Ann Surg. 2023;278(1):e5-e12. doi:10.1097/sla.000000000000…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853610/psn-pdf
    September 20, 2023 - Ten years later, alarm fatigue is still a safety concern. September 20, 2023 Albanowski K, Burdick KJ, Bonafide CP, et al. Ten years later, alarm fatigue is still a safety concern. AACN Adv Crit Care. 2023;34(3):189-197. doi:10.4037/aacnacc2023662. https://psnet.ahrq.gov/issue/ten-years-later-alarm-fatigue-still-sa…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47438/psn-pdf
    June 02, 2019 - Developing an intervention to reduce harm in hospitalized patients: patients and families in research. June 2, 2019 Schenk EC, Bryant RA, Van Son CR, et al. Developing an Intervention to Reduce Harm in Hospitalized Patients: Patients and Families in Research. J Nurs Care Qual. 2019;34(3):273-278. doi:10.1097/NCQ.0…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846147/psn-pdf
    March 15, 2023 - Automated capture of intraoperative adverse events using artificial intelligence: a systematic review and meta- analysis. March 15, 2023 Eppler MB, Sayegh AS, Maas M, et al. Automated capture of intraoperative adverse events using artificial intelligence: a systematic review and meta-analysis. J Clin Med. 2023;12(…
  7. psnet.ahrq.gov/web-mm/inadequate-anesthesia-preparation-leading-difficult-intubation-and-severe-hypoxemia
    January 29, 2021 - Inadequate Anesthesia Preparation Leading to Difficult Intubation and Severe Hypoxemia Citation Text: Bohringer C. Inadequate Anesthesia Preparation Leading to Difficult Intubation and Severe Hypoxemia. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and…
  8. psnet.ahrq.gov/web-mm/open-wider-failure-use-interpreter-results-fractured-teeth-and-hypoxia-during-simple
    January 29, 2021 - Open wider: Failure to use an interpreter results in fractured teeth and hypoxia during a simple elective operation. Citation Text: Bohringer C, Godoy L. Open wider: Failure to use an interpreter results in fractured teeth and hypoxia during a simple elective operation.. PSNet [internet]. Rockville (MD): Ag…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74240/psn-pdf
    January 01, 2024 - Use and impact of virtual primary care on quality and safety: the public's perspectives during the COVID-19 pandemic. January 12, 2022 Neves AL, van Dael J, O’Brien N, et al. Use and impact of virtual primary care on quality and safety: The public's perspectives during the COVID-19 pandemic. J Telemed Telecare. 20…
  10. psnet.ahrq.gov/
    March 25, 2025 - This website is up to date as of March 24, 2025. You will not be able to register for an account and will no longer be able to obtain Continuing Medical Education (CME), Maintenance of Certification (MOC), or Continuing Pharmacy Education (CPE) credits. We are not taking submissions for WebM&M cases, Innovations, Train…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46241/psn-pdf
    January 30, 2018 - Interventions to improve oral chemotherapy safety and quality: a systematic review. January 30, 2018 Zerillo JA, Goldenberg BA, Kotecha RR, et al. Interventions to Improve Oral Chemotherapy Safety and Quality. JAMA Oncol. 2017;4(1):105-117. doi:10.1001/jamaoncol.2017.0625. https://psnet.ahrq.gov/issue/intervention…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44695/psn-pdf
    June 07, 2016 - Enhancing surgical safety using digital multimedia technology. June 7, 2016 Dixon JL, Mukhopadhyay D, Hunt J, et al. Enhancing surgical safety using digital multimedia technology. Am J Surg. 2016;211(6):1095-8. doi:10.1016/j.amjsurg.2015.08.023. https://psnet.ahrq.gov/issue/enhancing-surgical-safety-using-digital-…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72797/psn-pdf
    March 03, 2021 - Evaluating the impact of a pharmacist-led prescribing feedback intervention on prescribing errors in a hospital setting. March 3, 2021 Lloyd M, Watmough SD, O'Brien SV, et al. Evaluating the impact of a pharmacist-led prescribing feedback intervention on prescribing errors in a hospital setting. Res Social Adm Pha…
  14. 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…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865813/psn-pdf
    May 08, 2024 - Quality framework for remote antenatal care: qualitative study with women, healthcare professionals and system- level stakeholders. May 8, 2024 Hinton L, Dakin FH, Kuberska K, et al. Quality framework for remote antenatal care: qualitative study with women, healthcare professionals and system-level stakeholders. B…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865875/psn-pdf
    May 15, 2024 - Digital health interventions and patient safety in abdominal surgery: a systematic review and meta- analysis. May 15, 2024 Grygorian A, Montano D, Shojaa M, et al. Digital health interventions and patient safety in abdominal surgery: a systematic review and meta-analysis. JAMA Netw Open. 2024;7(4):e248555. doi:10…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/863214/psn-pdf
    February 28, 2024 - Appropriate use of medical interpreters in the breast imaging clinic. February 28, 2024 Feliciano-Rivera YZ, Yepes MM, Sanchez P, et al. Appropriate use of medical interpreters in the breast imaging clinic. J Breast Imaging. 2024;27(3):296-303. doi:10.1093/jbi/wbad109. https://psnet.ahrq.gov/issue/appropriate-use-…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38970/psn-pdf
    July 05, 2013 - Joint Commission Center for Transforming Healthcare. July 5, 2013 Joint Commission. https://psnet.ahrq.gov/issue/joint-commission-center-transforming-healthcare The Joint Commission has traditionally focused on accreditation of health care organizations and, through its Joint Commission Resources arm, on quality i…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43249/psn-pdf
    June 18, 2014 - Automated and electronically assisted hand hygiene monitoring systems: a systematic review. June 18, 2014 Ward MA, Schweizer ML, Polgreen PM, et al. Automated and electronically assisted hand hygiene monitoring systems: a systematic review. Am J Infect Control. 2014;42(5):472-8. doi:10.1016/j.ajic.2014.01.002. ht…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42839/psn-pdf
    January 09, 2014 - Teaching medical error disclosure to residents using patient-centered simulation training. January 9, 2014 Sukalich S, Elliott JO, Ruffner G. Teaching medical error disclosure to residents using patient-centered simulation training. Acad Med. 2014;89(1):136-43. doi:10.1097/ACM.0000000000000046. https://psnet.ahrq.…

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