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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60224/psn-pdf
    April 15, 2020 - Information transfer at hospital discharge: a systematic review. April 15, 2020 Kattel S, Manning DM, Erwin PJ, et al. Information transfer at hospital discharge: a systematic review. J Patient Saf. 2020;16(1):e25-e33. doi:10.1097/pts.0000000000000248. https://psnet.ahrq.gov/issue/information-transfer-hospital-dis…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836724/psn-pdf
    March 09, 2022 - When no news is bad news: improving diagnostic testing communication through patient engagement. March 9, 2022 Zomerlei T, Carraher A, Chao A, et al. When no news is bad news: improving diagnostic testing communication through patient engagement. J Patient Saf Risk Manage. 2021;26(5):221-224. doi:10.1177/251604352…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847050/psn-pdf
    April 05, 2023 - CHaMP: A model for building a center to support health care worker well-being after experiencing an adverse event. April 5, 2023 McIntosh MS, Garvan C, Kalynych CJ, et al. CHaMP: A model for building a center to support health care worker well-being after experiencing an adverse event. Jt Comm J Qual Patient Saf. …
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46086/psn-pdf
    August 30, 2017 - Quality and Safety in Nursing: a Competency Approach to Improving Outcomes, Second Edition. August 30, 2017 Sherwood G, Barnsteiner J, eds. Hoboken, NJ: Wiley-Blackwell; 2017. ISBN: 9781119151678. https://psnet.ahrq.gov/issue/quality-and-safety-nursing-competency-approach-improving-outcomes-second- edition The Cr…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45868/psn-pdf
    January 31, 2018 - Increasing trainee reporting of adverse events with monthly, trainee-directed review of adverse events. January 31, 2018 Smith A, Hatoun J, Moses J. Increasing Trainee Reporting of Adverse Events With Monthly Trainee- Directed Review of Adverse Events. Acad Pediatr. 2017;17(8):902-906. doi:10.1016/j.acap.2017.01.00…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34784/psn-pdf
    June 24, 2015 - The potential for improved teamwork to reduce medical errors in the emergency department. June 24, 2015 Risser DT, Rice MM, Salisbury ML, et al. The potential for improved teamwork to reduce medical errors in the emergency department. Ann Emerg Med. 2005;34(3):373-383. doi:10.1016/s0196-0644(99)70134-4. https://ps…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47002/psn-pdf
    April 25, 2018 - Making Health Care Safer in Ambulatory Care Settings and Long Term Care Facilities (R18). April 25, 2018 Rockville, MD: Agency for Healthcare Research and Quality; April 10, 2018. PA-18-750. https://psnet.ahrq.gov/issue/making-health-care-safer-ambulatory-care-settings-and-long-term-care- facilities-r18 Research …
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50389/psn-pdf
    September 25, 2019 - must not simply try to avoid the use of nonanalytic, pattern recognition decision-making but instead aim
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865708/psn-pdf
    May 01, 2024 - Missed nursing care in surgical care- a hazard to patient safety: a quantitative study within the inCHARGE programme. May 1, 2024 Edfeldt K, Nyholm L, Jangland E, et al. Missed nursing care in surgical care– a hazard to patient safety: a quantitative study within the inCHARGE programme. BMC Nurs. 2024;23(1):233. d…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866353/psn-pdf
    July 24, 2024 - A clinical pharmacist-led transitions of care program for veterans with two planned care transitions (hospital to skilled care and skilled care to home) amid the COVID-19 pandemic. July 24, 2024 Scannell GA, Bevan DJ, Cowan A, et al. A clinical pharmacist-led transitions of care program for veterans with two plan…
  11. psnet.ahrq.gov/issue/australian-patient-safety-foundation
    March 06, 2005 - Web Resource Multi-use Website Published March 6, 2005 Australian Patient Safety Foundation. Australian Patient Safety Foundation Topics Approach to Improving Safety Error Reporting Roo…
  12. psnet.ahrq.gov/issue/possible-dose-counter-errors-asmanex-twisthaler
    March 11, 2015 - Government Resource Possible dose-counter errors with the Asmanex Twisthaler. Citation Text: Food and Drug Administration; FDA Copy Citation Save Save to your library Print Share Facebook Twitter Linkedin Copy URL …
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38157/psn-pdf
    October 22, 2008 - Contributing factors identified by hospital incident report narratives. October 22, 2008 Nuckols TK, Bell DS, Paddock SM, et al. Contributing factors identified by hospital incident report narratives. Qual Saf Health Care. 2008;17(5):368-72. doi:10.1136/qshc.2007.023721. https://psnet.ahrq.gov/issue/contributing-f…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34907/psn-pdf
    August 03, 2009 - Physicians' views of interventions to reduce medical errors: does evidence of effectiveness matter? August 3, 2009 Rosen AB, Blendon RJ, DesRoches CM, et al. Physicians' views of interventions to reduce medical errors: does evidence of effectiveness matter? Acad Med. 2005;80(2):189-92. https://psnet.ahrq.gov/issue…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35028/psn-pdf
    May 27, 2011 - Medication errors and adverse drug events in pediatric inpatients. May 27, 2011 Kaushal R, Bates DW, Landrigan C, et al. Medication errors and adverse drug events in pediatric inpatients. JAMA. 2001;285(16):2114-20. https://psnet.ahrq.gov/issue/medication-errors-and-adverse-drug-events-pediatric-inpatients This p…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45218/psn-pdf
    June 15, 2016 - Patient Safety and Quality Improvement Act of 2005--HHS guidance regarding patient safety work product and providers' external obligations. June 15, 2016 Agency for Healthcare Research and Quality. Fed Regist. 2016;81(100);32655-32660. https://psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-act-2005-hh…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45879/psn-pdf
    July 02, 2017 - A hybrid methodology for modeling risk of adverse events in complex health-care settings. July 2, 2017 Kazemi R, Mosleh A, Dierks M. A Hybrid Methodology for Modeling Risk of Adverse Events in Complex Health-Care Settings. Risk Anal. 2017;37(3):421-440. doi:10.1111/risa.12702. https://psnet.ahrq.gov/issue/hybrid-m…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38347/psn-pdf
    May 24, 2015 - Using Telehealth to Improve Quality and Safety: Findings from the AHRQ Portfolio. May 24, 2015 Dixon BE, Hook JM, McGowan JJ, for AHRQ National Resource Center for Health IT. Rockville, MD: Agency for Healthcare Research and Quality; December 2008. AHRQ Publication No. 09-0012-EF. https://psnet.ahrq.gov/issue/usin…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848817/psn-pdf
    May 10, 2023 - Impact of patient safety climate on infection prevention practices and healthcare worker and patient outcomes. May 10, 2023 Hessels AJ, Guo J, Johnson CT, et al. Impact of patient safety climate on infection prevention practices and healthcare worker and patient outcomes. Am J Infect Control. 2023;51(5):482-489. d…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50863/psn-pdf
    February 05, 2020 - Patient safety in inpatient mental health settings: a systematic review. February 5, 2020 Thibaut BI, Dewa LH, Ramtale SC, et al. Patient safety in inpatient mental health settings: a systematic review. BMJ Open. 2019;9(12):e030230. doi:10.1136/bmjopen-2019-030230. https://psnet.ahrq.gov/issue/patient-safety-inpat…

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