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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73470/psn-pdf
    July 07, 2021 - Hospital quality-review spending and patient safety: a longitudinal analysis using instrumental variables. July 7, 2021 Dynan L, Smith RB. Hospital quality-review spending and patient safety: a longitudinal analysis using instrumental variables. Health Serv Outcomes Res Methodol. 2021. doi:10.1007/s10742-021-00251-…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45848/psn-pdf
    November 19, 2018 - New Horizons in Patient Safety: Understanding Communication: Case Studies for Physicians. November 19, 2018 Hannawa AF, Wu AW, Juhasz RS, eds. Berlin, Germany: DeGruyter; 2017. ISBN: 9783110455014. https://psnet.ahrq.gov/issue/new-horizons-patient-safety-understanding-communication-case-studies- physicians Poor c…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46530/psn-pdf
    February 03, 2018 - Identifying and characterizing preventable adverse drug events for prioritizing pharmacist intervention in hospitals. February 3, 2018 Jeon N, Staley B, Johns T, et al. Identifying and characterizing preventable adverse drug events for prioritizing pharmacist intervention in hospitals. Am J Health Syst Pharm. 2017…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60359/psn-pdf
    May 20, 2020 - Incorrect use of smart infusion pump in the operating room (OR) leads to milrinone overdose. May 20, 2020 ISMP Medication Safety Alert! Acute care edition. May 7, 2020;25(9). https://psnet.ahrq.gov/issue/incorrect-use-smart-infusion-pump-operating-room-or-leads-milrinone- overdose Lack of familiarity with sm…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46388/psn-pdf
    September 24, 2017 - Recognizing and responding to the "toxic" work environment: worker safety, patient safety, and abuse/neglect in nursing homes. September 24, 2017 Pickering CEZ, Nurenberg K, Schiamberg L. Recognizing and Responding to the "Toxic" Work Environment: Worker Safety, Patient Safety, and Abuse/Neglect in Nursing Homes. …
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865583/psn-pdf
    April 17, 2024 - Impact of repeated reimbursement penalties on hospital total quality scores. April 17, 2024 Brewer A, Hughes MC, Patel KN. Impact of repeated reimbursement penalties on hospital total quality scores. J Patient Saf. 2024;20(3):198-201. doi:10.1097/pts.0000000000001199. https://psnet.ahrq.gov/issue/impact-repeated-r…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72600/psn-pdf
    December 23, 2020 - Improving hospital safety culture for falls prevention through interdisciplinary health education. December 23, 2020 Lopez-Jeng C, Eberth SD. Improving hospital safety culture for falls prevention through interdisciplinary health education. Health Promot Pract. 2020;21(6):918-925. doi:10.1177/1524839919840337. htt…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47400/psn-pdf
    November 28, 2018 - Impact of the communication and patient hand-off tool SBAR on patient safety: a systematic review. November 28, 2018 Müller M, Jürgens J, Redaèlli M, et al. Impact of the communication and patient hand-off tool SBAR on patient safety: a systematic review. BMJ Open. 2018;8(8):e022202. doi:10.1136/bmjopen-2018-022202…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44619/psn-pdf
    November 04, 2015 - Seeing through Google Glass: using an innovative technology to improve medication safety behaviors in undergraduate nursing students. November 4, 2015 Schneidereith T. Seeing Through Google Glass: Using an Innovative Technology to Improve Medication Safety Behaviors in Undergraduate Nursing Students. Nurs Educ Per…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46643/psn-pdf
    January 10, 2018 - The role of checklists and human factors for improved patient safety in plastic surgery. January 10, 2018 Oppikofer C, Schwappach DLB. The Role of Checklists and Human Factors for Improved Patient Safety in Plastic Surgery. Plast Reconstr Surg. 2017;140(6):812e-817e. doi:10.1097/PRS.0000000000003892. https://psnet…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41166/psn-pdf
    February 29, 2012 - Triangulating case-finding tools for patient safety surveillance: a cross-sectional case study of puncture/laceration. February 29, 2012 Taylor JA, Gerwin D, Morlock L, et al. Triangulating case-finding tools for patient safety surveillance: a cross-sectional case study of puncture/laceration. Inj Prev. 2011;17(6)…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47219/psn-pdf
    July 25, 2018 - Preparing clinicians for transitioning patients across care settings and into the home through simulation. July 25, 2018 Molloy MA, Cary MP, Brennan-Cook J, et al. Preparing Clinicians for Transitioning Patients Across Care Settings and Into the Home Through Simulation. Home Healthc Now. 2018;36(4):225-231. doi:10…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41606/psn-pdf
    February 01, 2019 - Safe use of opioids in hospitals. December 23, 2016 Sentinel Event Alert. 2012;49:1-5. https://psnet.ahrq.gov/issue/safe-use-opioids-hospitals Opioid pain medications are considered high-risk medications due to the potential for respiratory depression and other adverse effects. Because these medications are freque…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866251/psn-pdf
    July 10, 2024 - A systematic review and meta-analysis of artificial intelligence versus clinicians for skin cancer diagnosis. July 10, 2024 Salinas MP, Sepúlveda J, Hidalgo L, et al. A systematic review and meta-analysis of artificial intelligence versus clinicians for skin cancer diagnosis. NPJ Digit Med. 2024;7(1):125. doi:10.10…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36964/psn-pdf
    March 24, 2011 - Patients use an internet technology to report when things go wrong. March 24, 2011 Wasson JH, MacKenzie TA, Hall M. Patients use an internet technology to report when things go wrong. Qual Saf Health Care. 2007;16(3):213-5. https://psnet.ahrq.gov/issue/patients-use-internet-technology-report-when-things-go-wrong …
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844783/psn-pdf
    September 04, 2019 - A lethal hidden curriculum—death of a medical student from opioid use disorder. September 4, 2019 Lucey CR, Jones L, Eastburn A. A Lethal Hidden Curriculum - Death of a Medical Student from Opioid Use Disorder. N Engl J Med. 2019;381(9):793-795. doi:10.1056/NEJMp1901537. https://psnet.ahrq.gov/issue/lethal-hidden-…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/839315/psn-pdf
    January 01, 2024 - Six major steps to make investigations of suicide valuable for learning and prevention. November 2, 2022 Fröding E, Vincent C, Andersson-Gäre B, et al. Six major steps to make investigations of suicide valuable for learning and prevention. Arch Suicide Res. 2024;28(1):1-19. doi:10.1080/13811118.2022.2133652. https…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45449/psn-pdf
    October 29, 2017 - Situational awareness—what it means for clinicians, its recognition and importance in patient safety. October 29, 2017 Green B, Parry D, Oeppen RS, et al. Situational awareness - what it means for clinicians, its recognition and importance in patient safety. Oral Dis. 2017;23(6):721-725. doi:10.1111/odi.12547. htt…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37277/psn-pdf
    July 28, 2010 - Drug selection errors in relation to medication labels: a simulation study. July 28, 2010 Garnerin P, Perneger T, Chopard P, et al. Drug selection errors in relation to medication labels: a simulation study. Anaesthesia. 2007;62(11):1090-4. https://psnet.ahrq.gov/issue/drug-selection-errors-relation-medication-lab…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42156/psn-pdf
    April 03, 2013 - The effect of a checklist on the quality of post- anaesthesia patient handover: a randomized controlled trial. April 3, 2013 Salzwedel C, Bartz H-J, Kühnelt I, et al. The effect of a checklist on the quality of post-anaesthesia patient handover: a randomized controlled trial. Int J Qual Health Care. 2013;25(2):176…

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