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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73214/psn-pdf
    May 05, 2021 - Patient and physician perspectives of deprescribing potentially inappropriate medications in older adults with a history of falls: a qualitative study. May 5, 2021 Hahn EE, Munoz-Plaza CE, Lee EA, et al. Patient and physician perspectives of deprescribing potentially inappropriate medications in older adults with …
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37510/psn-pdf
    March 04, 2011 - Rare adverse medical events in VA inpatient care: reliability limits to using patient safety indicators as performance measures. March 4, 2011 West AN, Weeks WB, Bagian JP. Rare adverse medical events in VA inpatient care: reliability limits to using patient safety indicators as performance measures. Health Serv R…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40891/psn-pdf
    January 19, 2012 - Electronic health record-based surveillance of diagnostic errors in primary care. January 19, 2012 Singh H, Giardina TD, Forjuoh SN, et al. Electronic health record-based surveillance of diagnostic errors in primary care. BMJ Qual Saf. 2012;21(2):93-100. doi:10.1136/bmjqs-2011-000304. https://psnet.ahrq.gov/issue/…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42232/psn-pdf
    May 08, 2013 - The Measurement and Monitoring of Safety. May 8, 2013 Vincent C, Burnett S, Carthey J. London, UK: Health Foundation; April 2013. ISBN: 9781906461447. https://psnet.ahrq.gov/issue/measurement-and-monitoring-safety Despite great effort, health care organizations are still learning how to identify safety problems, es…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61098/psn-pdf
    November 04, 2020 - Nursing home staff turnover and perceived patient safety culture: results from a national survey. November 4, 2020 Temkin-Greener H, Cen X, Li Y. Nursing home staff turnover and perceived patient safety culture: results from a national survey. Gerontologist. 2020;60(7):1303-1311. doi:10.1093/geront/gnaa015. https:…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61018/psn-pdf
    October 14, 2020 - Association of current opioid use with serious adverse events among older adult survivors of breast cancer. October 14, 2020 Winn AN, Check DK, Farkas A, et al. Association of current opioid use with serious adverse events among older adult survivors of breast cancer. JAMA Netw Open. 2020;3(9):e2016858. doi:10.100…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867082/psn-pdf
    November 06, 2024 - Learning in radiation oncology: 12-month experience with a new incident learning system. November 6, 2024 Crouch K, Adamson L, Beldham?Collins R, et al. Learning in radiation oncology: 12?month experience with a new incident learning system. J Med Radiat Sci. 2024;Epub Sep 15. doi:10.1002/jmrs.823. https://psnet.a…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/862611/psn-pdf
    February 14, 2024 - Review: application of the Safety Attitudes Questionnaire (SAQ) in primary care - a systematic synthesis on validity, descriptive and comparative results, and variance across organisational units. February 14, 2024 Olesen AE, Juhl MH, Deilkås ET, et al. Review: application of the Safety Attitudes Questionnaire (SA…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39985/psn-pdf
    November 10, 2010 - Establishing a global learning community for incident- reporting systems. November 10, 2010 Pham JC, Gianci S, Battles J, et al. Establishing a global learning community for incident-reporting systems. Qual Saf Health Care. 2010;19(5):446-51. doi:10.1136/qshc.2009.037739. https://psnet.ahrq.gov/issue/establishing-…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853428/psn-pdf
    September 13, 2023 - Intensive care unit critical incident analysis as an objective tool to select content for a simulation curriculum. September 13, 2023 Yartsev A, Yang F. Intensive care unit critical incident analysis as an objective tool to select content for a simulation curriculum. Simul Healthc. 2023;18(4):279-282. doi:10.1097/…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42568/psn-pdf
    December 29, 2014 - Hospital readmission and parent perceptions of their child's hospital discharge. December 29, 2014 Berry JG, Ziniel SI, Freeman L, et al. Hospital readmission and parent perceptions of their child's hospital discharge. Int J Qual Health Care. 2013;25(5):573-81. doi:10.1093/intqhc/mzt051. https://psnet.ahrq.gov/iss…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74126/psn-pdf
    December 01, 2021 - Effect of automated unit dose dispensing with barcode scanning on medication administration errors: an uncontrolled before-and-after study. December 1, 2021 Jessurun JG, Hunfeld NGM, Van Rosmalen J, et al. Effect of automated unit dose dispensing with barcode scanning on medication administration errors: an uncont…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837136/psn-pdf
    May 18, 2022 - What can we learn from in-depth analysis of human errors resulting in diagnostic errors in the emergency department: an analysis of serious adverse event reports. May 18, 2022 Baartmans MC, Hooftman J, Zwaan L, et al. What can we learn from in-depth analysis of human errors resulting in diagnostic errors in the em…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72670/psn-pdf
    January 27, 2021 - System issues leading to "found-on-floor" incidents: a multi-incident analysis. January 27, 2021 Shaw J, Bastawrous M, Burns S, et al. System Issues Leading to “Found-on-Floor” Incidents: A Multi- Incident Analysis. J Patient Saf. 2021;17(1):30-35. doi:10.1097/pts.0000000000000294. https://psnet.ahrq.gov/issue/sys…
  15. 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…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37923/psn-pdf
    July 23, 2008 - Unit-based clinical pharmacists' prevention of serious medication errors in pediatric inpatients. July 23, 2008 Kaushal R, Bates DW, Abramson EL, et al. Unit-based clinical pharmacists' prevention of serious medication errors in pediatric inpatients. Am J Health-Syst Pharm. 2008;65(13):1254-1260. doi:10.2146/ajhp0…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60579/psn-pdf
    June 10, 2020 - Outbreak investigation of COVID-19 among residents and staff of an independent and assisted living community for older adults in Seattle, Washington. June 10, 2020 Roxby AC, Greninger AL, Hatfield KM, et al. Outbreak investigation of COVID-19 among residents and staff of an independent and assisted living communit…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60642/psn-pdf
    July 01, 2020 - Opioid prescribing after childbirth and risk for serious opioid-related events: a cohort study. July 1, 2020 Osmundson SS, Min JY, Wiese AD, et al. Opioid Prescribing After Childbirth and Risk for Serious Opioid- Related Events: A Cohort Study. Ann Intern Med. 2020;173(5):412-414. doi:10.7326/m19-3805. https://psn…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42759/psn-pdf
    April 24, 2017 - A longitudinal study of clinical peer review's impact on quality and safety in US hospitals. April 24, 2017 Edwards MT. A longitudinal study of clinical peer review's impact on quality and safety in U.S. hospitals. J Healthc Manag. 2013;58(5):369-85. https://psnet.ahrq.gov/issue/longitudinal-study-clinical-peer-re…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73083/psn-pdf
    March 31, 2021 - Suicide as an incident of severe patient harm: a retrospective cohort study of investigations after suicide in Swedish healthcare in a 13-year perspective. March 31, 2021 Fröding E, Gäre BA, Westrin Å, et al. Suicide as an incident of severe patient harm: a retrospective cohort study of investigations after suicid…

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