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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42363/psn-pdf
    September 19, 2013 - e-Prescribing: characterisation of patient safety hazards in community pharmacies using a sociotechnical systems approach. September 19, 2013 Odukoya OK, Chui MA. e-Prescribing: characterisation of patient safety hazards in community pharmacies using a sociotechnical systems approach. BMJ Qual Saf. 2013;22(10):816…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46915/psn-pdf
    April 16, 2018 - Postoperative opioid prescribing: Getting it RIGHTT. April 16, 2018 Yorkgitis BK, Brat GA. Postoperative opioid prescribing: Getting it RIGHTT. Am J Surg. 2018;215(4):707- 711. doi:10.1016/j.amjsurg.2018.02.001. https://psnet.ahrq.gov/issue/postoperative-opioid-prescribing-getting-it-rightt Use of mnemonics to rec…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60878/psn-pdf
    January 01, 2021 - Intervention study for the reduction of medication errors in elderly trauma patients. September 2, 2020 Parro Martín M de los Á, Muñoz García M, Delgado Silveira E, et al. Intervention study for the reduction of medication errors in elderly trauma patients. J Eval Clin Pract. 2021;27(1):160-166. doi:10.1111/jep.134…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50557/psn-pdf
    October 16, 2019 - Effect of an Electronic Medication Reconciliation Intervention on Adverse Drug Events: A Cluster Randomized Trial October 16, 2019 Tamblyn R, Abrahamowicz M, Buckeridge DL, et al. Effect of an Electronic Medication Reconciliation Intervention on Adverse Drug Events: A Cluster Randomized Trial. JAMA Netw Open. 2019…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41509/psn-pdf
    January 03, 2017 - The Henry Ford Health System No Harm Campaign: a comprehensive model to reduce harm and save lives. January 3, 2017 Conway WA, Hawkins S, Jordan J, et al. 2011 John M. Eisenberg Patient Safety and Quality Awards. The Henry Ford Health System No Harm Campaign: a comprehensive model to reduce harm and save lives. in…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45232/psn-pdf
    August 10, 2016 - Promoting patient safety with perioperative hand-off communication. August 10, 2016 Robinson NL. Promoting Patient Safety With Perioperative Hand-off Communication. J Perianesth Nurs. 2016;31(3):245-53. doi:10.1016/j.jopan.2014.08.144. https://psnet.ahrq.gov/issue/promoting-patient-safety-perioperative-hand-commun…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45275/psn-pdf
    November 01, 2017 - Electronic tools to support medication reconciliation—a systematic review. November 1, 2017 Marien S, Krug B, Spinewine A. Electronic tools to support medication reconciliation: a systematic review. J Am Med Inform Assoc. 2017;24(1):227-240. doi:10.1093/jamia/ocw068. https://psnet.ahrq.gov/issue/electronic-tools-s…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44524/psn-pdf
    March 16, 2016 - Application of a human factors classification framework for patient safety to identify precursor and contributing factors to adverse clinical incidents in hospital. March 16, 2016 Mitchell RJ, Williamson A, Molesworth B. Application of a human factors classification framework for patient safety to identify precurs…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38376/psn-pdf
    February 04, 2009 - Patient safety climate in 92 US hospitals: differences by work area and discipline. February 4, 2009 Singer SJ, Gaba DM, Falwell A, et al. Patient safety climate in 92 US hospitals: differences by work area and discipline. Med Care. 2009;47(1):23-31. doi:10.1097/MLR.0b013e31817e189d. https://psnet.ahrq.gov/issue/p…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46025/psn-pdf
    July 11, 2017 - Measuring to improve medication reconciliation in a large subspecialty outpatient practice. July 11, 2017 Kern E, Dingae MB, Langmack EL, et al. Measuring to Improve Medication Reconciliation in a Large Subspecialty Outpatient Practice. Jt Comm J Qual Patient Saf. 2017;43(5):212-223. doi:10.1016/j.jcjq.2017.02.005…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45173/psn-pdf
    November 18, 2016 - Impact of hospital-acquired conditions on financial liabilities for Medicare patients. November 18, 2016 Coomer NM, Kandilov AMG. Impact of hospital-acquired conditions on financial liabilities for Medicare patients. Am J Infect Control. 2016;44(11):1326-1334. doi:10.1016/j.ajic.2016.03.025. https://psnet.ahrq.gov…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39639/psn-pdf
    August 03, 2010 - Measuring hospital adverse events: assessing inter-rater reliability and trigger performance of the Global Trigger Tool. August 3, 2010 Naessens JM, O'Byrne TJ, Johnson MG, et al. Measuring hospital adverse events: assessing inter-rater reliability and trigger performance of the Global Trigger Tool. International …
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60227/psn-pdf
    April 15, 2020 - The next step in learning from sentinel events in healthcare. April 15, 2020 Bos K, Dongelmans DA, Greuters S, et al. The next step in learning from sentinel events in healthcare. BMJ Open Qual. 2020;9(1):e000739. doi:10.1136/bmjoq-2019-000739. https://psnet.ahrq.gov/issue/next-step-learning-sentinel-events-health…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42085/psn-pdf
    March 13, 2013 - In-facility delirium programs as a patient safety strategy: a systematic review. March 13, 2013 Reston JT, Schoelles KM. In-facility delirium prevention programs as a patient safety strategy: a systematic review. Ann Intern Med. 2013;158(5 Pt 2):375-80. doi:10.7326/0003-4819-158-5-201303051-00003. https://psnet.ah…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43686/psn-pdf
    November 26, 2014 - Tools for primary care patient safety: a narrative review. November 26, 2014 Spencer R, Campbell S. Tools for primary care patient safety: a narrative review. BMC Fam Pract. 2014;15:166. doi:10.1186/1471-2296-15-166. https://psnet.ahrq.gov/issue/tools-primary-care-patient-safety-narrative-review Proven methods to …
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73407/psn-pdf
    June 16, 2021 - Common Formats for Patient Safety Data Collection: Diagnostic Safety 0.1. June 16, 2021 The Agency for Healthcare Research and Quality. Fed Register. 2021;86(103): 29263-29264. https://psnet.ahrq.gov/issue/common-formats-patient-safety-data-collection-diagnostic-safety-01 Measurement of diagnostic errors is an imp…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43997/psn-pdf
    August 02, 2015 - Sentinel events, serious reportable events, and root cause analysis. August 2, 2015 Chen TC, Schein OD, Miller JW. Sentinel events, serious reportable events, and root cause analysis. JAMA Ophthalmol. 2015;133(6):631-632. doi:10.1001/jamaophthalmol.2015.0672. https://psnet.ahrq.gov/issue/sentinel-events-serious-re…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46641/psn-pdf
    December 20, 2017 - A review of best practices for intravenous push medication administration. December 20, 2017 Lenz JR, Degnan DD, Hertig JB, et al. A Review of Best Practices for Intravenous Push Medication Administration. J Infus Nurs. 2017;40(6):354-358. doi:10.1097/NAN.0000000000000247. https://psnet.ahrq.gov/issue/review-best-…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34797/psn-pdf
    October 06, 2015 - Adapting to new technologies in the operating room. October 6, 2015 Cook RI, Woods DD. Adapting to New Technology in the Operating Room. Hum Factors. 2006;38(4):593- 613. doi:10.1518/001872096778827224. https://psnet.ahrq.gov/issue/adapting-new-technologies-operating-room New technology continues to offer great ad…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73365/psn-pdf
    June 09, 2021 - Enhancing psychological safety in mental health services. June 9, 2021 Hunt DF, Bailey J, Lennox BR, et al. Enhancing psychological safety in mental health services. Int J Ment Health Syst. 2021;15(1):33. doi:10.1186/s13033-021-00439-1. https://psnet.ahrq.gov/issue/enhancing-psychological-safety-mental-health-servi…

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