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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39512/psn-pdf
    June 11, 2010 - An intervention to decrease patient identification band errors in a children's hospital. June 11, 2010 Hain PD, Joers B, Rush M, et al. An intervention to decrease patient identification band errors in a children's hospital. Qual Saf Health Care. 2010;19(3):244-7. doi:10.1136/qshc.2008.030288. https://psnet.ahrq.g…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47741/psn-pdf
    March 06, 2019 - Association of overlapping surgery with perioperative outcomes. March 6, 2019 Sun E, Mello MM, Rishel CA, et al. Association of Overlapping Surgery With Perioperative Outcomes. JAMA. 2019;321(8):762-772. doi:10.1001/jama.2019.0711. https://psnet.ahrq.gov/issue/association-overlapping-surgery-perioperative-outcomes…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43626/psn-pdf
    November 05, 2014 - Effects of skilled nursing facility structure and process factors on medication errors during nursing home admission. November 5, 2014 Lane SJ, Troyer JL, Dienemann JA, et al. Effects of skilled nursing facility structure and process factors on medication errors during nursing home admission. Health Care Manag Rev…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45701/psn-pdf
    December 21, 2016 - Clinical decision support for drug related events: moving towards better prevention. December 21, 2016 Kane-Gill SL, Achanta A, Kellum JA, et al. Clinical decision support for drug related events: Moving towards better prevention. World J Crit Care Med. 2016;5(4):204-211. https://psnet.ahrq.gov/issue/clinical-deci…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60354/psn-pdf
    January 01, 2021 - Harm prevalence due to medication errors involving high- alert medications: a systematic review May 20, 2020 Sodré Alves BMC, de Andrade TNG, Cerqueira Santos S, et al. Harm prevalence due to medication errors involving high-alert medications: a systematic review. J Patient Saf. 2021;17(1):e1-e9. doi:10.1097/pts.0…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39293/psn-pdf
    June 11, 2010 - Communication and collaboration: it's about the pharmacists, as well as the physicians and nurses. June 11, 2010 Holden LM, Watts DD, Walker PH. Communication and collaboration: it's about the pharmacists, as well as the physicians and nurses. Qual Saf Health Care. 2010;19(3):169-72. doi:10.1136/qshc.2008.026435. …
  7. www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/exh3.html
    August 01, 2022 - Designing Consumer Reporting Systems for Patient Safety Events Exhibit 3. Reporting of patient safety events Previous Page Next Page Table of Contents Designing Consumer Reporting Systems for Patient Safety Events Executive Summary Chapter 1. Background Chapter 2. Conceptual Framework and Desi…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45137/psn-pdf
    May 18, 2016 - Less is more: a project to reduce the number of PIMs (potentially inappropriate medications) on an elderly care ward. May 18, 2016 Aung TH, Beck AJ, Siese T, et al. Less is more: a project to reduce the number of PIMs (potentially inappropriate medications) on an elderly care ward. BMJ Qual Improv Rep. 2016;5(1). …
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48017/psn-pdf
    January 01, 2020 - The 2018 Gosport Independent Panel report into deaths at the National Health Service's Gosport War Memorial Hospital. Does the culture of the medical profession influence health outcomes? June 12, 2019 Bennett S. The 2018 Gosport Independent Panel report into deaths at the National Health Service’s Gosport War Me…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47022/psn-pdf
    July 19, 2018 - Thoughtless design of the electronic health record drives overuse, but purposeful design can nudge improved patient care. July 19, 2018 Vaughn VM, Linder JA. Thoughtless design of the electronic health record drives overuse, but purposeful design can nudge improved patient care. BMJ Qual Saf. 2018;27(8):583-586. d…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44779/psn-pdf
    May 20, 2016 - Fifteen years after To Err Is Human: a success story to learn from. May 20, 2016 Pronovost P, Cleeman JI, Wright D, et al. Fifteen years after To Err is Human: a success story to learn from. BMJ Qual Saf. 2016;25(6):396-9. doi:10.1136/bmjqs-2015-004720. https://psnet.ahrq.gov/issue/fifteen-years-after-err-human-su…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35906/psn-pdf
    May 27, 2011 - Error reduction in pediatric chemotherapy: computerized order entry and failure modes and effects analysis. May 27, 2011 Kim G, Chen AR, Arceci RJ, et al. Error reduction in pediatric chemotherapy: computerized order entry and failure modes and effects analysis. Arch Pediatr Adolesc Med. 2006;160(5):495-8. https:/…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844058/psn-pdf
    February 08, 2023 - ISMP updates its list of drug names with tall man (mixed case) letters based on survey results. February 8, 2023 ISMP Medication Safety Alert! Acute care edition. January 26, 2023:28(2):1-4. https://psnet.ahrq.gov/issue/ismp-updates-its-list-drug-names-tall-man-mixed-case-letters-based-survey- results Look-a…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44331/psn-pdf
    September 09, 2015 - Temporal trends in patient safety in the Netherlands: reductions in preventable adverse events or the end of adverse events as a useful metric? September 9, 2015 Shojania KG, van de Mheen PJM-. Temporal trends in patient safety in the Netherlands: reductions in preventable adverse events or the end of adverse even…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40291/psn-pdf
    September 09, 2011 - Outcomes of emergency department patients presenting with adverse drug events. September 9, 2011 Hohl CM, Nosyk B, Kuramoto L, et al. Outcomes of emergency department patients presenting with adverse drug events. Ann Emerg Med. 2011;58(3):270-279.e4. doi:10.1016/j.annemergmed.2011.01.003. https://psnet.ahrq.gov/is…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34939/psn-pdf
    June 16, 2011 - The effect of executive walk rounds on nurse safety climate attitudes: a randomized trial of clinical units. June 16, 2011 Thomas EJ, Sexton B, Neilands TB, et al. The effect of executive walk rounds on nurse safety climate attitudes: a randomized trial of clinical units[ISRCTN85147255] [corrected]. BMC Health Serv…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46610/psn-pdf
    December 06, 2017 - Pragmatic insights on patient safety priorities and intervention strategies in ambulatory settings. December 6, 2017 Sarkar U, McDonald KM, Motala A, et al. Pragmatic Insights on Patient Safety Priorities and Intervention Strategies in Ambulatory Settings. Jt Comm J Qual Patient Saf. 2017;43(12):661-670. doi:10.10…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/843417/psn-pdf
    February 01, 2023 - "Do no harm": promoting anti-racist policing in pediatric emergency departments through 20 practice change considerations. February 1, 2023 Wells JM, Walker VP. "Do no harm": promoting anti-racist policing in pediatric emergency departments through 20 practice change considerations. Health Promot Pract. 2023:15248…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44768/psn-pdf
    February 03, 2016 - Recommendations and low-technology safety solutions following neuromuscular blocking agent incidents. February 3, 2016 Graudins L, Downey G, Bui T, et al. Recommendations and Low-Technology Safety Solutions Following Neuromuscular Blocking Agent Incidents. Jt Comm J Qual Patient Saf. 2016;42(2):86-91. https://psne…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866200/psn-pdf
    June 26, 2024 - Does an app a day keep the doctor away? AI symptom checker applications, entrenched bias, and professional responsibility. June 26, 2024 Zawati M'n H, Lang M. Does an app a day keep the doctor away? AI symptom checker applications, entrenched bias, and professional responsibility. J Med Internet Res. 2024;26:e5034…