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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39337/psn-pdf
    May 07, 2014 - Clinical and economic outcomes attributable to health care–associated sepsis and pneumonia. May 7, 2014 Eber MR, Laxminarayan R, Perencevich E, et al. Clinical and economic outcomes attributable to health care-associated sepsis and pneumonia. Arch Intern Med. 2010;170(4):347-53. doi:10.1001/archinternmed.2009.509.…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38076/psn-pdf
    February 15, 2011 - Consequences of inadequate sign-out for patient care. February 15, 2011 Horwitz LI, Moin T, Krumholz HM, et al. Consequences of inadequate sign-out for patient care. Arch Intern Med. 2008;168(16):1755-60. doi:10.1001/archinte.168.16.1755. https://psnet.ahrq.gov/issue/consequences-inadequate-sign-out-patient-care W…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44208/psn-pdf
    July 16, 2015 - Preventability of voluntarily reported or trigger tool–identified medication errors in a pediatric institution by information technology: a retrospective cohort study. July 16, 2015 Stultz JS, Nahata MC. Preventability of Voluntarily Reported or Trigger Tool-Identified Medication Errors in a Pediatric Institution …
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40640/psn-pdf
    December 01, 2011 - Safety hazards in cancer care: findings using three different methods. December 1, 2011 Lipczak H, Knudsen JL, Nissen A. Safety hazards in cancer care: findings using three different methods. BMJ Qual Saf. 2011;20(12):1052-6. doi:10.1136/bmjqs.2010.050856. https://psnet.ahrq.gov/issue/safety-hazards-cancer-care-fi…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43617/psn-pdf
    September 24, 2016 - Do telephone call interruptions have an impact on radiology resident diagnostic accuracy? September 24, 2016 Balint BJ, Steenburg SD, Lin H, et al. Do telephone call interruptions have an impact on radiology resident diagnostic accuracy? Acad Radiol. 2014;21(12):1623-8. doi:10.1016/j.acra.2014.08.001. https://psne…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41339/psn-pdf
    January 03, 2017 - Relationship between nursing home safety culture and Joint Commission accreditation. January 3, 2017 Wagner LM, McDonald SM, Castle NG. Relationship between nursing home safety culture and Joint Commission accreditation. Jt Comm J Qual Patient Saf. 2012;38(5):207-15. https://psnet.ahrq.gov/issue/relationship-betwe…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44064/psn-pdf
    November 03, 2015 - The July effect: an analysis of never events in the nationwide inpatient sample. November 3, 2015 Wen T, Attenello FJ, Wu B, et al. The July effect: an analysis of never events in the nationwide inpatient sample. J Hosp Med. 2015;10(7):432-438. doi:10.1002/jhm.2352. https://psnet.ahrq.gov/issue/july-effect-analysi…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45141/psn-pdf
    August 31, 2016 - Patient safety climate strength: a concept that requires more attention. August 31, 2016 Ginsburg LR, Oore DG. Patient safety climate strength: a concept that requires more attention. BMJ Qual Saf. 2016;25(9):680-7. doi:10.1136/bmjqs-2015-004150. https://psnet.ahrq.gov/issue/patient-safety-climate-strength-concept…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844790/psn-pdf
    January 01, 2020 - Effectiveness of double checking to reduce medication administration errors: a systematic review. September 18, 2019 Koyama AK, Maddox C-SS, Li L, et al. Effectiveness of double checking to reduce medication administration errors: a systematic review. BMJ Qual Saf. 2020;29(7):595-603. doi:10.1136/bmjqs-2019- 00955…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45719/psn-pdf
    June 29, 2017 - Systematic review of the prevalence of medication errors resulting in hospitalization and death of nursing home residents. June 29, 2017 Ferrah N, Lovell JJ, Ibrahim JE. Systematic Review of the Prevalence of Medication Errors Resulting in Hospitalization and Death of Nursing Home Residents. J Am Geriatr Soc. 2017…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39730/psn-pdf
    December 21, 2014 - Surgical case listing accuracy: failure analysis at a high- volume academic medical center. December 21, 2014 Cima RR, Hale C, Kollengode A, et al. Surgical case listing accuracy: failure analysis at a high-volume academic medical center. Arch Surg. 2010;145(7):641-6. doi:10.1001/archsurg.2010.112. https://psnet.a…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38354/psn-pdf
    September 24, 2010 - Barriers to emergency departments' adherence to four medication safety–related Joint Commission National Patient Safety Goals. September 24, 2010 Juarez A, Gacki-Smith J, Bauer MR, et al. Barriers to emergency departments' adherence to four medication safety-related Joint Commission National Patient Safety Goals. …
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40766/psn-pdf
    September 14, 2011 - Medicines reconciliation using a shared electronic health care record. September 14, 2011 Moore P, Armitage G, Wright J, et al. Medicines reconciliation using a shared electronic health care record. J Patient Saf. 2011;7(3):148-154. doi:10.1097/PTS.0b013e31822c5bf9. https://psnet.ahrq.gov/issue/medicines-reconcili…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40052/psn-pdf
    December 08, 2010 - Electronic health records and adverse drug events after patient transfer. December 8, 2010 Boockvar KS, Livote EE, Goldstein N, et al. Electronic health records and adverse drug events after patient transfer. Qual Saf Health Care. 2010;19(5):e16. doi:10.1136/qshc.2009.033050. https://psnet.ahrq.gov/issue/electroni…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45988/psn-pdf
    April 24, 2018 - Translating concerns into action: a detailed qualitative evaluation of an interdisciplinary intervention on medical wards. April 24, 2018 Pannick S, Archer S, Johnston MJ, et al. Translating concerns into action: a detailed qualitative evaluation of an interdisciplinary intervention on medical wards. BMJ Open. 201…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36168/psn-pdf
    August 31, 2011 - Computerized prescribing alerts and group academic detailing to reduce the use of potentially inappropriate medications in older people. August 31, 2011 Simon SR, Smith DH, Feldstein AC, et al. Computerized prescribing alerts and group academic detailing to reduce the use of potentially inappropriate medications i…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45882/psn-pdf
    June 28, 2017 - Early death after discharge from emergency departments: analysis of national US insurance claims data. June 28, 2017 Obermeyer Z, Cohn B, Wilson M, et al. Early death after discharge from emergency departments: analysis of national US insurance claims data. BMJ. 2017;356:j239. doi:10.1136/bmj.j239. https://psnet.a…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40189/psn-pdf
    February 02, 2011 - Addition of electronic prescription transmission to computerized prescriber order entry: effect on dispensing errors in community pharmacies. February 2, 2011 Moniz TT, Seger AC, Keohane CA, et al. Addition of electronic prescription transmission to computerized prescriber order entry: Effect on dispensing errors …
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37363/psn-pdf
    February 03, 2011 - Effect of a rapid response team on hospital-wide mortality and code rates outside the ICU in a children’s hospital. February 3, 2011 Sharek PJ, Parast L, Leong K, et al. Effect of a rapid response team on hospital-wide mortality and code rates outside the ICU in a Children's Hospital. JAMA. 2007;298(19):2267-74. h…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47102/psn-pdf
    June 26, 2018 - Transition to a new electronic health record and pediatric medication safety: lessons learned in pediatrics within a large academic health system. June 26, 2018 Whalen K, Lynch E, Moawad I, et al. Transition to a new electronic health record and pediatric medication safety: lessons learned in pediatrics within a l…