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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43257/psn-pdf
    August 14, 2014 - Barriers and success factors to the implementation of a multi-site prospective adverse event surveillance system. August 14, 2014 Backman C, Forster AJ, Vanderloo S. Barriers and success factors to the implementation of a multi-site prospective adverse event surveillance system. Int J Qual Health Care. 2014;26(4):4…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44344/psn-pdf
    July 22, 2015 - Making healthcare safer by understanding, designing and buying better IT. July 22, 2015 Thimbleby H, Lewis A, Williams J. Making healthcare safer by understanding, designing and buying better IT. Clin Med (Lond). 2015;15(3):258-62. doi:10.7861/clinmedicine.15-3-258. https://psnet.ahrq.gov/issue/making-healthcare-s…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60005/psn-pdf
    March 04, 2020 - What if?: Transforming Diagnostic Research by Leveraging a Diagnostic Process Map to Engage Patients in Learning from Errors. March 4, 2020 Sheridan S, Merryweather P, Rusz D, et al. What If?: Transforming Diagnostic Research By Leveraging A Diagnostic Process Map To Engage Patients In Learning From Errors. Washin…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46447/psn-pdf
    September 27, 2017 - Creating highly reliable accountable care organizations. September 27, 2017 Vogus TJ, Singer SJ. Creating Highly Reliable Accountable Care Organizations. Med Care Res Rev. 2016;73(6):660-672. https://psnet.ahrq.gov/issue/creating-highly-reliable-accountable-care-organizations High reliability is a goal throughout …
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46172/psn-pdf
    June 21, 2017 - Flying lessons for clinicians: developing system 2 practice. June 21, 2017 Gregoire JN, Alfes CM, Reimer AP, et al. Flying Lessons for Clinicians: Developing System 2 Practice. Air Med J. 2017;36(3):135-137. doi:10.1016/j.amj.2017.02.003. https://psnet.ahrq.gov/issue/flying-lessons-clinicians-developing-system-2-p…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60697/psn-pdf
    July 15, 2020 - FDA alerts health care professionals to the temporary absence of warning statement on the vial caps of two neuromuscular blocking agents. July 15, 2020 MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration. June 2, 2020. https://psnet.ahrq.gov/issue/fda-alerts-health-care-professionals-temporar…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44771/psn-pdf
    January 06, 2016 - Could it be done safely? Pharmacists views on safety and clinical outcomes from the introduction of an advanced role for technicians. January 6, 2016 Napier P, Norris P, Braund R. Could it be done safely? Pharmacists views on safety and clinical outcomes from the introduction of an advanced role for technicians. R…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844802/psn-pdf
    September 18, 2019 - Using proactive risk assessment (HFMEA) to improve patient safety and quality associated with intraocular lens selection and implantation in cataract surgery. September 18, 2019 DeRosier JM, Hansemann BK, Smith-Wheelock MW, et al. Using Proactive Risk Assessment (HFMEA) to Improve Patient Safety and Quality Associ…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45138/psn-pdf
    May 25, 2016 - Improving Weekend Out Of Hours Surgical Handover (WOOSH). May 25, 2016 Boyer M, Tappenden J, Peter M. Improving Weekend Out Of hours Surgical Handover (WOOSH). BMJ Qual Improv Rep. 2016;5(1):1-4. doi:10.1136/bmjquality.u209552.w4190. https://psnet.ahrq.gov/issue/improving-weekend-out-hours-surgical-handover-woosh …
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44663/psn-pdf
    September 27, 2016 - Impact of regionalized care on concordance of plan and preventable adverse events on general medicine services. September 27, 2016 Mueller SK, Schnipper JL, Giannelli K, et al. Impact of regionalized care on concordance of plan and preventable adverse events on general medicine services. J Hosp Med. 2016;11(9):620-…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43127/psn-pdf
    April 23, 2014 - An interprofessional qualitative study of barriers and potential solutions for the safe use of insulin in the hospital setting. April 23, 2014 Rousseau M-P, Beauchesne M-F, Naud A-S, et al. An interprofessional qualitative study of barriers and potential solutions for the safe use of insulin in the hospital settin…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44801/psn-pdf
    June 22, 2016 - Safety for all: integrated design for inpatient units. June 22, 2016 Hunt JM, Sine DM. Patient Saf Qual Healthc. May/June 2016;13:20-28. https://psnet.ahrq.gov/issue/safety-all-integrated-design-inpatient-units Design is emerging as an important tactic to augment safe care delivery. Hospitals that provide care for …
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/849123/psn-pdf
    May 17, 2023 - Maximizing student potential: lessons for pharmacy programs from the patient safety movement. May 17, 2023 Abebe E, Bao A, Kokkinias P, et al. Maximizing student potential: lessons for pharmacy programs from the patient safety movement. Explor Res Clin Soc Pharm. 2023;9:100216. doi:10.1016/j.rcsop.2022.100216. htt…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43162/psn-pdf
    June 16, 2014 - The use of report cards and outcome measurements to improve the safety of surgical care: the American College of Surgeons National Surgical Quality Improvement Program. June 16, 2014 Maggard-Gibbons M. The use of report cards and outcome measurements to improve the safety of surgical care: the American College of…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45339/psn-pdf
    August 10, 2016 - Hospital at night: an organizational design that provides safer care at night. August 10, 2016 Hamilton-Fairley D, Coakley J, Moss F. Hospital at night: an organizational design that provides safer care at night. BMC Med Edu. 2014;14(Suppl 1):S17. doi:10.1186/1472-6920-14-S1-S17. https://psnet.ahrq.gov/issue/hospi…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45961/psn-pdf
    June 23, 2017 - Burden of hospitalizations related to adverse drug events in the USA: a retrospective analysis from large inpatient database. June 23, 2017 Poudel DR, Acharya P, Ghimire S, et al. Burden of hospitalizations related to adverse drug events in the USA: a retrospective analysis from large inpatient database. Pharmacoe…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74116/psn-pdf
    November 24, 2021 - NCICLE Pathways to Excellence: Expectations for an Optimal Clinical Learning Environment to Achieve Safe and High-Quality Patient Care, 2021. November 24, 2021 Chicago, IL: National Collaborative for Improving the Clinical Learning Environment; 2021. ISBN: 9781945365416. https://psnet.ahrq.gov/issue/ncicle-pathwa…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47874/psn-pdf
    April 10, 2019 - Evaluating the effect of data standardization and validation on patient matching accuracy. April 10, 2019 Grannis SJ, Xu H, Vest JR, et al. Evaluating the effect of data standardization and validation on patient matching accuracy. J Am Med Inform Assoc. 2019;26(5):447-456. doi:10.1093/jamia/ocy191. https://psnet.a…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45499/psn-pdf
    May 03, 2017 - Patient safety and interprofessional education: a report of key issues from two interprofessional workshops. May 3, 2017 Anderson ES, Gray R, Price K. Patient safety and interprofessional education: A report of key issues from two interprofessional workshops. J Interprof Care. 2017;31(2):154-163. doi:10.1080/13561…
  20. 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…