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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44384/psn-pdf
    August 12, 2015 - Effective followership: a standardized algorithm to resolve clinical conflicts and improve teamwork. August 12, 2015 Sculli GL, Fore AM, Sine DM, et al. Effective followership: A standardized algorithm to resolve clinical conflicts and improve teamwork. J Healthc Risk Manag. 2015;35(1):21-30. doi:10.1002/jhrm.21174…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46792/psn-pdf
    February 14, 2018 - Emerging trends in perinatal quality and risk with recommendations for patient safety. February 14, 2018 Simpson KR. Emerging Trends in Perinatal Quality and Risk With Recommendations for Patient Safety. J Perinat Neonatal Nurs. 2018;32(1). doi:10.1097/jpn.0000000000000294. https://psnet.ahrq.gov/issue/emerging-tr…
  3. 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…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/861292/psn-pdf
    January 24, 2024 - Deficiencies in the Community Care Network Credentialing Process of a Former VA Surgeon and Veterans Health Administration Oversight Failures. January 24, 2024 Washington DC: VA Office of the Inspector General; January 4, 2024; Report no. 22-02294-42. https://psnet.ahrq.gov/issue/deficiencies-community-care-n…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46707/psn-pdf
    October 13, 2018 - Medication errors involving nursing students: a systematic review. October 13, 2018 Asensi-Vicente J, Jiménez-Ruiz I, Vizcaya-Moreno F. Medication Errors Involving Nursing Students: A Systematic Review. Nurse Educ. 2018;43(5):E1-E5. doi:10.1097/NNE.0000000000000481. https://psnet.ahrq.gov/issue/medication-errors-i…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838193/psn-pdf
    September 28, 2022 - Economics of Medication Safety. Improving Medication Safety Through Collective, Real-time Learning. September 28, 2022 de Bienassis K, Esmail L, Lopert R, Klazinga N for the Organisation for Economic Co-operation and Development. Paris, France: OECD Publishing; 2022. OECD Health Working Papers, No. 147. …
  7. 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…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47586/psn-pdf
    March 20, 2019 - Wrong-patient blood transfusion error: leveraging technology to overcome human error in intraoperative blood component administration. March 20, 2019 Hensley NB, Koch CG, Pronovost P, et al. Wrong-Patient Blood Transfusion Error: Leveraging Technology to Overcome Human Error in Intraoperative Blood Component Admin…
  9. 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…
  10. 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…
  11. 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-…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45170/psn-pdf
    August 03, 2016 - Radiologist-initiated double reading of abdominal CT: retrospective analysis of the clinical importance of changes to radiology reports. August 3, 2016 Lauritzen PM, Andersen JG, Stokke MV, et al. Radiologist-initiated double reading of abdominal CT: retrospective analysis of the clinical importance of changes to …
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47308/psn-pdf
    December 21, 2018 - Improving pediatric electronic health record usability and safety through certification: seize the day. December 21, 2018 Ratwani RM, Moscovitch B, Rising JP. Improving Pediatric Electronic Health Record Usability and Safety Through Certification: Seize the Day. JAMA Pediatr. 2018;172(11):1007-1008. doi:10.1001/ja…
  14. 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…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43336/psn-pdf
    July 09, 2014 - Pharmacists in pharmacovigilance: can increased diagnostic opportunity in community settings translate to better vigilance? July 9, 2014 Rutter P, Brown D, Howard J, et al. Pharmacists in pharmacovigilance: can increased diagnostic opportunity in community settings translate to better vigilance? Drug Saf. 2014;37(…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50688/psn-pdf
    November 20, 2019 - Roles and role ambiguity in patient- and caregiver- performed outpatient parenteral antimicrobial therapy. November 20, 2019 Keller SC, Cosgrove SE, Arbaje AI, et al. Roles and Role Ambiguity in Patient- and Caregiver-Performed Outpatient Parenteral Antimicrobial Therapy. Jt Comm J Qual Patient Saf. 2019;45(11):763…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47790/psn-pdf
    April 08, 2019 - The "hemolyzed" physical examination—situational challenges to accurate bedside diagnosis. April 8, 2019 Sargsyan Z. The "Hemolyzed" Physical Examination-Situational Challenges to Accurate Bedside Diagnosis. JAMA Intern Med. 2019;179(4):465-466. doi:10.1001/jamainternmed.2018.8753. https://psnet.ahrq.gov/issue/hem…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73987/psn-pdf
    October 20, 2021 - Impact of clinical decision support therapeutic interchanges on hospital discharge medication omissions and duplications. October 20, 2021 Maxwell E, Amerine J, Carlton G, et al. Impact of clinical decision support therapeutic interchanges on hospital discharge medication omissions and duplications. Am J Health Sy…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48011/psn-pdf
    May 29, 2019 - Is it time for safeguards in the adoption of robotic surgery? May 29, 2019 Sheetz KH, Dimick JB. Is It Time for Safeguards in the Adoption of Robotic Surgery? JAMA. 2019;321(20):1971-1972. doi:10.1001/jama.2019.3736. https://psnet.ahrq.gov/issue/it-time-safeguards-adoption-robotic-surgery The FDA recently raised …
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47832/psn-pdf
    February 27, 2019 - Another round of the blame game: a paralyzing criminal indictment that recklessly "overrides" just culture. February 27, 2019 ISMP Medication Safety Alert! Acute Care Edition. February 14, 2019;24. https://psnet.ahrq.gov/issue/another-round-blame-game-paralyzing-criminal-indictment-recklessly- overrides-just-cultu…