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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848089/psn-pdf
    April 26, 2023 - Patient Safety Advisory: fentanyl counterfeit prescription medications that contain fentanyl and patient safety. April 26, 2023 Jewell ML, Jewell HL, Singer R, et al. Patient Safety Advisory: fentanyl counterfeit prescription medications that contain fentanyl and patient safety. Aesthetic Plast Surg. 2023;47(3):123…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73659/psn-pdf
    September 01, 2021 - Using a patient safety/quality improvement model to assess telehealth for psychiatry and behavioral health services among special populations during COVID-19 and beyond. September 1, 2021 Li L, Childs AW. J Psychiatr Pract. 2021;27(4):245-253. https://psnet.ahrq.gov/issue/using-patient-safetyquality-improvement-m…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46858/psn-pdf
    May 11, 2019 - Evidence review conducted for the Agency for Healthcare Research and Quality Safety Program for Improving Surgical Care and Recovery: focus on anesthesiology for colorectal surgery.  May 11, 2019 Ban KA, Gibbons MM, Ko CY, et al. Evidence Review Conducted for the Agency for Healthcare Research and Quality Safety …
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47732/psn-pdf
    February 06, 2019 - Surgical safety checklists in children's surgery: surgeons' attitudes and review of the literature. February 6, 2019 Roybal J, Tsao KJ, Rangel S, et al. Surgical Safety Checklists in Children's Surgery: Surgeons' Attitudes and Review of the Literature. Pediatr Qual Saf. 2018;3(5):e108. doi:10.1097/pq9.0000000000000…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45850/psn-pdf
    July 02, 2017 - Learning from the design, development and implementation of the Medication Safety Thermometer. July 2, 2017 Rostami P, Power M, Harrison A, et al. Learning from the design, development and implementation of the Medication Safety Thermometer. Int J Qual Health Care. 2017;29(2):301-309. doi:10.1093/intqhc/mzw149. ht…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45292/psn-pdf
    September 07, 2016 - Electronic approaches to making sense of the text in the adverse event reporting system. September 7, 2016 Benin AL, Fodeh SJ, Lee K, et al. Electronic approaches to making sense of the text in the adverse event reporting system. J Healthc Risk Manag. 2016;36(2):10-20. doi:10.1002/jhrm.21237. https://psnet.ahrq.go…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35739/psn-pdf
    July 15, 2010 - CT for suspected appendicitis in children: an analysis of diagnostic errors. July 15, 2010 Taylor GA, Callahan MJ, Rodriguez D, et al. CT for suspected appendicitis in children: an analysis of diagnostic errors. Pediatr Radiol. 2006;36(4):331-7. https://psnet.ahrq.gov/issue/ct-suspected-appendicitis-children-analy…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46260/psn-pdf
    July 26, 2017 - ACOG Committee opinion #680: the use and development of checklists in obstetrics and gynecology. July 26, 2017 American College of Obstetricians and Gynecologists’ Committee on Patient Safety and Quality Improvement. Obstet Gynecol. 2016;128:e237-e240. https://psnet.ahrq.gov/issue/acog-committee-opinion-680-use-an…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852753/psn-pdf
    August 23, 2023 - Status of patient safety culture in community pharmacy settings: a systematic review. August 23, 2023 Kwon K-E, Nam DR, Lee M-S, et al. Status of patient safety culture in community pharmacy settings: a systematic review. J Patient Saf. 2023;19(6):353-361. doi:10.1097/pts.0000000000001147. https://psnet.ahrq.gov/i…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841472/psn-pdf
    December 14, 2022 - Reducing potential errors associated with insulin administration: an integrative review. December 14, 2022 Alqahtani N. Reducing potential errors associated with insulin administration: an integrative review. J Eval Clin Pract. 2022;28(6):1037-1049. doi:10.1111/jep.13668. https://psnet.ahrq.gov/issue/reducing-pote…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61077/psn-pdf
    October 28, 2020 - Investigation into the Role of Clinical Pharmacy Services in Helping to Identify and Reduce High-risk Prescribing Errors in Hospital. October 28, 2020 Farnborough, UK: Healthcare Safety Investigation Branch; September 24, 2020.  https://psnet.ahrq.gov/issue/investigation-role-clinical-pharmacy-servi…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/843326/psn-pdf
    February 01, 2023 - Surgical site infection prevention: a review. February 1, 2023 Seidelman JL, Mantyh CR, Anderson DJ. Surgical site infection prevention: a review. JAMA. 2023;329(3):244-252. doi:10.1001/jama.2022.24075. https://psnet.ahrq.gov/issue/surgical-site-infection-prevention-review Surgical site infections (SSIs) remain a …
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50820/psn-pdf
    January 22, 2020 - Associations between a new disruptive behaviors scale and teamwork, patient safety, work-life balance, burnout, and depression. January 22, 2020 Rehder KJ, Adair KC, Hadley A, et al. Associations Between a New Disruptive Behaviors Scale and Teamwork, Patient Safety, Work-Life Balance, Burnout, and Depression. Jt C…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60336/psn-pdf
    May 13, 2020 - Selecting Safe and Easier to Use Products for Healthcare Using Human Factors Specification and Checklists. May 13, 2020 Buckinghamshire, UK.  Clinical Human Factors Group. April 2020. https://psnet.ahrq.gov/issue/selecting-safe-and-easier-use-products-healthcare-using-human-factors- specification-and Poor eq…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45733/psn-pdf
    December 07, 2016 - Global patient outcomes after elective surgery: prospective cohort study in 27 low-, middle- and high- income countries. December 7, 2016 group ISOS. Global patient outcomes after elective surgery: prospective cohort study in 27 low-, middle- and high-income countries. Br J Anaesth. 2016;117(5):601-609. doi:10.109…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836810/psn-pdf
    March 30, 2022 - Periodic resuscitation cart checks and nurse situational awareness: an observational study. March 30, 2022 Aljuaid J, Al-Moteri M. Periodic resuscitation cart checks and nurse situational awareness: an observational study. J Emerg Nurs. 2022;48(2):189-201. doi:10.1016/j.jen.2021.12.002. https://psnet.ahrq.gov/issu…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867015/psn-pdf
    October 23, 2024 - Supporting perioperative safety during a disaster through clinical crisis education. October 23, 2024 Kirkman A, Tripp H, Ward L, et al. Supporting perioperative safety during a disaster through clinical crisis education. AORN J. 2024;120(4):226-237. doi:10.1002/aorn.14217. https://psnet.ahrq.gov/issue/supporting-…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38310/psn-pdf
    June 03, 2010 - The relationship between early emergency team calls and serious adverse events. June 3, 2010 Chen J, Bellomo R, Flabouris A, et al. The relationship between early emergency team calls and serious adverse events. Crit Care Med. 2009;37(1):148-53. doi:10.1097/CCM.0b013e3181928ce3. https://psnet.ahrq.gov/issue/relati…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47015/psn-pdf
    May 09, 2018 - How DeKalb Medical fixed drug safety problems after fatal error. May 9, 2018 Porter S. HealthLeaders Media. April 26, 2018. https://psnet.ahrq.gov/issue/how-dekalb-medical-fixed-drug-safety-problems-after-fatal-error Overreliance on technology can result in harmful medication mistakes. Reporting on a 10-fold medic…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41542/psn-pdf
    October 29, 2012 - Uncharted territory: measuring costs of diagnostic errors outside the medical record. October 29, 2012 Schwartz A, Weiner SJ, Weaver FM, et al. Uncharted territory: measuring costs of diagnostic errors outside the medical record. BMJ Qual Saf. 2012;21(11):918-24. doi:10.1136/bmjqs-2012-000832. https://psnet.ahrq.g…

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