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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43093/psn-pdf
    August 12, 2014 - Identifying systems failures in the pathway to a catastrophic event: an analysis of national incident report data relating to vinca alkaloids. August 12, 2014 Franklin BD, Panesar S, Vincent CA, et al. Identifying systems failures in the pathway to a catastrophic event: an analysis of national incident report data…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73984/psn-pdf
    October 20, 2021 - Analyzing diagnostic errors in the acute setting: a process-driven approach. October 20, 2021 Griffin JA, Carr K, Bersani K, et al. Analyzing diagnostic errors in the acute setting: a process-driven approach. Diagnosis (Berl). 2022;9(1):77-88. doi:10.1515/dx-2021-0033. https://psnet.ahrq.gov/issue/analyzing-diagno…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44438/psn-pdf
    August 26, 2015 - Reducing errors through discharge medication reconciliation by pharmacy services. August 26, 2015 Bishop MA, Cohen BA, Billings LK, et al. Reducing errors through discharge medication reconciliation by pharmacy services.  Am J Health Syst Pharm. 2015;72(17 Suppl 2):S120-6. doi:10.2146/sp150021. https://psnet.ahrq.…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44528/psn-pdf
    January 22, 2016 - Consumer participation in early detection of the deteriorating patient and call activation to rapid response systems: a literature review. January 22, 2016 Vorwerk J, King L. Consumer participation in early detection of the deteriorating patient and call activation to rapid response systems: a literature review. J…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846152/psn-pdf
    March 15, 2023 - Coworker abuse in healthcare: voices of mistreated workers. March 15, 2023 Evans WR, Mullen DM, Burke-Smalley L. Coworker abuse in healthcare: voices of mistreated workers. J Health Organ Manag. 2023;37(2):236-249. doi:10.1108/jhom-05-2022-0131. https://psnet.ahrq.gov/issue/coworker-abuse-healthcare-voices-mistrea…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39600/psn-pdf
    June 16, 2010 - Developing a patient safety surveillance system to identify adverse events in the intensive care unit. June 16, 2010 Stockwell DC, Kane-Gill SL. Developing a patient safety surveillance system to identify adverse events in the intensive care unit. Crit Care Med. 2010;38(6 Suppl):S117-25. doi:10.1097/CCM.0b013e3181d…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37797/psn-pdf
    February 03, 2010 - Predictors of adverse events in patients after discharge from the intensive care unit. February 3, 2010 Chaboyer W, Thalib L, Foster M, et al. Predictors of adverse events in patients after discharge from the intensive care unit. Am J Crit Care. 2008;17(3):255-63; quiz 264. https://psnet.ahrq.gov/issue/predictors-…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35365/psn-pdf
    February 17, 2011 - Accidental deaths, saved lives, and improved quality. February 17, 2011 Brennan TA, Gawande AA, Thomas EJ, et al. Accidental Deaths, Saved Lives, and Improved Quality. New England Journal of Medicine. 2005;353(13). doi:10.1056/nejmsb051157. https://psnet.ahrq.gov/issue/accidental-deaths-saved-lives-and-improved-qua…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/840152/psn-pdf
    November 16, 2022 - Scientific view of the global literature on medical error reporting and reporting systems from 1977 to 2021: a bibliometric analysis. November 16, 2022 Ünal A, Seren Intepeler ?. Scientific view of the global literature on medical error reporting and reporting systems from 1977 to 2021: a bibliometric analysis. J …

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74761/psn-pdf
    February 09, 2022 - Did the Hospital Readmissions Reduction Program reduce readmissions? An assessment of prior evidence and new estimates. February 9, 2022 Ziedan E, Kaestner R. Did the Hospital Readmissions Reduction Program reduce readmissions? An assessment of prior evidence and new estimates. Eval Rev. 2021;45(6):359-411. doi:1…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45690/psn-pdf
    June 28, 2017 - The impact of critical event checklists on medical management and teamwork during simulated crises in a surgical daycare facility. June 28, 2017 Everett TC, Morgan PJ, Brydges R, et al. The impact of critical event checklists on medical management and teamwork during simulated crises in a surgical daycare facility…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44723/psn-pdf
    December 16, 2015 - Situation, background, assessment, and recommendation–guided huddles improve communication and teamwork in the emergency department. December 16, 2015 Martin HA, Ciurzynski SM. Situation, Background, Assessment, and Recommendation-Guided Huddles Improve Communication and Teamwork in the Emergency Department. Jour…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/840490/psn-pdf
    February 14, 2006 - Evidence of bias and variation in diagnostic accuracy studies. February 14, 2006 Rutjes AWS, Reitsma JB, Di Nisio M, et al. Evidence of bias and variation in diagnostic accuracy studies. CMAJ. 2006;174(4):469-476. doi:10.1503/cmaj.050090. https://psnet.ahrq.gov/issue/evidence-bias-and-variation-diagnostic-accuracy…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43532/psn-pdf
    June 23, 2017 - The Second Victim Experience and Support Tool: validation of an organizational resource for assessing second victim effects and the quality of support resources. June 23, 2017 Burlison JD, Scott SD, Browne EK, et al. The Second Victim Experience and Support Tool: validation of an organizational resource for asses…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60353/psn-pdf
    May 20, 2020 - Adverse events after transition from ICU to hospital ward: a multicenter cohort study. May 20, 2020 Sauro KM, Soo A, de Grood C, et al. Adverse Events After Transition From ICU to Hospital Ward: A Multicenter Cohort Study*. Crit Care Med. 2020;48(7):946-953. doi:10.1097/ccm.0000000000004327. https://psnet.ahrq.gov…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34787/psn-pdf
    March 28, 2005 - Medication misadventures resulting in emergency department visits at an HMO medical center. March 28, 2005 Schneitman-McIntire O, Farnen TA, Gordon N, et al. Am J Health Syst Pharm. 1996;53(12):1416-1422. https://psnet.ahrq.gov/issue/medication-misadventures-resulting-emergency-department-visits-hmo- medical-cente…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867077/psn-pdf
    November 20, 2023 - Interprofessional Education Collaborative Core Competencies for Interprofessional Collaborative Practice November 20, 2023 Interprofessional Education Collaborative Core Competencies For Interprofessional Collaborative Practice. Washington DC: Interprofessional Education Collaborative; 2023. https://psnet.ahrq.gov…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45823/psn-pdf
    May 09, 2017 - The effect of prescriber education on medication-related patient harm in the hospital: a systematic review. May 9, 2017 Bos JM, van den Bemt PMLA, de Smet PAGM, et al. The effect of prescriber education on medication- related patient harm in the hospital: a systematic review. Br J Clin Pharmacol. 2017;83(5):953-961…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43660/psn-pdf
    November 12, 2014 - Developing a systematic approach to safer medication use during pregnancy: summary of a Centers for Disease Control and Prevention–convened meeting. November 12, 2014 Broussard CS, Frey MT, Hernandez-Diaz S, et al. Developing a systematic approach to safer medication use during pregnancy: summary of a Centers for …

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48062/psn-pdf
    August 07, 2019 - Ten ways to improve medication safety in community pharmacies. August 7, 2019 Rupp MT. 10 ways to improve medication safety in community pharmacies. J Am Pharm Assoc (2003). 2019;59(4):474-478. doi:10.1016/j.japh.2019.03.018. https://psnet.ahrq.gov/issue/ten-ways-improve-medication-safety-community-pharmacies Med…
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