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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35058/psn-pdf
    June 22, 2009 - Predicting and preventing adverse drug reactions in the very old. June 22, 2009 Merle L, Laroche M-L, Dantoine T, et al. Predicting and preventing adverse drug reactions in the very old. Drugs Aging. 2005;22(5):375-92. https://psnet.ahrq.gov/issue/predicting-and-preventing-adverse-drug-reactions-very-old The auth…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38658/psn-pdf
    September 27, 2017 - Development and psychometric testing of a tool to measure missed nursing care. September 27, 2017 Kalisch BJ, Williams RA. Development and psychometric testing of a tool to measure missed nursing care. J Nurs Adm. 2009;39(5):211-9. doi:10.1097/NNA.0b013e3181a23cf5. https://psnet.ahrq.gov/issue/development-and-psyc…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47594/psn-pdf
    March 17, 2023 - Prevention of perioperative medication errors. March 17, 2023 Nanji K. UpToDate. March 7, 2023. https://psnet.ahrq.gov/issue/prevention-perioperative-medication-errors Perioperative adverse drug events are common and understudied. This review examines factors that contribute to adverse drug events in the surgical …
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37930/psn-pdf
    July 23, 2008 - Measurement for improvement: a survey of current practice in Australian public hospitals. July 23, 2008 Brand CA, Tropea J, Ibrahim JE, et al. Measurement for improvement: a survey of current practice in Australian public hospitals. Med J Aust. 2008;189(1):35-40. https://psnet.ahrq.gov/issue/measurement-improvemen…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35120/psn-pdf
    November 03, 2015 - Clinical impact associated with corrected results in clinical microbiology testing. November 3, 2015 Yuan S, Astion ML, Schapiro J, et al. Clinical impact associated with corrected results in clinical microbiology testing. J Clin Microbiol. 2005;43(5):2188-93. https://psnet.ahrq.gov/issue/clinical-impact-associate…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50720/psn-pdf
    December 04, 2019 - Flu shot mix-up at Oklahoma facility leaves 10 hospitalized December 4, 2019 The Associated Press. NBC News. November 8, 2019. https://psnet.ahrq.gov/issue/flu-shot-mix-oklahoma-facility-leaves-10-hospitalized Patients at residential care facilities are particularly vulnerable to harm from medication errors. This …
  7. psnet.ahrq.gov/print/pdf/node/848754
    January 01, 2025 - PSNet Curated Library AHRQ: Agency for Healthcare Research and Quality Implementation of Patient Safety Projects Curated Library Foundations Leading change: why transformation efforts fail. Kotter JP. Harvard Bus Rev  1995;73(2);59-67. Kotter, a professor at Harvard Business School, outlines the eight stages …
  8. psnet.ahrq.gov/web-mm/misdiagnosis-pelvic-mass-versus-pregnancy
    November 25, 2020 - The initial physician evaluating the patient was an intern on their first day of service in a busy Emergency
  9. psnet.ahrq.gov/issue/missed-lesions-abdominal-oncologic-ct-lessons-learned-quality-assurance
    April 21, 2011 - Study Missed lesions at abdominal oncologic CT: lessons learned from quality assurance. Citation Text: Siewert B, Sosna J, McNamara A, et al. Missed lesions at abdominal oncologic CT: lessons learned from quality assurance. Radiographics. 2008;28(3):623-38. doi:10.1148/rg.283075188. …
  10. psnet.ahrq.gov/issue/long-term-reduction-adverse-drug-events-evidence-based-improvement-model
    August 28, 2024 - Study Long-term reduction in adverse drug events: an evidence-based improvement model. Citation Text: Gazarian M, Graudins LV. Long-term reduction in adverse drug events: an evidence-based improvement model. Pediatrics. 2012;129(5):e1334-42. doi:10.1542/peds.2011-1902. Copy Citation …
  11. psnet.ahrq.gov/issue/failure-mode-and-effects-analysis-outputs-are-they-valid
    November 25, 2009 - Study Failure mode and effects analysis outputs: are they valid? Citation Text: Shebl NA, Franklin BD, Barber N. Failure mode and effects analysis outputs: are they valid? BMC Health Serv Res. 2012;12:150. doi:10.1186/1472-6963-12-150. Copy Citation Format: DOI Google Scho…
  12. psnet.ahrq.gov/issue/perspectives-patient-and-family-engagement-reduction-harm-forgotten-voice
    December 01, 2011 - Study Perspectives on patient and family engagement with reduction in harm: the forgotten voice. Citation Text: Schenk EC, Bryant RA, Van Son CR, et al. Perspectives on Patient and Family Engagement With Reduction in Harm: The Forgotten Voice. J Nurs Care Qual. 2019;34(1):73-79. doi:10.1…
  13. psnet.ahrq.gov/issue/improving-medication-related-safety-residents-nursing-homes-qualitative-study
    March 24, 2019 - Study Improving medication-related safety for residents in nursing homes: a qualitative study. Citation Text: Shieu B, Lee Y-W, Epps F, et al. Improving medication-related safety for residents in nursing homes: a qualitative study. J Gerontol Nurs. 2025;51(3):38-43. doi:10.3928/00989134-…
  14. psnet.ahrq.gov/issue/ahrq-psnet-annual-webinar-evidence-advancing-rapid-response-systems-and-opioid-stewardship
    December 10, 2024 - Webinar AHRQ PSNet Annual Webinar: Evidence on Advancing Rapid Response Systems and Opioid Stewardship. Citation Text: Agency for Healthcare Quality and Research. AHRQ PSNet Annual Webinar: Evidence on Advancing Rapid Response Systems and Opioid Stewardship. February 10, 2025, 1:00pm-2:0…
  15. psnet.ahrq.gov/issue/teaching-nursing-students-ethical-and-legal-consequences-medical-errors-insights-radonda
    July 05, 2017 - Study Teaching nursing students the ethical and legal consequences of medical errors: insights from the RaDonda Vaught case using the jigsaw technique. Citation Text: Geiselman EL, Opsahl A, Townsend C. Teaching nursing students the ethical and legal consequences of medical errors: insig…
  16. psnet.ahrq.gov/issue/interventions-improve-timely-cancer-diagnosis-integrative-review
    May 25, 2022 - Study Interventions to improve timely cancer diagnosis: an integrative review. Citation Text: Graber ML, Winters BD, Matin R, et al. Interventions to improve timely cancer diagnosis: an integrative review. Diagnosis (Berl). 2024;Epub Oct 18. doi:10.1515/dx-2024-0113. Copy Citation …
  17. psnet.ahrq.gov/issue/special-issue-health-information-technology
    August 22, 2007 - June 29, 2022 Scoping review of studies evaluating frailty and its association with medication
  18. psnet.ahrq.gov/issue/digital-healthcare-research
    December 24, 2008 - August 19, 2020 Novel, High-Impact Studies Evaluating Health System and Healthcare Professional
  19. psnet.ahrq.gov/issue/grants-line-database-gold
    December 24, 2008 - September 22, 2021 Novel, High-Impact Studies Evaluating Health System and Healthcare
  20. psnet.ahrq.gov/issue/hospital-mistakes-kept-secret
    September 30, 2009 - June 21, 2017 Medication safety at the interface: evaluating risks associated with discharge

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