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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35179/psn-pdf
    June 06, 2016 - Patient safety in cataract surgery. June 6, 2016 Kelly SP, Astbury NJ. Patient safety in cataract surgery. Eye (Lond). 2006;20(3):275-82. https://psnet.ahrq.gov/issue/patient-safety-cataract-surgery The authors evaluate patient safety issues involved with cataract surgery and provide several recommendations for sa…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36944/psn-pdf
    July 08, 2008 - Pharmacist medication assessments in a surgical preadmission clinic. July 8, 2008 Kwan Y, Fernandes O, Nagge JJ, et al. Pharmacist medication assessments in a surgical preadmission clinic. Arch Intern Med. 2007;167(10):1034-40. https://psnet.ahrq.gov/issue/pharmacist-medication-assessments-surgical-preadmission-cl…
  3. psnet.ahrq.gov/issue/digital-healthcare-research
    December 24, 2008 - August 19, 2020 Novel, High-Impact Studies Evaluating Health System and Healthcare Professional
  4. psnet.ahrq.gov/issue/grants-line-database-gold
    December 24, 2008 - September 22, 2021 Novel, High-Impact Studies Evaluating Health System and Healthcare
  5. 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
  6. psnet.ahrq.gov/issue/hospital-mistakes-kept-secret
    September 30, 2009 - June 21, 2017 Medication safety at the interface: evaluating risks associated with discharge
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38393/psn-pdf
    October 03, 2017 - Adverse Health Care Events Reporting System: What Have We Learned? October 3, 2017 St. Paul, MN: Minnesota Department of Health; January 2009. https://psnet.ahrq.gov/issue/adverse-health-care-events-reporting-system-what-have-we-learned Through a qualitative evaluation of the Minnesota statewide reporting initiati…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44652/psn-pdf
    November 11, 2015 - Developing a principle-based approach to safe medication practices. November 11, 2015 Hallaran A, McNabb A, Anderson J. J Nurs Reg. 2015;6:43-47. https://psnet.ahrq.gov/issue/developing-principle-based-approach-safe-medication-practices This commentary describes the development, implementation, and evaluation of n…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35952/psn-pdf
    August 02, 2010 - Manage staff fatigue to improve patient safety. August 2, 2010 Spath P. Manage staff fatigue to improve patient safety. Part 2 of 2. Hospital peer review. 2006;31(5):70-2. https://psnet.ahrq.gov/issue/manage-staff-fatigue-improve-patient-safety The author discusses three steps for reducing staff fatigue. Part I of …
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37552/psn-pdf
    April 01, 2010 - Hospital responses to the Leapfrog Group in local markets. April 1, 2010 Scanlon D, Christianson JB, Ford E. Hospital responses to the leapfrog group in local markets. Med Care Res Rev. 2008;65(2):207-31. doi:10.1177/1077558707312499. https://psnet.ahrq.gov/issue/hospital-responses-leapfrog-group-local-markets Th…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39137/psn-pdf
    June 07, 2016 - The rise of patient safety organizations. June 7, 2016 Ivill DS, Kearbey AH. New York Law J. November 2, 2009. https://psnet.ahrq.gov/issue/rise-patient-safety-organizations This news feature discusses legal aspects of Patient Safety Organizations' (PSO) role in data collection and evaluation, work product designa…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38074/psn-pdf
    June 04, 2018 - Questions and Answers on FDA's Adverse Event Reporting System (FAERS). October 3, 2017 Center for Drug Evaluation and Research, US Food and Drug Administration. June 4, 2018. https://psnet.ahrq.gov/issue/questions-and-answers-fdas-adverse-event-reporting-system-faers This FAQ provides information on and access to …
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42241/psn-pdf
    May 01, 2013 - Special Issue on Teamwork. May 1, 2013 Salas E, Rosen MA, eds. BMJ Qual Saf. 2013;22(5):369-448.   https://psnet.ahrq.gov/issue/special-issue-teamwork Articles in this special issue explore theory-driven and simulation-based approaches to improve teamwork in health care. https://psnet.ahrq.gov/issue/special-…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42650/psn-pdf
    October 16, 2013 - The cost of disruptive and unprofessional behaviors in health care. October 16, 2013 Rawson J, Thompson N, Sostre G, et al. The cost of disruptive and unprofessional behaviors in health care. Acad Radiol. 2013;20(9):1074-6. doi:10.1016/j.acra.2013.05.009. https://psnet.ahrq.gov/issue/cost-disruptive-and-unprofessi…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36482/psn-pdf
    February 17, 2011 - Dangerous deception--hiding the evidence of adverse drug events. February 17, 2011 Avorn J. Dangerous deception--hiding the evidence of adverse drug effects. N Engl J Med. 2006;355(21):2169-71. https://psnet.ahrq.gov/issue/dangerous-deception-hiding-evidence-adverse-drug-events This commentary discusses the recen…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40981/psn-pdf
    December 18, 2014 - Improving reporting of outpatient pediatric medical errors. December 18, 2014 Neuspiel DR, Stubbs EH, Liggin L. Improving Reporting of Outpatient Pediatric Medical Errors. PEDIATRICS. 2011;128(6). doi:10.1542/peds.2011-0477. https://psnet.ahrq.gov/issue/improving-reporting-outpatient-pediatric-medical-errors This…
  17. psnet.ahrq.gov/web-mm/radiology-missed-intracranial-bleed-lethargic-infant
    August 21, 2016 - The initial head CT and skeletal survey provide critical information in screening and evaluating for … after a missed diagnosis of NAT – of these, 6 children later died and 10 survived with handicap. 9 Evaluating … A study evaluating discrepancies in head CT readings between referring community radiologists and fellowship-trained … Skeletal surveys and head CTs, critical for screening and evaluating for NAT, should generally be interpreted
  18. 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…
  19. 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 …
  20. 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…

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