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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867097/psn-pdf
    November 06, 2024 - Recommendations but no Action: Improving the Effectiveness of Quality and Safety Recommendations in Healthcare. November 6, 2024 Recommendations But No Action: Improving The Effectiveness Of Quality And Safety Recommendations In Healthcare. Dorset, UK: Health Services Safety Investigations Body; September 2024. h…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50848/psn-pdf
    January 29, 2020 - Deficiencies in Care Coordination and Facility Response to a Patient Suicide at the Minneapolis VA Health Care System, Minnesota. January 29, 2020 Washington, DC: Department of Veterans Affairs, Office of Inspector General. January 7, 2020. Report No. 19-00468-67. https://psnet.ahrq.gov/issue/deficiencies-care-co…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43021/psn-pdf
    November 04, 2014 - Patient safety culture transformation in a children's hospital: an interprofessional approach. November 4, 2014 Nagelkerk J, Peterson T, Pawl BL, et al. Patient safety culture transformation in a children's hospital: an interprofessional approach. J Interprof Care. 2014;28(4):358-64. doi:10.3109/13561820.2014.88593…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837901/psn-pdf
    August 24, 2022 - Trial and error: learning from malpractice claims in childhood surgery. August 24, 2022 Prieto JM, Falcone B, Greenberg P, et al. Trial and error: learning from malpractice claims in childhood surgery. J Surg Res. 2022;279:84-88. doi:10.1016/j.jss.2022.05.033. https://psnet.ahrq.gov/issue/trial-and-error-learning-…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74102/psn-pdf
    January 01, 2022 - Workforce planning and safe workload in sterile compounding hospital pharmacy services. November 24, 2021 Chaker A, Omair I, Mohamed WH, et al. Workforce planning and safe workload in sterile compounding hospital pharmacy services. Am J Health Syst Pharm. 2022;79(3):187–192. doi:10.1093/ajhp/zxab379. https://psnet…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39088/psn-pdf
    September 01, 2015 - Laboratory session to improve first-year pharmacy students' knowledge and confidence concerning the prevention of medication errors. September 1, 2015 Kiersma ME, Darbishire PL, Plake KS, et al. Laboratory session to improve first-year pharmacy students' knowledge and confidence concerning the prevention of medica…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866728/psn-pdf
    September 18, 2024 - ROI for a fall prevention intervention: invest a little, save a lot. September 18, 2024 Cooper AS. ROI for a fall prevention intervention: invest a little, save a lot. Nurs Adm Q. 2024;48(3):248- 252. doi:10.1097/naq.0000000000000647. https://psnet.ahrq.gov/issue/roi-fall-prevention-intervention-invest-little-save…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50569/psn-pdf
    October 23, 2019 - Design and implementation of a tool for pharmacists to register potential errors in prescribed medication. October 23, 2019 Frid S, Zapico V, Mansilla A, et al. Design and Implementation of a Tool for Pharmacists to Register Potential Errors in Prescribed Medication. Stud Health Technol Inform. 2019;264:581-585. d…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46047/psn-pdf
    May 17, 2017 - Medicare failed to investigate suspicious infection cases from 96 hospitals. May 17, 2017 Jewett C. Kaiser Health News. May 9, 2017. https://psnet.ahrq.gov/issue/medicare-failed-investigate-suspicious-infection-cases-96-hospitals The Centers for Medicare and Medicaid Services decision to withhold payment for certa…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43665/psn-pdf
    November 20, 2015 - Patient safety education to change medical students' attitudes and sense of responsibility. November 20, 2015 Roh H, Park SJ, Kim T. Patient safety education to change medical students' attitudes and sense of responsibility. Med Teach. 2015;37(10):908-14. doi:10.3109/0142159X.2014.970988. https://psnet.ahrq.gov/is…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44195/psn-pdf
    June 06, 2018 - An assessment of basic patient safety skills in residents entering the first year of clinical training. June 6, 2018 Comunale ME, Sandoval M, Broussard LT. An Assessment of Basic Patient Safety Skills in Residents Entering the First Year of Clinical Training. J Patient Saf. 2018;14(2):112-114. doi:10.1097/PTS.0000…
  12. psnet.ahrq.gov/web-mm/do-not-miss-sepsis-needles-viral-haystacks
    March 27, 2024 - SPOTLIGHT CASE Do Not Miss Sepsis Needles in Viral Haystacks! Citation Text: Hamline M, Shaikh U. Do Not Miss Sepsis Needles in Viral Haystacks!. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2024. Copy Citation For…
  13. psnet.ahrq.gov/web-mm/failure-adhere-dietary-restrictions-leading-complications-and-poor-follow
    September 27, 2023 - Failure to Adhere to Dietary Restrictions Leading to Complications and Poor Follow-up Citation Text: Bohringer C, Bourgeois J, Xiong G, et al. Failure to adhere to dietary restrictions leading to complications and poor follow-up.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality,…
  14. psnet.ahrq.gov/issue/characteristics-initial-prescription-episodes-and-likelihood-long-term-opioid-use-united
    April 24, 2018 - Study Classic Characteristics of initial prescription episodes and likelihood of long-term opioid use—United States, 2006–2015. Citation Text: Shah A, Hayes CJ, Martin BC. Characteristics of Initial Prescription Episodes and Likelihood of Long-Term Opioid Use - …
  15. psnet.ahrq.gov/issue/national-implementation-project-prevent-catheter-associated-urinary-tract-infection-nursing
    April 05, 2017 - Study Classic A national implementation project to prevent catheter-associated urinary tract infection in nursing home residents. Citation Text: Mody L, Greene T, Meddings J, et al. A National Implementation Project to Prevent Catheter-Associated Urinary Tract I…
  16. psnet.ahrq.gov/issue/clinical-pharmacist-led-transitions-care-program-veterans-two-planned-care-transitions
    December 23, 2011 - Study A clinical pharmacist-led transitions of care program for veterans with two planned care transitions (hospital to skilled care and skilled care to home) amid the COVID-19 pandemic. Citation Text: Scannell GA, Bevan DJ, Cowan A, et al. A clinical pharmacist-led transitions of care p…
  17. psnet.ahrq.gov/issue/exploring-roots-unintended-safety-threats-associated-introduction-hospital-eprescribing
    December 21, 2022 - Study Exploring the roots of unintended safety threats associated with the introduction of hospital ePrescribing systems and candidate avoidance and/or mitigation strategies: a qualitative study. Citation Text: Mozaffar H, Cresswell K, Williams R, et al. Exploring the roots of unintended…
  18. psnet.ahrq.gov/issue/patient-doctor-continuity-and-diagnosis-cancer-electronic-medical-records-study-general
    September 11, 2019 - Study Patient–doctor continuity and diagnosis of cancer: electronic medical records study in general practice. Citation Text: Ridd MJ, Ferreira DLS, Montgomery AA, et al. Patient-doctor continuity and diagnosis of cancer: electronic medical records study in general practice. Br J Gen Pra…
  19. psnet.ahrq.gov/issue/methods-studying-medication-safety-following-electronic-health-record-implementation-acute
    February 03, 2011 - Review Methods for studying medication safety following electronic health record implementation in acute care: a scoping review. Citation Text: Pereira N, Duff JP, Hayward T, et al. Methods for studying medication safety following electronic health record implementation in acute care: a …
  20. psnet.ahrq.gov/issue/what-can-patients-tell-us-about-quality-and-safety-hospital-care-findings-uk-multicentre
    July 21, 2017 - Study Emerging Classic What can patients tell us about the quality and safety of hospital care? Findings from a UK multicentre survey study. Citation Text: O'Hara JK, Reynolds C, Moore S, et al. What can patients tell us about the quality and safety of hospital …

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