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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46911/psn-pdf
    May 02, 2018 - Errors in electronic health record–based data query of statin prescriptions in patients with coronary artery disease in a large, academic, multispecialty clinic practice. May 2, 2018 Shin EY, Ochuko P, Bhatt K, et al. Errors in Electronic Health Record-Based Data Query of Statin Prescriptions in Patients With Cor…
  2. 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 …
  3. 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…
  4. 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…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838924/psn-pdf
    October 26, 2022 - Intraoperative code blue: improving teamwork and code response through interprofessional, in situ simulation. October 26, 2022 Wu G, Podlinski L, Wang C, et al. Intraoperative code blue: improving teamwork and code response through interprofessional, in situ simulation. Jt Comm J Qual Patient Saf. 2022;48(12):665-6…
  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/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…
  8. 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…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/862127/psn-pdf
    February 07, 2024 - Association of hospital markup with preventable adverse events following pancreatic surgery in the United States. February 7, 2024 Alterio RE, Abreu AA, Meier J, et al. Association of hospital markup with preventable adverse events following pancreatic surgery in the United States. Curr Probl Surg. 2024;61(1):10142…
  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/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…
  15. 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-…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34055/psn-pdf
    March 07, 2005 - What is driving hospitals' patient-safety efforts? March 7, 2005 Devers KJ, Pham HH, Liu G. What is driving hospitals' patient-safety efforts? Health Aff (Millwood). 2004;23(2):103-15. https://psnet.ahrq.gov/issue/what-driving-hospitals-patient-safety-efforts This study evaluated the role professionalism, regulati…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865704/psn-pdf
    May 01, 2024 - Supporting error management and safety climate in ambulatory care practices: the CIRSforte study. May 1, 2024 Müller BS, Lüttel D, Schütze D, et al. Supporting error management and safety climate in ambulatory care practices: the CIRSforte study. J Patient Saf. 2024;20(5):314-322. doi:10.1097/pts.0000000000001225. …
  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/36025/psn-pdf
    March 28, 2011 - Understanding diagnostic errors in medicine: a lesson from aviation. March 28, 2011 Singh H, Petersen LA, Thomas EJ. Understanding diagnostic errors in medicine: a lesson from aviation. Qual Saf Health Care. 2006;15(3):159-64. https://psnet.ahrq.gov/issue/understanding-diagnostic-errors-medicine-lesson-aviation T…
  20. 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…

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