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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36005/psn-pdf
    March 28, 2011 - Active surveillance using electronic triggers to detect adverse events in hospitalized patients. March 28, 2011 Szekendi MK, Sullivan C, Bobb A, et al. Active surveillance using electronic triggers to detect adverse events in hospitalized patients. Qual Saf Health Care. 2006;15(3):184-90. https://psnet.ahrq.gov/is…

  2. 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…

  3. 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…

  4. 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…

  5. 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…

  6. 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…

  7. 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…

  8. 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 …

  9. 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…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60894/psn-pdf
    September 09, 2020 - Increased patient safety-related incidents following the transition into Daylight Savings Time. September 9, 2020 Kolla BP, Coombes BJ, Morgenthaler TI, et al. Increased patient safety-related incidents following the transition into Daylight Savings Time. J Gen Intern Med. 2020;36(1):51-54. doi:10.1007/s11606-020-0…

  11. 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…

  12. 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…

  13. 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…

  14. 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-…

  15. 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…

  16. 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…

  17. 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…

  18. 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…

  19. 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…

  20. 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…
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