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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46357/psn-pdf
    May 17, 2018 - Safe labeling practices to minimize medication errors in anesthesia: 5 case reports and review of the literature. May 17, 2018 Prakash S, Mullick P, Kumar A, et al. Safe Labeling Practices to Minimize Medication Errors in Anesthesia. A & A Practice. 2017;10(10). doi:10.1213/xaa.0000000000000680. https://psnet.ahrq…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60188/psn-pdf
    January 01, 2021 - Uncertain diagnoses in a children's hospital: patient characteristics and outcomes. April 1, 2020 Sump CA, Marshall TL, Ipsaro AJ, et al. Uncertain diagnoses in a children’s hospital: patient characteristics and outcomes. Diagnosis. 2021;8(3):353-357. doi:10.1515/dx-2019-0058. https://psnet.ahrq.gov/issue/uncertai…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837735/psn-pdf
    July 27, 2022 - A quality improvement initiative using peer audit and feedback to improve compliance with the surgical safety checklist. July 27, 2022 Fridrich A, Imhof A, Staender S, et al. A quality improvement initiative using peer audit and feedback to improve compliance. Int J Qual Health Care. 2022;34(3). doi:10.1093/intqhc…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866695/psn-pdf
    September 11, 2024 - Reducing ambulatory central line-associated bloodstream infections: a family-centered approach. September 11, 2024 Wong CI, Ilowite M, Yan A, et al. Reducing ambulatory central line?associated bloodstream infections: a family?centered approach. Pediatr Blood Cancer. 2024;71(8):e31064. doi:10.1002/pbc.31064. https:…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60640/psn-pdf
    July 01, 2020 - Standardizing opioid prescriptions to patients after ambulatory oncologic surgery reduces overprescription. July 1, 2020 Fearon NJ, Benfante N, Assel M, et al. Standardizing Opioid Prescriptions to Patients After Ambulatory Oncologic Surgery Reduces Overprescription. Jt Comm J Qual Patient Saf. 2020;46(7):410-416. …
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35471/psn-pdf
    September 21, 2009 - Medication safety in the ambulatory chemotherapy setting. September 21, 2009 Gandhi TK, Bartel SB, Shulman LN, et al. Medication safety in the ambulatory chemotherapy setting. Cancer. 2005;104(11). doi:10.1002/cncr.21442. https://psnet.ahrq.gov/issue/medication-safety-ambulatory-chemotherapy-setting Chemotherapeu…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73067/psn-pdf
    March 24, 2021 - Changes in error patterns in unanticipated trauma deaths during 20 years: in pursuit of zero preventable deaths. March 24, 2021 LaGrone LN, McIntyre LK, Riggle A, et al. Changes in error patterns in unanticipated trauma deaths during 20 years: In pursuit of zero preventable deaths. J Trauma Acute Care Surg. 2020;89…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865677/psn-pdf
    April 24, 2024 - The impact of adding a 2-way video monitoring system on falls and costs for high-risk inpatients. April 24, 2024 Sosa MA, Soares M, Patel S, et al. The impact of adding a 2-way video monitoring system on falls and costs for high-risk inpatients. J Patient Saf. 2024;20(3):186-191. doi:10.1097/pts.0000000000001197. …
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34952/psn-pdf
    November 17, 2011 - Assessing the National Electronic Injury Surveillance System—Cooperative Adverse Drug Event Surveillance Project—six sites, United States, January 1–June 15, 2004. November 17, 2011 Prevention C for DC and. Assessing the National Electronic Injury Surveillance System-Cooperative Adverse Drug Event Surveillance pr…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/861767/psn-pdf
    January 31, 2024 - Health literacy-informed communication to reduce discharge medication errors in hospitalized children: a randomized clinical trial. January 31, 2024 Carroll AR, Johnson JA, Stassun JC, et al. Health literacy-informed communication to reduce discharge medication errors in hospitalized children: a randomized clinica…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38054/psn-pdf
    July 05, 2013 - Ticket to ride: reducing handoff risk during hospital patient transport. July 5, 2013 Pesanka DA, Greenhouse PK, Rack LL, et al. Ticket to ride: reducing handoff risk during hospital patient transport. J Nurs Care Qual. 2009;24(2):109-15. doi:10.1097/01.NCQ.0000347446.98299.b5. https://psnet.ahrq.gov/issue/ticket-…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/843460/psn-pdf
    February 01, 2023 - Persisting high rates of omissions during anesthesia induction are decreased by utilization of a pre- & post- induction checklist. February 1, 2023 Krombach JW, Zürcher C, Simon SG, et al. Persisting high rates of omissions during anesthesia induction are decreased by utilization of a pre- & post-induction checkli…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36834/psn-pdf
    August 26, 2011 - Healthcare climate: a framework for measuring and improving patient safety. August 26, 2011 Zohar D, Livne Y, Tenne-Gazit O, et al. Healthcare climate: a framework for measuring and improving patient safety. Crit Care Med. 2007;35(5):1312-7. https://psnet.ahrq.gov/issue/healthcare-climate-framework-measuring-and-i…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866816/psn-pdf
    September 25, 2024 - Patient harm events and associated cost outcomes reported to a patient safety organization. September 25, 2024 Miller S, Stockwell DC. Patient harm events and associated cost outcomes reported to a patient safety organization. J Patient Saf. 2024;20(7):e92-e96. doi:10.1097/pts.0000000000001254. https://psnet.ahrq.…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46835/psn-pdf
    February 28, 2018 - Errors detected in pediatric oral liquid medication doses prepared in an automated workflow management system. February 28, 2018 Bledsoe S, Van Buskirk A, Falconer J, et al. Errors detected in pediatric oral liquid medication doses prepared in an automated workflow management system. Am J Health Syst Pharm. 2018;75…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45836/psn-pdf
    July 02, 2017 - Improving patient safety: avoiding unread imaging exams in the National VA enterprise electronic health record. July 2, 2017 Bastawrous S, Carney B. Improving Patient Safety: Avoiding Unread Imaging Exams in the National VA Enterprise Electronic Health Record. J Digit Imaging. 2017;30(3):309-313. doi:10.1007/s10278…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34889/psn-pdf
    March 04, 2011 - Effect of electronic health records in ambulatory care: retrospective, serial, cross sectional study. March 4, 2011 Garrido T, Jamieson L, Zhou Y, et al. Effect of electronic health records in ambulatory care: retrospective, serial, cross sectional study. BMJ. 2005;330(7491):581. https://psnet.ahrq.gov/issue/effec…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37051/psn-pdf
    February 24, 2011 - Clinical oversight: conceptualizing the relationship between supervision and safety. February 24, 2011 Kennedy TJT, Lingard LA, Baker R, et al. Clinical oversight: conceptualizing the relationship between supervision and safety. J Gen Intern Med. 2007;22(8):1080-5. https://psnet.ahrq.gov/issue/clinical-oversight-c…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867036/psn-pdf
    January 01, 2025 - Artificial intelligence-powered chatbots in search engines: a cross-sectional study on the quality and risks of drug information for patients. October 30, 2024 Andrikyan W, Sametinger SM, Kosfeld F, et al. Artificial intelligence-powered chatbots in search engines: a cross-sectional study on the quality and risks …
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47996/psn-pdf
    January 01, 2021 - Building an ambulatory safety program at an academic health system. May 15, 2019 Desai S, Fiumara K, Kachalia A. Building an Ambulatory Safety Program at an Academic Health System. J Patient Saf. 2021;17(2):e84-e90. doi:10.1097/PTS.0000000000000594. https://psnet.ahrq.gov/issue/building-ambulatory-safety-program-a…