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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36251/psn-pdf
    September 13, 2006 - Frequency and type of errors and near errors reported by critical care nurses. September 13, 2006 Balas MC; Scott LD; Rogers AE. https://psnet.ahrq.gov/issue/frequency-and-type-errors-and-near-errors-reported-critical-care-nurses Prior research has demonstrated that intensive care unit patients are particularly vu…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43566/psn-pdf
    December 19, 2014 - Bedside shift reports: what does the evidence say? December 19, 2014 Gregory S, Tan D, Tilrico M, et al. Bedside shift reports: what does the evidence say? J Nurs Adm. 2014;44(10):541-5. doi:10.1097/NNA.0000000000000115. https://psnet.ahrq.gov/issue/bedside-shift-reports-what-does-evidence-say Bedside shift report…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/843323/psn-pdf
    February 01, 2023 - Long-Term Trends of Psychotropic Drug Use in Nursing Homes. February 1, 2023 Grimm CA. Washington DC: Office of the Inspector General; Nov 2022. Report no. OEI-07-20- 00500. https://psnet.ahrq.gov/issue/long-term-trends-psychotropic-drug-use-nursing-homes Misdiagnosis can result in inappropriate medication u…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60192/psn-pdf
    April 01, 2020 - Effective Reporting Could Improve Safe Use of Electronic Health Records. April 1, 2020 Philadelphia, PA: Pew Charitable Trusts; March 2020. https://psnet.ahrq.gov/issue/effective-reporting-could-improve-safe-use-electronic-health-records Electronic health records both enhance and challenge the safety of care proce…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35485/psn-pdf
    May 27, 2011 - Navigating the information technology highway: computer solutions to reduce errors and enhance patient safety. May 27, 2011 Koshy R. Navigating the information technology highway: computer solutions to reduce errors and enhance patient safety. Transfusion (Paris). 2005;45(4 Suppl):189S-205S. https://psnet.ahrq.go…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43211/psn-pdf
    July 16, 2015 - Seeking high reliability in primary care: leadership, tools, and organization. July 16, 2015 Weaver RR. Seeking high reliability in primary care: Leadership, tools, and organization. Health Care Manage Rev. 2015;40(3):183-92. doi:10.1097/HMR.0000000000000022. https://psnet.ahrq.gov/issue/seeking-high-reliability-p…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/855104/psn-pdf
    November 08, 2023 - Healthcare wants to fly as high as the aviation industry. Can it? November 8, 2023 Twenter P. Becker's Clinical Leadership. October 30, 2023. https://psnet.ahrq.gov/issue/healthcare-wants-fly-high-aviation-industry-can-it Health care has long held commercial aviation as a beacon to guide patient safety improv…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50594/psn-pdf
    October 30, 2019 - Pharmacist linkage in care transitions: from academic medical center to community. October 30, 2019 Bloodworth LS, Malinowski SS, Lirette ST, et al. Pharmacist linkage in care transitions: from academic medical center to community. J Am Pharm Assoc . 2019;59(6):896-904. doi:10.1016/j.japh.2019.08.011. https://psne…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847731/psn-pdf
    April 19, 2023 - Lessons from health care leaders: rethinking and reinvesting in patient safety. April 19, 2023 doi:10.1056/CAT.23.0090. https://psnet.ahrq.gov/issue/lessons-health-care-leaders-rethinking-and-reinvesting-patient-safety Progress in patient safety has been disappointingly slow. This commentary shares thoughts from a…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/859351/psn-pdf
    January 01, 2024 - Changing the patient safety mindset: can safety cases help? December 20, 2023 Sujan M, Habli I. Changing the patient safety mindset: can safety cases help? BMJ Qual Saf. 2024;33(3):145-148. doi:10.1136/bmjqs-2023-016652. https://psnet.ahrq.gov/issue/changing-patient-safety-mindset-can-safety-cases-help Examinatio…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50875/psn-pdf
    February 05, 2020 - Implementing Closing the Loop. Safe Practices for Diagnostic Results February 5, 2020 Partnership for HIT Patient Safety. Plymouth Meeting, PA: ECRI Institute; 2020. https://psnet.ahrq.gov/issue/implementing-closing-loop-safe-practices-diagnostic-results Health information technology (HIT) can improve record keepi…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43462/psn-pdf
    September 12, 2016 - Preventable mortality after common urological surgery: failing to rescue? September 12, 2016 Sammon JD, Pucheril D, Abdollah F, et al. Preventable mortality after common urological surgery: failing to rescue? BJU Int. 2015;115(4):666-674. doi:10.1111/bju.12833. https://psnet.ahrq.gov/issue/preventable-mortality-af…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35101/psn-pdf
    November 04, 2015 - Hospital finances and patient safety outcomes. November 4, 2015 Encinosa W, Bernard DM. Hospital finances and patient safety outcomes. Inquiry. 2005;42(1):60-72. https://psnet.ahrq.gov/issue/hospital-finances-and-patient-safety-outcomes This AHRQ–funded study examined the relationship between hospital profit margin…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35583/psn-pdf
    June 17, 2010 - Using a bar-coded medication administration system to prevent medication errors in a community hospital network. June 17, 2010 Sakowski J, Leonard T, Colburn S, et al. Using a bar-coded medication administration system to prevent medication errors in a community hospital network. American Journal of Health-System …

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837908/psn-pdf
    August 24, 2022 - Implication of the COVID-19 Pandemic for Patient Safety: A Rapid Review. August 24, 2022 Integrated Health Services. Geneva, Switzerland: World Health Organization; 2022. ISBN: 9789240055094. https://psnet.ahrq.gov/issue/implication-covid-19-pandemic-patient-safety-rapid-review The COVID-19 pandemic created new r…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44017/psn-pdf
    April 08, 2018 - Digitizing diagnosis: a review of mobile applications in the diagnostic process. April 8, 2018 Jutel A, Lupton D. Digitizing diagnosis: a review of mobile applications in the diagnostic process. Diagnosis (Berl). 2015;2(2):89-96. doi:10.1515/dx-2014-0068. https://psnet.ahrq.gov/issue/digitizing-diagnosis-review-mo…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39898/psn-pdf
    February 01, 2011 - Improving reliability of clinical care practices for ventilated patients in the context of a patient safety improvement initiative. February 1, 2011 Pinto A, Burnett S, Benn J, et al. Improving reliability of clinical care practices for ventilated patients in the context of a patient safety improvement initiative.…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38925/psn-pdf
    September 16, 2009 - A literature review of the individual and systems factors that contribute to medication errors in nursing practice. September 16, 2009 Brady A-M, Malone A-M, Fleming S. A literature review of the individual and systems factors that contribute to medication errors in nursing practice. J Nurs Manag. 2009;17(6):679-97…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47940/psn-pdf
    May 01, 2019 - Validation of the Primary Care Patient Measure of Safety (PC PMOS) questionnaire. May 1, 2019 Giles SJ, Parveen S, Hernan AL. Validation of the Primary Care Patient Measure of Safety (PC PMOS) questionnaire. BMJ Qual Saf. 2019;28(5):389-396. doi:10.1136/bmjqs-2018-007988. https://psnet.ahrq.gov/issue/validation-pr…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866201/psn-pdf
    June 26, 2024 - Systemic: How Racism Is Making Us Ill. June 26, 2024 Liverpool L. New York, NY: Astra Publishing House; 2024. ISBN?: ?9781662601675. https://psnet.ahrq.gov/issue/systemic-how-racism-making-us-ill People of color are routinely affected by biased decision making in health care. This book examines the phenomenon of d…
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