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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/861292/psn-pdf
    January 24, 2024 - Deficiencies in the Community Care Network Credentialing Process of a Former VA Surgeon and Veterans Health Administration Oversight Failures. January 24, 2024 Washington DC: VA Office of the Inspector General; January 4, 2024; Report no. 22-02294-42. https://psnet.ahrq.gov/issue/deficiencies-community-care-n…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48124/psn-pdf
    July 31, 2019 - Medication safety alert fatigue may be reduced via interaction design and clinical role tailoring: a systematic review. July 31, 2019 Hussain MI, Reynolds TL, Zheng K. Medication safety alert fatigue may be reduced via interaction design and clinical role tailoring: a systematic review. J Am Med Inform Assoc. 2019…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44156/psn-pdf
    November 10, 2015 - Exploring the role of communications in quality improvement: a case study of the 1000 Lives Campaign in NHS Wales. November 10, 2015 Cooper A, Gray J, Willson A, et al. Exploring the role of communications in quality improvement: A case study of the 1000 Lives Campaign in NHS Wales. J Commun Healthc. 2015;8(1):76-…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47628/psn-pdf
    March 13, 2019 - Prescribing in 2019: what are the safety concerns? March 13, 2019 Coleman JJ. Prescribing in 2019: what are the safety concerns? Expert Opin Drug Saf. 2019;18(2):69-74. doi:10.1080/14740338.2019.1571038. https://psnet.ahrq.gov/issue/prescribing-2019-what-are-safety-concerns Medication errors present challenges to …

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844759/psn-pdf
    September 18, 2019 - Saving Patient Ryan- can advanced electronic medical records make patient care safer? September 18, 2019 Hydari MZ, Telang R, Marella WM. Manage Sci. 2019;65:2041-2059. https://psnet.ahrq.gov/issue/saving-patient-ryan-can-advanced-electronic-medical-records-make-patient- care-safer This observational study examin…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47520/psn-pdf
    February 06, 2019 - Improving patient safety in developing countries—moving towards an integrated approach. February 6, 2019 Elmontsri M, Banarsee R, Majeed A. Improving patient safety in developing countries - moving towards an integrated approach. JRSM Open. 2018;9(11):2054270418786112. doi:10.1177/2054270418786112. https://psnet.a…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46511/psn-pdf
    December 19, 2017 - Professional, structural and organisational interventions in primary care for reducing medication errors. December 19, 2017 Khalil H, Bell BG, Chambers H, et al. Professional, structural and organisational interventions in primary care for reducing medication errors. Cochrane Database Syst Rev. 2017;10:CD003942. d…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46474/psn-pdf
    November 08, 2017 - Clearing the Error: Using Public Deliberation to Define Patient Roles as Partners in the Diagnostic Process. November 8, 2017 St. Paul, MN: Society to Improve Diagnosis in Medicine, Maxwell School of Citizenship and Public Affairs at Syracuse University, and Jefferson Center; 2017. https://psnet.ahrq.gov/issue/cle…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44536/psn-pdf
    November 11, 2015 - Healthcare system intervention for safer use of medicines in elderly patients in primary care—a qualitative study of the participants' perceptions of self-assessment, peer review, feedback and agreement for change. November 11, 2015 Lenander C, Bondesson Å, Midlöv P, et al. Healthcare system intervention for safer…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844802/psn-pdf
    September 18, 2019 - Using proactive risk assessment (HFMEA) to improve patient safety and quality associated with intraocular lens selection and implantation in cataract surgery. September 18, 2019 DeRosier JM, Hansemann BK, Smith-Wheelock MW, et al. Using Proactive Risk Assessment (HFMEA) to Improve Patient Safety and Quality Associ…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/842433/psn-pdf
    February 15, 2023 - New AHRQ SOPS Workplace Safety Supplemental Item Set for Nursing Homes. February 15, 2023 Agency for Healthcare Research and Quality. January 24, 2023. https://psnet.ahrq.gov/issue/new-ahrq-sops-workplace-safety-supplemental-item-set-nursing-homes Workplace safety became more apparent during the COVID pandemic as …

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865530/psn-pdf
    April 10, 2024 - Electronic Health Record Modernization Caused Pharmacy-Related Patient Safety Issues Nationally and at the VA Central Ohio Healthcare System in Columbus. April 10, 2024 Washington, DC: The Veterans Affairs Inspector General; March 21, 2024. Report No. 23-01450- 114. https://psnet.ahrq.gov/issue/electronic-he…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35060/psn-pdf
    November 04, 2015 - Risk factors for adverse drug events: a 10-year analysis. November 4, 2015 Evans S, Lloyd JF, Stoddard GJ, et al. Risk factors for adverse drug events: a 10-year analysis. Ann Pharmacother. 2005;39(7-8):1161-8. https://psnet.ahrq.gov/issue/risk-factors-adverse-drug-events-10-year-analysis Many medications remain a…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38189/psn-pdf
    November 14, 2011 - Errors, near misses and adverse events in the emergency department: what can patients tell us? November 14, 2011 Friedman SM, Provan D, Moore S, et al. Errors, near misses and adverse events in the emergency department: what can patients tell us? CJEM. 2008;10(5):421-427. https://psnet.ahrq.gov/issue/errors-near-m…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47837/psn-pdf
    May 11, 2019 - Association of hospital employee satisfaction with patient safety and satisfaction within Veterans Affairs medical centers. May 11, 2019 Kang R, Kunkel ST, Columbo JA, et al. Association of Hospital Employee Satisfaction with Patient Safety and Satisfaction within Veterans Affairs Medical Centers. Am J Med. 2019;1…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851917/psn-pdf
    January 01, 2024 - Incivility in healthcare: the impact of poor communication. August 2, 2023 Guppy JH, Widlund H, Munro R, et al. Incivility in healthcare: the impact of poor communication. BMJ Lead. 2024;8(1):83-87. doi:10.1136/leader-2022-000717. https://psnet.ahrq.gov/issue/incivility-healthcare-impact-poor-communication Incivi…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866283/psn-pdf
    July 10, 2024 - Safety and Quality of Parenteral Nutrition: Translating Guidelines into Clinical Practice Considering Different Organizational Settings. July 10, 2024 Am J Health Syst Pharm. 2024;81(supp 3):s73-s136. https://psnet.ahrq.gov/issue/safety-and-quality-parenteral-nutrition-translating-guidelines-clinical-practice- co…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43257/psn-pdf
    August 14, 2014 - Barriers and success factors to the implementation of a multi-site prospective adverse event surveillance system. August 14, 2014 Backman C, Forster AJ, Vanderloo S. Barriers and success factors to the implementation of a multi-site prospective adverse event surveillance system. Int J Qual Health Care. 2014;26(4):4…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47713/psn-pdf
    June 14, 2019 - Medication appropriateness in vulnerable older adults: healthy skepticism of appropriate polypharmacy. June 14, 2019 Fried TR, Mecca MC. Medication Appropriateness in Vulnerable Older Adults: Healthy Skepticism of Appropriate Polypharmacy. J Am Geriatr Soc. 2019;67(6):1123-1127. doi:10.1111/jgs.15798. https://psne…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837306/psn-pdf
    June 01, 2022 - Mortality due to hospital-acquired infection after cardiac surgery. June 1, 2022 Massart N, Mansour A, Ross JT, et al. Mortality due to hospital-acquired infection after cardiac surgery. J Thorac Cardiovasc Surg. 2022;163(6):2131-2140.e3. doi:10.1016/j.jtcvs.2020.08.094. https://psnet.ahrq.gov/issue/mortality-due-…
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