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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60039/psn-pdf
    March 11, 2020 - A 25-year-old teacher died after waiting hours at the ER. She's not the only one who saw delays. March 11, 2020 Linnane R, Diedrich J. Milwaukee Journal Sentinel. February 25, 2020. https://psnet.ahrq.gov/issue/25-year-old-teacher-died-after-waiting-hours-er-shes-not-only-one-who-saw- delays Delays in emergency r…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36476/psn-pdf
    December 14, 2009 - 10 Patient Safety Tips for Hospitals. December 14, 2009 Rockville, MD: Agency for Healthcare Research and Quality; December 2009. AHRQ Publication No. 10- M008. https://psnet.ahrq.gov/issue/10-patient-safety-tips-hospitals This tip sheet provides 10 practical steps hospitals can undertake to improve patient safety…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47744/psn-pdf
    July 19, 2019 - A qualitative positive deviance study to explore exceptionally safe care on medical wards for older people. July 19, 2019 Baxter R, Taylor N, Kellar I, et al. A qualitative positive deviance study to explore exceptionally safe care on medical wards for older people. BMJ Qual Saf. 2019;28(8):618-626. doi:10.1136/bm…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837962/psn-pdf
    August 31, 2022 - Positive approaches to safety: learning from what we do well. August 31, 2022 Plunkett A, Plunkett E. Positive approaches to safety: learning from what we do well. Paediatr Anaesth. 2022;32(11):1223-1229. doi:10.1111/pan.14509. https://psnet.ahrq.gov/issue/positive-approaches-safety-learning-what-we-do-well Safet…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43989/psn-pdf
    March 18, 2015 - Application of a trigger tool in near real time to inform quality improvement activities: a prospective study in a general medicine ward. March 18, 2015 Wong BM, Dyal S, Etchells E, et al. Application of a trigger tool in near real time to inform quality improvement activities: a prospective study in a general med…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73299/psn-pdf
    May 19, 2021 - More can be done to alleviate errors associated with pharmaceutical product labeling and packaging. May 19, 2021 ISMP Medication Safety Alert! Acute Care Edition. May 6, 2021;26(9):1-4. https://psnet.ahrq.gov/issue/more-can-be-done-alleviate-errors-associated-pharmaceutical-product- labeling-and-packaging Look-al…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/839823/psn-pdf
    November 09, 2022 - Prescribing decision making by medical residents on night shifts: a qualitative study. November 9, 2022 Lauffenburger JC, Coll MD, Kim E, et al. Prescribing decision making by medical residents on night shifts: a qualitative study. Med Educ. 2022;56(10):1032-1041. doi:10.1111/medu.14845. https://psnet.ahrq.gov/iss…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43179/psn-pdf
    July 28, 2014 - The effect of the electronic transmission of prescriptions on dispensing errors and prescription enhancements made in English community pharmacies: a naturalistic stepped wedge study. July 28, 2014 Franklin BD, Reynolds M, Sadler S, et al. The effect of the electronic transmission of prescriptions on dispensing e…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45029/psn-pdf
    April 20, 2016 - Threats to safety during sedation outside of the operating room and the death of Michael Jackson. April 20, 2016 Webster CS, Mason KP, Shafer SL. Threats to safety during sedation outside of the operating room and the death of Michael Jackson. Curr Opin Anaesthesiol. 2016;29 Suppl 1:S36-47. doi:10.1097/ACO.0000000…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/862152/psn-pdf
    February 07, 2024 - Risk identification and prediction of complaints and misconduct against health practitioners: a scoping review. February 7, 2024 Wang Y, Ram SS, Scahill S. Risk identification and prediction of complaints and misconduct against health practitioners: a scoping review. Int J Qual Health Care. 2024;36(1):mzad114. doi…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46719/psn-pdf
    December 20, 2017 - Frustrated with your EHR? Don't blame your vendor—safety is a shared responsibility. December 20, 2017 Singh H, Sittig DF. NEJM Catalyst. December 7, 2017. https://psnet.ahrq.gov/issue/frustrated-your-ehr-dont-blame-your-vendor-safety-shared-responsibility The promise of health information technology has yet to be…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72729/psn-pdf
    February 10, 2021 - Exploring the theory, barriers and enablers for patient and public involvement across health, social care and patient safety: a systematic review of reviews. February 10, 2021 Ocloo J, Garfield S, Franklin BD, et al. Exploring the theory, barriers and enablers for patient and public involvement across health, soci…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44716/psn-pdf
    April 15, 2016 - An integrative review of patient safety in studies on the care and safety of patients with communication disabilities in hospital. April 15, 2016 Hemsley B, Georgiou A, Hill S, et al. An integrative review of patient safety in studies on the care and safety of patients with communication disabilities in hospital. …
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38091/psn-pdf
    February 18, 2011 - Questionable hospital chart documentation practices by physicians. February 18, 2011 Sharma R, Kostis WJ, Wilson AC, et al. Questionable hospital chart documentation practices by physicians. J Gen Intern Med. 2008;23(11):1865-70. doi:10.1007/s11606-008-0750-6. https://psnet.ahrq.gov/issue/questionable-hospital-cha…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43721/psn-pdf
    December 03, 2014 - Predicting potential postdischarge adverse drug events and 30-day unplanned hospital readmissions from medication regimen complexity. December 3, 2014 Schoonover H, Corbett CF, Weeks DL, et al. Predicting potential postdischarge adverse drug events and 30-day unplanned hospital readmissions from medication regimen…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60927/psn-pdf
    September 16, 2020 - Amid COVID-19, discipline against bad doctors plummets; more medical errors may slip through cracks. September 16, 2020 O'Donnell J. USA Today. September 8, 2020 https://psnet.ahrq.gov/issue/amid-covid-19-discipline-against-bad-doctors-plummets-more-medical-errors- may-slip-through Management and clinical functio…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852797/psn-pdf
    August 23, 2023 - Anaesthesia and patient safety in the socio-technical operating theatre: a narrative review spanning a century. August 23, 2023 Webster CS, Mahajan R, Weller JM. Anaesthesia and patient safety in the socio-technical operating theatre: a narrative review spanning a century. Br J Anaesth. 2023;131(2):397-406. doi:10…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36552/psn-pdf
    January 12, 2011 - Toward learning from patient safety reporting systems. January 12, 2011 Pronovost P, Thompson DA, Holzmueller CG, et al. Toward learning from patient safety reporting systems. J Crit Care. 2006;21(4):305-15. https://psnet.ahrq.gov/issue/toward-learning-patient-safety-reporting-systems This study reports the initia…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866593/psn-pdf
    August 28, 2024 - Navigating the complex terrain of patient safety: challenges, strategies, and the importance of ongoing evaluation and knowledge sharing. August 28, 2024 Macleod H, Greenfield D. Navigating the complex terrain of patient safety: challenges, strategies, and the importance of ongoing evaluation and knowledge sharing…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45879/psn-pdf
    July 02, 2017 - A hybrid methodology for modeling risk of adverse events in complex health-care settings. July 2, 2017 Kazemi R, Mosleh A, Dierks M. A Hybrid Methodology for Modeling Risk of Adverse Events in Complex Health-Care Settings. Risk Anal. 2017;37(3):421-440. doi:10.1111/risa.12702. https://psnet.ahrq.gov/issue/hybrid-m…