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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37754/psn-pdf
    May 14, 2008 - Potentially inappropriate medication use in hospitalized elders. May 14, 2008 Rothberg MB, Pekow PS, Liu F, et al. Potentially inappropriate medication use in hospitalized elders. J Hosp Med. 2008;3(2):91-102. doi:10.1002/jhm.290. https://psnet.ahrq.gov/issue/potentially-inappropriate-medication-use-hospitalized-e…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44955/psn-pdf
    May 21, 2016 - Accuracy of the Safer Dx Instrument to identify diagnostic errors in primary care. May 21, 2016 Al-Mutairi A, Meyer AND, Thomas EJ, et al. Accuracy of the Safer Dx Instrument to Identify Diagnostic Errors in Primary Care. J Gen Intern Care. 2016;31(6):602-608. doi:10.1007/s11606-016-3601-x. https://psnet.ahrq.gov/…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41394/psn-pdf
    December 29, 2014 - An adverse event screening tool based on routinely collected hospital-acquired diagnoses. December 29, 2014 Brand CA, Tropea J, Gorelik A, et al. An adverse event screening tool based on routinely collected hospital-acquired diagnoses. Int J Qual Health Care. 2012;24(3):266-78. doi:10.1093/intqhc/mzs007. https://p…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47211/psn-pdf
    November 16, 2018 - A conceptual framework to reduce inpatient preventable deaths. November 16, 2018 Davis DP, Aguilar SA, Lawrence B, et al. A Conceptual Framework to Reduce Inpatient Preventable Deaths. Jt Comm J Qual Patient Saf. 2018;44(7):413-420. doi:10.1016/j.jcjq.2018.01.003. https://psnet.ahrq.gov/issue/conceptual-framework-…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37998/psn-pdf
    April 18, 2011 - Awareness with recall during general anaesthesia: a prospective observational evaluation of 4001 patients. April 18, 2011 Errando CL, Sigl JC, Robles M, et al. Awareness with recall during general anaesthesia: a prospective observational evaluation of 4001 patients. Br J Anaesth. 2008;101(2):178-85. doi:10.1093/bja…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48169/psn-pdf
    July 24, 2019 - 50 Years of Inquiries in the National Health Service. July 24, 2019 Polit Q. 2019;90:177-342. https://psnet.ahrq.gov/issue/50-years-inquiries-national-health-service The National Health Service strategy of publishing their inquiries into systematic poor care in the health service is a model of transparency. Articl…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45514/psn-pdf
    November 02, 2016 - Building a culture of safety in ophthalmology. November 2, 2016 Custer PL, Fitzgerald ME, Herman DC, et al. Building a Culture of Safety in Ophthalmology. Ophthalmology. 2016;123(9 Suppl):S40-5. doi:10.1016/j.ophtha.2016.06.019. https://psnet.ahrq.gov/issue/building-culture-safety-ophthalmology Efforts to reduce m…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40002/psn-pdf
    January 19, 2011 - Considerations for the design of safe and effective consumer health IT applications in the home. January 19, 2011 Zayas-Cabán T, Dixon BE. Considerations for the design of safe and effective consumer health IT applications in the home. Qual Saf Health Care. 2010;19 Suppl 3:i61-i67. doi:10.1136/qshc.2010.041897. ht…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39914/psn-pdf
    October 13, 2010 - Clinical handover of patients arriving by ambulance to the emergency department: a literature review. October 13, 2010 Bost N, Crilly J, Wallis M, et al. Clinical handover of patients arriving by ambulance to the emergency department - a literature review. Int Emerg Nurs. 2010;18(4):210-20. doi:10.1016/j.ienj.2009.…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847059/psn-pdf
    April 05, 2023 - A decade after Francis: is the NHS safer and more open? April 5, 2023 Martin G, Stanford S, Dixon-Woods M. A decade after Francis: is the NHS safer and more open? BMJ. 2023;380:513. doi:10.1136/bmj.p513. https://psnet.ahrq.gov/issue/decade-after-francis-nhs-safer-and-more-open The Francis report served as a call t…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39428/psn-pdf
    April 07, 2010 - Critical incidents related to cardiac arrests reported to the Danish Patient Safety Database. April 7, 2010 Andersen PO, Maaløe R, Andersen HB. Critical incidents related to cardiac arrests reported to the Danish Patient Safety Database. Resuscitation. 2010;81(3):312-316. doi:10.1016/j.resuscitation.2009.10.018. h…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45682/psn-pdf
    November 01, 2017 - Changing smart pump vendors: lessons learned. November 1, 2017 Arthur KJ, Catlin AC, Quebe A, et al. Changing Smart Pump Vendors: Lessons Learned. Hosp Pharm. 2016;51(9):782-789. https://psnet.ahrq.gov/issue/changing-smart-pump-vendors-lessons-learned Changes in processes, devices, and technologies can increase ri…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38246/psn-pdf
    January 02, 2009 - Chemotherapy safety and severe adverse events in cancer patients: strategies to efficiently avoid chemotherapy errors in in- and outpatient treatment. January 2, 2009 Markert A, Thierry V, Kleber M, et al. Chemotherapy safety and severe adverse events in cancer patients: Strategies to efficiently avoid chemotherap…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50556/psn-pdf
    January 01, 2021 - The compliance with a patient safety bundle for management of placenta accreta spectrum. October 16, 2019 Quist-Nelson J, Crank A, Oliver EA, et al. The compliance with a patient-safety bundle for management of placenta accreta spectrum†. J Matern Fetal Neonatal Med. 2021;34(17):2880-2886. doi:10.1080/14767058.201…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46401/psn-pdf
    September 13, 2017 - Understanding middle managers' influence in implementing patient safety culture. September 13, 2017 Gutberg J, Berta W. Understanding middle managers' influence in implementing patient safety culture. BMC Health Serv Res. 2017;17(1):582. doi:10.1186/s12913-017-2533-4. https://psnet.ahrq.gov/issue/understanding-mid…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46231/psn-pdf
    December 20, 2017 - Patient preferences for participation in patient care and safety activities in hospitals. December 20, 2017 Ringdal M, Chaboyer W, Ulin K, et al. Patient preferences for participation in patient care and safety activities in hospitals. BMC Nurs. 2017;16:69. doi:10.1186/s12912-017-0266-7. https://psnet.ahrq.gov/iss…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47233/psn-pdf
    November 02, 2018 - The STEP-up programme: engaging all staff in patient safety. November 2, 2018 Hamblin-Brown DJ; Ingram J. https://psnet.ahrq.gov/issue/step-programme-engaging-all-staff-patient-safety A transparent and respectful hospital culture is the foundation for improving working conditions to reduce preventable harm. This …
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74763/psn-pdf
    June 25, 2021 - FDA Safety Communication: flexible bronchoscopes and updated recommendations for reprocessing. June 25, 2021 Silver Springs, MD: US Food and Drug Administration: June 25, 2021. https://psnet.ahrq.gov/issue/fda-safety-communication-flexible-bronchoscopes-and-updated- recommendations-reprocessing Incomplete reproce…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74108/psn-pdf
    January 01, 2022 - 'It depends': The complexity of allowing residents to fail from the perspective of clinical supervisors. November 24, 2021 Klasen JM, Teunissen PW, Driessen EW, et al. ‘It depends’: the complexity of allowing residents to fail from the perspective of clinical supervisors. Med Teach. 2022;44(2):196-205. doi:10.1080…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37056/psn-pdf
    February 24, 2011 - Use of multidisciplinary rounds to simultaneously improve quality outcomes, enhance resident education, and shorten length of stay. February 24, 2011 O'Mahony S, Mazur E, Charney P, et al. Use of multidisciplinary rounds to simultaneously improve quality outcomes, enhance resident education, and shorten length of …