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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42867/psn-pdf
    February 13, 2014 - Medication regimen complexity and hospital readmission for an adverse drug event. February 13, 2014 Willson MN, Greer CL, Weeks DL. Medication regimen complexity and hospital readmission for an adverse drug event. Ann Pharmacother. 2014;48(1):26-32. doi:10.1177/1060028013510898. https://psnet.ahrq.gov/issue/medica…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38252/psn-pdf
    November 26, 2008 - Hospital ethical climate and teamwork in acute care: the moderating role of leaders. November 26, 2008 Rathert C, Fleming DA. Hospital ethical climate and teamwork in acute care: the moderating role of leaders. Health Care Manag Rev. 2008;33(4):323-331. doi:10.1097/01.HCM.0000318769.75018.8d. https://psnet.ahrq.go…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39245/psn-pdf
    January 20, 2010 - Adverse Events in Hospitals: Public Disclosure of Information About Events. January 20, 2010 Wright S. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; January 5, 2010. Report No. OEI-06-09-00360. https://psnet.ahrq.gov/issue/adverse-events-hospitals-public-disclosure-in…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40292/psn-pdf
    March 16, 2011 - Patterns of unexpected in-hospital deaths: a root cause analysis. March 16, 2011 Lynn LA, Curry P. Patterns of unexpected in-hospital deaths: a root cause analysis. Patient Saf Surg. 2011;5(1):3. doi:10.1186/1754-9493-5-3. https://psnet.ahrq.gov/issue/patterns-unexpected-hospital-deaths-root-cause-analysis This l…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36965/psn-pdf
    February 15, 2011 - Strategic work-arounds to accommodate new technology: the case of smart pumps in hospital care. February 15, 2011 McAlearney AS, Vrontos J, Schneider PJ, et al. Strategic Work-Arounds to Accommodate New Technology. J Patient Saf. 2008;3(2). doi:10.1097/01.jps.0000242987.93789.63. https://psnet.ahrq.gov/issue/strat…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42163/psn-pdf
    May 19, 2013 - Frontline hospital workers and the worker safety/patient safety nexus. May 19, 2013 Sokas R, Braun B, Chenven L, et al. Frontline hospital workers and the worker safety/patient safety nexus. Jt Comm J Qual Patient Saf. 2013;39(4):185-192. https://psnet.ahrq.gov/issue/frontline-hospital-workers-and-worker-safetypat…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37739/psn-pdf
    June 07, 2008 - Health-Care-Associated Infections in Hospitals: Leadership Needed from HHS to Prioritize Prevention Practices and Improve Data on these Infections. June 7, 2008 Washington, DC: United States Government Accountability Office; March 31, 2008. Publication GAO-08- 283. https://psnet.ahrq.gov/issue/health-care-associa…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39902/psn-pdf
    December 29, 2014 - Clinical handover incident reporting in one UK general hospital. December 29, 2014 Pezzolesi C, Schifano F, Pickles J, et al. Clinical handover incident reporting in one UK general hospital. Int J Qual Health Care. 2010;22(5):396-401. doi:10.1093/intqhc/mzq048. https://psnet.ahrq.gov/issue/clinical-handover-incide…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36976/psn-pdf
    June 15, 2011 - Evaluation of an intervention aimed at improving voluntary incident reporting in hospitals. June 15, 2011 Evans S, Smith B, Esterman A, et al. Evaluation of an intervention aimed at improving voluntary incident reporting in hospitals. Qual Saf Health Care. 2007;16(3):169-75. https://psnet.ahrq.gov/issue/evaluation…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37564/psn-pdf
    June 12, 2008 - The medical emergency team system: a two hospital comparison. June 12, 2008 Young L, Donald M, Parr M, et al. The Medical Emergency Team system: a two hospital comparison. Resuscitation. 2008;77(2):180-8. doi:10.1016/j.resuscitation.2007.11.016. https://psnet.ahrq.gov/issue/medical-emergency-team-system-two-hospit…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43060/psn-pdf
    June 27, 2016 - Medication administration errors in hospitals—challenges and recommendations for their measurement. June 27, 2016 McLeod M, Barber N, Franklin BD. National Quality Measures Clearinghouse: Expert Commentaries; March 10, 2014. https://psnet.ahrq.gov/issue/medication-administration-errors-hospitals-challenges-and-rec…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47649/psn-pdf
    January 09, 2019 - ASH Clinical Practice Guidelines on Venous Thromboembolism. January 9, 2019 Washington DC; American Society of Hematology. https://psnet.ahrq.gov/issue/ash-clinical-practice-guidelines-venous-thromboembolism The American Society of Hematology produced a series of guidelines on prophylaxis for venous thromboemboli…
  13. psnet.ahrq.gov/perspective/conversation-witheric-g-poon-md-mph
    September 01, 2008 - In Conversation with…Eric G. Poon, MD, MPH September 1, 2008  Also Read an Essay Citation Text: In Conversation with…Eric G. Poon, MD, MPH. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 20…
  14. psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.155_slideshow.ppt
    July 01, 2007 - Spotlight Case [MONTH] 2003 Spotlight Case July 2007 Resuscitation Errors: A Shocking Problem Source and Credits This presentation is based on the July 2007 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available online Commentary by: Benjamin Abella, MD, MPhil, …
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33651/psn-pdf
    June 01, 2007 - In Conversation with...Diane Rydrych, MA June 1, 2007 In Conversation with..Diane Rydrych, MA. PSNet [internet]. 2007. https://psnet.ahrq.gov/perspective/conversation-withdiane-rydrych-ma Editor's Note: Diane Rydrych, MA, is Assistant Director of the Division of Health Policy at the Minnesota Department of Health,…
  16. psnet.ahrq.gov/issue/comparing-catheter-associated-urinary-tract-infection-prevention-programs-between-veterans
    December 21, 2017 - Study Comparing catheter-associated urinary tract infection prevention programs between Veterans Affairs nursing homes and non–Veterans Affairs nursing homes. Citation Text: Mody L, Greene T, Saint S, et al. Comparing Catheter-Associated Urinary Tract Infection Prevention Programs Betwee…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73398/psn-pdf
    June 30, 2021 - In Conversation With... Anjali Joseph, PhD, EDAC and Molly M. Scanlon, PhD, FAIA, FACHA June 30, 2021 In Conversation With.. Anjali Joseph, PhD, EDAC and Molly M. Scanlon, PhD, FAIA, FACHA. PSNet [internet]. 2021. https://psnet.ahrq.gov/perspective/conversation-anjali-joseph-phd-edac-and-molly-m-scanlon-phd-faia- …
  18. psnet.ahrq.gov/issue/patient-safety-out-hours-primary-care-review-patient-records
    June 16, 2021 - Study Patient safety in out-of-hours primary care: a review of patient records. Citation Text: Smits M, Huibers L, Kerssemeijer B, et al. Patient safety in out-of-hours primary care: a review of patient records. BMC Health Serv Res. 2010;10:335. doi:10.1186/1472-6963-10-335. Copy Cit…
  19. psnet.ahrq.gov/issue/quality-improvement-and-patient-care-checklists-intrahospital-transfers-involving-pediatric
    September 23, 2020 - Study Quality improvement and patient care checklists in intrahospital transfers involving pediatric surgery patients. Citation Text: Nakayama DK, Lester SS, Rich DR, et al. Quality improvement and patient care checklists in intrahospital transfers involving pediatric surgery patients.…
  20. psnet.ahrq.gov/issue/effect-hospital-command-centre-patient-safety-interrupted-time-series-study
    July 20, 2022 - Study Effect of a hospital command centre on patient safety: an interrupted time series study. Citation Text: Effect of a hospital command centre on patient safety: an interrupted time series study. Mebrahtu TF, McInerney CD, Benn J, et al. BMJ Health Care Inform. 2023;30(1):e100653…

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