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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39090/psn-pdf
    November 11, 2009 - Nurse reports of adverse events during sedation procedures at a pediatric hospital. November 11, 2009 Lightdale JR, Mahoney LB, Fredette ME, et al. Nurse reports of adverse events during sedation procedures at a pediatric hospital. J Perianesth Nurs. 2009;24(5):300-6. doi:10.1016/j.jopan.2009.07.004. https://psnet…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33926/psn-pdf
    March 07, 2005 - The problems of detecting medication errors in hospitals. March 7, 2005 Barker KN, McConnell WE. The Problems of Detecting Medication Errors in Hospitals. Am J Health Syst Pharm. 1962;19(8):360-369. doi:10.1093/ajhp/19.8.360. https://psnet.ahrq.gov/issue/problems-detecting-medication-errors-hospitals Perhaps the f…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42355/psn-pdf
    February 11, 2015 - Advancing Successful Care Transitions to Improve Outcomes. February 11, 2015 Society of Hospital Medicine https://psnet.ahrq.gov/issue/project-boost-mentored-implementation-program This Web site provides resources associated with the Better Outcomes for Older adults through Safe Transitions project, called Projec…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50580/psn-pdf
    October 23, 2019 - Suspicious insulin injections, nearly a dozen deaths: inside an unfolding investigation at a VA hospital in West Virginia. October 23, 2019 Rein L. Washington Post. October 5, 2019. https://psnet.ahrq.gov/issue/suspicious-insulin-injections-nearly-dozen-deaths-inside-unfolding- investigation-va-hospital The Vete…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50811/psn-pdf
    January 15, 2020 - NHS hospitals to employ safety experts to tackle thousands of avoidable mistakes. January 15, 2020 Lintern S. NHS hospitals to employ safety experts to tackle thousands of avoidable mistakes. Independent. December 25, 2019; https://psnet.ahrq.gov/issue/nhs-hospitals-employ-safety-experts-tackle-thousands-avoidable…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44733/psn-pdf
    December 07, 2018 - Patient Safety in Ambulatory Settings: Technical Brief. December 7, 2018 Evidence-based Practice Center. Rockville, MD: Agency for Healthcare Research and Quality; October 19, 2016. https://psnet.ahrq.gov/issue/patient-safety-ambulatory-settings-technical-brief The primary focus on patient safety research has been…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40294/psn-pdf
    September 24, 2016 - Hospital doctors' workflow interruptions and activities: an observation study. September 24, 2016 Weigl M, Müller A, Zupanc A, et al. Hospital doctors' workflow interruptions and activities: an observation study. BMJ Qual Saf. 2011;20(6):491-7. doi:10.1136/bmjqs.2010.043281. https://psnet.ahrq.gov/issue/hospital-d…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45194/psn-pdf
    December 14, 2016 - Wounded care: failure at one Indian Health Service hospital reveals a system in crisis. December 14, 2016 Herman B, Fei F. Mod Healthc. December 2, 2016. https://psnet.ahrq.gov/issue/wounded-care-failure-one-indian-health-service-hospital-reveals-system-crisis Underserved communities face challenges to receiving h…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46331/psn-pdf
    September 14, 2018 - Health IT Patient Safety Supplemental Items for Hospitals. September 14, 2018 Agency for Healthcare Research and Quality. July 25, 2018.  https://psnet.ahrq.gov/issue/health-it-patient-safety-supplemental-items-hospitals Tracking the intersection of organizational culture with health information technology use can …
  10. psnet.ahrq.gov/issue/stem-tide-addressing-opioid-epidemic
    April 15, 2021 - Toolkit Stem the Tide: Addressing the Opioid Epidemic. Citation Text: Stem the Tide: Addressing the Opioid Epidemic. Chicago, IL: American Hospital Association; 2017. Copy Citation Save Save to your library Print Download PDF Share Facebook …
  11. psnet.ahrq.gov/issue/alarm-management-first-things-first-using-reliable-data-eliminate-unnecessary-alarms
    July 29, 2009 - Newspaper/Magazine Article Alarm management: first things first: using reliable data to eliminate unnecessary alarms. Citation Text: Alarm management: first things first: using reliable data to eliminate unnecessary alarms. Vanderveen T. Patient Saf Qual Healthc. November/December 2014;1…
  12. psnet.ahrq.gov/issue/national-and-state-healthcare-associated-infections-progress-report
    June 11, 2014 - Book/Report National and State Healthcare-Associated Infections Progress Report. Citation Text: National and State Healthcare-Associated Infections Progress Report. Atlanta, GA: Centers for Disease Control and Prevention; November 2023. Copy Citation Save Save to …
  13. psnet.ahrq.gov/issue/inside-canadas-secret-world-medical-error-there-lot-lying-theres-lot-cover
    September 23, 2009 - Newspaper/Magazine Article Inside Canada's secret world of medical error: 'There is a lot of lying, there's a lot of cover-up.' Citation Text: Inside Canada's secret world of medical error: 'There is a lot of lying, there's a lot of cover-up.' Blackwell T. Copy Citation …
  14. psnet.ahrq.gov/issue/surviving-bad-diagnosis
    January 19, 2022 - Newspaper/Magazine Article Surviving a bad diagnosis. Citation Text: Surviving a bad diagnosis. Hobson K. US News News and World Report. September 13, 2016. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitt…
  15. psnet.ahrq.gov/issue/medical-misdiagnoses-put-pressure-patients-stay-engaged
    October 05, 2016 - Newspaper/Magazine Article Medical misdiagnoses put pressure on patients to stay engaged. Citation Text: Medical misdiagnoses put pressure on patients to stay engaged. Innes S. Arizona Daily Star. September 12, 2016. Copy Citation Save Save to your library P…
  16. psnet.ahrq.gov/issue/advancement-toward-high-reliability-healthcare-awards
    June 08, 2011 - Government Resource Advancement toward High Reliability in Healthcare Awards. Citation Text: Advancement toward High Reliability in Healthcare Awards. Department of Defense Patient Safety Program; DoD PSP; DoD Copy Citation Save Save to your library Print …
  17. psnet.ahrq.gov/issue/simple-surgery-harrowing-complications
    November 07, 2012 - Newspaper/Magazine Article A simple surgery with harrowing complications. Citation Text: A simple surgery with harrowing complications. Miller R. News-Times. July 25, 2012. Copy Citation Save Save to your library Print Download PDF Share …
  18. psnet.ahrq.gov/issue/patient-alarms-often-unheard-unheeded
    August 24, 2016 - Newspaper/Magazine Article Patient alarms often unheard, unheeded. Citation Text: Patient alarms often unheard, unheeded. Kowalczyk L. Boston Globe. February 13–14, 2011. Copy Citation Save Save to your library Print Download PDF Share …
  19. psnet.ahrq.gov/issue/best-medical-care-us
    June 27, 2018 - Newspaper/Magazine Article The best medical care in the U.S. Citation Text: The best medical care in the U.S. Arnst C. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL …
  20. psnet.ahrq.gov/issue/patient-safety-what-can-medicine-learn-aviation
    October 30, 2008 - Newspaper/Magazine Article Patient safety: what can medicine learn from aviation? Citation Text: Patient safety: what can medicine learn from aviation? O'Reilly KB. American Medical News. June 14, 2010. Copy Citation Save Save to your library Print Do…

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