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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40637/psn-pdf
    October 03, 2012 - Surgical site infections in colon surgery: the patient, the procedure, the hospital, and the surgeon. October 3, 2012 Hübner M, Diana M, Zanetti G, et al. Surgical site infections in colon surgery: the patient, the procedure, the hospital, and the surgeon. Arch Surg. 2011;146(11):1240-5. doi:10.1001/archsurg.2011.1…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60356/psn-pdf
    May 20, 2020 - How the pandemic is reshaping hospital architecture and design. May 20, 2020 Booker C. PBSNewshour Weekend. May 10, 2020. https://psnet.ahrq.gov/issue/how-pandemic-reshaping-hospital-architecture-and-design Built environment characteristics can contribute to the spread of infection. This news segment discusses de…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60565/psn-pdf
    June 03, 2020 - The public has been forgiving. But hospitals got some things wrong. June 3, 2020 Ofri D. The public has been forgiving. But hospitals got some things wrong. New York Times. 2020; May 21. https://psnet.ahrq.gov/issue/public-has-been-forgiving-hospitals-got-some-things-wrong The complexity of the COVID-19 crisis cr…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39751/psn-pdf
    August 11, 2010 - Interpreting adverse drug reaction (ADR) reports as hospital patient safety incidents. August 11, 2010 Davies EC, Green CF, Mottram DR, et al. Interpreting adverse drug reaction (ADR) reports as hospital patient safety incidents. Br J Clin Pharmacol. 2010;70(1):102-8. doi:10.1111/j.1365-2125.2010.03671.x. https://…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50757/psn-pdf
    December 18, 2019 - As university hospital hounds debtors, doctors say it's doing harm. December 18, 2019 Garcia-Navarro L. Weekend Edition Sunday. National Public Radio. December 1, 2019. https://psnet.ahrq.gov/issue/university-hospital-hounds-debtors-doctors-say-its-doing-harm Financial harms occur in health care due to a variety o…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41040/psn-pdf
    January 04, 2012 - Implementing an electronic medical record with computerized prescriber order entry at a critical access hospital. January 4, 2012 Horning R. Implementing an electronic medical record with computerized prescriber order entry at a critical access hospital. Am J Health Syst Pharm. 2011;68(23):2288-92. doi:10.2146/ajh…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42203/psn-pdf
    April 17, 2013 - What do hospital staff in the UK think are the causes of penicillin medication errors? April 17, 2013 Wilcock M, Harding G, Moore L, et al. What do hospital staff in the UK think are the causes of penicillin medication errors? Int J Clin Pharm. 2012;35(1). doi:10.1007/s11096-012-9708-1. https://psnet.ahrq.gov/issu…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42477/psn-pdf
    August 07, 2013 - Review into the Quality of Care and Treatment Provided by 14 Hospital Trusts in England: Overview Report. August 7, 2013 Keogh B. London, UK: National Health Service; July 2013. https://psnet.ahrq.gov/issue/review-quality-care-and-treatment-provided-14-hospital-trusts-england- overview-report Outlining findings f…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43621/psn-pdf
    October 22, 2014 - Multidisciplinary in-hospital teams improve patient outcomes: a review. October 22, 2014 Epstein NE. Multidisciplinary in-hospital teams improve patient outcomes: A review. Surg Neurol Int. 2014;5(Suppl 7):S295-303. doi:10.4103/2152-7806.139612. https://psnet.ahrq.gov/issue/multidisciplinary-hospital-teams-improve…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846459/psn-pdf
    March 22, 2023 - Few hospitals are willing to bear the cost of providing psychiatric care for kids. March 22, 2023 Schorsch K, Karp S. WBEZ Chicago. March 9, 2023. https://psnet.ahrq.gov/issue/few-hospitals-are-willing-bear-cost-providing-psychiatric-care-kids Pediatric mental health is a patient safety concern. This news story ou…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38561/psn-pdf
    April 15, 2009 - Health-Care–Associated Infections in Hospitals: Continuing Leadership Needed from HHS to Prioritize Prevention Practices and Improve Data on These Infections. April 15, 2009 Subcommittee on Health Care, Committee on Finance, US Senate, Government Accountability Office, GAO-09-516T (March 18, 2009) https://psnet.…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40537/psn-pdf
    June 15, 2011 - Rural nurses' safeguarding work: reembodying patient safety. June 15, 2011 MacKinnon K. Rural nurses' safeguarding work: reembodying patient safety. ANS Adv Nurs Sci. 2011;34(2):119-129. doi:10.1097/ANS.0b013e3182186b86. https://psnet.ahrq.gov/issue/rural-nurses-safeguarding-work-reembodying-patient-safety Rural …
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46605/psn-pdf
    January 24, 2018 - The impact of interruptions on medication errors in hospitals: an observational study of nurses. January 24, 2018 Johnson M, Sanchez P, Langdon R, et al. The impact of interruptions on medication errors in hospitals: an observational study of nurses. J Nurs Manag. 2017;25(7):498-507. doi:10.1111/jonm.12486. https:…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34788/psn-pdf
    March 28, 2005 - Cost of medication-related problems at a university hospital. March 28, 2005 Schneider PJ; Gift MG; Lee YP; Rothermich EA; Sill BE https://psnet.ahrq.gov/issue/cost-medication-related-problems-university-hospital This study used retrospective chart review to determine estimated costs of defined medication-related …
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866869/psn-pdf
    October 02, 2024 - Core Elements of Hospital Diagnostic Excellence (DxEx). October 2, 2024 Core Elements of Hospital Diagnostic Excellence (DxEx). Centers for Disease Control and Prevention. https://psnet.ahrq.gov/issue/core-elements-hospital-diagnostic-excellence-dxex Diagnostic excellence is an expansion of the diagnostic error red…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838147/psn-pdf
    July 01, 2020 - Care Compare. July 1, 2020 Centers for Medicare and Medicaid Services. https://psnet.ahrq.gov/issue/care-compare The Centers for Medicare & Medicaid Services (CMS) support transparency through the provision of publicly available information on the quality of health care service in the United States. This portal en…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49788/psn-pdf
    March 01, 2017 - Correct Treatment Plan for Incorrect Diagnosis: A Pharmacist Intervention March 1, 2017 Nelson SD. Correct Treatment Plan for Incorrect Diagnosis: A Pharmacist Intervention. PSNet [internet]. 2017. https://psnet.ahrq.gov/web-mm/correct-treatment-plan-incorrect-diagnosis-pharmacist-intervention The Case A 48-year…
  18. psnet.ahrq.gov/web-mm/fumbled-handoff
    September 01, 2006 - Fumbled Handoff Citation Text: Vidyarthi A. Fumbled Handoff. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …
  19. psnet.ahrq.gov/issue/teamstepps-diagnosis-improvement
    July 17, 2024 - July 17, 2024 Preventable Hospitalizations: A Window Into Primary and Preventive Care
  20. psnet.ahrq.gov/issue/measure-dx-resource-identify-analyze-and-learn-diagnostic-safety-events
    August 01, 2012 - October 23, 2019 Preventable Hospitalizations: A Window Into Primary and Preventive Care

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