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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44872/psn-pdf
    February 12, 2016 - Reducing preventable harm in hospitals. February 12, 2016 Bornstein D. New York Times. January 26, and February 2, 2016. https://psnet.ahrq.gov/issue/reducing-preventable-harm-hospitals Discussing the importance of designing safeguards to prevent system failures that can result in patient harm, this two-part newsp…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34591/psn-pdf
    January 04, 2017 - John M. Eisenberg Patient Safety Awards. Safety, effectiveness, and efficiency: a Web-based virtual anticoagulation clinic. January 4, 2017 Kelly JJ, Sweigard KW, Shields K, et al. John M. Eisenberg Patient Safety Awards. Safety, effectiveness, and efficiency: a Web-based virtual anticoagulation clinic. Jt Comm J …
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/849614/psn-pdf
    May 31, 2023 - Hospitals in two states denied an abortion to a miscarrying patient. Investigators say they broke federal law. May 31, 2023 Surana K. Pro Publica. May 19, 2023. https://psnet.ahrq.gov/issue/hospitals-two-states-denied-abortion-miscarrying-patient-investigators-say- they-broke-federal The unintended clinical cons…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42915/psn-pdf
    January 01, 2016 - Reducing Avoidable Readmissions Effectively campaign: a statewide collaborative. February 5, 2014 McCoy KA, Bear-Pfaffendorf K, Foreman JK, et al. Reducing Avoidable Hospital Readmissions Effectively: A Statewide Campaign. Joint Comm J Qual Patient Saf. 2016;40(5):198-204, AP2. doi:10.1016/s1553- 7250(14)40026-6. …
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44901/psn-pdf
    March 30, 2016 - Medication safety pharmacy technician in a large, tertiary care, community hospital. March 30, 2016 Brown KN, Bergsbaken J, Reichard JS. Medication safety pharmacy technician in a large, tertiary care, community hospital. Am J Health Syst Pharm. 2016;73(4):188-191. doi:10.2146/ajhp150098. https://psnet.ahrq.gov/is…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47850/psn-pdf
    March 27, 2019 - Medicines-related harm in the elderly post-hospital discharge. March 27, 2019 Cheong V-L, Tomlinson J, Khan S, et al. Prescriber. 2019;30:29-34. https://psnet.ahrq.gov/issue/medicines-related-harm-elderly-post-hospital-discharge Geriatric patients are particularly vulnerable to medication-related harm. This articl…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866073/psn-pdf
    June 05, 2024 - Improving communication of diagnostic uncertainty to families of hospitalized children. June 5, 2024 Young EE, Kane J, Timmons K, et al. Improving communication of diagnostic uncertainty to families of hospitalized children. Diagnosis (Berl). 2024;11(2):186-191. doi:10.1515/dx-2023-0088. https://psnet.ahrq.gov/iss…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42099/psn-pdf
    March 13, 2013 - Inpatient fall prevention programs as a patient safety strategy: a systematic review. March 13, 2013 Miake-Lye IM, Hempel S, Ganz DA, et al. Inpatient fall prevention programs as a patient safety strategy: a systematic review. Ann Intern Med. 2013;158(5 Pt 2):390-396. doi:10.7326/0003-4819-158-5-201303051- 00005. …
  9. psnet.ahrq.gov/issue/100k-lives-falling-short
    November 11, 2015 - Newspaper/Magazine Article 100K Lives falling short. Citation Text: 100K Lives falling short. Robeznieks A. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL …
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44026/psn-pdf
    November 03, 2015 - Effect of a postdischarge virtual ward on readmission or death for high-risk patients: a randomized clinical trial. November 3, 2015 Dhalla IA, O'Brien T, Morra D, et al. Effect of a postdischarge virtual ward on readmission or death for high- risk patients: a randomized clinical trial. JAMA. 2014;312(13):1305-12. …
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46296/psn-pdf
    September 24, 2017 - Perception of safety of surgical practice among operating room personnel from survey data is associated with all- cause 30-day postoperative death rate in South Carolina. September 24, 2017 Molina G, Berry WR, Lipsitz S, et al. Perception of Safety of Surgical Practice Among Operating Room Personnel From Survey Da…
  12. psnet.ahrq.gov/issue/toolkit-mrsa-prevention-icu-non-icu-settings
    November 08, 2023 - Toolkit Toolkit for MRSA Prevention in ICU & Non-ICU Settings. Citation Text: Agency for Healthcare Research and Quality. Toolkit for MRSA Prevention in ICU & Non-ICU Settings. October 2024. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote ta…
  13. psnet.ahrq.gov/issue/patient-safety-0
    February 28, 2015 - Government Resource Patient Safety. Citation Text: Patient Safety. Minnesota Department of Health Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL November …
  14. psnet.ahrq.gov/issue/road-map-advancing-practice-respect-health-care-results-interdisciplinary-modified-delphi
    August 01, 2018 - Study A road map for advancing the practice of respect in health care: the results of an interdisciplinary modified Delphi consensus study. Citation Text: Sokol-Hessner L, Folcarelli P, Annas CL, et al. A Road Map for Advancing the Practice of Respect in Health Care: The Results of an In…
  15. psnet.ahrq.gov/issue/preventing-potentially-inappropriate-medication-use-hospitalized-older-patients-computerized
    November 16, 2022 - Study Preventing potentially inappropriate medication use in hospitalized older patients with a computerized provider order entry warning system. Citation Text: Mattison MLP, Afonso KA, Ngo LH, et al. Preventing potentially inappropriate medication use in hospitalized older patients wi…
  16. psnet.ahrq.gov/issue/are-parents-who-feel-need-watch-over-their-childrens-care-better-patient-safety-partners
    July 22, 2013 - Study Are parents who feel the need to watch over their children's care better patient safety partners? Citation Text: Cox E, Hansen K, Rajamanickam VP, et al. Are Parents Who Feel the Need to Watch Over Their Children's Care Better Patient Safety Partners? Hosp Pediatr. 2017;7(12):716-7…
  17. psnet.ahrq.gov/issue/entangled-complexity-ethnographic-study-organizational-adaptability-and-safe-care-transitions
    August 21, 2024 - Study Entangled in complexity: an ethnographic study of organizational adaptability and safe care transitions for patients with complex care needs. Citation Text: Hedqvist A‐T, Praetorius G, Ekstedt M, et al. Entangled in complexity: an ethnographic study of organizational adaptability a…
  18. psnet.ahrq.gov/issue/effects-introduction-who-surgical-safety-checklist-hospital-mortality-cohort-study
    April 24, 2018 - Study Effects of the introduction of the WHO "Surgical Safety Checklist" on in-hospital mortality: a cohort study. Citation Text: van Klei WA, Hoff RG, van Aarnhem EEHL, et al. Effects of the introduction of the WHO "Surgical Safety Checklist" on in-hospital mortality: a cohort study. …
  19. psnet.ahrq.gov/issue/technology-induced-errors-associated-computerized-provider-order-entry-software-older
    September 13, 2023 - Study Technology-induced errors associated with computerized provider order entry software for older patients. Citation Text: Vélez-Díaz-Pallarés M, Díaz AMÁ, Caro TG, et al. Technology-induced errors associated with computerized provider order entry software for older patients. Int J Cl…
  20. psnet.ahrq.gov/issue/unintentional-therapeutic-errors-involving-insulin-ambulatory-setting-reported-poison-centers
    June 06, 2018 - Study Unintentional therapeutic errors involving insulin in the ambulatory setting reported to poison centers. Citation Text: Spiller HA, Borys DJ, Ryan ML, et al. Unintentional therapeutic errors involving insulin in the ambulatory setting reported to poison centers. Ann Pharmacother.…

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