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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38091/psn-pdf
    February 18, 2011 - Questionable hospital chart documentation practices by physicians. February 18, 2011 Sharma R, Kostis WJ, Wilson AC, et al. Questionable hospital chart documentation practices by physicians. J Gen Intern Med. 2008;23(11):1865-70. doi:10.1007/s11606-008-0750-6. https://psnet.ahrq.gov/issue/questionable-hospital-cha…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866862/psn-pdf
    October 02, 2024 - A mixed methods study exploring patient safety culture at 4 VHA Hospitals. October 2, 2024 Sullivan JL, Shin MH, Ranusch A, et al. A mixed methods study exploring patient safety culture at 4 VHA Hospitals. Jt Comm J Qual Patient Saf. 2024;50(11):791-800. doi:10.1016/j.jcjq.2024.07.008. https://psnet.ahrq.gov/issue…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46580/psn-pdf
    June 25, 2018 - Out-of-hospital pediatric patient safety events: results of the CSI chart review. June 25, 2018 Meckler G, Hansen M, Lambert W, et al. Out-of-Hospital Pediatric Patient Safety Events: Results of the CSI Chart Review. Prehosp Emerg Care. 2018;22(3):290-299. doi:10.1080/10903127.2017.1371261. https://psnet.ahrq.gov/…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73675/psn-pdf
    September 08, 2021 - A system-wide hospital child maltreatment patient safety program. September 8, 2021 Hansen J, Terreros A, Sherman A, et al. A system-wide hospital child maltreatment patient safety program. Pediatrics. 2021;148(3):e2021050555. doi:10.1542/peds.2021-050555. https://psnet.ahrq.gov/issue/system-wide-hospital-child-ma…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866108/psn-pdf
    June 12, 2024 - Child age and risk of medication error: a multisite children's hospital study. June 12, 2024 Badgery-Parker T, Li L, Fitzpatrick E, et al. Child age and risk of medication error: a multisite children's hospital study. J Pediatr. 2024;272:114087. doi:10.1016/j.jpeds.2024.114087. https://psnet.ahrq.gov/issue/child-a…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838134/psn-pdf
    September 21, 2022 - Allergic adverse drug events after alert overrides in hospitalized patients. September 21, 2022 Luri M, Gastaminza G, Idoate A, et al. Allergic adverse drug events after alert overrides in hospitalized patients. J Patient Saf. 2022;18(6):630-636. doi:10.1097/pts.0000000000001034. https://psnet.ahrq.gov/issue/aller…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45202/psn-pdf
    October 08, 2016 - Towards international consensus on patient harm: perspectives on pressure injury policy. October 8, 2016 Jackson D, Hutchinson M, Barnason S, et al. Towards international consensus on patient harm: perspectives on pressure injury policy. J Nurs Manag. 2016;24(7):902-914. doi:10.1111/jonm.12396. https://psnet.ahrq.…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43703/psn-pdf
    December 19, 2014 - Examining the validity of AHRQ's Patient Safety Indicators (PSIs): is variation in PSI composite score related to hospital organizational factors? December 19, 2014 Shin MH, Sullivan JL, Rosen AK, et al. Examining the validity of AHRQ's patient safety indicators (PSIs): is variation in PSI composite score related …
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/839316/psn-pdf
    January 01, 2023 - Patient voices in hospital safety during the COVID-19 pandemic. November 2, 2022 Groves PS, Bunch JL, Hanrahan KM, et al. Patient voices in hospital safety during the COVID-19 pandemic. Clin Nurs Res. 2023;32(1):105-114. doi:10.1177/10547738221129711. https://psnet.ahrq.gov/issue/patient-voices-hospital-safety-dur…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47405/psn-pdf
    January 27, 2019 - Robotic dispensing improves patient safety, inventory management, and staff satisfaction in an outpatient hospital pharmacy. January 27, 2019 Rodriguez-Gonzalez CG, Herranz-Alonso A, Escudero-Vilaplana V, et al. Robotic dispensing improves patient safety, inventory management, and staff satisfaction in an outpatie…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60684/psn-pdf
    January 01, 2021 - Post-discharge adverse events among African American and Caucasian patients of an urban community hospital. July 15, 2020 Costello WG, Zhang L, Schnipper JL, et al. Post-discharge adverse events among African American and Caucasian patients of an urban community hospital. J Racial Ethn Health Disparities. 2021;8(2)…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43828/psn-pdf
    January 14, 2015 - Tragic error with neuromuscular blocker should prompt risk assessment by all hospitals. January 14, 2015 ISMP Medication Safety Alert! Acute Care Edition. December 18, 2014;19:1,4. https://psnet.ahrq.gov/issue/tragic-error-neuromuscular-blocker-should-prompt-risk-assessment-all- hospitals This newsletter article …
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/856592/psn-pdf
    January 01, 2024 - Talking about falls: a qualitative exploration of spoken communication of patients' fall risks in hospitals and implications for multifactorial approaches to fall prevention. November 29, 2023 McVey L, Alvarado N, Healey F, et al. Talking about falls: a qualitative exploration of spoken communication of patients’…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/850673/psn-pdf
    June 14, 2023 - In Conversation with... Beverley H. Johnson about The Role of Patient's Family In Reducing Harm June 14, 2023 Johnson B. In Conversation with.. Beverley H. Johnson about The Role of Patient's Family In Reducing Harm. PSNet [internet]. 2023. https://psnet.ahrq.gov/perspective/conversation-beverley-h-johnson-about-r…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33695/psn-pdf
    April 01, 2010 - The Role of the National Quality Forum (NQF) in the Quest for Transparency in U.S. Hospitals' Patient Safety Performance April 1, 2010 Roberts LL, Ward MM, Evans TC. The Role of the National Quality Forum (NQF) in the Quest for Transparency in U.S. Hospitals' Patient Safety Performance. PSNet [internet]. 2010. ht…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33762/psn-pdf
    March 01, 2014 - In Conversation With… Alison Holmes, MD, MPH March 1, 2014 In Conversation With… Alison Holmes, MD, MPH. PSNet [internet]. 2014. https://psnet.ahrq.gov/perspective/conversation-alison-holmes-md-mph Editor's note: Dr. Alison Holmes is Director of Infection Prevention and Control at Imperial College Healthcare NHS …
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33634/psn-pdf
    May 04, 2006 - The Wild West: Patient Safety in Office-Based Anesthesia May 1, 2006 Kaushal R, Upadhyayula S, Gaba DM, et al. The Wild West: Patient Safety in Office-Based Anesthesia. PSNet [internet]. 2006. https://psnet.ahrq.gov/perspective/wild-west-patient-safety-office-based-anesthesia Perspective Over the last decade, sur…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866899/psn-pdf
    October 09, 2024 - Diagnostic discordance, uncertainty, and treatment ambiguity in community-acquired pneumonia: a national cohort study of 115 U.S. Veterans Affairs hospitals. October 9, 2024 Jones BE, Chapman AB, Ying J, et al. Diagnostic discordance, uncertainty, and treatment ambiguity in community-acquired pneumonia: a national…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73400/psn-pdf
    June 16, 2021 - Older patients' engagement in hospital medication safety behaviours. June 16, 2021 Tobiano G, Chaboyer W, Dornan G, et al. Older patients’ engagement in hospital medication safety behaviours. Aging Clin Exp Res. 2021;33(12):3353-3361. doi:10.1007/s40520-021-01866-3. https://psnet.ahrq.gov/issue/older-patients-enga…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837859/psn-pdf
    August 17, 2022 - The barriers and enhancers to trust in a just culture in hospital settings: a systematic review. August 17, 2022 van Marum S, Verhoeven D, de Rooy D. The barriers and enhancers to trust in a just culture in hospital settings: a systematic review. J Patient Saf. 2022;18(7):e1067-e1075. doi:10.1097/pts.00000000000010…

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