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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40468/psn-pdf
    May 26, 2011 - Hospitals overhaul ERs to reduce mistakes. May 26, 2011 Landro L. https://psnet.ahrq.gov/issue/hospitals-overhaul-ers-reduce-mistakes This newspaper article reports on efforts to reduce errors in emergency medicine, including improving physician–nurse communication, adopting timeouts before discharge, and using tr…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867359/psn-pdf
    December 18, 2024 - Importance of Following Safe Practices for Infant Feeding and Handling Expressed Breast Milk December 18, 2024 Shauer M, Perez DG, Chagolla B. Importance of Following Safe Practices for Infant Feeding and Handling Expressed Breast Milk. PSNet [internet]. 2024. https://psnet.ahrq.gov/web-mm/importance-following-saf…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39066/psn-pdf
    October 28, 2021 - Hospital Performance Report. October 28, 2021 Trenton, NJ: New Jersey Department of Health and Senior Services. https://psnet.ahrq.gov/issue/hospital-performance-report Detailing results of an error reporting initiative in New Jersey, these reports explain how consumers can use this information and provides tips f…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37785/psn-pdf
    May 02, 2018 - Considering insulin pens for routine hospital use? Consider this... May 2, 2018 ISMP Medication Safety Alert! Acute Care Edition. May 8, 2008;13:1-3. https://psnet.ahrq.gov/issue/considering-insulin-pens-routine-hospital-use-consider This article describes common problems associated with insulin pen injectors and …
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36421/psn-pdf
    August 05, 2008 - What pilots can teach hospitals about patient safety. August 5, 2008 Murphy K https://psnet.ahrq.gov/issue/what-pilots-can-teach-hospitals-about-patient-safety This article discusses lessons the airline industry has learned about communication, teamwork, and error reporting and how they might be applicable to heal…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33769/psn-pdf
    June 01, 2014 - Patient Advocacy in Patient Safety: Have Things Changed? June 1, 2014 Haskell H. Patient Advocacy in Patient Safety: Have Things Changed? PSNet [internet]. 2014. https://psnet.ahrq.gov/perspective/patient-advocacy-patient-safety-have-things-changed Perspective In 1981, a cancer patient named Paula Carroll founded…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33635/psn-pdf
    July 01, 2006 - In Conversation with...Allan Frankel, MD July 1, 2006 In Conversation with..Allan Frankel, MD. PSNet [internet]. 2006. https://psnet.ahrq.gov/perspective/conversation-withallan-frankel-md Dr. Robert Wachter, Editor, AHRQ WebM&M: Tell us a little bit about how you became interested in this kind of work. Dr. Allan …
  8. psnet.ahrq.gov/curated-library/diagnostic-error
    August 10, 2025 - Breadcrumb Home The PSNet Collection Curated Libraries Subscribed Diagnostic Error  Download  Share Facebook Twitter Linkedin Copy URL Subscribe Created By: Karen Cosby, AHRQ Date Created: May 8, …
  9. psnet.ahrq.gov/web-mm/sepsis-resulting-delays-treatment-and-miscommunication-among-specialists
    February 26, 2025 - Sepsis Resulting from Delays in Treatment and Miscommunication among Specialists Citation Text: Shi L, Noren E. Sepsis Resulting from Delays in Treatment and Miscommunication among Specialists. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Se…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37407/psn-pdf
    September 02, 2014 - HSMR: A New Approach for Measuring Hospital Mortality Trends in Canada. September 2, 2014 Ottowa, Ontario, CA: Canadian Institute for Health Information; 2007. ISBN 9781554651832. https://psnet.ahrq.gov/issue/hsmr-new-approach-measuring-hospital-mortality-trends-canada This report describes a new metric used to an…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37753/psn-pdf
    May 02, 2018 - Some red rules shouldn't rule in hospitals. May 2, 2018 ISMP Medication Safety Alert! Acute Care Edition. April 24, 2008;13:1-3. https://psnet.ahrq.gov/issue/some-red-rules-shouldnt-rule-hospitals This article provides a set of criteria for health care professionals to develop and implement red rules as an effecti…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37320/psn-pdf
    November 07, 2007 - Ambulance crew in Chicago got lost trying to find hospital. November 7, 2007 News Services. Washington Post. October 25, 2007 https://psnet.ahrq.gov/issue/ambulance-crew-chicago-got-lost-trying-find-hospital An emergency crew from a suburb failed to efficiently transport a marathon runner in cardiac arre…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41003/psn-pdf
    April 16, 2018 - Gap assessment of hospitals' adoption of the just culture principles. April 16, 2018 Barger DM; Marella W; Charney FJ. https://psnet.ahrq.gov/issue/gap-assessment-hospitals-adoption-just-culture-principles This article reports that Pennsylvania health care organizations overestimated their adoption of just culture…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39630/psn-pdf
    June 23, 2010 - Using Workforce Practices to Drive Quality Improvement: A Guide for Hospitals. June 23, 2010 McHugh M, Garman A, McAlearney A, Song P, Harrison M. Chicago, IL: Health Research & Educational Trust; June 2010. https://psnet.ahrq.gov/issue/using-workforce-practices-drive-quality-improvement-guide-hospitals This publ…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836842/psn-pdf
    April 07, 2022 - Assessing the impact of virtual medication history technicians on medication reconciliation discrepancies. April 7, 2022 Gadallah A, McGinnis B, Nguyen B, et al. Assessing the impact of virtual medication history technicians on medication reconciliation discrepancies. Int J Clin Pharm. 2021;43(5):1404-1411. doi:10.…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46542/psn-pdf
    June 19, 2018 - Improving admission medication reconciliation with pharmacists or pharmacy technicians in the emergency department: a randomised controlled trial. June 19, 2018 Pevnick JM, Nguyen C, Jackevicius CA, et al. Improving admission medication reconciliation with pharmacists or pharmacy technicians in the emergency depar…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43475/psn-pdf
    July 18, 2016 - A cross-sectional analysis investigating organizational factors that influence near-miss error reporting among hospital pharmacists. July 18, 2016 Patterson ME, Pace HA. A Cross-sectional Analysis Investigating Organizational Factors That Influence Near-Miss Error Reporting Among Hospital Pharmacists. J Patient Sa…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42895/psn-pdf
    December 18, 2014 - National trends in patient safety for four common conditions, 2005–2011. December 18, 2014 Wang Y, Eldridge N, Metersky M, et al. National trends in patient safety for four common conditions, 2005- 2011. N Engl J Med. 2014;370(4):341-51. doi:10.1056/NEJMsa1300991. https://psnet.ahrq.gov/issue/national-trends-patie…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39176/psn-pdf
    December 16, 2009 - A reduction in cardiac arrests and duration of clinical instability after implementation of a paediatric rapid response system. December 16, 2009 Hanson CC, Randolph GD, Erickson JA, et al. A reduction in cardiac arrests and duration of clinical instability after implementation of a paediatric rapid response syste…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43914/psn-pdf
    March 13, 2015 - Medication-related emergency department visits in pediatrics: a prospective observational study. March 13, 2015 Zed PJ, Black KJL, Fitzpatrick EA, et al. Medication-related emergency department visits in pediatrics: a prospective observational study. Pediatrics. 2015;135(3):435-43. doi:10.1542/peds.2014-1827. http…

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