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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41498/psn-pdf
    December 31, 2014 - Standard practices for computerized clinical decision support in community hospitals: a national survey. December 31, 2014 Ash JS, McCormack JL, Sittig DF, et al. Standard practices for computerized clinical decision support in community hospitals: a national survey. J Am Med Inform Assoc. 2012;19(6):980-7. doi:10.…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37401/psn-pdf
    March 28, 2012 - Interventions for preventing falls in acute- and chronic- care hospitals: a systematic review and meta-analysis. March 28, 2012 Coussement J, De Paepe L, Schwendimann R, et al. Interventions for preventing falls in acute- and chronic-care hospitals: a systematic review and meta-analysis. J Am Geriatr Soc. 2008;56(1…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74009/psn-pdf
    October 27, 2021 - Quantifying discharge medication reconciliation errors at 2 pediatric hospitals. October 27, 2021 Morse KE, Chadwick WA, Paul W, et al. Quantifying discharge medication reconciliation errors at 2 pediatric hospitals. Pediatr Qual Saf. 2021;6(4):e436. doi:10.1097/pq9.0000000000000436. https://psnet.ahrq.gov/issue/q…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38276/psn-pdf
    December 10, 2008 - Addressing delays in medication administration for patients transferred from the hospital to the nursing home: a pilot quality improvement project. December 10, 2008 Ward KT, Bates-Jensen B, Eslami MS, et al. Addressing delays in medication administration for patients transferred from the hospital to the nursing h…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42659/psn-pdf
    October 16, 2013 - Medication-related emergency department visits and hospital admissions in pediatric patients: a qualitative systematic review. October 16, 2013 Zed PJ, Haughn C, Black KJL, et al. Medication-related emergency department visits and hospital admissions in pediatric patients: a qualitative systematic review. J Pediat…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35583/psn-pdf
    June 17, 2010 - Using a bar-coded medication administration system to prevent medication errors in a community hospital network. June 17, 2010 Sakowski J, Leonard T, Colburn S, et al. Using a bar-coded medication administration system to prevent medication errors in a community hospital network. American Journal of Health-System …
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35043/psn-pdf
    June 22, 2009 - Human factors engineering: a tool for medical device evaluation in hospital procurement decision-making. June 22, 2009 Ginsburg G. Human factors engineering: a tool for medical device evaluation in hospital procurement decision-making. J Biomed Inform. 2005;38(3):213-9. https://psnet.ahrq.gov/issue/human-factors-e…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34960/psn-pdf
    June 22, 2009 - Making hospital care safer and better: the structure- process connection leading to adverse events. June 22, 2009 El-Jardali F, Lagacé M. Making hospital care safer and better: the structure-process connection leading to adverse events. Healthc Q. 2005;8(2):40-8. https://psnet.ahrq.gov/issue/making-hospital-care-s…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50625/psn-pdf
    November 06, 2019 - Pediatric medication safety considerations for pharmacists in an adult hospital setting. November 6, 2019 Kennedy AR, Massey LR. Pediatric medication safety considerations for pharmacists in an adult hospital setting. Am J Health Syst Pharm. 2019;76(19):1481-1491. doi:10.1093/ajhp/zxz168. https://psnet.ahrq.gov/is…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35760/psn-pdf
    July 19, 2010 - Achieving rapid door-to-balloon times: how top hospitals improve complex clinical systems. July 19, 2010 Bradley EH, Curry LA, Webster TR, et al. Achieving rapid door-to-balloon times: how top hospitals improve complex clinical systems. Circulation. 2006;113(8):1079-85. https://psnet.ahrq.gov/issue/achieving-rapid…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41303/psn-pdf
    March 11, 2013 - Clinical risk management in hospitals: strategy, central coordination and dialogue as key enablers. March 11, 2013 Briner M, Manser T, Kessler O. Clinical risk management in hospitals: strategy, central coordination and dialogue as key enablers. J Eval Clin Pract. 2013;19(2):363-369. doi:10.1111/j.1365-2753.2012.01…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39458/psn-pdf
    April 12, 2011 - Hospital admission medication reconciliation in medically complex children: an observational study. April 12, 2011 Stone BL, Boehme S, Mundorff MB, et al. Hospital admission medication reconciliation in medically complex children: an observational study. Arch Dis Child. 2009. doi:10.1136/adc.2009.167528. https://p…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41480/psn-pdf
    November 05, 2013 - Hospital patients' reports of medical errors and undesirable events in their health care. November 5, 2013 Davis R, Sevdalis N, Neale G, et al. Hospital patients' reports of medical errors and undesirable events in their health care. J Eval Clin Pract. 2013;19(5):875-81. doi:10.1111/j.1365-2753.2012.01867.x. https…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41771/psn-pdf
    March 20, 2018 - Improving Patient Safety Systems for Patients With Limited English Proficiency: A Guide For Hospitals. March 20, 2018 Rockville, MD: Agency for Healthcare Research and Quality; September 2012. AHRQ Publication No. 12- 0041. https://psnet.ahrq.gov/issue/improving-patient-safety-systems-patients-limited-english-prof…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38112/psn-pdf
    December 30, 2014 - Preparing your hospital for compliance with The Joint Commission's National Patient Safety Goals. December 30, 2014 Murdaugh L, Jordin R. Preparing your hospital for compliance with The Joint Commission's National Patient Safety Goals. Hosp Pharm. 2010;43(9):728-733. doi:10.1310/hpj4309-728. https://psnet.ahrq.gov…
  16. psnet.ahrq.gov/perspective/are-residency-duty-hour-rules-improving-patient-safety
    April 01, 2013 - Mortality among hospitalized Medicare beneficiaries in the first 2 years following ACGME resident duty
  17. psnet.ahrq.gov/sites/default/files/2023-04/april_2023_spotlight_the_dose_makes_the_poison.pdf
    January 01, 2023 - Likelihood of reporting medication errors in hospitalized children: a survey of nurses and physicians
  18. psnet.ahrq.gov/web-mm/errors-managing-open-wound-elbow-leading-multiple-complications-and-operations
    September 27, 2023 - For patients who are not hospitalized, this visit can often be scheduled with the patient’s primary care
  19. psnet.ahrq.gov/perspective/conversation-christopher-p-landrigan-md-mph
    April 01, 2013 - Mortality among hospitalized Medicare beneficiaries in the first 2 years following ACGME resident duty
  20. psnet.ahrq.gov/web-mm/risks-malpositioned-gastrostomy-tube-and-poor-communication
    August 01, 2012 - The Case A 55-year-old woman was hospitalized after a motor vehicle crash with cardiac arrest in the

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