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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39500/psn-pdf
    January 03, 2017 - Using in situ simulation to improve in-hospital cardiopulmonary resuscitation. January 3, 2017 Lighthall GK, Poon T, Harrison K. Using in situ simulation to improve in-hospital cardiopulmonary resuscitation. Jt Comm J Qual Patient Saf. 2010;36(5):209-16. https://psnet.ahrq.gov/issue/using-situ-simulation-improve-h…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42345/psn-pdf
    June 12, 2013 - With money at risk, hospitals push staff to wash hands. June 12, 2013 Armellino D, Hussain E, Schilling ME, et al. Using High-Technology to Enforce Low-Technology Safety Measures: The Use of Third-party Remote Video Auditing and Real-time Feedback in Healthcare. Clinical Infectious Diseases. 2011;54(1). doi:10.1093…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35110/psn-pdf
    April 06, 2011 - Medication safety program reduces adverse drug events in a community hospital. April 6, 2011 Cohen MM, Kimmel NL, Benage MK, et al. Medication safety program reduces adverse drug events in a community hospital. Qual Saf Health Care. 2005;14(3):169-74. https://psnet.ahrq.gov/issue/medication-safety-program-reduces-…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41683/psn-pdf
    September 19, 2012 - Techniques to improve patient safety in hospitals: what nurse administrators need to know. September 19, 2012 Fagan MJ. Techniques to improve patient safety in hospitals: what nurse administrators need to know. J Nurs Adm. 2012;42(9):426-430. doi:10.1097/NNA.0b013e3182664df5. https://psnet.ahrq.gov/issue/technique…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38227/psn-pdf
    November 19, 2008 - Sleep and errors in a group of Australian hospital nurses at work and during the commute. November 19, 2008 Dorrian J, Tolley C, Lamond N, et al. Sleep and errors in a group of Australian hospital nurses at work and during the commute. Appl Ergon. 2008;39(5):605-13. doi:10.1016/j.apergo.2008.01.012. https://psnet.…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40155/psn-pdf
    January 26, 2011 - Addressing safety concerns about U-500 insulin in a hospital setting. January 26, 2011 Samaan KH, Dahlke M, Stover J. Addressing safety concerns about U-500 insulin in a hospital setting. Am J Health Syst Pharm. 2011;68(1):63-8. doi:10.2146/ajhp100224. https://psnet.ahrq.gov/issue/addressing-safety-concerns-about-…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38607/psn-pdf
    January 02, 2017 - Pharmacists' medication reconciliation-related clinical interventions in a children's hospital. January 2, 2017 Gardner B, Graner K. Pharmacists' medication reconciliation-related clinical interventions in a children's hospital. Jt Comm J Qual Patient Saf. 2009;35(5):278-82. https://psnet.ahrq.gov/issue/pharmacist…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36564/psn-pdf
    January 12, 2011 - Preventing medication errors in hospitals through a systems approach and technological innovation: a prescription for 2010. January 12, 2011 Crane J, Crane FG. Preventing medication errors in hospitals through a systems approach and technological innovation: a prescription for 2010. Hosp Top. 2006;84(4):3-8. http…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43351/psn-pdf
    July 16, 2014 - Patient involvement in medication safety in hospital: an exploratory study. July 16, 2014 Mohsin-Shaikh S, Garfield S, Franklin BD. Patient involvement in medication safety in hospital: an exploratory study. Int J Clin Pharm. 2014;36(3):657-66. doi:10.1007/s11096-014-9951-8. https://psnet.ahrq.gov/issue/patient-in…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35323/psn-pdf
    April 22, 2011 - Frequency, type and clinical importance of medication history errors at admission to hospital: a systematic review. April 22, 2011 Tam VC. Frequency, type and clinical importance of medication history errors at admission to hospital: a systematic review. Can Med Assoc J. 2005;173(5). doi:10.1503/cmaj.045311. http…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42695/psn-pdf
    August 02, 2015 - Composite measures for profiling hospitals on bariatric surgery performance. August 2, 2015 Dimick JB, Birkmeyer NJ, Finks JF, et al. Composite measures for profiling hospitals on bariatric surgery performance. JAMA Surg. 2014;149(1):10-6. doi:10.1001/jamasurg.2013.4109. https://psnet.ahrq.gov/issue/composite-meas…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41645/psn-pdf
    September 12, 2012 - A safety culture transformation: its effects at a children's hospital. September 12, 2012 Peterson TH, Teman SF, Connors RH. A safety culture transformation: its effects at a children's hospital. J Patient Saf. 2012;8(3):125-30. doi:10.1097/PTS.0b013e31824bd744. https://psnet.ahrq.gov/issue/safety-culture-transfor…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45241/psn-pdf
    October 31, 2023 - Hospital Harm Project. October 31, 2023 Canadian Institute for Health Information, Health Excellence Canada. https://psnet.ahrq.gov/issue/hospital-harm-project Reducing preventable harm associated with health care is a worldwide goal. This Canadian initiative developed a measure to track unintended harm in acute c…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43555/psn-pdf
    October 22, 2014 - Older people's experiences of medicine changes on leaving hospital. October 22, 2014 Bagge M, Norris P, Heydon S, et al. Older people's experiences of medicine changes on leaving hospital. Res Social Admin Pharm. 2013;10(5):791-800. doi:10.1016/j.sapharm.2013.10.005. https://psnet.ahrq.gov/issue/older-peoples-expe…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42651/psn-pdf
    October 09, 2013 - Origin of Adverse Drug Events in US Hospitals, 2011. October 9, 2013 Weiss AJ, Elixhauser A, Bae J, Encinosa W. HCUP Statistical Brief #158. Rockville, MD: Agency for Healthcare Research and Quality; September 2013.  https://psnet.ahrq.gov/issue/origin-adverse-drug-events-us-hospitals-2011 This report present…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35723/psn-pdf
    March 28, 2011 - Impact of nursing on hospital patient mortality: a focused review and related policy implications. March 28, 2011 Tourangeau AE, Cranley LA, Jeffs L. Impact of nursing on hospital patient mortality: a focused review and related policy implications. Qual Saf Health Care. 2006;15(1):4-8. https://psnet.ahrq.gov/issue…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38008/psn-pdf
    August 27, 2008 - The Team Climate Inventory: application in hospital teams and methodological considerations. August 27, 2008 Ouwens M, Hulscher M, Akkermans R, et al. The Team Climate Inventory: application in hospital teams and methodological considerations. Qual Saf Health Care. 2008;17(4):275-80. doi:10.1136/qshc.2006.021543. …
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34971/psn-pdf
    May 11, 2005 - Scanning out medication errors: Ohio Valley Hospital's automated IV system provides real-time access to patient data. May 11, 2005 Carbasho T. https://psnet.ahrq.gov/issue/scanning-out-medication-errors-ohio-valley-hospitals-automated-iv-system- provides-real-time This article reports on Ohio Valley General Hosp…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38457/psn-pdf
    December 31, 2014 - 10-State project to study methods to reduce central line- associated bloodstream infections in hospital ICUs. December 31, 2014 Rockville, MD: Agency for Healthcare Research and Quality; February 19, 2009. https://psnet.ahrq.gov/issue/10-state-project-study-methods-reduce-central-line-associated-bloodstream- infec…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43434/psn-pdf
    August 06, 2014 - Maryland hospitals aren't reporting all errors and complications, experts say. August 6, 2014 Cohn M. https://psnet.ahrq.gov/issue/maryland-hospitals-arent-reporting-all-errors-and-complications-experts-say This news article reports weaknesses in a Maryland reporting program, including poor understanding about wh…

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