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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37566/psn-pdf
    February 27, 2008 - Determinants of adverse events in hospitals—the potential role of patient safety culture. February 27, 2008 Kline TJB, Willness C, Ghali WA. Determinants of adverse events in hospitals--the potential role of patient safety culture. J Healthc Qual. 2008;30(1):11-7. https://psnet.ahrq.gov/issue/determinants-adverse-…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40885/psn-pdf
    November 26, 2014 - Hospital do-not-resuscitate orders: why they have failed and how to fix them. November 26, 2014 Yuen JK, Reid C, Fetters MD. Hospital do-not-resuscitate orders: why they have failed and how to fix them. J Gen Intern Med. 2011;26(7):791-7. doi:10.1007/s11606-011-1632-x. https://psnet.ahrq.gov/issue/hospital-do-not-…
  3. psnet.ahrq.gov/perspective/patient-and-family-roles-safety
    June 14, 2023 - Patient and Family Roles in Safety Beverley H. Johnson, FAAN, Merton Lee, PharmD, PhD, Sarah E. Mossburg, RN, PhD | June 14, 2023  Also Read the Conversation View more articles from the same authors. Citation Text: Johnson B, Lee M, Mossburg S. Patient and Fam…
  4. psnet.ahrq.gov/perspective/conversation-beverley-h-johnson-about-role-patients-family-reducing-harm
    June 14, 2023 - In Conversation with... Beverley H. Johnson about The Role of Patient's Family In Reducing Harm Beverley H. Johnson, FAAN | June 14, 2023  Also Read the Essay View more articles from the same authors. Citation Text: Johnson B. In Conversation with.. Beverley H…
  5. psnet.ahrq.gov/perspective/conversation-david-urbach-md-msc
    June 12, 2019 - In Conversation With… David Urbach, MD, MSc April 1, 2015  Citation Text: In Conversation With… David Urbach, MD, MSc. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015. Copy Citation …
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33775/psn-pdf
    December 01, 2014 - African Partnerships for Patient Safety: Lessons Learned December 1, 2014 Syed SS. African Partnerships for Patient Safety: Lessons Learned. PSNet [internet]. 2014. https://psnet.ahrq.gov/perspective/african-partnerships-patient-safety-lessons-learned Perspective In the last 6 years I have had the privilege of sha…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49578/psn-pdf
    January 01, 2009 - Hospital Admission Due to High-Dose Methotrexate Drug Interaction January 1, 2009 Siegel LC, Gandhi TK. Hospital Admission Due to High-Dose Methotrexate Drug Interaction. PSNet [internet]. 2009. https://psnet.ahrq.gov/web-mm/hospital-admission-due-high-dose-methotrexate-drug-interaction The Case A 40-year-old wo…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49505/psn-pdf
    March 01, 2006 - Collegiality vs. Competence March 1, 2006 Sagin T. Collegiality vs. Competence. PSNet [internet]. 2006. https://psnet.ahrq.gov/web-mm/collegiality-vs-competence The Case A 91-year-old man with coronary artery disease was taken to the operating room (OR) for semi-elective repair of a 10-cm abdominal aortic aneurys…
  9. psnet.ahrq.gov/issue/association-between-unmet-nonmedication-needs-after-hospital-discharge-and-readmission-or
    September 23, 2020 - Study Association between unmet nonmedication needs after hospital discharge and readmission or death among acute respiratory failure survivors: a multicenter prospective cohort study. Citation Text: Bose S, Groat D, Dinglas VD, et al. Association between unmet nonmedication needs after …
  10. psnet.ahrq.gov/issue/national-statutory-reporting-not-even-ticking-boxes-quality-learning-deaths-reporting-quality
    February 22, 2023 - Study National statutory reporting: not even ticking the boxes? The quality of 'Learning from Deaths' reporting in quality accounts within the NHS in England 2017-2020. Citation Text: Brummell Z, Braun D, Hussein Z, et al. National statutory reporting: not even ticking the boxes? The qua…
  11. psnet.ahrq.gov/issue/using-medication-containers-during-pharmacist-transitional-care-visits-and-impact-medication
    March 08, 2023 - Study Using medication containers during pharmacist transitional care visits and impact on medication discrepancies identified and hospital readmission risk. Citation Text: Herges JR, Garrison GM, Mara KC, et al. Using medication containers during pharmacist transitional care visits and …
  12. psnet.ahrq.gov/issue/cost-quality-academic-health-centers-annual-costs-its-quality-and-patient-safety
    October 14, 2020 - Study The cost of quality: an academic health center's annual costs for its quality and patient safety infrastructure. Citation Text: Blanchfield BB, Demehin AA, Cummings CT, et al. The cost of quality: an academic health center's annual costs for its quality and patient safety infrastru…
  13. psnet.ahrq.gov/issue/effect-postdischarge-virtual-ward-readmission-or-death-high-risk-patients-randomized-clinical
    October 31, 2011 - Study Classic Effect of a postdischarge virtual ward on readmission or death for high-risk patients: a randomized clinical trial. Citation Text: Dhalla IA, O'Brien T, Morra D, et al. Effect of a postdischarge virtual ward on readmission or death for high-risk pa…
  14. psnet.ahrq.gov/issue/pharmacist-physician-communications-highly-computerised-hospital-sign-and-action-electronic
    February 27, 2019 - Study Pharmacist–physician communications in a highly computerised hospital: sign-off and action of electronic review messages. Citation Text: Pontefract SK, Hodson J, Marriott JF, et al. Pharmacist-Physician Communications in a Highly Computerised Hospital: Sign-Off and Action of Electr…
  15. psnet.ahrq.gov/issue/perception-safety-surgical-practice-among-operating-room-personnel-survey-data-associated-all
    February 07, 2018 - Study 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. Citation Text: Molina G, Berry WR, Lipsitz S, et al. Perception of Safety of Surgical Practice Among Operating R…
  16. psnet.ahrq.gov/issue/systematic-review-types-and-causes-prescribing-errors-generated-using-computerized-provider
    July 02, 2019 - Review A systematic review of the types and causes of prescribing errors generated from using computerized provider order entry systems in primary and secondary care. Citation Text: Brown CL, Mulcaster HL, Triffitt KL, et al. A systematic review of the types and causes of prescribing err…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43460/psn-pdf
    April 25, 2016 - Safety organizing, emotional exhaustion, and turnover in hospital nursing units. April 25, 2016 Vogus TJ, Cooil B, Sitterding M, et al. Safety organizing, emotional exhaustion, and turnover in hospital nursing units. Med Care. 2014;52(10):870-6. doi:10.1097/MLR.0000000000000169. https://psnet.ahrq.gov/issue/safety…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41373/psn-pdf
    May 16, 2012 - Self-reported violations during medication administration in two paediatric hospitals. May 16, 2012 Alper SJ, Holden RJ, Scanlon MC, et al. Self-reported violations during medication administration in two paediatric hospitals. BMJ Qual Saf. 2012;21(5):408-15. doi:10.1136/bmjqs-2011-000007. https://psnet.ahrq.gov/i…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35500/psn-pdf
    February 22, 2010 - Toward a new paradigm in hospital-based pediatric education: the development of an onsite simulator program. February 22, 2010 Weinstock PH, Kappus LJ, Kleinman ME, et al. Toward a new paradigm in hospital-based pediatric education: the development of an onsite simulator program. Pediatr Crit Care Med. 2005;6(6):6…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35602/psn-pdf
    September 27, 2017 - A review of medication administration errors reported in a large psychiatric hospital in the United Kingdom. September 27, 2017 Haw CM, Dickens G, Stubbs J. A review of medication administration errors reported in a large psychiatric hospital in the United kingdom. Psychiatr Serv. 2005;56(12):1610-3. https://psnet…

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