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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72674/psn-pdf
    January 27, 2021 - The effect of blue-enriched lighting on medical error rate in a university hospital ICU. January 27, 2021 Chen Y, Broman AT, Priest G, et al. The Effect of Blue-Enriched Lighting on Medical Error Rate in a University Hospital ICU. Jt Comm J Qual Saf. 2021;47(3):165-175. doi:10.1016/j.jcjq.2020.11.007. https://psne…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/764411/psn-pdf
    March 02, 2022 - Nowhere is safe: record number of patients contracted Covid in the hospital in January. March 2, 2022 Levy R, Vestal AJ. Politico. February 19, 2022. https://psnet.ahrq.gov/issue/nowhere-safe-record-number-patients-contracted-covid-hospital-january Transmission of COVID-19 in the health care setting continues to b…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43321/psn-pdf
    August 02, 2015 - Costs associated with surgical site infections in Veterans Affairs hospitals. August 2, 2015 Schweizer ML, Cullen JJ, Perencevich E, et al. Costs Associated With Surgical Site Infections in Veterans Affairs Hospitals. JAMA Surg. 2014;149(6):575-81. doi:10.1001/jamasurg.2013.4663. https://psnet.ahrq.gov/issue/costs…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47095/psn-pdf
    October 10, 2018 - Adverse drug events and medication problems in "Hospital at Home" patients. October 10, 2018 Mann E, Zepeda O, Soones T, et al. Adverse drug events and medication problems in "Hospital at Home" patients. Home Health Care Serv Q. 2018;37(3):177-186. doi:10.1080/01621424.2018.1454372. https://psnet.ahrq.gov/issue/ad…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41336/psn-pdf
    May 02, 2012 - Human factors–focused reporting system for improving care quality and safety in hospital wards. May 2, 2012 Morag I, Gopher D, Spillinger A, et al. Human Factors–Focused Reporting System for Improving Care Quality and Safety in Hospital Wards. Hum Factors. 2012;54(2):195-213. doi:10.1177/0018720811434767. https://…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36224/psn-pdf
    October 19, 2010 - Nonpunitive medication error reporting: 3-year findings from one hospital's primum non nocere initiative. October 19, 2010 Potylycki MJ, Kimmel SR, Ritter M, et al. Nonpunitive medication error reporting: 3-year findings from one hospital's Primum Non Nocere initiative. J Nurs Adm. 2006;36(7-8):370-376. https://ps…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43440/psn-pdf
    August 13, 2014 - Hospital Experiences Using Electronic Health Records to Support Medication Reconciliation. August 13, 2014 Grossman JM, Gourevitch R, Cross D. Washington, DC: National Institute for Health Care Reform; July 2014. NIHCR Research Brief No. 17. https://psnet.ahrq.gov/issue/hospital-experiences-using-electronic-health…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37210/psn-pdf
    December 19, 2011 - Effects of an integrated clinical information system on medication safety in a multi-hospital setting. December 19, 2011 Mahoney CD, Berard-Collins CM, Coleman R, et al. Effects of an integrated clinical information system on medication safety in a multi-hospital setting. Am J Health Syst Pharm. 2007;64(18):1969-77…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74133/psn-pdf
    January 01, 2022 - Predicting avoidable hospital events in Maryland. December 1, 2021 Henderson M, Han F, Perman C, et al. Predicting avoidable hospital events in Maryland. Health Serv Res. 2022;57(1):192-199. doi:10.1111/1475-6773.13891. https://psnet.ahrq.gov/issue/predicting-avoidable-hospital-events-maryland With the goal of imp…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38907/psn-pdf
    January 03, 2017 - Applying Toyota Production System principles to a psychiatric hospital: making transfers safer and more timely. January 3, 2017 Young JQ, Wachter R. Applying Toyota Production System principles to a psychiatric hospital: making transfers safer and more timely. Jt Comm J Qual Patient Saf. 2009;35(9):439-448. https…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836784/psn-pdf
    March 23, 2022 - Qualitative content analysis: a framework for the substantive review of hospital incident reports. March 23, 2022 Stephens S. Qualitative content analysis: a framework for the substantive review of hospital incident reports. J Healthc Risk Manag. 2022;41(4):17-26. doi:10.1002/jhrm.21498. https://psnet.ahrq.gov/iss…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42540/psn-pdf
    September 04, 2013 - A qualitative study comparing experiences of the surgical safety checklist in hospitals in high-income and low- income countries. September 4, 2013 Aveling E-L, McCulloch P, Dixon-Woods M. A qualitative study comparing experiences of the surgical safety checklist in hospitals in high-income and low-income countrie…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34866/psn-pdf
    February 03, 2011 - Error reporting and disclosure systems: views from hospital leaders. February 3, 2011 Weissman JS, Annas CL, Epstein AM, et al. Error reporting and disclosure systems: views from hospital leaders. JAMA. 2005;293(11):1359-66. https://psnet.ahrq.gov/issue/error-reporting-and-disclosure-systems-views-hospital-leaders…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38326/psn-pdf
    January 14, 2009 - Results of a medication reconciliation survey from the 2006 Society of Hospital Medicine national meeting. January 14, 2009 Clay BJ, Halasyamani L, Stucky ER, et al. Results of a medication reconciliation survey from the 2006 Society of Hospital Medicine national meeting. J Hosp Med. 2008;3(6). doi:10.1002/jhm.370.…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36690/psn-pdf
    January 18, 2011 - The risk of adverse drug events and hospital-related morbidity and mortality among older adults with potentially inappropriate medication use. January 18, 2011 Page RL, Ruscin M. The risk of adverse drug events and hospital-related morbidity and mortality among older adults with potentially inappropriate medicatio…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41381/psn-pdf
    May 16, 2012 - Clinical review: the hospital of the future—building intelligent environments to facilitate safe and effective acute care delivery. May 16, 2012 Pickering BW, Litell JM, Herasevich V, et al. Clinical review: the hospital of the future - building intelligent environments to facilitate safe and effective acute care …
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35355/psn-pdf
    July 20, 2009 - Risky procedures by nurses in hospitals: problems and (contemplated) refusals of orders by physicians, and views of physicians and nurses: a questionnaire survey.   July 20, 2009 de Bie J, Cuperus-Bosma JM, van der Jagt MAB, et al. Risky procedures by nurses in hospitals: problems and (contemplated) refusals of or…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34809/psn-pdf
    February 18, 2011 - Iatrogenic illness on a general medical service at a university hospital. February 18, 2011 Steel K, Gertman PM, Crescenzi C, et al. Iatrogenic illness on a general medical service at a university hospital. N Engl J Med. 1981;304(11):638-42. https://psnet.ahrq.gov/issue/iatrogenic-illness-general-medical-service-u…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37548/psn-pdf
    February 20, 2008 - Adequacy of information transferred at resident sign-out (in-hospital handover of care): a prospective survey. February 20, 2008 Borowitz SM, Waggoner-Fountain LA, Bass EJ, et al. Adequacy of information transferred at resident sign- out (in-hospital handover of care): a prospective survey. Qual Saf Health Care. 20…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43473/psn-pdf
    August 27, 2014 - Rapid response team implementation and in-hospital mortality. August 27, 2014 Salvatierra G, Bindler RC, Corbett CF, et al. Rapid response team implementation and in-hospital mortality*. Crit Care Med. 2014;42(9):2001-6. doi:10.1097/CCM.0000000000000347. https://psnet.ahrq.gov/issue/rapid-response-team-implementat…

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