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  1. psnet.ahrq.gov/issue/ethnographic-study-classifying-and-accounting-risk-sharp-end-medical-wards
    June 16, 2021 - Study An ethnographic study of classifying and accounting for risk at the sharp end of medical wards. Citation Text: Dixon-Woods M, Suokas A, Pitchforth E, et al. An ethnographic study of classifying and accounting for risk at the sharp end of medical wards. Soc Sci Med. 2009;69(3):362…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35378/psn-pdf
    November 28, 2016 - You're the boss at the hospital. November 28, 2016 https://psnet.ahrq.gov/issue/youre-boss-hospital This article shares guidelines for accompanying a family member during a hospital stay and offers strategies to facilitate communication and safety. https://psnet.ahrq.gov/issue/youre-boss-hospital
  3. psnet.ahrq.gov/web-mm/insulin-administration-pen-vs-vial-similar-not-interchangeable
    December 20, 2023 - Insulin Administration: Pen vs Vial – Similar, but Not Interchangeable Citation Text: Camarillo H. Insulin Administration: Pen vs Vial – Similar, but Not Interchangeable. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023. Copy Ci…
  4. psnet.ahrq.gov/web-mm/collegiality-vs-competence
    August 28, 2024 - Collegiality vs. Competence Citation Text: Sagin T. Collegiality vs. Competence. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagg…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74036/psn-pdf
    November 03, 2021 - Alert burden in pediatric hospitals: a cross-sectional analysis of six academic pediatric health systems using novel metrics. November 3, 2021 Orenstein EW, Kandaswamy S, Muthu N, et al. Alert burden in pediatric hospitals: a cross-sectional analysis of six academic pediatric health systems using novel metrics. J …
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44962/psn-pdf
    March 09, 2016 - Patient Safety: Hospitals Face Challenges Implementing Evidence-Based Practices. March 9, 2016 Washington, DC: United States Government Accountability Office; February 2016. Publication GAO-16- 308. https://psnet.ahrq.gov/issue/patient-safety-hospitals-face-challenges-implementing-evidence-based- practices Despi…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867635/psn-pdf
    February 26, 2025 - Diagnostic safety: needs assessment and informed curriculum at an academic children's hospital. February 26, 2025 Congdon M, Rasooly IR, Toto RL, et al. Diagnostic safety: needs assessment and informed curriculum at an academic children's hospital. Pediatr Qual Saf. 2024;9(6):e773. doi:10.1097/pq9.0000000000000773.…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45459/psn-pdf
    January 03, 2017 - Applying the high reliability health care maturity model to assess hospital performance: a VA case study. January 3, 2017 Sullivan JL, Rivard PE, Shin MH, et al. Applying the High Reliability Health Care Maturity Model to Assess Hospital Performance: A VA Case Study. Jt Comm J Qual Patient Saf. 2016;42(9):389-411. …
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73213/psn-pdf
    May 05, 2021 - Root causes of adverse drug events in hospitals and artificial intelligence capabilities for prevention. May 5, 2021 Gordo C, Núñez?Córdoba JM, Mateo R. Root causes of adverse drug events in hospitals and artificial intelligence capabilities for prevention. J Adv Nurs. 2021;77(7):3168-3175. doi:10.1111/jan.14779. …
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45678/psn-pdf
    October 11, 2017 - Is there a role for patients and their relatives in escalating clinical deterioration in hospital? A systematic review. October 11, 2017 Albutt AK, O'Hara JK, Conner MT, et al. Is there a role for patients and their relatives in escalating clinical deterioration in hospital? A systematic review. Health Expect. 2017…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74842/psn-pdf
    February 16, 2022 - An initiative to reduce insulin-related adverse drug events in a children's hospital. February 16, 2022 Lawson SA, Hornung LN, Lawrence M, et al. An initiative to reduce insulin-related adverse drug events in a children's hospital. Pediatrics. 2022;149(1):e2020004937. doi:10.1542/peds.2020-004937. https://psnet.ah…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73419/psn-pdf
    June 23, 2021 - Obtaining the best possible medication history at hospital admission: description of a pharmacy technician-driven program to identify medication discrepancies. June 23, 2021 Kabir R, Liaw S, Cerise J, et al. Obtaining the best possible medication history at hospital admission: description of a pharmacy technician-…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44595/psn-pdf
    January 22, 2016 - Delayed rapid response team activation is associated with increased hospital mortality, morbidity, and length of stay in a tertiary care institution. January 22, 2016 Barwise A, Thongprayoon C, Gajic O, et al. Delayed Rapid Response Team Activation Is Associated With Increased Hospital Mortality, Morbidity, and Le…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60581/psn-pdf
    June 10, 2020 - Correlation between hospital rating agencies' data: an analysis and recommendation. June 10, 2020 Sondheim SE, Mattie A, Vigil J, et al. Correlation between hospital rating agencies’ data: An analysis and recommendation. J Healthc Risk Manag. 2020;40(3):18-24. doi:10.1002/jhrm.21413. https://psnet.ahrq.gov/issue/c…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46879/psn-pdf
    September 24, 2018 - Epidemiology of and risk factors for harmful anti-infective medication errors in a pediatric hospital. September 24, 2018 Modi A, Germain E, Soma V, et al. Epidemiology of and Risk Factors for Harmful Anti-Infective Medication Errors in a Pediatric Hospital. Jt Comm J Qual Patient Saf. 2018;44(10):599-604. doi:10.…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844794/psn-pdf
    January 01, 2020 - Hospital image repair strategies, organizational apology, and medical errors: an analysis of the CoxHealth brain over-radiation case. September 18, 2019 Carmack HJ. Hospital Image Repair Strategies, Organizational Apology, and Medical Errors: An Analysis of the CoxHealth Brain Over-Radiation Case. Health Comm. 202…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37026/psn-pdf
    September 15, 2011 - Residents feel unprepared and unsupervised as leaders of cardiac arrest teams in teaching hospitals: a survey of internal medicine residents. September 15, 2011 Hayes CW, Rhee A, Detsky ME, et al. Residents feel unprepared and unsupervised as leaders of cardiac arrest teams in teaching hospitals: a survey of inter…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46951/psn-pdf
    June 26, 2018 - Emergency department boarding and adverse hospitalization outcomes among patients admitted to a general medical service. June 26, 2018 Lord K, Parwani V, Ulrich A, et al. Emergency department boarding and adverse hospitalization outcomes among patients admitted to a general medical service. Am J Emerg Med. 2018;36…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45433/psn-pdf
    October 27, 2016 - Reduction in hospital-wide clinical laboratory specimen identification errors following process interventions: a 10- year retrospective observational study. October 27, 2016 Ning H-C, Lin C-N, Chiu DT-Y, et al. Reduction in Hospital-Wide Clinical Laboratory Specimen Identification Errors following Process Interven…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852451/psn-pdf
    August 16, 2023 - The impact of transition to a digital hospital on medication errors (TIME study). August 16, 2023 Engstrom T, McCourt E, Canning M, et al. The impact of transition to a digital hospital on medication errors (TIME study). NPJ Digit Med. 2023;6(1):133. doi:10.1038/s41746-023-00877-w. https://psnet.ahrq.gov/issue/imp…

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