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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73130/psn-pdf
    January 01, 2022 - Improving peripherally inserted central catheter appropriateness and reducing device-related complications: a quasiexperimental study in 52 Michigan hospitals. April 14, 2021 Chopra V, O'Malley M, Horowitz J, et al. Improving peripherally inserted central catheter appropriateness and reducing device-related compl…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844766/psn-pdf
    January 01, 2020 - Validation of new ICD-10-based patient safety indicators for identification of in-hospital complications in surgical patients: a study of diagnostic accuracy. September 11, 2019 McIsaac DI, Hamilton GM, Abdulla K, et al. Validation of new ICD-10-based patient safety indicators for identification of in-hospital com…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48085/psn-pdf
    June 19, 2019 - A decade of preventing harm. June 19, 2019 Woeltje KF, Olenski LK, Donatelli M, et al. A Decade of Preventing Harm. Jt Comm J Qual Patient Saf. 2019;45(7):480-486. doi:10.1016/j.jcjq.2019.04.007. https://psnet.ahrq.gov/issue/decade-preventing-harm Preventable patient safety problems continue to challenge health ca…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40910/psn-pdf
    November 09, 2011 - The effect of hospital electronic health record adoption on nurse-assessed quality of care and patient safety. November 9, 2011 Kutney-Lee A, Kelly D. The effect of hospital electronic health record adoption on nurse-assessed quality of care and patient safety. J Nurs Adm. 2011;41(11):466-72. doi:10.1097/NNA.0b013e…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38760/psn-pdf
    July 08, 2009 - Nurses' perceptions of safety culture in long-term care settings. July 8, 2009 Wagner LM, Capezuti E, Rice JC. Nurses' perceptions of safety culture in long-term care settings. J Nurs Scholarsh. 2009;41(2):184-192. doi:10.1111/j.1547-5069.2009.01270.x. https://psnet.ahrq.gov/issue/nurses-perceptions-safety-culture…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43497/psn-pdf
    September 03, 2014 - In redesigned room, hospital patients may feel better already. September 3, 2014 Kimmelman M. New York Times. August 21, 2014. https://psnet.ahrq.gov/issue/redesigned-room-hospital-patients-may-feel-better-already This newspaper article reports on how design solutions for hospitals, such as rooms modeled for singl…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36448/psn-pdf
    November 22, 2006 - Do panels vary when assessing intrapartum adverse events? The reproducibility of assessments by hospital risk management groups. November 22, 2006 Kernaghan D; Penney GC. https://psnet.ahrq.gov/issue/do-panels-vary-when-assessing-intrapartum-adverse-events-reproducibility- assessments-hospital The authors analyz…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36914/psn-pdf
    March 21, 2017 - Reasons for after-hours calls by hospital floor nurses to on-call physicians. March 21, 2017 Bernstam E, Pancheri KK, Johnson CM, et al. Reasons for after-hours calls by hospital floor nurses to on- call physicians. Jt Comm J Qual Patient Saf. 2007;33(6):342-9. https://psnet.ahrq.gov/issue/reasons-after-hours-call…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36316/psn-pdf
    October 26, 2010 - Improving self-reporting of adverse drug events in a West Virginia hospital. October 26, 2010 Schade CP, Hannah K, Ruddick P, et al. Improving self-reporting of adverse drug events in a West Virginia hospital. Am J Med Qual. 2006;21(5):335-41. https://psnet.ahrq.gov/issue/improving-self-reporting-adverse-drug-even…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35331/psn-pdf
    July 15, 2009 - Risk of adverse drug events by patient destination after hospital discharge. July 15, 2009 Triller DM, Clause SL, Hamilton RA. Risk of adverse drug events by patient destination after hospital discharge. Am J Health Syst Pharm. 2005;62(18):1883-9. https://psnet.ahrq.gov/issue/risk-adverse-drug-events-patient-desti…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36879/psn-pdf
    June 13, 2011 - Medication Safety and Hospital Referrals: A Report by the Health and Disability Commissioner. June 13, 2011 Paterson R. Auckland, NZ; Office of the Health and Disability Commissioner: April 2007. https://psnet.ahrq.gov/issue/medication-safety-and-hospital-referrals-report-health-and-disability- commissioner …
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33900/psn-pdf
    December 06, 2011 - Patient Safety: Supporting a Culture of Continuous Quality Improvement in Hospitals and Other Health Care Organizations. December 6, 2011 Clancy CM, Agency for Health Research and Quality; AHRQ. https://psnet.ahrq.gov/issue/patient-safety-supporting-culture-continuous-quality-improvement-hospitals- and-other-heal…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43564/psn-pdf
    January 15, 2019 - Are hospitals in a med safety standard slump? January 15, 2019 Wild D. Pharmacy Practice News. September 8, 2014. https://psnet.ahrq.gov/issue/are-hospitals-med-safety-standard-slump Highlighting how hospital compliance rates with Joint Commission medication–related standards have remained mostly unchanged from 20…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34791/psn-pdf
    March 28, 2005 - Drug-related hospital admissions. March 28, 2005 Einarson TR https://psnet.ahrq.gov/issue/drug-related-hospital-admissions This systematic review summarizes reported rates of drug-related hospital admissions from 36 different studies. The findings suggest that approximately 5% of all admissions are attributable to…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36410/psn-pdf
    June 29, 2011 - Voluntary incident reporting by anaesthetic trainees in an Australian hospital. June 29, 2011 Freestone L, Bolsin S, Colson M, et al. Voluntary incident reporting by anaesthetic trainees in an Australian hospital. Int J Qual Health Care. 2006;18(6):452-7. https://psnet.ahrq.gov/issue/voluntary-incident-reporting-a…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37218/psn-pdf
    March 04, 2011 - Medicaid markets and pediatric patient safety in hospitals. March 4, 2011 Smith RB, Cheung R, Owens P, et al. Medicaid markets and pediatric patient safety in hospitals. Health Serv Res. 2007;42(5):1981-98. https://psnet.ahrq.gov/issue/medicaid-markets-and-pediatric-patient-safety-hospitals This study examined th…
  17. psnet.ahrq.gov/perspective/conversation-anjali-joseph-phd-edac-and-molly-m-scanlon-phd-faia-facha
    June 30, 2021 - In Conversation With... Anjali Joseph, PhD, EDAC and Molly M. Scanlon, PhD, FAIA, FACHA June 30, 2021  Also Read the Essay Citation Text: In Conversation With.. Anjali Joseph, PhD, EDAC and Molly M. Scanlon, PhD, FAIA, FACHA. PSNet [internet]. 2021.In Conversation…
  18. psnet.ahrq.gov/perspective/covid-19-and-built-environment
    June 30, 2021 - COVID-19 and the Built Environment June 30, 2021  Also Read the Conversation View more articles from the same authors. Citation Text: Joseph A, Scanlon MM, Fitall E, et al. COVID-19 and the Built Environment. PSNet [internet]. Rockville (MD): Agency for Healthca…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33808/psn-pdf
    May 01, 2016 - Reducing the Safety Hazards of Monitor Alert and Alarm Fatigue May 1, 2016 Jacques S, Williams E. Reducing the Safety Hazards of Monitor Alert and Alarm Fatigue. PSNet [internet]. 2016. https://psnet.ahrq.gov/perspective/reducing-safety-hazards-monitor-alert-and-alarm-fatigue Perspective Alarm fatigue occurs whe…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49814/psn-pdf
    December 01, 2017 - Miscommunication in the OR Leads to Anticoagulation Mishap December 1, 2017 Solsky I, Haynes AB. Miscommunication in the OR Leads to Anticoagulation Mishap. PSNet [internet]. 2017. https://psnet.ahrq.gov/web-mm/miscommunication-or-leads-anticoagulation-mishap The Case A 63-year-old man with a history of coronary…

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