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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60356/psn-pdf
    May 20, 2020 - How the pandemic is reshaping hospital architecture and design. May 20, 2020 Booker C. PBSNewshour Weekend. May 10, 2020. https://psnet.ahrq.gov/issue/how-pandemic-reshaping-hospital-architecture-and-design Built environment characteristics can contribute to the spread of infection. This news segment discusses de…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60565/psn-pdf
    June 03, 2020 - The public has been forgiving. But hospitals got some things wrong. June 3, 2020 Ofri D. The public has been forgiving. But hospitals got some things wrong. New York Times. 2020; May 21. https://psnet.ahrq.gov/issue/public-has-been-forgiving-hospitals-got-some-things-wrong The complexity of the COVID-19 crisis cr…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39751/psn-pdf
    August 11, 2010 - Interpreting adverse drug reaction (ADR) reports as hospital patient safety incidents. August 11, 2010 Davies EC, Green CF, Mottram DR, et al. Interpreting adverse drug reaction (ADR) reports as hospital patient safety incidents. Br J Clin Pharmacol. 2010;70(1):102-8. doi:10.1111/j.1365-2125.2010.03671.x. https://…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50757/psn-pdf
    December 18, 2019 - As university hospital hounds debtors, doctors say it's doing harm. December 18, 2019 Garcia-Navarro L. Weekend Edition Sunday. National Public Radio. December 1, 2019. https://psnet.ahrq.gov/issue/university-hospital-hounds-debtors-doctors-say-its-doing-harm Financial harms occur in health care due to a variety o…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41040/psn-pdf
    January 04, 2012 - Implementing an electronic medical record with computerized prescriber order entry at a critical access hospital. January 4, 2012 Horning R. Implementing an electronic medical record with computerized prescriber order entry at a critical access hospital. Am J Health Syst Pharm. 2011;68(23):2288-92. doi:10.2146/ajh…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42203/psn-pdf
    April 17, 2013 - What do hospital staff in the UK think are the causes of penicillin medication errors? April 17, 2013 Wilcock M, Harding G, Moore L, et al. What do hospital staff in the UK think are the causes of penicillin medication errors? Int J Clin Pharm. 2012;35(1). doi:10.1007/s11096-012-9708-1. https://psnet.ahrq.gov/issu…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42477/psn-pdf
    August 07, 2013 - Review into the Quality of Care and Treatment Provided by 14 Hospital Trusts in England: Overview Report. August 7, 2013 Keogh B. London, UK: National Health Service; July 2013. https://psnet.ahrq.gov/issue/review-quality-care-and-treatment-provided-14-hospital-trusts-england- overview-report Outlining findings f…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43621/psn-pdf
    October 22, 2014 - Multidisciplinary in-hospital teams improve patient outcomes: a review. October 22, 2014 Epstein NE. Multidisciplinary in-hospital teams improve patient outcomes: A review. Surg Neurol Int. 2014;5(Suppl 7):S295-303. doi:10.4103/2152-7806.139612. https://psnet.ahrq.gov/issue/multidisciplinary-hospital-teams-improve…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846459/psn-pdf
    March 22, 2023 - Few hospitals are willing to bear the cost of providing psychiatric care for kids. March 22, 2023 Schorsch K, Karp S. WBEZ Chicago. March 9, 2023. https://psnet.ahrq.gov/issue/few-hospitals-are-willing-bear-cost-providing-psychiatric-care-kids Pediatric mental health is a patient safety concern. This news story ou…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38561/psn-pdf
    April 15, 2009 - Health-Care–Associated Infections in Hospitals: Continuing Leadership Needed from HHS to Prioritize Prevention Practices and Improve Data on These Infections. April 15, 2009 Subcommittee on Health Care, Committee on Finance, US Senate, Government Accountability Office, GAO-09-516T (March 18, 2009) https://psnet.…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40537/psn-pdf
    June 15, 2011 - Rural nurses' safeguarding work: reembodying patient safety. June 15, 2011 MacKinnon K. Rural nurses' safeguarding work: reembodying patient safety. ANS Adv Nurs Sci. 2011;34(2):119-129. doi:10.1097/ANS.0b013e3182186b86. https://psnet.ahrq.gov/issue/rural-nurses-safeguarding-work-reembodying-patient-safety Rural …
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46605/psn-pdf
    January 24, 2018 - The impact of interruptions on medication errors in hospitals: an observational study of nurses. January 24, 2018 Johnson M, Sanchez P, Langdon R, et al. The impact of interruptions on medication errors in hospitals: an observational study of nurses. J Nurs Manag. 2017;25(7):498-507. doi:10.1111/jonm.12486. https:…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44241/psn-pdf
    November 09, 2015 - The overlooked danger of delirium in hospitals. November 9, 2015 Boodman SG. The Atlantic. June 7, 2015. https://psnet.ahrq.gov/issue/overlooked-danger-delirium-hospitals Delirium is a common unintended consequence of hospitalization, most often following a surgical procedure. This magazine article discusses chara…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845655/psn-pdf
    March 08, 2023 - Crisis in the Lakeshore Hospital ER. March 8, 2023 Derfel A. Montreal Gazette. February 24- March 1, 2023 https://psnet.ahrq.gov/issue/crisis-lakeshore-hospital-er Emergency room failures are often rooted in system weaknesses. This series examines six patient deaths associated with emergency care that, w…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41302/psn-pdf
    April 18, 2012 - A review of patient safety measures based on routinely collected hospital data. April 18, 2012 Tsang C, Palmer WL, Bottle A, et al. A review of patient safety measures based on routinely collected hospital data. Am J Med Qual. 2012;27(2):154-69. doi:10.1177/1062860611414697. https://psnet.ahrq.gov/issue/review-pat…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48054/psn-pdf
    June 26, 2019 - Lessons learned from a death outside a hospital's doorstep. June 26, 2019 Palmer J. Patient Saf Qual Healthc. May/June 2019. https://psnet.ahrq.gov/issue/lessons-learned-death-outside-hospitals-doorstep Organizations must learn from adverse events to prevent similar incidents. Reporting on lessons to be learned f…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33571/psn-pdf
    March 15, 2025 - Reporting Patient Safety Events March 15, 2025 Reporting Patient Safety Events. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/reporting-patient-safety-events PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that they reflect current research and practice in th…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37613/psn-pdf
    March 12, 2008 - Implementing patient safety interventions in your hospital: what to try and what to avoid. March 12, 2008 Ranji SR, Shojania KG. Implementing patient safety interventions in your hospital: what to try and what to avoid. Med Clin North Am. 2008;92(2):275-93, vii-viii. doi:10.1016/j.mcna.2007.10.007. https://psnet.a…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38733/psn-pdf
    July 13, 2009 - Full implementation of computerized physician order entry and medication-related quality outcomes: a study of 3364 hospitals. July 13, 2009 Yu FB, Menachemi N, Berner ES, et al. Full implementation of computerized physician order entry and medication-related quality outcomes: a study of 3364 hospitals. Am J Med Qu…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38902/psn-pdf
    November 13, 2009 - Out-of-hospital medication errors: a 6-year analysis of the national poison data system. November 13, 2009 Shah K, Barker KA. Out-of-hospital medication errors: a 6-year analysis of the national poison data system. Pharmacoepidemiol Drug Saf. 2009;18(11):1080-5. doi:10.1002/pds.1823. https://psnet.ahrq.gov/issue/o…

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