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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60237/psn-pdf
    April 15, 2020 - Coronavirus strains hospitals, cancer patients face treatment delays, uncertainty. April 15, 2020 Stone W. Health Shots. National Public Radio. April 2, 2020. https://psnet.ahrq.gov/issue/coronavirus-strains-hospitals-cancer-patients-face-treatment-delays- uncertainty Lack of access to services is emerging as a p…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48134/psn-pdf
    August 14, 2019 - Root cause analysis for hospital-acquired pressure injury. August 14, 2019 Black JM. Root cause analysis for hospital-acquired pressure injury. J Wound Ostomy Continence Nurs. 2019;46(4):298-304. doi:10.1097/WON.0000000000000546. https://psnet.ahrq.gov/issue/root-cause-analysis-hospital-acquired-pressure-injury Pr…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/863763/psn-pdf
    March 06, 2024 - After his wife died, he joined nurses to push for new staffing rules in hospitals. March 6, 2024 Wells K. Health Shots. KFF News and Michigan Public. February 22, 2024. https://psnet.ahrq.gov/issue/after-his-wife-died-he-joined-nurses-push-new-staffing-rules-hospitals Mandatory staffing ratios are a controversial …
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46522/psn-pdf
    October 29, 2017 - Public reporting of surgical outcomes: surgeons, hospitals, or both? October 29, 2017 Jha AK. Public Reporting of Surgical Outcomes: Surgeons, Hospitals, or Both? JAMA. 2017;318(15):1429- 1430. doi:10.1001/jama.2017.13815. https://psnet.ahrq.gov/issue/public-reporting-surgical-outcomes-surgeons-hospitals-or-both …
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44872/psn-pdf
    February 12, 2016 - Reducing preventable harm in hospitals. February 12, 2016 Bornstein D. New York Times. January 26, and February 2, 2016. https://psnet.ahrq.gov/issue/reducing-preventable-harm-hospitals Discussing the importance of designing safeguards to prevent system failures that can result in patient harm, this two-part newsp…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34591/psn-pdf
    January 04, 2017 - John M. Eisenberg Patient Safety Awards. Safety, effectiveness, and efficiency: a Web-based virtual anticoagulation clinic. January 4, 2017 Kelly JJ, Sweigard KW, Shields K, et al. John M. Eisenberg Patient Safety Awards. Safety, effectiveness, and efficiency: a Web-based virtual anticoagulation clinic. Jt Comm J …
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/849614/psn-pdf
    May 31, 2023 - Hospitals in two states denied an abortion to a miscarrying patient. Investigators say they broke federal law. May 31, 2023 Surana K. Pro Publica. May 19, 2023. https://psnet.ahrq.gov/issue/hospitals-two-states-denied-abortion-miscarrying-patient-investigators-say- they-broke-federal The unintended clinical cons…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42915/psn-pdf
    January 01, 2016 - Reducing Avoidable Readmissions Effectively campaign: a statewide collaborative. February 5, 2014 McCoy KA, Bear-Pfaffendorf K, Foreman JK, et al. Reducing Avoidable Hospital Readmissions Effectively: A Statewide Campaign. Joint Comm J Qual Patient Saf. 2016;40(5):198-204, AP2. doi:10.1016/s1553- 7250(14)40026-6. …
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47850/psn-pdf
    March 27, 2019 - Medicines-related harm in the elderly post-hospital discharge. March 27, 2019 Cheong V-L, Tomlinson J, Khan S, et al. Prescriber. 2019;30:29-34. https://psnet.ahrq.gov/issue/medicines-related-harm-elderly-post-hospital-discharge Geriatric patients are particularly vulnerable to medication-related harm. This articl…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846756/psn-pdf
    March 29, 2023 - Frequency of medication administration timing error in hospitals: a systematic review. March 29, 2023 Pullam T, Russell CL, White-Lewis S. Frequency of medication administration timing error in hospitals: a systematic review. J Nurs Care Qual. 2023;38(2):126-133. doi:10.1097/ncq.0000000000000668. https://psnet.ahr…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44901/psn-pdf
    March 30, 2016 - Medication safety pharmacy technician in a large, tertiary care, community hospital. March 30, 2016 Brown KN, Bergsbaken J, Reichard JS. Medication safety pharmacy technician in a large, tertiary care, community hospital. Am J Health Syst Pharm. 2016;73(4):188-191. doi:10.2146/ajhp150098. https://psnet.ahrq.gov/is…
  12. psnet.ahrq.gov/issue/100k-lives-falling-short
    November 11, 2015 - Newspaper/Magazine Article 100K Lives falling short. Citation Text: 100K Lives falling short. Robeznieks A. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL …
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44026/psn-pdf
    November 03, 2015 - Effect of a postdischarge virtual ward on readmission or death for high-risk patients: a randomized clinical trial. November 3, 2015 Dhalla IA, O'Brien T, Morra D, et al. Effect of a postdischarge virtual ward on readmission or death for high- risk patients: a randomized clinical trial. JAMA. 2014;312(13):1305-12. …
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46296/psn-pdf
    September 24, 2017 - 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. September 24, 2017 Molina G, Berry WR, Lipsitz S, et al. Perception of Safety of Surgical Practice Among Operating Room Personnel From Survey Da…
  15. psnet.ahrq.gov/issue/patient-safety-0
    February 28, 2015 - Government Resource Patient Safety. Citation Text: Patient Safety. Minnesota Department of Health Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL November …
  16. psnet.ahrq.gov/issue/i-pass-handoff-program-use-campaign-effect-transformational-change
    April 24, 2018 - Study I-PASS handoff program: use of a campaign to effect transformational change. Citation Text: Rosenbluth G, Destino LA, Starmer AJ, et al. I-PASS Handoff Program: Use of a Campaign to Effect Transformational Change. Ped Qual Saf. 2018;3(4):e088. doi:10.1097/pq9.0000000000000088. Co…
  17. psnet.ahrq.gov/issue/use-artificial-intelligence-optimize-medication-alerts-generated-clinical-decision-support
    May 26, 2021 - Review The use of artificial intelligence to optimize medication alerts generated by clinical decision support systems: a scoping review. Citation Text: Graafsma J, Murphy RM, van de Garde EMW, et al. The use of artificial intelligence to optimize medication alerts generated by clinical …
  18. psnet.ahrq.gov/issue/associations-between-double-checking-and-medication-administration-errors-direct
    January 18, 2023 - Study Associations between double-checking and medication administration errors: a direct observational study of paediatric inpatients. Citation Text: Westbrook JI, Li L, Raban MZ, et al. Associations between double-checking and medication administration errors: a direct observational st…
  19. psnet.ahrq.gov/issue/hand-hygiene-among-physicians-performance-beliefs-and-perceptions
    January 14, 2011 - Study Classic Hand hygiene among physicians: performance, beliefs, and perceptions. Citation Text: Pittet D, Simon A, Hugonnet S, et al. Hand hygiene among physicians: performance, beliefs, and perceptions. Ann Intern Med. 2004;141(1):1-8. Copy Citation …
  20. psnet.ahrq.gov/issue/use-fmea-analysis-reduce-risk-errors-prescribing-and-administering-drugs-paediatric-wards
    March 08, 2023 - Study Use of FMEA analysis to reduce risk of errors in prescribing and administering drugs in paediatric wards: a quality improvement report. Citation Text: Lago P, Bizzarri G, Scalzotto F, et al. Use of FMEA analysis to reduce risk of errors in prescribing and administering drugs in p…

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