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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42234/psn-pdf
    June 03, 2013 - Pharmacovigilance using clinical notes. June 3, 2013 LePendu P, Iyer S, Bauer-Mehren A, et al. Pharmacovigilance using clinical notes. Clin Pharmacol Ther. 2013;93(6):547-55. doi:10.1038/clpt.2013.47. https://psnet.ahrq.gov/issue/pharmacovigilance-using-clinical-notes This study reports on the use of natural langu…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38809/psn-pdf
    November 14, 2011 - Safety First: Top of Your Board's Agenda: 100 Day Challenge Survey Report. November 14, 2011 The Patients Association. Harrow, Middlesex, UK: The Patients Association; June 2009. https://psnet.ahrq.gov/issue/safety-first-top-your-boards-agenda-100-day-challenge-survey-report This publication summarizes the results…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35530/psn-pdf
    March 02, 2010 - Health care provider use of private sector internal error- reporting systems. March 2, 2010 Roumm AR, Sciamanna CN, Nash DB. Health care provider use of private sector internal error-reporting systems. Am J Med Qual. 2005;20(6):304-12. https://psnet.ahrq.gov/issue/health-care-provider-use-private-sector-internal-e…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35951/psn-pdf
    June 14, 2011 - Errors in thyroid gland fine-needle aspiration. June 14, 2011 Raab SS, Vrbin CM, Grzybicki DM, et al. Errors in Thyroid Gland Fine-Needle Aspiration. Am J Clin Pathol. 2007;125(6). doi:10.1309/7rqe37k6439t4pb4. https://psnet.ahrq.gov/issue/errors-thyroid-gland-fine-needle-aspiration This AHRQ–funded study used roo…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41912/psn-pdf
    December 12, 2012 - Speaking up and sharing information improves trainee neonatal resuscitations. December 12, 2012 Katakam LI, Trickey AW, Thomas EJ. Speaking up and sharing information improves trainee neonatal resuscitations. J Patient Saf. 2012;8(4):202-9. doi:10.1097/PTS.0b013e3182699b4f. https://psnet.ahrq.gov/issue/speaking-an…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38754/psn-pdf
    August 17, 2011 - Intentionally harmful violations and patient safety: the example of Harold Shipman. August 17, 2011 Baker R, Hurwitz B. Intentionally harmful violations and patient safety: the example of Harold Shipman. J R Soc Med. 2009;102(6):223-227. doi:10.1258/jrsm.2009.09k028. https://psnet.ahrq.gov/issue/intentionally-harm…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47472/psn-pdf
    October 24, 2018 - Patient Safety Certificate Course. October 24, 2018 American Board of Quality Assurance and Utilization Review Physicians; ABQAURP. https://psnet.ahrq.gov/issue/patient-safety-certificate-course This online course offers three modules designed to build awareness of key patient safety topics, including how to ident…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40802/psn-pdf
    January 01, 2012 - Nurses' clinical reasoning: processes and practices of medication safety. December 15, 2011 Dickson GL, Flynn L. Nurses' clinical reasoning: processes and practices of medication safety. Qual Health Res. 2012;22(1):3-16. doi:10.1177/1049732311420448. https://psnet.ahrq.gov/issue/nurses-clinical-reasoning-processes…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36971/psn-pdf
    September 12, 2011 - Hospital patient safety: characteristics of best-performing hospitals. September 12, 2011 Longo DR, Hewett JE, Ge B, et al. Hospital patient safety: characteristics of best-performing hospitals. J Healthc Manag. 2007;52(3):188-204; discussion 204-5. https://psnet.ahrq.gov/issue/hospital-patient-safety-characterist…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35949/psn-pdf
    May 24, 2006 - Implementation of patient safety initiatives in US hospitals. May 24, 2006 McFadden KL, Stock GN, Gowen CR. Implementation of patient safety initiatives in US hospitals. Int J Oper Prod Manag. 2006;26(3):326-347. doi:10.1108/01443570610651052. https://psnet.ahrq.gov/issue/implementation-patient-safety-initiatives-…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43902/psn-pdf
    April 25, 2016 - Patients' perspectives of surgical safety: do they feel safe? April 25, 2016 Dixon JL, Tillman MM, Wehbe-Janek H, et al. Patients' Perspectives of Surgical Safety: Do They Feel Safe? The Ochsner J. 2015;15(2):143-148. https://psnet.ahrq.gov/issue/patients-perspectives-surgical-safety-do-they-feel-safe In this sur…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37704/psn-pdf
    April 23, 2008 - Decreasing paediatric prescribing errors in a district general hospital. April 23, 2008 Davey AL, Britland A, Naylor RJ. Decreasing paediatric prescribing errors in a district general hospital. Qual Saf Health Care. 2008;17(2):146-9. doi:10.1136/qshc.2006.021212. https://psnet.ahrq.gov/issue/decreasing-paediatric-…

  13. Under Pressure: Tracheostomy Cuff Over Inflation Leading to Tissue Necrosis and Cuff Rupture | PSNet

    psnet.ahrq.gov/web-mm/under-pressure-tracheostomy-cuff-over-inflation-leading-tissue-necrosis-and-cuff-rupture
    March 15, 2023 - ventilator settings were applied, or the patient’s body habitus, but this information would be useful in identifying

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41267/psn-pdf
    September 27, 2017 - Patient perceptions of missed nursing care. September 27, 2017 Kalisch BJ, McLaughlin M, Dabney BW. Patient perceptions of missed nursing care. Jt Comm J Qual Patient Saf. 2012;38(4):161-7. https://psnet.ahrq.gov/issue/patient-perceptions-missed-nursing-care Missed nursing care (failure to perform required patient…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34604/psn-pdf
    December 24, 2008 - Preventable Hospitalizations: A Window Into Primary and Preventive Care, 2000. December 24, 2008 Kruzikas DT, Jiang HJ, Remus D, et al for Agency for Healthcare Research and Quality; Rockville, MD: US Department of Health and Human Services, Agency for Healthcare Research and Quality, 2004 AHRQ publication no 04-0…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35412/psn-pdf
    September 11, 2009 - Chronology of medication errors by nurses: accumulation of stresses and PTSD symptoms. September 11, 2009 Rassin M, Kanti T, Silner D. Chronology of medication errors by nurses: accumulation of stresses and PTSD symptoms. Issues Ment Health Nurs. 2005;26(8):873-86. https://psnet.ahrq.gov/issue/chronology-medicatio…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42691/psn-pdf
    October 23, 2013 - Patient Safety Investigation report into services at University Hospital Galway (UHG) and as reflected in the care provided to Savita Halappanavar. October 23, 2013 Dublin, Ireland: Health Information and Quality Authority; October 2013. https://psnet.ahrq.gov/issue/patient-safety-investigation-report-services-uni…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41044/psn-pdf
    January 27, 2012 - Methods for assessing the preventability of adverse drug events: a systematic review. January 27, 2012 Hakkarainen KM, Sundell KA, Petzold M, et al. Methods for assessing the preventability of adverse drug events: a systematic review. Drug Saf. 2012;35(2):105-26. doi:10.2165/11596570-000000000-00000. https://psnet…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38102/psn-pdf
    April 15, 2019 - Epidemiology of adverse events in air medical transport. April 15, 2019 MacDonald RD, Banks BA, Morrison M. Epidemiology of adverse events in air medical transport. Acad Emerg Med. 2008;15(10):923-931. doi:10.1111/j.1553-2712.2008.00241.x. https://psnet.ahrq.gov/issue/epidemiology-adverse-events-air-medical-transpo…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46003/psn-pdf
    May 10, 2017 - National Healthcare Safety Network. May 10, 2017 Centers for Disease Control and Prevention. https://psnet.ahrq.gov/issue/national-healthcare-safety-network-0 Health care–associated infection are a persistent patient safety problem. This website provides resources related to a national health care–associated infec…
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