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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42747/psn-pdf
    November 20, 2013 - Drug related problems and pharmacist interventions in a geriatric unit employing electronic prescribing. November 20, 2013 Raimbault-Chupin M, Spiesser-Robelet L, Guir V, et al. Drug related problems and pharmacist interventions in a geriatric unit employing electronic prescribing. Int J Clin Pharm. 2013;35(5):847-…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33934/psn-pdf
    March 02, 2011 - A hospitalization from hell: a patient's perspective on quality. March 2, 2011 Cleary PD. A hospitalization from hell: a patient's perspective on quality. Ann Intern Med. 2003;138(1):33- 39. https://psnet.ahrq.gov/issue/hospitalization-hell-patients-perspective-quality The author shares the unique perspectives of…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41536/psn-pdf
    December 31, 2014 - Retail pharmacy staff perceptions of design strengths and weaknesses of electronic prescribing. December 31, 2014 Odukoya OK, Chui MA. Retail pharmacy staff perceptions of design strengths and weaknesses of electronic prescribing. J Am Med Inform Assoc. 2012;19(6):1059-65. doi:10.1136/amiajnl-2011-000779. https://…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43014/psn-pdf
    March 12, 2014 - Understanding the barriers to physician error reporting and disclosure: a systemic approach to a systemic problem. March 12, 2014 Perez B, Knych SA, Weaver SJ, et al. Understanding the barriers to physician error reporting and disclosure: a systemic approach to a systemic problem. J Patient Saf. 2014;10(1):45-51. …

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50671/psn-pdf
    November 20, 2019 - Critical errors in infrequently performed trauma procedures after training. November 20, 2019 Mackenzie CF, Shackelford SA, Tisherman SA, et al. Critical errors in infrequently performed trauma procedures after training. Surgery. 2019;166(5):835-843. doi:10.1016/j.surg.2019.05.031. https://psnet.ahrq.gov/issue/cri…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35809/psn-pdf
    February 25, 2015 - Stories from the sharp end: case studies in safety improvement. February 25, 2015 McCarthy D; Blumenthal D. Milbank Q. 2006;84(1):165-200 https://psnet.ahrq.gov/issue/stories-sharp-end-case-studies-safety-improvement This study shares the efforts of six different health care organizations in implementing intervent…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46945/psn-pdf
    August 29, 2018 - Patient safety initiatives in obstetrics: a rapid review. August 29, 2018 Antony J, Zarin W, Pham B', et al. Patient safety initiatives in obstetrics: a rapid review. BMJ Open. 2018;8(7):e020170. doi:10.1136/bmjopen-2017-020170. https://psnet.ahrq.gov/issue/patient-safety-initiatives-obstetrics-rapid-review Variou…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74261/psn-pdf
    January 19, 2022 - Implicit bias in healthcare professionals: a systematic review. January 19, 2022 FitzGerald C, Hurst S. Implicit bias in healthcare professionals: a systematic review. BMC Med Ethics. 2017;18(1):19. doi:10.1186/s12910-017-0179-8. https://psnet.ahrq.gov/issue/implicit-bias-healthcare-professionals-systematic-review…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43449/psn-pdf
    September 03, 2014 - Interventions to reduce medication errors in pediatric intensive care. September 3, 2014 Manias E, Kinney S, Cranswick N, et al. Interventions to reduce medication errors in pediatric intensive care. Ann Pharmacother. 2014;48(10):1313-31. doi:10.1177/1060028014543795. https://psnet.ahrq.gov/issue/interventions-red…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73344/psn-pdf
    June 02, 2021 - Assessing patient safety culture in hospital settings. June 2, 2021 Azyabi A. Assessing patient safety culture in hospital settings. Int J Environ Res Public Health. 2021;18(5):2466. doi:10.3390/ijerph18052466. https://psnet.ahrq.gov/issue/assessing-patient-safety-culture-hospital-settings Accurate measurement of …

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74703/psn-pdf
    January 26, 2022 - Research to improve diagnosis: time to study the real world. January 26, 2022 Ranji SR, Thomas EJ. Research to improve diagnosis: time to study the real world. BMJ Qual Saf. 2022;31(4):255-258. doi:10.1136/bmjqs-2021-014071. https://psnet.ahrq.gov/issue/research-improve-diagnosis-time-study-real-world Diagnostic …

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866164/psn-pdf
    June 19, 2024 - What is the effectiveness of reporting systems in promoting learning in healthcare? June 19, 2024 Sehgal A. What is the effectiveness of reporting systems in promoting learning in healthcare? Br J Hosp Med (Lond). 2024;85(4):1-9. doi:10.12968/hmed.2023.0444. https://psnet.ahrq.gov/issue/what-effectiveness-reportin…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43022/psn-pdf
    May 29, 2014 - Using simulation to improve root cause analysis of adverse surgical outcomes. May 29, 2014 Slakey DP, Simms ER, Rennie K, et al. Using simulation to improve root cause analysis of adverse surgical outcomes. Int J Qual Health Care. 2014;26(2):144-50. doi:10.1093/intqhc/mzu011. https://psnet.ahrq.gov/issue/using-sim…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837702/psn-pdf
    July 20, 2022 - Patient safety informatics: meeting the challenges of emerging digital health. July 20, 2022 McInerney C, Benn J, Dowding D, et al. Patient safety informatics: meeting the challenges of emerging digital health. Stud Health Technol Inform. 2022;290:364-368. doi:10.3233/shti220097. https://psnet.ahrq.gov/issue/patie…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60822/psn-pdf
    August 19, 2020 - An examination of medical malpractice claims involving physician trainees. August 19, 2020 Myers LC, Gartland RM, Skillings J, et al. An examination of medical malpractice claims involving physician trainees. Acad Med. 2020;95(8):1215-1222. doi:10.1097/acm.0000000000003117. https://psnet.ahrq.gov/issue/examination…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72559/psn-pdf
    December 09, 2020 - The Life and Death of Elizabeth Dixon: A Catalyst for Change. December 9, 2020 Kirkup B. London, England: Crown Copyright; 2020. ISBN 9781528622714. https://psnet.ahrq.gov/issue/life-and-death-elizabeth-dixon-catalyst-change Missed diagnosis of a dangerous condition in utero, treatment errors, lack of respons…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847058/psn-pdf
    April 05, 2023 - Care Delivery within Community Mental Health Teams. April 5, 2023 Farnborough, UK: Healthcare Safety Investigation Branch; March 2023. https://psnet.ahrq.gov/issue/care-delivery-within-community-mental-health-teams Patient suicide is a sentinel event. This report examines a suicide incident that identified problems…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38736/psn-pdf
    June 24, 2009 - Improving patient safety by understanding past experiences in day surgery and PACU. June 24, 2009 Ross J, Ranum D. Improving patient safety by understanding past experiences in day surgery and PACU. J Perianesth Nurs. 2009;24(3):144-51. doi:10.1016/j.jopan.2009.03.001. https://psnet.ahrq.gov/issue/improving-patien…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42171/psn-pdf
    April 17, 2013 - Perceptions of risk to patient safety in the pediatric ICU, a study of American pediatric intensivists. April 17, 2013 Bauer P, Hoffmann RG, Bragg D, et al. Perceptions of risk to patient safety in the pediatric ICU, a study of American pediatric intensivists. Saf Sci. 2012;53. doi:10.1016/j.ssci.2012.09.009. http…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45711/psn-pdf
    March 27, 2017 - Management of a patient with a latex allergy. March 27, 2017 Minami CA, Barnard C, Bilimoria KY. Management of a Patient With a Latex Allergy. JAMA. 2017;317(3):309-310. doi:10.1001/jama.2016.20034. https://psnet.ahrq.gov/issue/management-patient-latex-allergy This case analysis discusses the use of a latex cathet…
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