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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43654/psn-pdf
    April 02, 2015 - Nursing bedside clinical handover—an integrated review of issues and tools. April 2, 2015 Anderson J, Malone L, Shanahan K, et al. Nursing bedside clinical handover - an integrated review of issues and tools. J Clin Nurs. 2015;24(5-6):662-671. doi:10.1111/jocn.12706. https://psnet.ahrq.gov/issue/nursing-bedside-cl…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39436/psn-pdf
    October 25, 2013 - HealthGrades Seventh Annual Patient Safety in American Hospitals Study. October 25, 2013 Golden, CO: HealthGrades, Inc.; March 2010. https://psnet.ahrq.gov/issue/healthgrades-seventh-annual-patient-safety-american-hospitals-study This report, the latest in an annual series, uses the Agency for Healthcare Research …

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42727/psn-pdf
    November 13, 2013 - Impact of electronic health record systems on information integrity: quality and safety implications. November 13, 2013 Bowman S. Impact of electronic health record systems on information integrity: quality and safety implications. Perspect Health Inf Manag. 2013;10:1c. https://psnet.ahrq.gov/issue/impact-electron…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40064/psn-pdf
    July 08, 2013 - Hand Hygiene Project: Best Practices from Hospitals Participating in the Joint Commission Center for Transforming Healthcare Project. July 8, 2013 Health Research and Educational Trust. Chicago, IL: American Hospital Association; 2010. https://psnet.ahrq.gov/issue/hand-hygiene-project-best-practices-hospitals-part…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60945/psn-pdf
    September 23, 2020 - Safety in pediatric hospice and palliative care: a qualitative study. September 23, 2020 Pestian T, Thienprayoon R, Grossoehme D, et al. Safety in pediatric hospice and palliative care: a qualitative study. Pediatr Qual Saf. 2020;5(4):e328. doi:10.1097/pq9.0000000000000328. https://psnet.ahrq.gov/issue/safety-pedi…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38753/psn-pdf
    July 01, 2009 - Evaluation of safety in a radiation oncology setting using failure mode and effects analysis. July 1, 2009 Ford E, Gaudette R, Myers L, et al. Evaluation of safety in a radiation oncology setting using failure mode and effects analysis. Int J Radiat Oncol Biol Phys. 2009;74(3):852-8. doi:10.1016/j.ijrobp.2008.10.03…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46192/psn-pdf
    June 07, 2017 - Investigating the causes of adverse events. June 7, 2017 Sanchez JA, Lobdell KW, Moffatt-Bruce SD, et al. Investigating the Causes of Adverse Events. Ann Thorac Surg. 2017;103(6):1693-1699. doi:10.1016/j.athoracsur.2017.04.001. https://psnet.ahrq.gov/issue/investigating-causes-adverse-events Incident analysis enab…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845352/psn-pdf
    September 06, 2023 - Understanding and Improving Diagnostic Safety in Ambulatory Care. September 6, 2023 Rockville, MD: Agency for Healthcare Quality and Research; August 22, 2023. https://psnet.ahrq.gov/issue/understanding-and-improving-diagnostic-safety-ambulatory-care The articulation of diagnostic error in the ambulatory setting i…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48135/psn-pdf
    August 28, 2019 - What causes prescribing errors in children? Scoping review. August 28, 2019 Conn RL, Kearney O, Tully MP, et al. What causes prescribing errors in children? Scoping review. BMJ Open. 2019;9(8):e028680. doi:10.1136/bmjopen-2018-028680. https://psnet.ahrq.gov/issue/what-causes-prescribing-errors-children-scoping-rev…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73868/psn-pdf
    September 22, 2021 - Phony diagnoses hide high rates of drugging at nursing homes. September 22, 2021 Thomas K, Gebeloff R, Silver-Greenberg J. New York Times. September 11, 2021. https://psnet.ahrq.gov/issue/phony-diagnoses-hide-high-rates-drugging-nursing-homes Nursing home medication misuse is a contributor to resident harm. T…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45497/psn-pdf
    October 12, 2016 - Detection of adverse drug events using an electronic trigger tool. October 12, 2016 Lim D, Melucci J, Rizer MK, et al. Detection of adverse drug events using an electronic trigger tool. Am J Health Syst Pharm. 2016;73(17 Suppl 4):S112-20. doi:10.2146/ajhp150481. https://psnet.ahrq.gov/issue/detection-adverse-drug-…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841154/psn-pdf
    December 07, 2022 - Concerns regarding tablet splitting: a systematic review. December 7, 2022 Saran AK, Holden NA, Garrison SR. Concerns regarding tablet splitting: a systematic review. BJGP Open. 2022;6(3):BJGPO.2022.0001. doi:10.3399/bjgpo.2022.0001. https://psnet.ahrq.gov/issue/concerns-regarding-tablet-splitting-systematic-review…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34902/psn-pdf
    February 27, 2009 - Hospital rules-based system: the next generation of medical informatics for patient safety. February 27, 2009 Wilson JW, Oyen LJ, Ou NN, et al. Hospital rules-based system: the next generation of medical informatics for patient safety. Am J Health Syst Pharm. 2005;62(5):499-505. https://psnet.ahrq.gov/issue/hospit…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35282/psn-pdf
    May 27, 2011 - Comprehensive analysis of a medication dosing error related to CPOE. May 27, 2011 Horsky J, Kuperman GJ, Patel VL. Comprehensive Analysis of a Medication Dosing Error Related to CPOE: Table 1. J Am Med Info Assoc. 2005;12(4). doi:10.1197/jamia.m1740. https://psnet.ahrq.gov/issue/comprehensive-analysis-medication-d…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50781/psn-pdf
    January 08, 2020 - Harnessing the power of medical malpractice data to improve patient care. January 8, 2020 Siegal D, Swift J, Forget J, et al. Harnessing the power of medical malpractice data to improve patient care. J Healthc Risk Manag. 2020;39(3):28-36. doi:10.1002/jhrm.21393. https://psnet.ahrq.gov/issue/harnessing-power-medic…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39702/psn-pdf
    July 21, 2010 - Harmed patients gaining voice: challenging dominant perspectives in the construction of medical harm and patient safety reforms. July 21, 2010 Ocloo JE. Harmed patients gaining voice: challenging dominant perspectives in the construction of medical harm and patient safety reforms. Soc Sci Med. 2010;71(3):510-516. …

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837907/psn-pdf
    August 24, 2022 - ISMP Guidelines for Safe Medication Use in Perioperative and Procedural Settings. August 24, 2022 Plymouth Meeting, PA: Institute for Safe Medication Practices; 2022. https://psnet.ahrq.gov/issue/ismp-guidelines-safe-medication-use-perioperative-and-procedural-settings Medication errors associated with surgery and…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836935/psn-pdf
    April 13, 2019 - Root Cause Analysis: The Core of Problem Solving and Corrective Action, Second Edition. April 13, 2019 Oakes D. Milwaukee, WI: ASQ Quality Press; 2019. ISBN: 9780873899826. https://psnet.ahrq.gov/issue/root-cause-analysis-core-problem-solving-and-corrective-action-second-edition Root cause analysis is a widely use…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46241/psn-pdf
    January 30, 2018 - Interventions to improve oral chemotherapy safety and quality: a systematic review. January 30, 2018 Zerillo JA, Goldenberg BA, Kotecha RR, et al. Interventions to Improve Oral Chemotherapy Safety and Quality. JAMA Oncol. 2017;4(1):105-117. doi:10.1001/jamaoncol.2017.0625. https://psnet.ahrq.gov/issue/intervention…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38641/psn-pdf
    September 02, 2009 - Assessing the value of electronic prescribing in ambulatory care: A focus group study. September 2, 2009 Weingart SN, Massagli M, Cyrulik A, et al. Assessing the value of electronic prescribing in ambulatory care: a focus group study. Int J Med Inform. 2009;78(9):571-8. doi:10.1016/j.ijmedinf.2009.03.007. https://…
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