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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43403/psn-pdf
    August 06, 2014 - Strategies to enhance adoption of ventilator-associated pneumonia prevention interventions: a systematic literature review. August 6, 2014 Goutier JM, Holzmueller CG, Edwards KC, et al. Strategies to enhance adoption of ventilator-associated pneumonia prevention interventions: a systematic literature review. Infec…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44055/psn-pdf
    April 15, 2015 - Health Care Simulation to Advance Safety: Responding to Ebola and Other Threats. April 15, 2015 Rockville, MD: Agency for Healthcare Research and Quality; February 2015. AHRQ Publication No. 15- 0021. https://psnet.ahrq.gov/issue/health-care-simulation-advance-safety-responding-ebola-and-other-threats Simulation …

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43343/psn-pdf
    December 04, 2016 - Parents' perspective on safety in neonatal intensive care: a mixed-methods study. December 4, 2016 Lyndon A, Jacobson CH, Fagan KM, et al. Parents' perspectives on safety in neonatal intensive care: a mixed-methods study. BMJ Qual Saf. 2014;23(11):902-9. doi:10.1136/bmjqs-2014-003009. https://psnet.ahrq.gov/issue/…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/849608/psn-pdf
    May 31, 2023 - Understanding and preventing vaccination errors. May 31, 2023 Poiraud C, Réthoré L, Bourdon O, et al. Understanding and preventing vaccination errors. Infect Dis Now. 2023;53(2):104641. doi:10.1016/j.idnow.2023.01.001. https://psnet.ahrq.gov/issue/understanding-and-preventing-vaccination-errors Vaccine errors can …

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47122/psn-pdf
    June 13, 2018 - Intravenous chemotherapy compounding errors in a follow-up pan-Canadian observational study. June 13, 2018 Gilbert RE, Kozak MC, Dobish RB, et al. Intravenous Chemotherapy Compounding Errors in a Follow-Up Pan-Canadian Observational Study. J Oncol Pract. 2018;14(5):e295-e303. doi:10.1200/JOP.17.00007. https://psne…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60841/psn-pdf
    January 01, 2022 - The use of anatomical side markers in general radiology: a systematic review of the current literature. August 26, 2020 Chung L, Kumar S, Oldfield J, et al. The use of anatomical side markers in general radiology: a systematic review of the current literature. J Patient Saf. 2022;18(1):e115-e123. doi:10.1097/pts.00…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42488/psn-pdf
    August 14, 2013 - Lessons learned from implementation of computerized provider order entry in 5 community hospitals: a qualitative study. August 14, 2013 Simon SR, Keohane CA, Amato MG, et al. Lessons learned from implementation of computerized provider order entry in 5 community hospitals: a qualitative study. BMC Med Inform Decis…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46621/psn-pdf
    November 22, 2017 - Patient involvement for improved patient safety: a qualitative study of nurses' perceptions and experiences. November 22, 2017 Skagerström J, Ericsson C, Nilsen P, et al. Patient involvement for improved patient safety: A qualitative study of nurses' perceptions and experiences. Nurs Open. 2017;4(4):230-239. doi:10…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44062/psn-pdf
    September 09, 2015 - How to make medication error reporting systems work—factors associated with their successful development and implementation. September 9, 2015 Holmström A-R, Laaksonen R, Airaksinen M. How to make medication error reporting systems work-- Factors associated with their successful development and implementation. Hea…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44956/psn-pdf
    March 09, 2016 - Epidemiology, patterns of care, and mortality for patients with acute respiratory distress syndrome in intensive care units in 50 countries. March 9, 2016 Bellani G, Laffey JG, Pham T, et al. Epidemiology, Patterns of Care, and Mortality for Patients With Acute Respiratory Distress Syndrome in Intensive Care Units…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43791/psn-pdf
    December 17, 2014 - Facilitating Patient Understanding of Discharge Instructions: Workshop Summary. December 17, 2014 Alper J, Hernandez LM; Roundtable on Health Literacy, Board on Population Health and Public Health Practice, Institute of Medicine. Washington, DC: National Academies Press; December 2014. ISBN: 9780309307383. https:…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40350/psn-pdf
    April 20, 2011 - Systemic vulnerabilities to suicide among veterans from the Iraq and Afghanistan conflicts: review of case reports from a national Veterans Affairs database. April 20, 2011 Mills PD, Huber SJ, Watts BV, et al. Systemic vulnerabilities to suicide among veterans from the Iraq and Afghanistan Conflicts: review of cas…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39840/psn-pdf
    September 15, 2010 - Wrong-site craniotomy: analysis of 35 cases and systems for prevention. September 15, 2010 Cohen FL, Mendelsohn D, Bernstein M. Wrong-site craniotomy: analysis of 35 cases and systems for prevention. J Neurosurg. 2010;113(3):461-73. doi:10.3171/2009.10.JNS091282. https://psnet.ahrq.gov/issue/wrong-site-craniotomy-…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837701/psn-pdf
    July 20, 2022 - Pediatric surgical errors: a systematic scoping review. July 20, 2022 Marsh KM, Fleming MA, Turrentine FE, et al. Pediatric surgical errors: a systematic scoping review. J Pediatr Surg. 2022;57(4):616-621. doi:10.1016/j.jpedsurg.2021.07.019. https://psnet.ahrq.gov/issue/pediatric-surgical-errors-systematic-scoping-…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47860/psn-pdf
    June 30, 2019 - New mother number 14. June 30, 2019 Sangarlangkarn A. Healthc (Amst). 2019;7:31-32. https://psnet.ahrq.gov/issue/new-mother-number-14 Rigid adherence to protocols may detract from safety when unexpected critical events occur that require deviation from the standard process. This commentary explores insights from a…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46551/psn-pdf
    October 25, 2017 - Inpatient notes: diagnostic excellence starts with an incessant watch. October 25, 2017 Dhaliwal G. Annals for Hospitalists Inpatient Notes - Diagnostic Excellence Starts With an Incessant Watch. Ann Intern Med. 2017;167(8):HO2-HO3. doi:10.7326/m17-2447. https://psnet.ahrq.gov/issue/inpatient-notes-diagnostic-exce…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44988/psn-pdf
    September 20, 2016 - The promise of big data: improving patient safety and nursing practice. September 20, 2016 Linnen D. The promise of big data: Improving patient safety and nursing practice. Nursing (Brux). 2016;46(5):28-34; quiz 34-5. doi:10.1097/01.NURSE.0000482256.71143.09. https://psnet.ahrq.gov/issue/promise-big-data-improving…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73922/psn-pdf
    October 06, 2021 - Leading causes of anesthesia-related liability claims in ambulatory surgery centers. October 6, 2021 Ranum D, Beverly A, Shapiro FE, et al. Leading causes of anesthesia-related liability claims in ambulatory surgery centers. J Patient Saf. 2021;17(7):513-521. doi:10.1097/pts.0000000000000431. https://psnet.ahrq.go…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34755/psn-pdf
    September 06, 2011 - Safe Practices for Better Healthcare: 2006 Update. September 6, 2011 Washington DC: National Quality Forum; 2007. https://psnet.ahrq.gov/issue/safe-practices-better-healthcare-2006-update The National Quality Forum used expert consensus and evidence review to identify 30 health care “safe practices” that should be…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/862158/psn-pdf
    February 07, 2024 - Current State of Diagnostic Safety: Implications for Research, Practice, and Policy. February 7, 2024 Khan S, Cholankeril R, Sloane J, et al. Rockville, MD: Agency for Healthcare Research and Quality; January 2024. Publication no. 24-0010-1-EF. https://psnet.ahrq.gov/issue/current-state-diagnostic-safety-implicati…
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