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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42547/psn-pdf
    May 19, 2014 - Using AHRQ Patient Safety Indicators to detect postdischarge adverse events in the Veterans Health Administration. May 19, 2014 Mull HJ, Borzecki A, Chen Q, et al. Using AHRQ patient safety indicators to detect postdischarge adverse events in the Veterans Health Administration. Am J Med Qual. 2014;29(3):213-9. do…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43669/psn-pdf
    November 12, 2014 - Multiple interacting factors influence adherence, and outcomes associated with surgical safety checklists: a qualitative study. November 12, 2014 Gagliardi AR, Straus SE, Shojania KG, et al. Multiple interacting factors influence adherence, and outcomes associated with surgical safety checklists: a qualitative stu…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841472/psn-pdf
    December 14, 2022 - Reducing potential errors associated with insulin administration: an integrative review. December 14, 2022 Alqahtani N. Reducing potential errors associated with insulin administration: an integrative review. J Eval Clin Pract. 2022;28(6):1037-1049. doi:10.1111/jep.13668. https://psnet.ahrq.gov/issue/reducing-pote…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60281/psn-pdf
    April 29, 2020 - How can task shifting put patient safety at risk? A qualitative study of experiences among general practitioners in Norway. April 29, 2020 Malterud K, Aamland A, Fosse A. How can task shifting put patient safety at risk? A qualitative study of experiences among general practitioners in Norway. Scand J Prim Health …
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43828/psn-pdf
    January 14, 2015 - Tragic error with neuromuscular blocker should prompt risk assessment by all hospitals. January 14, 2015 ISMP Medication Safety Alert! Acute Care Edition. December 18, 2014;19:1,4. https://psnet.ahrq.gov/issue/tragic-error-neuromuscular-blocker-should-prompt-risk-assessment-all- hospitals This newsletter article …
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867018/psn-pdf
    October 23, 2024 - Parents' perceptions of patient safety in paediatric hospital care-a mixed-methods systematic review. October 23, 2024 Witkowska MI, Janhunen K, Sak?Dankosky N, et al. Parents' perceptions of patient safety in paediatric hospital care—a mixed?methods systematic review. J Adv Nurs. 2024;Epub Aug 9. doi:10.1111/jan.1…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/863208/psn-pdf
    February 28, 2024 - Exploring clinical lessons learned by experienced hospitalists from diagnostic errors and successes. February 28, 2024 Kotwal S, Howell M, Zwaan L, et al. Exploring clinical lessons learned by experienced hospitalists from diagnostic errors and successes. J Gen Intern Med. 2024;39(8):1386-1392. doi:10.1007/s11606-0…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836995/psn-pdf
    April 27, 2022 - Multifactorial interventions to reduce duration and variability in delays to identification of serious injury after falls in hospital inpatients. April 27, 2022 Saleem J, Sarma D, Wright H, et al. Multifactorial interventions to reduce duration and variability in delays to identification of serious injury after fa…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50414/psn-pdf
    September 04, 2019 - Rating the raters: an evaluation of publicly reported hospital quality rating systems. September 4, 2019 Bilimoria KY, Birkmeyer JD, Burstin H, et al. NEJM Catalyst. August 14, 2019. https://psnet.ahrq.gov/issue/rating-raters-evaluation-publicly-reported-hospital-quality-rating-systems Numerous publicly available …
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36068/psn-pdf
    September 28, 2010 - Getting doctors to report medical errors: project DISCLOSE. September 28, 2010 King ES, Moyer D, Couturie MJ, et al. Getting doctors to report medical errors: project DISCLOSE. Jt Comm J Qual Patient Saf. 2006;32(7):382-392. https://psnet.ahrq.gov/issue/getting-doctors-report-medical-errors-project-disclose This …
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/861279/psn-pdf
    January 24, 2024 - Mistreatment in health care among women in Appalachia. January 24, 2024 Alspaugh A, Swan LET, Auerbach SL, et al. Mistreatment in health care among women in Appalachia. Cult Health Sex. 2023;25(12):1690-1706. doi:10.1080/13691058.2023.2176547. https://psnet.ahrq.gov/issue/mistreatment-health-care-among-women-appala…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47715/psn-pdf
    June 05, 2019 - Making infection prevention and control everyone's business? Hospital staff views on patient involvement. June 5, 2019 Sutton E, Brewster L, Tarrant C. Making infection prevention and control everyone's business? Hospital staff views on patient involvement. Health Expect. 2019;22(4):650-656. doi:10.1111/hex.12874. …
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73565/psn-pdf
    August 04, 2021 - Healthcare worker serious safety events: applying concepts from patient safety to improve healthcare worker safety. August 4, 2021 Foster C, Doud L, Palangyo T, et al. Healthcare worker serious safety events: applying concepts from patient safety to improve healthcare worker safety. Pediatr Qual Saf. 2021;6(4):e43…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46048/psn-pdf
    July 05, 2017 - Association between elements of electronic health record systems and the weekend effect in urgent general surgery. July 5, 2017 Kothari A, Brownlee SA, Blackwell RH, et al. Association Between Elements of Electronic Health Record Systems and the Weekend Effect in Urgent General Surgery. JAMA Surg. 2017;152(6):602-…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47688/psn-pdf
    March 19, 2019 - Evaluation of an electronic health record structured discharge summary to provide real time adverse event reporting in thoracic surgery. March 19, 2019 Graham AJ, Ocampo W, Southern DA, et al. Evaluation of an electronic health record structured discharge summary to provide real time adverse event reporting in tho…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46215/psn-pdf
    June 14, 2017 - The role of informal dimensions of safety in high-volume organisational routines: an ethnographic study of test results handling in UK general practice. June 14, 2017 Grant S, Checkland K, Bowie P, et al. The role of informal dimensions of safety in high-volume organisational routines: an ethnographic study of tes…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60336/psn-pdf
    May 13, 2020 - Selecting Safe and Easier to Use Products for Healthcare Using Human Factors Specification and Checklists. May 13, 2020 Buckinghamshire, UK.  Clinical Human Factors Group. April 2020. https://psnet.ahrq.gov/issue/selecting-safe-and-easier-use-products-healthcare-using-human-factors- specification-and Poor eq…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72594/psn-pdf
    December 23, 2020 - A qualitative study of prescribing errors among multi- professional prescribers within an e-prescribing system. December 23, 2020 Alshahrani F, Marriott JF, Cox AR. A qualitative study of prescribing errors among multi-professional prescribers within an e-prescribing system. Int J Clin Pharm. 2020;43(4):884-892. do…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867010/psn-pdf
    October 23, 2024 - Patient safety culture in hospital settings across continents: a systematic review. October 23, 2024 Alabdullah H, Karwowski W. Patient safety culture in hospital settings across continents: a systematic review. Appl Sci. 2024;14(18):8496. doi:10.3390/app14188496. https://psnet.ahrq.gov/issue/patient-safety-cultur…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46228/psn-pdf
    August 23, 2017 - Technology-induced errors associated with computerized provider order entry software for older patients. August 23, 2017 Vélez-Díaz-Pallarés M, Díaz AMÁ, Caro TG, et al. Technology-induced errors associated with computerized provider order entry software for older patients. Int J Clin Pharm. 2017;39(4):729-742. do…

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