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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60680/psn-pdf
    July 15, 2020 - Contributing factors for pediatric ambulatory diagnostic process errors: Project RedDE. July 15, 2020 Dadlez NM, Adelman JS, Bundy DG, et al. Contributing factors for pediatric ambulatory diagnostic process errors: Project RedDE. Ped Qual Saf. 2020;5(3):e299-e305. doi:10.1097/pq9.0000000000000299. https://psnet.ah…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61113/psn-pdf
    January 01, 2021 - Do falls and other safety issues occur more often during handovers when nurses are away from patients? Findings from a retrospective study design. November 11, 2020 Demaria J, Valent F, Danielis M, et al. Do falls and other safety issues occur more often during handovers when nurses are away from patients? Finding…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837198/psn-pdf
    May 25, 2022 - The association of acute COVID-19 infection with Patient Safety Indicator-12 events in a multisite healthcare system. May 25, 2022 Bhakta S, Pollock BD, Erben YM, et al. The association of acute COVID?19 infection with Patient Safety Indicator?12 events in a multisite healthcare system. J Hosp Med. 2022;17(5):350-…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866587/psn-pdf
    January 01, 2025 - Professionalising patient safety? Findings from a mixed- methods formative evaluation of the patient safety specialist role in the English National Health Service. August 28, 2024 Martin G, Pralat R, Waring J, et al. Professionalising patient safety? Findings from a mixed-methods formative evaluation of the patien…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61016/psn-pdf
    October 14, 2020 - Complications associated with the anesthesia transport of pediatric patients: an analysis of the Wake Up Safe database. October 14, 2020 Haydar B, Baetzel A, Stewart M, et al. Complications associated with the anesthesia transport of pediatric patients: an analysis of the Wake Up Safe database. Anesth Analg. 2020;…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39402/psn-pdf
    August 08, 2010 - The quest to eliminate intrathecal vincristine errors: a 40- year journey. August 8, 2010 Noble DJ, Donaldson LJ. The quest to eliminate intrathecal vincristine errors: a 40-year journey. Qual Saf Health Care. 2010;19(4):323-326. doi:10.1136/qshc.2008.030874. https://psnet.ahrq.gov/issue/quest-eliminate-intratheca…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47769/psn-pdf
    May 11, 2019 - Avoiding chemotherapy prescribing errors: analysis and innovative strategies. May 11, 2019 Reinhardt H, Otte P, Eggleton AG, et al. Avoiding chemotherapy prescribing errors: Analysis and innovative strategies. Cancer. 2019;125(9):1547-1557. doi:10.1002/cncr.31950. https://psnet.ahrq.gov/issue/avoiding-chemotherapy…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45907/psn-pdf
    December 22, 2017 - Primary care collaboration to improve diagnosis and screening for colorectal cancer. December 22, 2017 Schiff G, Bearden T, Hunt LS, et al. Primary Care Collaboration to Improve Diagnosis and Screening for Colorectal Cancer. Jt Comm J Qual Patient Saf. 2017;43(7):338-350. doi:10.1016/j.jcjq.2017.03.004. https://ps…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41942/psn-pdf
    July 24, 2017 - Improving situation awareness to reduce unrecognized clinical deterioration and serious safety events. July 24, 2017 Brady PW, Muething S, Kotagal U, et al. Improving situation awareness to reduce unrecognized clinical deterioration and serious safety events. Pediatrics. 2013;131(1):e298-308. doi:10.1542/peds.2012-…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74029/psn-pdf
    January 01, 2022 - Patient safety strategies in psychiatry and how they construct the notion of preventable harm: a scoping review. November 3, 2021 Svensson J. Patient safety strategies in psychiatry and how they construct the notion of preventable harm: a scoping review. J Patient Saf. 2022;18(3):245-252. doi:10.1097/pts.000000000…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35855/psn-pdf
    October 25, 2013 - HealthGrades Quality Study: Third Annual Patient Safety in American Hospitals Study. October 25, 2013 Denver, CO: HealthGrades; 2006. https://psnet.ahrq.gov/issue/healthgrades-quality-study-third-annual-patient-safety-american-hospitals- study This third annual report on the safety of hospitalized Medicare patien…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/855429/psn-pdf
    November 15, 2023 - Effect of complementary interventions to redesign care on teamwork and quality for hospitalized medical patients: a pragmatic controlled trial. November 15, 2023 O’Leary KJ, Johnson JK, Williams MV, et al. Effect of complementary interventions to redesign care on teamwork and quality for hospitalized medical patie…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45475/psn-pdf
    October 11, 2017 - Perceptions of quality and safety and experience of adverse events in 27 European Union healthcare systems, 2009–2013. October 11, 2017 Filippidis FT, Mian SS, Millett C. Perceptions of quality and safety and experience of adverse events in 27 European Union healthcare systems, 2009-2013. Int J Qual Health Care. 2…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44601/psn-pdf
    February 23, 2018 - Emergency department visits for adverse events related to dietary supplements. February 23, 2018 Geller AI, Shehab N, Weidle NJ, et al. Emergency Department Visits for Adverse Events Related to Dietary Supplements. N Engl J Med. 2015;373(16):1531-40. doi:10.1056/NEJMsa1504267. https://psnet.ahrq.gov/issue/emergenc…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34689/psn-pdf
    February 10, 2011 - Incidence of adverse drug events and potential adverse drug events: implications for prevention. February 10, 2011 Bates DW, Cullen DJ, Laird N, et al. Incidence of adverse drug events and potential adverse drug events. Implications for prevention. ADE Prevention Study Group. JAMA. 1995;274(1):29-34. https://psnet…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43193/psn-pdf
    June 17, 2014 - Risks in the implementation and use of smart pumps in a pediatric intensive care unit: application of the failure mode and effects analysis. June 17, 2014 Manrique-Rodríguez S, Sánchez-Galindo AC, López-Herce J, et al. Risks in the implementation and use of smart pumps in a pediatric intensive care unit: applicati…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39802/psn-pdf
    November 16, 2010 - "Water cooler" learning: knowledge sharing at the clinical "backstage" and its contribution to patient safety. November 16, 2010 Waring J, Bishop S. "Water cooler" learning: knowledge sharing at the clinical "backstage" and its contribution to patient safety. J Health Organ Manag. 2010;24(4):325-42. https://psnet.…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47529/psn-pdf
    January 21, 2019 - Community-acquired and hospital-acquired medication harm among older inpatients and impact of a state-wide medication management intervention. January 21, 2019 Pellegrin K, Lozano A, Miyamura J, et al. Community-acquired and hospital-acquired medication harm among older inpatients and impact of a state-wide medica…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39655/psn-pdf
    July 07, 2010 - Errors of diagnosis in pediatric practice: a multisite survey. July 7, 2010 Singh H, Thomas EJ, Wilson L, et al. Errors of diagnosis in pediatric practice: a multisite survey. Pediatrics. 2010;126(1):70-9. doi:10.1542/peds.2009-3218. https://psnet.ahrq.gov/issue/errors-diagnosis-pediatric-practice-multisite-survey…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72566/psn-pdf
    January 01, 2021 - Incidence, nature and causes of avoidable significant harm in primary care in England: retrospective case note review. December 16, 2020 Avery AJ, Sheehan C, Bell BG, et al. Incidence, nature and causes of avoidable significant harm in primary care in England: retrospective case note review. BMJ Qual Saf. 2021;30(…

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