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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50666/psn-pdf
    November 13, 2019 - Over-the-top risky: overuse of ADC overrides, removal of drugs without an order, and use of non-profiled cabinets. November 13, 2019 ISMP Medication Safety Alert! Acute Care Edition. October 24, 2019. https://psnet.ahrq.gov/issue/over-top-risky-overuse-adc-overrides-removal-drugs-without-order-and-use- non-profile…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/764411/psn-pdf
    March 02, 2022 - Nowhere is safe: record number of patients contracted Covid in the hospital in January. March 2, 2022 Levy R, Vestal AJ. Politico. February 19, 2022. https://psnet.ahrq.gov/issue/nowhere-safe-record-number-patients-contracted-covid-hospital-january Transmission of COVID-19 in the health care setting continues to b…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34570/psn-pdf
    March 07, 2005 - Measuring the Success of the Regional Medication Safety Program for Hospitals. March 7, 2005 Pelczarski K, Fricker M, Morris J. Philadelphia, PA: Health Care Improvement Foundation; 2005. https://psnet.ahrq.gov/issue/measuring-success-regional-medication-safety-program-hospitals The Regional Medication Safety Prog…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73489/psn-pdf
    July 15, 2021 - A diagnostic time-out to improve differential diagnosis in pediatric abdominal pain. July 15, 2021 Kasick RT, Melvin JE, Perera ST, et al. A diagnostic time-out to improve differential diagnosis in pediatric abdominal pain. Diagnosis (Berl). 2021;8(2):209-217. doi:10.1515/dx-2019-0054. https://psnet.ahrq.gov/issue…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41721/psn-pdf
    October 03, 2012 - Rural inpatient telepharmacy consultation demonstration for after-hours medication review. October 3, 2012 Cole SL, Grubbs JH, Din C, et al. Rural inpatient telepharmacy consultation demonstration for after-hours medication review. Telemed J E Health. 2012;18(7):530-7. doi:10.1089/tmj.2011.0222. https://psnet.ahrq…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836789/psn-pdf
    March 23, 2022 - COVID-19 Focused Inspection Initiative in Healthcare. March 23, 2022 Occupational Safety and Health Administration. March 2, 2022. https://psnet.ahrq.gov/issue/covid-19-focused-inspection-initiative-healthcare The impact of nursing home inspections to ensure the quality and safety of the service environment is…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48067/psn-pdf
    June 12, 2019 - Maternal sleepiness and risk of infant drops in the postpartum period. June 12, 2019 Bittle MD, Knapp H, Polomano RC, et al. Maternal Sleepiness and Risk of Infant Drops in the Postpartum Period. Jt Comm J Qual Patient Saf. 2019;45(5):337-347. doi:10.1016/j.jcjq.2018.12.001. https://psnet.ahrq.gov/issue/maternal-s…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40535/psn-pdf
    July 22, 2011 - A framework for classifying patient safety practices: results from an expert consensus process. July 22, 2011 Dy SM, Taylor SL, Carr LH, et al. A framework for classifying patient safety practices: results from an expert consensus process. BMJ Qual Saf. 2011;20(7):618-24. doi:10.1136/bmjqs.2010.049296. https://psn…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39695/psn-pdf
    July 21, 2010 - The impact of the 80-hour work week on appropriate resident case coverage. July 21, 2010 Shin S, Britt R, Doviak M, et al. The Impact of the 80-Hour Work Week on Appropriate Resident Case Coverage. Journal of Surgical Research. 2009;162(1). doi:10.1016/j.jss.2009.12.003. https://psnet.ahrq.gov/issue/impact-80-hour…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46896/psn-pdf
    July 17, 2019 - Apology and unintended harm in global health. July 17, 2019 Addiss DG, Amon JJ. Apology and Unintended Harm in Global Health. Health Hum Rights. 2019;21(1):19- 32. https://psnet.ahrq.gov/issue/apology-and-unintended-harm-global-health Although disclosure and apology for mistakes in medical care are recommended, le…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851461/psn-pdf
    July 19, 2023 - Patient safety 2.0: slaying dragons, not just investigating them. July 19, 2023 Card AJ. Patient safety 2.0: slaying dragons, not just investigating them. J Patient Saf. 2023;19(6):394-395. doi:10.1097/pts.0000000000001140. https://psnet.ahrq.gov/issue/patient-safety-20-slaying-dragons-not-just-investigating-them …
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39263/psn-pdf
    February 03, 2010 - Is there a benefit to multidisciplinary rounds in an open trauma intensive care unit regarding ventilator-associated pneumonia? February 3, 2010 Johnson V, Mangram A, Mitchell C, et al. Is there a benefit to multidisciplinary rounds in an open trauma intensive care unit regarding ventilator-associated pneumonia? A…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37486/psn-pdf
    January 23, 2009 - Medication report reduces number of medication errors when elderly patients are discharged from hospital. January 23, 2009 Midlöv P, Holmdahl L, Eriksson T, et al. Medication report reduces number of medication errors when elderly patients are discharged from hospital. Pharm World Sci. 2007;30(1):92-98. doi:10.1007…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43819/psn-pdf
    July 16, 2015 - Intercepting wrong-patient orders in a computerized provider order entry system. July 16, 2015 Green RA, Hripcsak G, Salmasian H, et al. Intercepting wrong-patient orders in a computerized provider order entry system. Ann Emerg Med. 2015;65(6):679-686.e1. doi:10.1016/j.annemergmed.2014.11.017. https://psnet.ahrq.g…
  15. 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 …
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46090/psn-pdf
    December 22, 2018 - More than a tick box: medical checklist development, design, and use. December 22, 2018 Burian BK, Clebone A, Dismukes K, et al. More Than a Tick Box: Medical Checklist Development, Design, and Use. Anesth Analg. 2018;126(1):223-232. doi:10.1213/ANE.0000000000002286. https://psnet.ahrq.gov/issue/more-tick-box-medi…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38387/psn-pdf
    February 04, 2009 - Obstetrician-gynecologists' opinions about patient safety: costs and liability remain problems; are mandated reports a solution? February 4, 2009 Stumpf PG, Anderson B, Lawrence H, et al. Obstetrician-gynecologists' opinions about patient safety: costs and liability remain problems; are mandated reports a solution…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35619/psn-pdf
    June 24, 2010 - Studying patient safety in health care organizations: accentuate the qualitative. June 24, 2010 Hoff TJ, Sutcliffe K. Studying patient safety in health care organizations: accentuate the qualitative. Jt Comm J Qual Patient Saf. 2006;32(1):5-15. https://psnet.ahrq.gov/issue/studying-patient-safety-health-care-organ…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47221/psn-pdf
    August 29, 2018 - Barriers and facilitators to injection safety in ambulatory care settings. August 29, 2018 Leback C, Johnson DH, Anderson L, et al. Barriers and Facilitators to Injection Safety in Ambulatory Care Settings. Infect Control Hosp Epidemiol. 2018;39(7):841-848. doi:10.1017/ice.2018.82. https://psnet.ahrq.gov/issue/bar…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44141/psn-pdf
    November 06, 2015 - Failures in communication through documents and documentation across the perioperative pathway. November 6, 2015 Braaf S, Riley R, Manias E. Failures in communication through documents and documentation across the perioperative pathway. J Clin Nurs. 2015;24(13-14):1874-1884. doi:10.1111/jocn.12809. https://psnet.a…

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