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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41801/psn-pdf
    October 31, 2012 - First year with WHO Surgical Safety Checklist in 7148 otorhinolaryngological operations: use and user attitudes. October 31, 2012 Helmiö P, Takala A, Aaltonen L-M, et al. First year with WHO Surgical Safety Checklist in 7148 otorhinolaryngological operations: use and user attitudes. Clin Otolaryngol. 2012;37(4):30…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46266/psn-pdf
    July 19, 2017 - New unintended adverse consequences of electronic health records. July 19, 2017 Sittig DF, Wright A, Ash J, et al. New Unintended Adverse Consequences of Electronic Health Records. Yearb Med Inform. 2016;(1):7-12. https://psnet.ahrq.gov/issue/new-unintended-adverse-consequences-electronic-health-records Pressures…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46114/psn-pdf
    June 07, 2017 - Standardizing concentrations of adult drug infusions in Indiana. June 7, 2017 Walroth TA, Dossett HA, Doolin M, et al. Standardizing concentrations of adult drug infusions in Indiana. Am J Health Syst Pharm. 2017;74(7):491-497. doi:10.2146/ajhp151018. https://psnet.ahrq.gov/issue/standardizing-concentrations-adult…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39922/psn-pdf
    October 13, 2010 - What’s past is prologue: organizational learning from a serious patient injury. October 13, 2010 Tamuz M, Franchois KE, Thomas EJ. What’s past is prologue: Organizational learning from a serious patient injury. Saf Sci. 2010;49(1). doi:10.1016/j.ssci.2010.06.005. https://psnet.ahrq.gov/issue/whats-past-prologue-or…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43149/psn-pdf
    July 23, 2014 - FDASIA Health IT Report: Proposed Strategy and Recommendations for a Risk-Based Framework. July 23, 2014 Washington, DC: Office of the National Coordinator for Health Information Technology, Federal Communications Commission. Silver Spring, MD: Food and Drug Administration. April 2014. https://psnet.ahrq.gov/issue…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41462/psn-pdf
    July 03, 2016 - The use of patient pictures and verification screens to reduce computerized provider order entry errors. July 3, 2016 Hyman D, Laire M, Redmond D, et al. The use of patient pictures and verification screens to reduce computerized provider order entry errors. Pediatrics. 2012;130(1):e211-9. doi:10.1542/peds.2011-298…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35417/psn-pdf
    February 15, 2010 - Errors in laboratory medicine: practical lessons to improve patient safety. February 15, 2010 Howanitz PJ. Errors in laboratory medicine: practical lessons to improve patient safety. Arch Pathol Lab Med. 2005;129(10):1252-1261. https://psnet.ahrq.gov/issue/errors-laboratory-medicine-practical-lessons-improve-patie…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36470/psn-pdf
    September 27, 2010 - Prioritizing patient safety interventions in small and rural hospitals. September 27, 2010 Casey M, Wakefield M, Coburn AF, et al. Prioritizing patient safety interventions in small and rural hospitals. Jt Comm J Qual Patient Saf. 2006;32(12):693-702. https://psnet.ahrq.gov/issue/prioritizing-patient-safety-interv…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837855/psn-pdf
    August 17, 2022 - Patterns of error in interpretive pathology. August 17, 2022 Packer MDC, Ravinsky E, Azordegan N. Patterns of error in interpretive pathology. Am J Clin Pathol. 2022;157(5):767-773. doi:10.1093/ajcp/aqab190. https://psnet.ahrq.gov/issue/patterns-error-interpretive-pathology Studies have shown diagnostic discordanc…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38839/psn-pdf
    August 05, 2009 - Polypharmacy in hospitalized older adult cancer patients: experience from a prospective, observational study of an oncology-acute care for elders unit.   August 5, 2009 Flood KL, Carroll MB, Le C, et al. Polypharmacy in hospitalized older adult cancer patients: experience from a prospective, observational study of…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34781/psn-pdf
    June 23, 2015 - Standards for patient monitoring during general anesthesia at Harvard Medical School. June 23, 2015 Eichhorn JH, Cooper JB, Cullen DJ, et al. Standards for patient monitoring during anesthesia at Harvard Medical School. JAMA. 1986;256(8):1017-20. https://psnet.ahrq.gov/issue/standards-patient-monitoring-during-gen…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42489/psn-pdf
    May 19, 2014 - Improving medication administration safety in solid organ transplant patients through barcode-assisted medication administration. May 19, 2014 Bonkowski J, Weber RJ, Melucci J, et al. Improving medication administration safety in solid organ transplant patients through barcode-assisted medication administration. A…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45418/psn-pdf
    May 09, 2017 - Context-sensitive decision support (infobuttons) in electronic health records: a systematic review. May 9, 2017 Cook DA, Teixeira MT, Heale BS, et al. Context-sensitive decision support (infobuttons) in electronic health records: a systematic review. J Am Med Inform Assoc. 2017;24(2):460-468. doi:10.1093/jamia/ocw1…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50558/psn-pdf
    October 16, 2019 - Multidisciplinary simulation activity effectively prepares residents for participation in patient safety activities. October 16, 2019 Weis JJ, Croft CL, Bhoja R, et al. Multidisciplinary simulation activity effectively prepares residents for participation in patient safety activities. J Surg Educ. 2019;76(6):e232-e…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35216/psn-pdf
    December 22, 2009 - An educational intervention to enhance nurse leaders' perceptions of patient safety culture. December 22, 2009 Ginsburg LR, Norton PG, Casebeer A, et al. An educational intervention to enhance nurse leaders' perceptions of patient safety culture. Health Serv Res. 2005;40(4):997-1020. https://psnet.ahrq.gov/issue/e…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34868/psn-pdf
    February 03, 2011 - Role of computerized physician order entry systems in facilitating medication errors. February 3, 2011 Koppel R, Metlay JP, Cohen A, et al. Role of computerized physician order entry systems in facilitating medication errors. JAMA. 2005;293(10):1197-203. https://psnet.ahrq.gov/issue/role-computerized-physician-ord…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841785/psn-pdf
    December 21, 2022 - Request for Information: Creating a National Healthcare System Action Alliance to Advance Patient Safety. December 21, 2022 Agency for Healthcare Research and Quality. Fed Register. December 12, 2022;87:76046-76048. https://psnet.ahrq.gov/issue/request-information-creating-national-healthcare-system-action-alliance…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43498/psn-pdf
    October 06, 2016 - Creating a distraction simulation for safe medication administration. October 6, 2016 Thomas CM, McIntosh CE, Allen R. Creating a Distraction Simulation for Safe Medication Administration. Clin Simul Nurs. 2014;10(8). doi:10.1016/j.ecns.2014.03.004. https://psnet.ahrq.gov/issue/creating-distraction-simulation-safe…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46403/psn-pdf
    September 06, 2017 - Supplemental Issue: Quality and Safety Education for Nurses (QSEN) program. September 6, 2017 Quality and Safety Education for Nurses. https://psnet.ahrq.gov/issue/supplemental-issue-quality-and-safety-education-nurses-qsen-program Patient safety and quality improvement competencies are developed through interprof…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44465/psn-pdf
    November 20, 2015 - Why even good physicians do not wash their hands. November 20, 2015 Redelmeier DA, Shafir E. Why even good physicians do not wash their hands. BMJ Qual Saf. 2015;24(12):744-7. doi:10.1136/bmjqs-2015-004319. https://psnet.ahrq.gov/issue/why-even-good-physicians-do-not-wash-their-hands Insufficient hand hygiene comp…

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