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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40172/psn-pdf
    January 26, 2011 - Risk of adverse drug events in neonates treated with opioids and the effect of a bar-code–assisted medication administration system. January 26, 2011 Morriss FH, Abramowitz PW, Nelson S, et al. Risk of adverse drug events in neonates treated with opioids and the effect of a bar-code-assisted medication administrat…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34829/psn-pdf
    April 06, 2011 - Use of medical emergency team responses to reduce hospital cardiopulmonary arrests. April 6, 2011 Devita MA, Braithwaite RS, Mahidhara R, et al. Use of medical emergency team responses to reduce hospital cardiopulmonary arrests. Qual Saf Health Care. 2004;13(4):251-4. https://psnet.ahrq.gov/issue/use-medical-emerg…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47385/psn-pdf
    April 27, 2019 - Reasons for repeat rapid response team calls, and associations with in-hospital mortality. April 27, 2019 Chalwin R, Giles L, Salter A, et al. Reasons for Repeat Rapid Response Team Calls, and Associations with In-Hospital Mortality. Jt Comm J Qual Patient Saf. 2019;45(4):268-275. doi:10.1016/j.jcjq.2018.10.005. h…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851055/psn-pdf
    June 28, 2023 - How do we learn about error? A cross-sectional study of urology trainees. June 28, 2023 Browne C, Crone L, O'Connor E. How do we learn about error? A cross-sectional study of urology trainees. J Surg Educ. 2023;80(6):864-872. doi:10.1016/j.jsurg.2023.03.007. https://psnet.ahrq.gov/issue/how-do-we-learn-about-error…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47374/psn-pdf
    April 07, 2019 - Developing a conceptual framework for patient safety culture in emergency department: a review of the literature. April 7, 2019 Alshyyab MA, FitzGerald G, Dingle K, et al. Developing a conceptual framework for patient safety culture in emergency department: A review of the literature. Int J Health Plann Manage. 20…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47399/psn-pdf
    November 14, 2018 - Leveraging the continuum: a novel approach to meeting quality improvement and patient safety competency requirements across a large department of medicine. November 14, 2018 Myers JS, Bellini LM. Leveraging the Continuum: A Novel Approach to Meeting Quality Improvement and Patient Safety Competency Requirements Ac…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60232/psn-pdf
    April 15, 2020 - Sustaining innovations in complex health care environments: a multiple-case study of rapid response teams. April 15, 2020 Stolldorf DP, Havens DS, Jones CB. Sustaining innovations in complex health care environments: a multiple-case study of rapid response teams. J Patient Saf. 2020;16(1). doi:10.1097/pts.0000000…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43416/psn-pdf
    August 13, 2014 - Compliance with a time-out procedure intended to prevent wrong surgery in hospitals: results of a national patient safety programme in the Netherlands. August 13, 2014 van Schoten SM, Kop V, de Blok C, et al. Compliance with a time-out procedure intended to prevent wrong surgery in hospitals: results of a national…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35580/psn-pdf
    May 27, 2011 - Using a preprinted order sheet to reduce prescription errors in a pediatric emergency department: a randomized, controlled trial. May 27, 2011 Kozer E, Scolnik D, MacPherson A, et al. Using a preprinted order sheet to reduce prescription errors in a pediatric emergency department: a randomized, controlled trial. P…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46372/psn-pdf
    September 13, 2017 - Impact of a successful speaking up program on health- care worker hand hygiene behavior. September 13, 2017 Linam MW; Honeycutt MD; Gilliam CH; Wisdom CM; Deshpande JK. https://psnet.ahrq.gov/issue/impact-successful-speaking-program-health-care-worker-hand-hygiene- behavior Improving hand hygiene in health care f…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837642/psn-pdf
    July 06, 2022 - Supplemental Item Set for Nursing Home SOPS: Call for Pilot Participants. July 6, 2022 Rockville, MD: Agency for Health Quality and Research; June 2022. https://psnet.ahrq.gov/issue/supplemental-item-set-nursing-home-sops-call-pilot-participants The potential for workplace violence degrades patient and staff safet…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43169/psn-pdf
    May 07, 2014 - Copy, paste, and cloned notes in electronic health records: prevalence, benefits, risks, and best practice recommendations. May 7, 2014 Weis JM, Levy PC. Copy, paste, and cloned notes in electronic health records: prevalence, benefits, risks, and best practice recommendations. Chest. 2014;145(3):632-8. doi:10.1378…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73217/psn-pdf
    May 05, 2021 - Assessing patients 2019 experiences with medical injury reconciliation processes: item generation for a novel survey questionnaire. May 5, 2021 Schulz-Moore JS, Bismark M, Jenkinson C, et al. Assessing patients 2019 experiences with medical injury reconciliation processes: item generation for a novel survey questi…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61118/psn-pdf
    January 01, 2021 - Bracing for the storm: one health care system's planning for the COVID-19 surge. November 11, 2020 Kim CS, Meo N, Little D, et al. Bracing for the storm: one health care system's planning for the COVID-19 surge. Jt Comm J Qual Patient Saf. 2021;47(1):60-68. doi:10.1016/j.jcjq.2020.09.007. https://psnet.ahrq.gov/is…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866962/psn-pdf
    October 16, 2024 - Diagnostic Excellence– Age-Friendly Health Systems (DxEx–AFHS) Seed Grant Program Improving Diagnosis for Older Adults. October 16, 2024 Boston, MA: Institute for Healthcare Improvement; September 23, 2024. https://psnet.ahrq.gov/issue/diagnostic-excellence-age-friendly-health-systems-dxex-afhs-seed-grant- progra…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38697/psn-pdf
    June 10, 2009 - A report card system using error profile analysis and concurrent morbidity and mortality review: surgical outcome analysis, part II. June 10, 2009 Antonacci AC, Lam S, Lavarias V, et al. A report card system using error profile analysis and concurrent morbidity and mortality review: surgical outcome analysis, part…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34843/psn-pdf
    March 02, 2011 - Hand hygiene among physicians: performance, beliefs, and perceptions. March 2, 2011 Pittet D, Simon A, Hugonnet S, et al. Hand hygiene among physicians: performance, beliefs, and perceptions. Ann Intern Med. 2004;141(1):1-8. https://psnet.ahrq.gov/issue/hand-hygiene-among-physicians-performance-beliefs-and-percept…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39872/psn-pdf
    February 25, 2013 - The Essential Guide for Patient Safety Officers, Second Edition. February 25, 2013 Leonard M, Frankel A, Federico F, et al, eds. Oakbrook Terrace, IL: Joint Commission Resources, Institute for Healthcare Improvement; 2013. ISBN: 9781599407036. https://psnet.ahrq.gov/issue/essential-guide-patient-safety-officers-se…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851070/psn-pdf
    June 28, 2023 - Diagnostic Safety Across Transitions of Care Throughout the Healthcare System: Current State and a Call to Action. June 28, 2023 Santhosh L, Cornell E, Rojas JC, et al. Rockville, MD: Agency for Healthcare Research and Quality; June 2023. AHRQ Publication No. 23-0040-1-EF. https://psnet.ahrq.gov/issue/diagnostic-s…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46049/psn-pdf
    September 13, 2017 - The proportion of errors in medical prescriptions and their executions among hospitalized children before and during accreditation. September 13, 2017 Mekory TM, Bahat H, Bar-Oz B, et al. The proportion of errors in medical prescriptions and their executions among hospitalized children before and during accreditat…

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