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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37478/psn-pdf
    February 22, 2011 - Programmable infusion pumps in ICUs: an analysis of corresponding adverse drug events. February 22, 2011 Nuckols TK, Bower AG, Paddock SM, et al. Programmable infusion pumps in ICUs: an analysis of corresponding adverse drug events. J Gen Intern Med. 2008;23 Suppl 1:41-5. doi:10.1007/s11606-007- 0414-y. https://p…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37803/psn-pdf
    January 06, 2017 - Paying the piper: investing in infrastructure for patient safety.  January 6, 2017 Pronovost P, Rosenstein BJ, Paine LA, et al. Paying the piper: investing in infrastructure for patient safety. Jt Comm J Qual Patient Saf. 2008;34(6):342-8. https://psnet.ahrq.gov/issue/paying-piper-investing-infrastructure-patient-…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867233/psn-pdf
    December 04, 2024 - Evaluation of a natural language processing approach to identify diagnostic errors and analysis of safety learning system case review data: retrospective cohort study. December 4, 2024 Tabaie A, Tran A, Calabria T, et al. Evaluation of a natural language processing approach to identify diagnostic errors and analys…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37386/psn-pdf
    January 06, 2017 - Medication reconciliation in ambulatory oncology. January 6, 2017 Weingart SN, Cleary A, Seger AC, et al. Medication reconciliation in ambulatory oncology. Jt Comm J Qual Patient Saf. 2007;33(12):750-7. https://psnet.ahrq.gov/issue/medication-reconciliation-ambulatory-oncology The Joint Commission mandates systems…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38454/psn-pdf
    January 02, 2017 - Comparing process- and outcome-oriented approaches to voluntary incident reporting in two hospitals. January 2, 2017 Nuckols TK, Bell D, Paddock SM, et al. Comparing process- and outcome-oriented approaches to voluntary incident reporting in two hospitals. Jt Comm J Qual Patient Saf. 2009;35(3):139-45. https://psn…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38489/psn-pdf
    November 25, 2009 - Evaluation of the contributions of an electronic web- based reporting system: enabling action. November 25, 2009 Levtzion-Korach O, Alcalai H, Orav EJ, et al. Evaluation of the contributions of an electronic web-based reporting system: enabling action. J Patient Saf. 2009;52(1):9-15. doi:10.1097/PTS.0b013e318198dc8…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38163/psn-pdf
    April 11, 2011 - Retrospective evaluation of a computerized physician order entry adaptation to prevent prescribing errors in a pediatric emergency department. April 11, 2011 Sard BE, Walsh KE, Doros G, et al. Retrospective evaluation of a computerized physician order entry adaptation to prevent prescribing errors in a pediatric e…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47247/psn-pdf
    December 19, 2018 - Preventing central line–associated bloodstream infections in the intensive care unit: application of high- reliability principles. December 19, 2018 McCraw B, Crutcher T, Polancich S, et al. Preventing Central Line-Associated Bloodstream Infections in the Intensive Care Unit: Application of High-Reliability Princi…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47550/psn-pdf
    November 21, 2018 - Nurses' and patients' appraisals show patient safety in hospitals remains a concern. November 21, 2018 Aiken LH, Sloane DM, Barnes H, et al. Nurses' And Patients' Appraisals Show Patient Safety In Hospitals Remains A Concern. Health Aff (Millwood). 2018;37(11):1744-1751. doi:10.1377/hlthaff.2018.0711. https://psne…
  10. psnet.ahrq.gov/perspective/conversation-susan-mcgrath-phd-and-george-blike-md-about-surveillance-monitoring
    April 26, 2023 - Surveillance monitoring systems decreased average vital sign collection time and improved accuracy of
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33571/psn-pdf
    March 15, 2025 - Reporting Patient Safety Events March 15, 2025 Reporting Patient Safety Events. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/reporting-patient-safety-events PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that they reflect current research and practice in th…
  12. psnet.ahrq.gov/primer/culture-safety
    September 15, 2024 - Culture of Safety Citation Text: Culture of Safety. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Dow…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33566/psn-pdf
    September 15, 2024 - Teamwork Training September 15, 2024 Teamwork Training. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/teamwork-training PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that they reflect current research and practice in the patient safety field. Last reviewed …
  14. psnet.ahrq.gov/perspective/patient-safety-united-kingdom-evolution-and-progress
    May 01, 2007 - Patient Safety in the United Kingdom: Evolution and Progress Susan Burnett and Charles Vincent, PhD | May 1, 2007  Also Read a Conversation View more articles from the same authors. Citation Text: Burnett S, Vincent CA. Patient Safety in the United Kingdom: Evol…
  15. Spotlight (pdf file)

    psnet.ahrq.gov/sites/default/files/2021-09/spotlight_missed_sea_09.17.2021_-_final.pdf
    January 01, 2021 - Spotlight Spotlight Dangers of Missing an Epidural Abscess: Multiple Visits and Delayed Diagnosis with a Severely Negative Outcome Source and Credits • This presentation is based on the June 2021 AHRQ WebM&M Spotlight Case o See the full article at https://psnet.ahrq.gov/webmm o CME credit is available o Comm…
  16. psnet.ahrq.gov/issue/patient-specific-electronic-decision-support-reduces-prescription-excessive-doses
    November 02, 2010 - Study Patient-specific electronic decision support reduces prescription of excessive doses. Citation Text: Seidling HM, Schmitt SPW, Bruckner T, et al. Patient-specific electronic decision support reduces prescription of excessive doses. Qual Saf Health Care. 2010;19(5):e15. doi:10.113…
  17. psnet.ahrq.gov/issue/patient-safety-incidents-involving-sick-children-primary-care-england-and-wales-mixed-methods
    October 12, 2016 - Study Patient safety incidents involving sick children in primary care in England and Wales: a mixed methods analysis. Citation Text: Rees P, Edwards A, Powell C, et al. Patient Safety Incidents Involving Sick Children in Primary Care in England and Wales: A Mixed Methods Analysis. PLoS …
  18. psnet.ahrq.gov/issue/multi-method-exploratory-evaluation-service-designed-improve-medication-safety-patients
    July 22, 2020 - Study A multi-method exploratory evaluation of a service designed to improve medication safety for patients with monitored dosage systems following hospital discharge. Citation Text: Alqenae FA, Steinke DT, Belither H, et al. A multi-method exploratory evaluation of a service designed to…
  19. psnet.ahrq.gov/issue/association-between-complications-incidents-and-patient-experience-retrospective-linkage
    February 20, 2019 - Study The association between complications, incidents, and patient experience: retrospective linkage of routine patient experience surveys and safety data. Citation Text: de Vos MS, Hamming JF, Boosman H, et al. The Association Between Complications, Incidents, and Patient Experience: R…
  20. psnet.ahrq.gov/issue/why-do-we-still-page-each-other-examining-frequency-types-and-senders-pages-academic-medical
    September 11, 2019 - Study Why do we still page each other? Examining the frequency, types and senders of pages in academic medical services. Citation Text: Carlile N, Rhatigan JJ, Bates DW. Why do we still page each other? Examining the frequency, types and senders of pages in academic medical services. BMJ…

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