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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845298/psn-pdf
    March 01, 2023 - National statutory reporting: not even ticking the boxes? The quality of 'Learning from Deaths' reporting in quality accounts within the NHS in England 2017-2020. March 1, 2023 Brummell Z, Braun D, Hussein Z, et al. National statutory reporting: not even ticking the boxes? The quality of ‘Learning from Deaths’ rep…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47153/psn-pdf
    October 12, 2018 - Clinicians' perceptions of medication errors with opioids in cancer and palliative care services: a priority setting report. October 12, 2018 Heneka N, Shaw T, Azzi C, et al. Clinicians' perceptions of medication errors with opioids in cancer and palliative care services: a priority setting report. Support Care Ca…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853243/psn-pdf
    September 06, 2023 - What do healthcare staff think about the quality and safety of care provided to children and young people with an intellectual disability? A qualitative study using the framework method of analysis. September 6, 2023 Ong N, Lucien A, Long JC, et al. What do healthcare staff think about the quality and safety of ca…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43450/psn-pdf
    May 06, 2015 - Advances in the Prevention and Control of HAIs. May 6, 2015 Battles JB, Cleeman JI, Kahn KL, Weinberg DA, eds. Rockville, MD: Agency for Healthcare Research and Quality; June 2014. AHRQ Publication No. 14-0003. https://psnet.ahrq.gov/issue/advances-prevention-and-control-hais Health care–associated infections (HAI…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42758/psn-pdf
    October 17, 2016 - Suffering in silence: a qualitative study of second victims of adverse events. October 17, 2016 Ullström S, Sachs MA, Hansson J, et al. Suffering in silence: a qualitative study of second victims of adverse events. BMJ Qual Saf. 2014;23(4):325-331. doi:10.1136/bmjqs-2013-002035. https://psnet.ahrq.gov/issue/suffer…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45535/psn-pdf
    January 23, 2017 - Surgical specimen management: a descriptive study of 648 adverse events and near misses. January 23, 2017 Steelman VM, Williams TL, Szekendi MK, et al. Surgical specimen management: a descriptive study of 648 adverse events and near misses. Arch Pathol Lab Med. 2016;140(12):1390-1396. https://psnet.ahrq.gov/issue/…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38964/psn-pdf
    November 27, 2009 - Development of a measure of patient safety event learning responses. November 27, 2009 Ginsburg LR, Chuang Y-T, Norton PG, et al. Development of a measure of patient safety event learning responses. Health Serv Res. 2009;44(6):2123-47. doi:10.1111/j.1475-6773.2009.01021.x. https://psnet.ahrq.gov/issue/development-…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844040/psn-pdf
    February 08, 2023 - A customized triggers program: a children's hospital's experience in improving trigger usability. February 8, 2023 Reinhart RM, Safari-Ferra P, Badh R, et al. A customized triggers program: a children's hospital's experience in improving trigger usability. Pediatrics. 2023;151(2):e2022056452. doi:10.1542/peds.2022-…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44558/psn-pdf
    April 25, 2016 - Using voluntary reports from physicians to learn from diagnostic errors in emergency medicine. April 25, 2016 Okafor N, Payne VL, Chathampally Y, et al. Using voluntary reports from physicians to learn from diagnostic errors in emergency medicine. Emerg Med J. 2016;33(4):245-252. doi:10.1136/emermed-2014- 204604. …
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46283/psn-pdf
    April 24, 2018 - Decreasing prescribing errors during pediatric emergencies: a randomized simulation trial. April 24, 2018 Larose G, Levy A, Bailey B, et al. Decreasing Prescribing Errors During Pediatric Emergencies: A Randomized Simulation Trial. Pediatrics. 2017;139(3). doi:10.1542/peds.2016-3200. https://psnet.ahrq.gov/issue/d…
  11. 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…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37546/psn-pdf
    June 14, 2011 - Effective interventions and implementation strategies to reduce adverse drug events in the Veterans Affairs (VA) system. June 14, 2011 Mills PD, Neily J, Kinney LM, et al. Effective interventions and implementation strategies to reduce adverse drug events in the Veterans Affairs (VA) system. Qual Saf Health Care. …
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43190/psn-pdf
    September 04, 2015 - Pediatric obesity and safety in inpatient settings: a systematic literature review. September 4, 2015 Halvorson EE, Irby MB, Skelton JA. Pediatric obesity and safety in inpatient settings: a systematic literature review. Clin Pediatr (Phila). 2014;53(10):975-87. doi:10.1177/0009922814533406. https://psnet.ahrq.gov…
  14. www.cahps.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-135-graphics-section-5.pdf
    November 26, 2013 - initiation of penicillin prophylaxis for children with SCD under age 5 years significantly reduced the incidence … daily administration of oral penicillin reduced Prophylaxis with oral the incidence of life-threatening … The study was ended early because of an 84% reduction in incidence of Engl J Med 1986;314(25):1593
  15. www.monahrq.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-135-graphics-section-5.pdf
    November 26, 2013 - initiation of penicillin prophylaxis for children with SCD under age 5 years significantly reduced the incidence … daily administration of oral penicillin reduced Prophylaxis with oral the incidence of life-threatening … The study was ended early because of an 84% reduction in incidence of Engl J Med 1986;314(25):1593
  16. www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-135-graphics-section-5.pdf
    November 26, 2013 - initiation of penicillin prophylaxis for children with SCD under age 5 years significantly reduced the incidence … daily administration of oral penicillin reduced Prophylaxis with oral the incidence of life-threatening … The study was ended early because of an 84% reduction in incidence of Engl J Med 1986;314(25):1593
  17. www.innovations.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-135-graphics-section-5.pdf
    November 26, 2013 - initiation of penicillin prophylaxis for children with SCD under age 5 years significantly reduced the incidence … daily administration of oral penicillin reduced Prophylaxis with oral the incidence of life-threatening … The study was ended early because of an 84% reduction in incidence of Engl J Med 1986;314(25):1593
  18. www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-135-graphics-section-5.pdf
    November 26, 2013 - initiation of penicillin prophylaxis for children with SCD under age 5 years significantly reduced the incidence … daily administration of oral penicillin reduced Prophylaxis with oral the incidence of life-threatening … The study was ended early because of an 84% reduction in incidence of Engl J Med 1986;314(25):1593
  19. www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-135-graphics-section-5.pdf
    November 26, 2013 - initiation of penicillin prophylaxis for children with SCD under age 5 years significantly reduced the incidence … daily administration of oral penicillin reduced Prophylaxis with oral the incidence of life-threatening … The study was ended early because of an 84% reduction in incidence of Engl J Med 1986;314(25):1593
  20. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-135-graphics-section-5.pdf
    November 26, 2013 - initiation of penicillin prophylaxis for children with SCD under age 5 years significantly reduced the incidence … daily administration of oral penicillin reduced Prophylaxis with oral the incidence of life-threatening … The study was ended early because of an 84% reduction in incidence of Engl J Med 1986;314(25):1593