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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41694/psn-pdf
    September 19, 2012 - Effect of nonpayment for hospital-acquired, catheter–associated urinary tract infection: a statewide analysis. September 19, 2012 Meddings JA, Reichert H, Rogers MAM, et al. Effect of nonpayment for hospital-acquired, catheter- associated urinary tract infection: a statewide analysis. Ann Intern Med. 2012;157(5):3…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37417/psn-pdf
    March 28, 2012 - Medication use leading to emergency department visits for adverse drug events in older adults. March 28, 2012 Budnitz DS, Shehab N, Kegler SR, et al. Medication use leading to emergency department visits for adverse drug events in older adults. Ann Intern Med. 2007;147(11):755-765. https://psnet.ahrq.gov/issue/med…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38645/psn-pdf
    February 15, 2011 - A comprehensive pharmacist intervention to reduce morbidity in patients 80 years or older: a randomized controlled trial. February 15, 2011 Gillespie U, Alassaad A, Henrohn D, et al. A comprehensive pharmacist intervention to reduce morbidity in patients 80 years or older: a randomized controlled trial. Arch Inter…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39139/psn-pdf
    June 02, 2010 - Assessing resident safety culture in nursing homes: using the nursing home survey on resident safety. June 2, 2010 Castle NG, Wagner LM, Perera S, et al. Assessing Resident Safety Culture in Nursing Homes. J Patient Saf. 2010;64(2):59-67. doi:10.1097/pts.0b013e3181bc05fc. https://psnet.ahrq.gov/issue/assessing-res…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44064/psn-pdf
    November 03, 2015 - The July effect: an analysis of never events in the nationwide inpatient sample. November 3, 2015 Wen T, Attenello FJ, Wu B, et al. The July effect: an analysis of never events in the nationwide inpatient sample. J Hosp Med. 2015;10(7):432-438. doi:10.1002/jhm.2352. https://psnet.ahrq.gov/issue/july-effect-analysi…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45719/psn-pdf
    June 29, 2017 - Systematic review of the prevalence of medication errors resulting in hospitalization and death of nursing home residents. June 29, 2017 Ferrah N, Lovell JJ, Ibrahim JE. Systematic Review of the Prevalence of Medication Errors Resulting in Hospitalization and Death of Nursing Home Residents. J Am Geriatr Soc. 2017…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39143/psn-pdf
    February 14, 2011 - Impact of a pharmacist-facilitated hospital discharge program: a quasi-experimental study. February 14, 2011 Walker PC, Bernstein SJ, Jones JNT, et al. Impact of a pharmacist-facilitated hospital discharge program: a quasi-experimental study. Arch Intern Med. 2009;169(21):2003-10. doi:10.1001/archinternmed.2009.398…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42396/psn-pdf
    July 31, 2013 - Developing and implementing a standardized process for Global Trigger Tool application across a large health system. July 31, 2013 Garrett PR, Sammer C, Nelson A, et al. Developing and implementing a standardized process for global trigger tool application across a large health system. Jt Comm J Qual Saf. 2013;39(…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39730/psn-pdf
    December 21, 2014 - Surgical case listing accuracy: failure analysis at a high- volume academic medical center. December 21, 2014 Cima RR, Hale C, Kollengode A, et al. Surgical case listing accuracy: failure analysis at a high-volume academic medical center. Arch Surg. 2010;145(7):641-6. doi:10.1001/archsurg.2010.112. https://psnet.a…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37622/psn-pdf
    May 26, 2011 - Effect of computer order entry on prevention of serious medication errors in hospitalized children. May 26, 2011 Walsh KE, Landrigan CP, Adams WG, et al. Effect of computer order entry on prevention of serious medication errors in hospitalized children. Pediatrics. 2008;121(3):e421-e427. doi:10.1542/peds.2007- 022…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45177/psn-pdf
    June 01, 2016 - Quantifying the burden of opioid medication errors in adult oncology and palliative care settings: a systematic review. June 1, 2016 Heneka N, Shaw T, Rowett D, et al. Quantifying the burden of opioid medication errors in adult oncology and palliative care settings: A systematic review. Palliat Med. 2016;30(6):520…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43224/psn-pdf
    June 11, 2014 - Look alike/sound alike drugs: a literature review on causes and solutions. June 11, 2014 Ciociano N, Bagnasco L. Look alike/sound alike drugs: a literature review on causes and solutions. Int J Clin Pharm. 2014;36(2):233-242. doi:10.1007/s11096-013-9885-6. https://psnet.ahrq.gov/issue/look-alikesound-alike-drugs-l…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42606/psn-pdf
    September 25, 2013 - Health economic evaluation of an infection prevention and control program: are quality and patient safety programs worth the investment? September 25, 2013 Raschka S, Dempster L, Bryce E. Health economic evaluation of an infection prevention and control program: are quality and patient safety programs worth the in…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46337/psn-pdf
    August 30, 2017 - Nurses' response to parents' 'speaking-up' efforts to ensure their hospitalized child's safety: an attribution theory perspective. August 30, 2017 Bsharat S, Drach-Zahavy A. Nurses' response to parents' 'speaking-up' efforts to ensure their hospitalized child's safety: an attribution theory perspective. J Adv Nurs…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43067/psn-pdf
    November 23, 2014 - Characterization of adverse events detected in a large health care delivery system using an enhanced Global Trigger Tool over a five-year interval. November 23, 2014 Kennerly DA, Kudyakov R, da Graca B, et al. Characterization of adverse events detected in a large health care delivery system using an enhanced glob…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45402/psn-pdf
    November 01, 2017 - Potentially preventable 30-day hospital readmissions at a children's hospital. November 1, 2017 Toomey SL, Peltz A, Loren S, et al. Potentially Preventable 30-Day Hospital Readmissions at a Children's Hospital. Pediatrics. 2016;138(2). doi:10.1542/peds.2015-4182. https://psnet.ahrq.gov/issue/potentially-preventabl…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42548/psn-pdf
    December 29, 2014 - What is known about adverse events in older medical hospital inpatients? A systematic review of the literature. December 29, 2014 Long SJ, Brown KF, Ames D, et al. What is known about adverse events in older medical hospital inpatients? A systematic review of the literature. Int J Health Care Qual. 2013;25(5):542-5…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44374/psn-pdf
    August 12, 2015 - ASHP national survey of pharmacy practice in hospital settings: dispensing and administration—2014. August 12, 2015 Pedersen CA, Schneider PJ, Scheckelhoff DJ. ASHP national survey of pharmacy practice in hospital settings: Dispensing and administration--2014. Am J Health Syst Pharm. 2015;72(13):1119-37. doi:10.21…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45395/psn-pdf
    August 10, 2016 - Adverse inpatient outcomes during the transition to a new electronic health record system: observational study. August 10, 2016 Barnett ML, Mehrotra A, Jena AB. Adverse inpatient outcomes during the transition to a new electronic health record system: observational study. BMJ. 2016;354:i3835. doi:10.1136/bmj.i3835.…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47916/psn-pdf
    May 29, 2019 - Incivility and patient safety: a longitudinal study of rudeness, protocol compliance, and adverse events. May 29, 2019 Riskin A, Bamberger P, Erez A, et al. Incivility and Patient Safety: A Longitudinal Study of Rudeness, Protocol Compliance, and Adverse Events. Jt Comm J Qual Patient Saf. 2019;45(5):358-367. doi:…