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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36345/psn-pdf
    November 15, 2011 - Risk reduction for adverse drug events through sequential implementation of patient safety initiatives in a children's hospital. November 15, 2011 Leonard MS, Cimino M, Shaha S, et al. Risk reduction for adverse drug events through sequential implementation of patient safety initiatives in a children's hospital. P…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73983/psn-pdf
    October 20, 2021 - Factors associated with potentially missed acute deterioration in primary care: cohort study of UK general practices. October 20, 2021 Cecil E, Bottle A, Majeed A, et al. Factors associated with potentially missed acute deterioration in primary care: cohort study of UK general practices. Br J Gen Pract. 2021;71(70…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37701/psn-pdf
    February 22, 2011 - Use of a handheld computer application for voluntary medication event reporting by inpatient nurses and physicians. February 22, 2011 Dollarhide AW, Rutledge T, Weinger MB, et al. Use of a handheld computer application for voluntary medication event reporting by inpatient nurses and physicians. J Gen Intern Med. 2…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40921/psn-pdf
    November 16, 2011 - Adverse Events in Hospitals: Medicare's Responses to Alleged Serious Events. November 16, 2011 Levinson DR. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; October 2011. Report No. OEI-01-08-00590. https://psnet.ahrq.gov/issue/adverse-events-hospitals-medicares-response…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37875/psn-pdf
    July 08, 2008 - Impact of adverse events on outcomes in intensive care unit patients. July 8, 2008 Orgeas MG, Timsit JF, Soufir L, et al. Impact of adverse events on outcomes in intensive care unit patients. Crit Care Med. 2008;36(7):2041-2047. doi:10.1097/CCM.0b013e31817b879c. https://psnet.ahrq.gov/issue/impact-adverse-events-o…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851200/psn-pdf
    July 05, 2023 - Deficient Care of a Patient Who Died by Suicide and Facility Leaders' Response at the Charlie Norwood VA Medical Center in Augusta, Georgia. July 5, 2023 Washington DC:  Department of Veterans Affairs, Office of Inspector General; May 10, 2023.  Report no. 22-01116-110. https://psnet.ahrq.gov/issue/defi…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43983/psn-pdf
    February 05, 2016 - Near-miss transcription errors: a comparison of reporting rates between a novel error-reporting mechanism and a current formal reporting system. February 5, 2016 South DA, Skelley JW, Dang M, et al. Near-miss transcription errors: a comparison of reporting rates between a novel error-reporting mechanism and a curr…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43273/psn-pdf
    April 25, 2016 - Cardiopulmonary arrest and mortality trends, and their association with rapid response system expansion. April 25, 2016 Chen J, Ou L, Hillman KM, et al. Cardiopulmonary arrest and mortality trends, and their association with rapid response system expansion. Med J Aust. 2014;201(3):167-70. https://psnet.ahrq.gov/is…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867384/psn-pdf
    December 18, 2024 - Involving patients and/or their next of kin in serious adverse event investigations: a qualitative study on hospital perspectives. December 18, 2024 Knap LJ, Dijkstra-Eijkemans RI, Friele RD, et al. Involving patients and/or their next of kin in serious adverse event investigations: a qualitative study on hospital…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36738/psn-pdf
    August 02, 2011 - Barriers and motivators for making error reports from family medicine offices: a report from the American Academy of Family Physicians National Research Network (AAFP NRN). August 2, 2011 Elder NC, Graham D, Brandt E, et al. Barriers and motivators for making error reports from family medicine offices: a report f…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853965/psn-pdf
    September 27, 2023 - Patients' negative experiences with health care settings brought to light by formal complaints: a qualitative metasynthesis. September 27, 2023 Eriksen AA, Fegran L, Fredwall TE, et al. Patients' negative experiences with health care settings brought to light by formal complaints: a qualitative metasynthesis. J Cl…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50707/psn-pdf
    December 04, 2019 - Spinal surgery complications: an unsolved problem-Is the World Health Organization Safety Surgical Checklist an useful tool to reduce them? December 4, 2019 Barbanti-Brodano G, Griffoni C, Halme J, et al. Spinal surgery complications: an unsolved problem-Is the World Health Organization Safety Surgical Checklist a…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40441/psn-pdf
    July 02, 2014 - A novel approach to increase residents' involvement in reporting adverse events. July 2, 2014 Scott DR, Weimer M, English C, et al. A novel approach to increase residents' involvement in reporting adverse events. Acad Med. 2011;86(6):742-746. doi:10.1097/ACM.0b013e318217e12a. https://psnet.ahrq.gov/issue/novel-app…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39917/psn-pdf
    October 13, 2010 - Prevalence of adverse events in pediatric intensive care units in the United States. October 13, 2010 Agarwal S, Classen D, Larsen G, et al. Prevalence of adverse events in pediatric intensive care units in the United States. Pediatr Crit Care Med. 2010;11(5):568-578. doi:10.1097/PCC.0b013e3181d8e405. https://psne…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47118/psn-pdf
    August 08, 2018 - Wrong-site nerve blocks: a systematic literature review to guide principles for prevention. August 8, 2018 Deutsch ES, Yonash RA, Martin DE, et al. Wrong-site nerve blocks: A systematic literature review to guide principles for prevention. J Clin Anesth. 2018;46:101-111. doi:10.1016/j.jclinane.2017.12.008. https:/…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74201/psn-pdf
    December 22, 2021 - Next of kin involvement in regulatory investigations of adverse events that caused patient death: a process evaluation. December 22, 2021 Wiig S, Haraldseid-Driftland C, Tvete Zachrisen R, et al. J Patient Saf. 2021;17(8):e1707- e1718.   https://psnet.ahrq.gov/issue/next-kin-involvement-regulatory-inves…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60549/psn-pdf
    June 03, 2020 - Rate of diagnostic errors and serious misdiagnosis- related harms for major vascular events, infections, and cancers: toward a national incidence estimate using the “Big Three”. June 3, 2020 Newman-Toker DE, Wang Z, Zhu Y, et al. Rate of diagnostic errors and serious misdiagnosis-related harms for major vascular …

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867519/psn-pdf
    January 15, 2025 - High-risk medication errors: insight from the UK National Reporting and Learning System. January 15, 2025 Alrowily A, Alfaraidy K, Almutairi S, et al. High-risk medication errors: Insight from the UK National Reporting and learning system. Explor Res Clin Soc Pharm. 2025;17:100531. doi:10.1016/j.rcsop.2024.100531.…

  19. V-C3.01 Information Technology Security Policy Manual (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/data/AHRQ-Security-and-Privacy-Language-for-Information-and-Information-Technology-Procurements.pdf
    November 07, 2023 - every device it operates and authorizes for Government use, and can prevent, detect, and respond to incidents … requested images, log files, and event information to facilitate rapid resolution of sensitive information incidents … learned; and • Explanation of the mitigation steps of exploited vulnerabilities to prevent similar incidents

  20. Final Research Plan: Prevention of Child Maltreatment: Primary Care Interventions | United States Preventive Services Taskforce

    www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan/child-maltreatment-primary-care-interventions
    May 19, 2022 - Share to Facebook Share to X Share to WhatsApp Share to Email Print Final Research Plan Prevention of Child Maltreatment: Primary Care Interventions May 19, 2022 Recommendations made by the USPSTF are independent of the U.S. government. T…
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