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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44398/psn-pdf
    August 19, 2015 - Effect of a ward-based pharmacy team on preventable adverse drug events in surgical patients (SUREPILL study). August 19, 2015 Group S and P in LS. Effect of a ward-based pharmacy team on preventable adverse drug events in surgical patients (SUREPILL study). Br J Surg. 2015;102(10):1204-12. doi:10.1002/bjs.9876. …

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39124/psn-pdf
    February 18, 2011 - Adverse drug event rates in six community hospitals and the potential impact of computerized physician order entry for prevention. February 18, 2011 Hug BL, Witkowski DJ, Sox CM, et al. Adverse Drug Event Rates in Six Community Hospitals and the Potential Impact of Computerized Physician Order Entry for Prevention…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73618/psn-pdf
    August 17, 2021 - New Horizons in Patient Safety. Safe Communication: Evidence-based Core Competencies with Case Studies from Nursing. August 17, 2021 Hannawa AF, Wendt AL, Day LJ. Berlin, GER: Walter De Gruyter; 2018. ISBN: 9783110453041. https://psnet.ahrq.gov/issue/new-horizons-patient-safety-safe-communication-evidence-based-co…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44647/psn-pdf
    November 18, 2015 - An organisation without a memory: a qualitative study of hospital staff perceptions on reporting and organisational learning for patient safety. November 18, 2015 Sujan M. An organisation without a memory: A qualitative study of hospital staff perceptions on reporting and organisational learning for patient safety…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844554/psn-pdf
    February 15, 2023 - Medication mix-up: what happened at Vanderbilt and how it impacts health care providers. February 15, 2023 Michel C, Talley C. J Health Life Sci Law. 2022;17(1):71 https://psnet.ahrq.gov/issue/medication-mix-what-happened-vanderbilt-and-how-it-impacts-health-care- providers High-profile medication errors like tha…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73113/psn-pdf
    April 07, 2021 - Analysis of results from event investigations in industrial and patient safety contexts. April 7, 2021 Harms-Ringdahl L. Analysis of results from event investigations in industrial and patient safety contexts. Safety. 2021;7(1):19. doi:10.3390/safety7010019. https://psnet.ahrq.gov/issue/analysis-results-event-inve…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60628/psn-pdf
    July 14, 2020 - The Power to Predict: Leveraging Medical Malpractice Data to Reduce Patient Harm and Financial Loss. June 24, 2020 Cambridge, MA; CRICO Strategies: July 14, 2020. https://psnet.ahrq.gov/issue/power-predict-leveraging-medical-malpractice-data-reduce-patient-harm-and- financial-loss Malpractice claims can generate …

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40541/psn-pdf
    July 22, 2011 - Effect of a pharmacist-led multicomponent intervention focusing on the medication monitoring phase to prevent potential adverse drug events in nursing homes. July 22, 2011 Lapane KL, Hughes C, Daiello LA, et al. Effect of a pharmacist-led multicomponent intervention focusing on the medication monitoring phase to p…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47064/psn-pdf
    August 22, 2018 - Lax oversight leaves surgery center regulators and patients in the dark. August 22, 2018 Jewett C, Alesia M. Kaiser Health News. August 9, 2018. https://psnet.ahrq.gov/issue/lax-oversight-leaves-surgery-center-regulators-and-patients-dark High-profile failures during office-based procedures have raised awareness o…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45502/psn-pdf
    March 01, 2017 - Screening electronic health record–related patient safety reports using machine learning. March 1, 2017 Marella WM, Sparnon E, Finley E. Screening Electronic Health Record–Related Patient Safety Reports Using Machine Learning. J Patient Saf. 2014;13(1):31-36. doi:10.1097/pts.0000000000000104. https://psnet.ahrq.go…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37981/psn-pdf
    June 16, 2011 - Nurses' perceptions of error communication and reporting in the intensive care unit. June 16, 2011 Elder NC, Brungs SM, Nagy M, et al. Nurses' Perceptions of Error Communication and Reporting in the Intensive Care Unit. J Patient Saf. 2008;4(3). doi:10.1097/pts.0b013e3181839b48. https://psnet.ahrq.gov/issue/nurses…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60840/psn-pdf
    August 26, 2020 - Role of artificial intelligence in patient safety outcomes: systematic literature review. August 26, 2020 Choudhury A, Asan O. Role of artificial intelligence in patient safety outcomes: systematic literature review. JMIR Med Inform. 2020;8(7):e18599. doi:10.2196/18599. https://psnet.ahrq.gov/issue/role-artificial…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/843082/psn-pdf
    January 25, 2023 - Determination of unnecessary blood transfusion by comprehensive 15-hospital record review. January 25, 2023 Jadwin DF, Fenderson PG, Friedman MT, et al. Determination of unnecessary blood transfusion by comprehensive 15-hospital record review. Jt Comm J Qual Patient Saf. 2023;49(1):42-52. doi:10.1016/j.jcjq.2022.1…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36929/psn-pdf
    September 09, 2011 - Nurse working conditions and patient safety outcomes. September 9, 2011 Stone PW, Mooney-Kane C, Larson EL, et al. Nurse Working Conditions and Patient Safety Outcomes. Med Care. 2007;45(6):571-578. doi:10.1097/mlr.0b013e3180383667. https://psnet.ahrq.gov/issue/nurse-working-conditions-and-patient-safety-outcomes …

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46808/psn-pdf
    February 14, 2018 - Anesthesia medication handling needs a new vision. February 14, 2018 Grigg EB, Roesler A. Anesthesia Medication Handling Needs a New Vision. Anesth Analg. 2018;126(1):346-350. doi:10.1213/ANE.0000000000002521. https://psnet.ahrq.gov/issue/anesthesia-medication-handling-needs-new-vision Anesthesiology has been a le…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36788/psn-pdf
    August 26, 2011 - Direct observation approach for detecting medication errors and adverse drug events in a pediatric intensive care unit. August 26, 2011 Buckley MS, Erstad BL, Kopp BJ, et al. Direct observation approach for detecting medication errors and adverse drug events in a pediatric intensive care unit. Pediatr Crit Care Me…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45908/psn-pdf
    April 05, 2017 - Towards a framework for managing risk associated with technology-induced error. April 5, 2017 Borycki EM, Kushniruk AW. Towards a Framework for Managing Risk Associated with Technology-Induced Error. Stud Health Technol Inform. 2017;234:42-48. https://psnet.ahrq.gov/issue/towards-framework-managing-risk-associated…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72772/psn-pdf
    February 24, 2021 - Measurement and monitoring patient safety in prehospital care: a systematic review. February 24, 2021 O’Connor P, O’malley R, Oglesby A-M, et al. Measurement and monitoring patient safety in prehospital care: a systematic review. Int J Health Care Qual. 2021;33(1):mzab013. doi:10.1093/intqhc/mzab013. https://psnet…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37820/psn-pdf
    February 18, 2011 - Stop orders to reduce inappropriate urinary catheterization in hospitalized patients: a randomized controlled trial. February 18, 2011 Loeb M, Hunt D, O'Halloran K, et al. Stop orders to reduce inappropriate urinary catheterization in hospitalized patients: a randomized controlled trial. J Gen Intern Med. 2008;23(…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47927/psn-pdf
    July 31, 2019 - In-hospital mortality associated with the misdiagnosis or unidentified site of infection at admission. July 31, 2019 Abe T, Tokuda Y, Shiraishi A, et al. In-hospital mortality associated with the misdiagnosis or unidentified site of infection at admission. Crit Care. 2019;23(1):202. doi:10.1186/s13054-019-2475-9. …
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