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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865340/psn-pdf
    March 27, 2024 - Risk management and patient safety in the artificial intelligence era: a systematic review. March 27, 2024 Ferrara M, Bertozzi G, Di Fazio N, et al. Risk management and patient safety in the artificial intelligence era: a systematic review. Healthcare (Basel). 2024;12(5):549. doi:10.3390/healthcare12050549. https:…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72478/psn-pdf
    November 18, 2020 - The impact of the use of employee functional flexibility on patient safety. November 18, 2020 Salvador RO, Gnanlet A, McDermott C. The impact of the use of employee functional flexibility on patient safety. Personnel Rev. 2020;50(3):971-984. doi:10.1108/pr-10-2019-0562. https://psnet.ahrq.gov/issue/impact-use-empl…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43958/psn-pdf
    April 22, 2015 - Non-intercepted dose errors in prescribing antineoplastic treatment: a prospective, comparative cohort study. April 22, 2015 Mattsson TO, Holm B, Michelsen H, et al. Non-intercepted dose errors in prescribing anti-neoplastic treatment: a prospective, comparative cohort study. Ann Oncol. 2015;26(5):981-6. doi:10.10…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47866/psn-pdf
    May 11, 2019 - Effect of a cluster randomised team training intervention on adverse perinatal and maternal outcomes: a stepped wedge study. May 11, 2019 Romijn A, Ravelli A, de Bruijne MC, et al. Effect of a cluster randomised team training intervention on adverse perinatal and maternal outcomes: a stepped wedge study. BJOG. 201…

  5. Event Investigation and Analysis Guide: Appendix E | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/ape.html
    August 01, 2022 - Event Investigation and Analysis Guide: Appendix E Confirmation and Consensus Meeting Announcement Template As you may know, a patient care incident occurred on (insert date) involving (brief description of event). On behalf of (insert executive sponsor name), we are asking you to participate in our upcoming …

  6. Data Submissions Dashboard | Agency for Healthcare Research and Quality

    www.ahrq.gov/npsd/data/dashboard/submissions.html
    September 01, 2025 - Data Submissions Dashboard Learn more about how the dashboards are set up . This dashboard examines all reports on patient safety concerns submitted to the PSOPPC. The dashboard charts detail reports submitted by Common Formats version by year, completeness of reports submitted by version, percentage of repo…

  7. Generic Dashboard | Agency for Healthcare Research and Quality

    www.ahrq.gov/npsd/data/dashboard/generic.html
    September 01, 2025 - Generic Dashboard Learn more about how the dashboards are set up . This dashboard examines all reports on patient safety concerns submitted to the PSOPPC in Common Formats for Event Reporting – Hospital versions 1.2 and 2.0. Data collected using CFER-H Version 1.1 is not included. The dashboard charts detail…

  8. Pressure Injury Dashboard | Agency for Healthcare Research and Quality

    www.ahrq.gov/npsd/data/dashboard/pressure-ulcer.html
    September 01, 2025 - Pressure Injury Dashboard Learn more about how the dashboards are set up . This dashboard details the Pressure Injury Most Advanced Stage, Pressure Injury Residual Patient Harm Level, Extent of Harm by Most Advanced Stage, Contributing Factor, Extent of Harm by Contributing Factor, Documented Skin Inspection o…

  9. Device or Medical/Surgical Supply Dashboard | Agency for Healthcare Research and Quality

    www.ahrq.gov/npsd/data/dashboard/devices.html
    September 01, 2025 - Device or Medical/Surgical Supply Dashboard Learn more about how the dashboards are set up . This dashboard details the type of device; type of device by residual harm to the patient; device defect, failure, or user error; device defect, failure, or user error by residual harm to the patient; type of health in…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41251/psn-pdf
    March 29, 2012 - Patient safety in developing countries: retrospective estimation of scale and nature of harm to patients in hospital. March 29, 2012 Wilson R, Michel P, Olsen S, et al. Patient safety in developing countries: retrospective estimation of scale and nature of harm to patients in hospital. BMJ. 2012;344:e832. doi:10.1…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46637/psn-pdf
    December 06, 2017 - Instituting vincristine minibag administration: an innovative strategy using simulation to enhance chemotherapy safety. December 6, 2017 Corbitt N, Malick L, Nishioka J, et al. Instituting Vincristine Minibag Administration: An Innovative Strategy Using Simulation to Enhance Chemotherapy Safety. J Infus Nurs. 2017…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42982/psn-pdf
    March 13, 2014 - Nursing student medication errors: a snapshot view from a school of nursing's quality and safety officer. March 13, 2014 Cooper E. Nursing student medication errors: a snapshot view from a school of nursing's quality and safety officer. J Nurs Educ. 2014;53(3):S51-4. doi:10.3928/01484834-20140211-03. https://psnet…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45868/psn-pdf
    January 31, 2018 - Increasing trainee reporting of adverse events with monthly, trainee-directed review of adverse events. January 31, 2018 Smith A, Hatoun J, Moses J. Increasing Trainee Reporting of Adverse Events With Monthly Trainee- Directed Review of Adverse Events. Acad Pediatr. 2017;17(8):902-906. doi:10.1016/j.acap.2017.01.00…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45848/psn-pdf
    November 19, 2018 - New Horizons in Patient Safety: Understanding Communication: Case Studies for Physicians. November 19, 2018 Hannawa AF, Wu AW, Juhasz RS, eds. Berlin, Germany: DeGruyter; 2017. ISBN: 9783110455014. https://psnet.ahrq.gov/issue/new-horizons-patient-safety-understanding-communication-case-studies- physicians Poor c…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38622/psn-pdf
    May 13, 2009 - Self-reported adverse events in health care that cause harm: a population-based survey. May 13, 2009 Adams RJ, Tucker G, Price K, et al. Self-reported adverse events in health care that cause harm: a population-based survey. Med J Aust. 2009;190(9):484-8. https://psnet.ahrq.gov/issue/self-reported-adverse-events-h…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50419/psn-pdf
    September 04, 2019 - Hospitalisation for medication misadventures among older adults with and without dementia: a 5-year retrospective study. September 4, 2019 Mullan J, Burns P, Mohanan L, et al. Hospitalisation for medication misadventures among older adults with and without dementia: A 5-year retrospective study. Australas J Ageing…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60359/psn-pdf
    May 20, 2020 - Incorrect use of smart infusion pump in the operating room (OR) leads to milrinone overdose. May 20, 2020 ISMP Medication Safety Alert! Acute care edition. May 7, 2020;25(9). https://psnet.ahrq.gov/issue/incorrect-use-smart-infusion-pump-operating-room-or-leads-milrinone- overdose Lack of familiarity with sm…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43580/psn-pdf
    October 01, 2014 - Reducing medication errors in critical care: a multimodal approach. October 1, 2014 Kruer RM, Jarrell AS, Latif A. Reducing medication errors in critical care: a multimodal approach. Clin Pharmacol. 2014;6:117-26. doi:10.2147/CPAA.S48530. https://psnet.ahrq.gov/issue/reducing-medication-errors-critical-care-multim…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38332/psn-pdf
    January 14, 2009 - Verifying patient identity and site of surgery: improving compliance with protocol by audit and feedback. January 14, 2009 Garnerin P, Arès M, Huchet A, et al. Verifying patient identity and site of surgery: improving compliance with protocol by audit and feedback. Qual Saf Health Care. 2008;17(6):454-8. doi:10.11…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47797/psn-pdf
    June 14, 2019 - The impact of RVU-based compensation on patient safety outcomes in outpatient otolaryngology procedures. June 14, 2019 Stanisce L, Ahmad N, Deckard N, et al. The Impact of RVU-Based Compensation on Patient Safety Outcomes in Outpatient Otolaryngology Procedures. Otolaryngol Head Neck Surg. 2019;160(6):1003-1008. d…
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