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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34094/psn-pdf
    September 27, 2017 - Surveillance of medical device-related hazards and adverse events in hospitalized patients. September 27, 2017 Samore MH, Evans S, Lassen A, et al. Surveillance of medical device-related hazards and adverse events in hospitalized patients. JAMA. 2004;291(3):325-34. https://psnet.ahrq.gov/issue/surveillance-medical…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37814/psn-pdf
    April 11, 2011 - Reevaluating the safety profile of pediatrics: a comparison of computerized adverse drug event surveillance and voluntary reporting in the pediatric environment. April 11, 2011 Ferranti J, Horvath MM, Cozart H, et al. Reevaluating the safety profile of pediatrics: a comparison of computerized adverse drug event s…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841471/psn-pdf
    December 14, 2022 - Cohort study of diagnostic delay in the clinical pathway of patients with chronic wounds in the primary care setting. December 14, 2022 Ahmajärvi K, Isoherranen K, Venermo M. Cohort study of diagnostic delay in the clinical pathway of patients with chronic wounds in the primary care setting. BMJ Open. 2022;12(11):e…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47482/psn-pdf
    December 05, 2018 - Examining the effects of an obstetrics interprofessional programme on reductions to reportable events and their related costs. December 5, 2018 Geary M, Ruiter PJA, Yasseen AS. Examining the effects of an obstetrics interprofessional programme on reductions to reportable events and their related costs. J Interprof…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47251/psn-pdf
    July 25, 2018 - Fail-safe patient ID matching remains just out of reach. July 25, 2018 Arndt RZ. Mod Healthc. July 14, 2018. https://psnet.ahrq.gov/issue/fail-safe-patient-id-matching-remains-just-out-reach Similarities in patient names and clinical situations can result in medical errors. Discussing how digital technologies can …
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34103/psn-pdf
    February 24, 2011 - Measuring errors and adverse events in health care. February 24, 2011 Thomas EJ, Petersen LA. Measuring errors and adverse events in health care. J Gen Intern Med. 2003;18(1). doi:10.1046/j.1525-1497.2003.20147.x. https://psnet.ahrq.gov/issue/measuring-errors-and-adverse-events-health-care This article discusses t…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/856590/psn-pdf
    November 29, 2023 - Team experiences of the root cause analysis process after a sentinel event: a qualitative case study. November 29, 2023 Liepelt S, Sundal H, Kirchhoff R. Team experiences of the root cause analysis process after a sentinel event: a qualitative case study. BMC Health Serv Res. 2023;23(1):1224. doi:10.1186/s12913-023…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47591/psn-pdf
    January 01, 2021 - Advancing patient safety through the clinical application of a framework focused on communication. December 19, 2018 Manojlovich M, Hofer TP, Krein SL. Advancing Patient Safety Through the Clinical Application of a Framework Focused on Communication. J Patient Saf. 2021;17(8):e732-e737. doi:10.1097/PTS.00000000000…
  9. psnet.ahrq.gov/issue/affordable-health-care-floridians-act
    January 15, 2025 - Legislation/Regulation Affordable Health Care for Floridians Act. Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL August 27, 2008 Established the patient safety center in the st…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43899/psn-pdf
    February 18, 2015 - Development and validation of a taxonomy of adverse handover events in hospital settings. February 18, 2015 Andersen HB, Siemsen IMD, Petersen LF, et al. Development and validation of a taxonomy of adverse handover events in hospital settings. Cognition, Technology & Work. 2014;17(1). doi:10.1007/s10111-014- 0303-…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60743/psn-pdf
    July 29, 2020 - The confused and bewildered hospital: adverse event discovery, pay-for-performance, and big data tools as halfway technologies. July 29, 2020 Furrow BR. The confused and bewildered hospital: adverse event discovery, pay-for-performance, and big data tools as halfway technologies. Am J Law Med. 2020;46(2-3):219-235…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837147/psn-pdf
    May 18, 2022 - Patient safety in home care: a multicenter cross-sectional study about medication errors and medication management of nurses. May 18, 2022 Strube?Lahmann S, Müller?Werdan U, Klingelhöfer?Noe J, et al. Patient safety in home care: A multicenter cross?sectional study about medication errors and medication management…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50432/psn-pdf
    September 04, 2019 - Patient Suicide on a Locked Mental Health Unit at the West Palm Beach VA Medical Center, Florida. September 4, 2019 Washington, DC: Department of Veterans Affairs, Office of Inspector General. August 22, 2019. Report No. 19-07429-195. https://psnet.ahrq.gov/issue/patient-suicide-locked-mental-health-unit-west-palm…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46684/psn-pdf
    January 24, 2018 - Threats to patient safety in primary care reported by older people with multimorbidity: baseline findings from a longitudinal qualitative study and implications for intervention. January 24, 2018 Hays R, Daker-White G, Esmail A, et al. Threats to patient safety in primary care reported by older people with multim…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837025/psn-pdf
    May 04, 2022 - Central venous catheter guidewire retention: lessons from England's never event database. May 4, 2022 Mariyaselvam MZA, Patel V, Young HE, et al. Central venous catheter guidewire retention: lessons from England's never event database. J Patient Saf. 2022;18(2):e387-e392. doi:10.1097/pts.0000000000000826. https:/…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36314/psn-pdf
    June 13, 2011 - Discontinuity of chronic medications in patients discharged from the intensive care unit. June 13, 2011 Bell CM, Rahimi-Darabad P, Orner AI. Discontinuity of chronic medications in patients discharged from the intensive care unit. J Gen Intern Med. 2006;21(9):937-41. https://psnet.ahrq.gov/issue/discontinuity-chro…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50596/psn-pdf
    October 30, 2019 - Encouraging resident adverse event reporting: a qualitative study of suggestions from the front lines. October 30, 2019 Szymusiak J, Walk TJ, Benson M, et al. Encouraging Resident Adverse Event Reporting: A Qualitative Study of Suggestions from the Front Lines. Ped Qual Saf. 2019;4(3):e167. doi:10.1097/pq9.0000000…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73169/psn-pdf
    April 21, 2021 - Application of emergency preparedness principles to a pharmacy department’s approach to a “black swan” event: the COVID-19 pandemic. April 21, 2021 Waldron KM, Schenkat DH, Rao KV, et al. Application of emergency preparedness principles to a pharmacy department’s approach to a “black swan” event: the COVID-19 pand…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43644/psn-pdf
    April 22, 2015 - SIMMEON-Prep study: SIMulation of Medication Errors in ONcology: prevention of antineoplastic preparation errors. April 22, 2015 Sarfati L, Ranchon F, Vantard N, et al. SIMMEON-Prep study: SIMulation of Medication Errors in ONcology: prevention of antineoplastic preparation errors. J Clin Pharm Ther. 2015;40(1):55…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45230/psn-pdf
    July 20, 2016 - Outcomes are worse in US patients undergoing surgery on weekends compared with weekdays. July 20, 2016 Glance LG, Osler T, Li Y, et al. Outcomes are Worse in US Patients Undergoing Surgery on Weekends Compared With Weekdays. Med Care. 2016;54(6):608-15. doi:10.1097/MLR.0000000000000532. https://psnet.ahrq.gov/issu…