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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46255/psn-pdf
    September 06, 2017 - Patient Safety in the Home: Assessment of Issues, Challenges, and Opportunities. September 6, 2017 Carpenter D, Famolaro T, Hassell S, et al. Cambridge, MA: Institute for Healthcare Improvement; 2017. https://psnet.ahrq.gov/issue/patient-safety-home-assessment-issues-challenges-and-opportunities The ambulatory env…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46133/psn-pdf
    May 24, 2017 - Implementing smart infusion pumps with dose-error reduction software: real-world experiences. May 24, 2017 Heron C. Implementing smart infusion pumps with dose-error reduction software: real-world experiences. Br J Nurs. 2017;26(8):S13-S16. doi:10.12968/bjon.2017.26.8.S13. https://psnet.ahrq.gov/issue/implementing…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46084/psn-pdf
    February 21, 2018 - The effect of facility characteristics on patient safety, patient experience, and service availability for procedures in non–hospital-affiliated outpatient settings: a systematic review. February 21, 2018 Berglas NF, Battistelli MF, Nicholson WK, et al. The effect of facility characteristics on patient safety, pa…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43710/psn-pdf
    October 06, 2016 - Improving medication administration safety: using naïve observation to assess practice and guide improvements in process and outcomes. October 6, 2016 Donaldson N, Aydin C, Fridman M, et al. Improving medication administration safety: using naïve observation to assess practice and guide improvements in process and…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73062/psn-pdf
    January 01, 2022 - Description of the role of pharmacist independent double checks during cognitive order verification of outpatient parenteral anti-cancer therapy. March 25, 2021 Booth JP, Kennerly-Shah JM, Hartman AD. Description of the role of pharmacist independent double checks during cognitive order verification of outpatient …
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846760/psn-pdf
    March 29, 2023 - Electronic health record-based prediction models for in- hospital adverse drug event diagnosis or prognosis: a systematic review. March 29, 2023 Yasrebi-de Kom IAR, Dongelmans DA, de Keizer NF, et al. Electronic health record-based prediction models for in-hospital adverse drug event diagnosis or prognosis: a syst…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34694/psn-pdf
    February 10, 2011 - Computerized surveillance of adverse drug events in hospital patients. February 10, 2011 Classen DC, Pestotnik SL, Evans RS, et al. Computerized surveillance of adverse drug events in hospital patients. JAMA. 1991;266(20):2847-51. https://psnet.ahrq.gov/issue/computerized-surveillance-adverse-drug-events-hospital-…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867047/psn-pdf
    October 30, 2024 - Therapeutic errors involving diabetes medications reported to United States poison centers. October 30, 2024 Thurgood Giarman A, Hays HL, Badeti J, et al. Therapeutic errors involving diabetes medications reported to United States poison centers. Inj Epidemiol. 2024;11(1):51. doi:10.1186/s40621-024-00536-y. https:…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867388/psn-pdf
    December 18, 2024 - Secure messaging use and wrong-patient ordering errors among inpatient clinicians. December 18, 2024 Lou SS, Lew D, Xia L, et al. Secure messaging use and wrong-patient ordering errors among inpatient clinicians. JAMA Netw Open. 2024;7(12):e2447797. doi:10.1001/jamanetworkopen.2024.47797. https://psnet.ahrq.gov/is…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/859343/psn-pdf
    December 20, 2023 - Reducing retained foreign objects in the operating room: a quality improvement initiative. December 20, 2023 Keane OA, Chambers C, Brady CM, et al. Reducing retained foreign objects in the operating room: a quality improvement initiative. J Am Coll Surg. 2023;237(6):864-872. doi:10.1097/xcs.0000000000000847. https…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35448/psn-pdf
    September 18, 2009 - Relationship between performance measurement and accreditation: implications for quality of care and patient safety. September 18, 2009 Miller MR, Pronovost P, Donithan M, et al. Relationship between performance measurement and accreditation: implications for quality of care and patient safety. Am J Med Qual. 2005…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48040/psn-pdf
    July 24, 2019 - Potentially inappropriate prescribing among older persons: a meta-analysis of observational studies. July 24, 2019 Liew TM, Lee CS, Shawn KLG, et al. Potentially Inappropriate Prescribing Among Older Persons: A Meta- Analysis of Observational Studies. Ann Fam Med. 2019;17(3):257-266. doi:10.1370/afm.2373. https://…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/850165/psn-pdf
    June 07, 2023 - Adolescents identifying errors and omissions in their electronic health records: a national survey. June 7, 2023 Hagström J, Blease CR, Kharko A, et al. Adolescents identifying errors and omissions in their electronic health records: a national survey. Stud Health Technol Inform. 2023;302:242-246. doi:10.3233/shti2…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/843324/psn-pdf
    February 01, 2023 - Cost of inpatient falls and cost-benefit analysis of implementation of an evidence-based fall prevention program. February 1, 2023 Dykes PC, Curtin-Bowen M, Lipsitz S, et al. Cost of inpatient falls and cost-benefit analysis of implementation of an evidence-based fall prevention program. JAMA Health Forum. 2023;4(…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838244/psn-pdf
    October 05, 2022 - Standardization of pediatric noncardiac operating room to intensive care unit handoffs improves communication and patient care. October 5, 2022 Hebballi NB, Gupta VS, Sheppard K, et al. Standardization of pediatric noncardiac operating room to intensive care unit handoffs improves communication and patient care. J…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74202/psn-pdf
    December 22, 2021 - Prevalence of potentially harmful multidrug interactions on medication lists of elderly ambulatory patients. December 22, 2021 Anand TV, Wallace BK, Chase HS. Prevalence of potentially harmful multidrug interactions on medication lists of elderly ambulatory patients. BMC Geriatr. 2021;21(1):648. doi:10.1186/s12877-…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74012/psn-pdf
    January 01, 2022 - Should electronic differential diagnosis support be used early or late in the diagnostic process? A multicentre experimental study of Isabel. October 27, 2021 Sibbald M, Monteiro SD, Sherbino J, et al. Should electronic differential diagnosis support be used early or late in the diagnostic process? A multicentre e…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73571/psn-pdf
    August 04, 2021 - "My whole room went into chaos because of that thing in the corner": unintended consequences of a central fetal monitoring system. August 4, 2021 Small K, Sidebotham M, Gamble J, et al. “My whole room went into chaos because of that thing in the corner”: unintended consequences of a central fetal monitoring system…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61045/psn-pdf
    October 21, 2020 - Association of electronic health record use above meaningful use thresholds with hospital quality and safety outcomes. October 21, 2020 Murphy ZR, Wang J, Boland MV. Association of electronic health record use above meaningful use thresholds with hospital quality and safety outcomes. JAMA Netw Open. 2020;3(9):e201…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45685/psn-pdf
    January 01, 2021 - The effects of the second victim phenomenon on work- related outcomes: connecting self-reported caregiver distress to turnover intentions and absenteeism. December 21, 2016 Burlison JD, Quillivan RR, Scott SD, et al. The Effects of the Second Victim Phenomenon on Work-Related Outcomes: Connecting Self-Reported Car…