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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/863212/psn-pdf
    February 28, 2024 - unDerstandIng the cauSes of mediCation errOrs and adVerse drug evEnts for patients with mental illness in community caRe (DISCOVER): a qualitative study. February 28, 2024 Ayre MJ, Lewis PJ, Phipps DL, et al. unDerstandIng the cauSes of mediCation errOrs and adVerse drug evEnts for patients with mental illness in …
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72720/psn-pdf
    February 10, 2021 - Health system leaders' role in addressing racism: time to prioritize eliminating health care disparities. February 10, 2021 Austin JM, Weeks K, Pronovost PJ. Health System Leaders’ Role in Addressing Racism: Time to Prioritize Eliminating Health Care Disparities. Jt Comm J Qual Patient Saf. 2020;47(4):265-267. doi…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844052/psn-pdf
    July 01, 2012 - Does responsibility affect the public's valuation of health care interventions? A relative valuation approach to health care safety. July 1, 2012 Singh J, Lord J, Longworth L, et al. Does responsibility affect the public's valuation of health care interventions? A relative valuation approach to health care safety.…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/849317/psn-pdf
    May 24, 2023 - Implementing an electronic root cause analysis reporting system to decrease hospital-acquired pressure injuries. May 24, 2023 Armstrong AA. Implementing an electronic root cause analysis reporting system to decrease hospital- acquired pressure injuries. J Healthc Qual. 2023;45(3):125-132. doi:10.1097/jhq.0000000000…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43775/psn-pdf
    November 29, 2017 - The effects of hospital safety scores, total price, out-of- pocket cost, and household income on consumers' self- reported choice of hospitals. November 29, 2017 Duke CC, Smith B, Lynch W, et al. The Effects of Hospital Safety Scores, Total Price, Out-of-Pocket Cost, and Household Income on Consumers' Self-reporte…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836991/psn-pdf
    April 27, 2022 - Nearly all thirty most frequently used emergency department drugs experienced shortages from 2006-2019. April 27, 2022 Lin MP, Vargas-Torres C, Shin-Kim J, et al. Nearly all thirty most frequently used emergency department drugs experienced shortages from 2006–2019. Am J Emerg Med. 2022;53:135-139. doi:10.1016/j.a…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47403/psn-pdf
    November 07, 2018 - Defining minimum necessary anticoagulation-related communication at discharge: Consensus of the Care Transitions Task Force of the New York State Anticoagulation Coalition. November 7, 2018 Triller D, Myrka A, Gassler J, et al. Defining Minimum Necessary Anticoagulation-Related Communication at Discharge: Consens…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72548/psn-pdf
    January 01, 2021 - Better nurse staffing is associated with survival for Black patients and diminishes racial disparities in survival after in-hospital cardiac arrests. December 9, 2020 Brooks Carthon M, Brom H, McHugh MD, et al. Better nurse staffing is associated with survival for black patients and diminishes racial disparities i…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41265/psn-pdf
    January 03, 2017 - Detecting unapproved abbreviations in the electronic medical record. January 3, 2017 Capraro A, Stack AM, Harper MB, et al. Detecting unapproved abbreviations in the electronic medical record. Jt Comm J Qual Patient Saf. 2012;38(4):178-183. doi:10.1016/s1553-7250(12)38023-9. https://psnet.ahrq.gov/issue/detecting-…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43363/psn-pdf
    September 12, 2016 - Escalation of care and failure to rescue: a multicenter, multiprofessional qualitative study. September 12, 2016 Johnston MJ, Arora S, King D, et al. Escalation of care and failure to rescue: a multicenter, multiprofessional qualitative study. Surgery. 2014;155(6):989-94. doi:10.1016/j.surg.2014.01.016. https://ps…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846155/psn-pdf
    March 15, 2023 - Reduction in omission events after implementing a rapid response system: a mortality review in a department of gastrointestinal surgery. March 15, 2023 Olsen SL, Nedrebø BS, Strand K, et al. Reduction in omission events after implementing a Rapid Response System: a mortality review in a department of gastrointesti…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45966/psn-pdf
    April 05, 2017 - Fundamental Use of Surgical Energy (FUSE): an essential educational program for operating room safety. April 5, 2017 Jones SB, Munro MG, Feldman LS, et al. Fundamental Use of Surgical Energy (FUSE): An Essential Educational Program for Operating Room Safety. Perm J. 2017;21:16-050. doi:10.7812/TPP/16-050. https://…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867229/psn-pdf
    January 01, 2025 - Feasibility of prospective error reporting in home palliative care: a mixed methods study. December 4, 2024 Kurahashi AM, Kim G, Parry N, et al. Feasibility of prospective error reporting in home palliative care: a mixed methods study. Palliat Med. 2025;39(1):22-30. doi:10.1177/02692163241288774. https://psnet.ahr…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38029/psn-pdf
    September 03, 2008 - Minimizing surgical error by incorporating objective assessment into surgical education. September 3, 2008 Champion HR, Meglan DA, Shair EK. Minimizing Surgical Error by Incorporating Objective Assessment into Surgical Education. J Am Coll Surg. 2008;207(2). doi:10.1016/j.jamcollsurg.2008.02.038. https://psnet.ahr…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48186/psn-pdf
    August 28, 2019 - Inappropriate prescribing defined by STOPP and START criteria and its association with adverse drug events among hospitalized older patients: a multicentre, prospective study. August 28, 2019 Fahrni ML, Azmy MT, Usir E, et al. Inappropriate prescribing defined by STOPP and START criteria and its association with …
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50935/psn-pdf
    February 26, 2020 - Moving from knowledge to action: improving safety and quality of care for patients with limited English proficiency. February 26, 2020 Fox MT, Godage SK, Kim JM, et al. Moving from knowledge to action: improving safety and quality of care for patients with limited English proficiency. Clin Pediatr (Phila). 2020;59…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45500/psn-pdf
    September 28, 2016 - PIPc study: development of indicators of potentially inappropriate prescribing in children (PIPc) in primary care using a modified Delphi technique. September 28, 2016 Barry E, O'Brien K, Moriarty F, et al. PIPc study: development of indicators of potentially inappropriate prescribing in children (PIPc) in primary…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47719/psn-pdf
    July 01, 2019 - Medication errors in community pharmacies: the need for commitment, transparency, and research. July 1, 2019 Hong K, Hong YD, Cooke CE. Medication errors in community pharmacies: the need for commitment, transparency, and research. Res Social Adm Pharm. 2019;15(7):823-826. doi:10.1016/j.sapharm.2018.11.014. https…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36303/psn-pdf
    October 25, 2010 - Medication dispensing errors and potential adverse drug events before and after implementing bar code technology in the pharmacy. October 25, 2010 Poon EG, Cina J, Churchill WW, et al. Medication dispensing errors and potential adverse drug events before and after implementing bar code technology in the pharmacy. …
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848317/psn-pdf
    May 03, 2023 - Uptake of pharmacist recommendations by patients after discharge: implementation study of a patient-centered medicines review service. May 3, 2023 Basger BJ, Moles RJ, Chen TF. Uptake of pharmacist recommendations by patients after discharge: implementation study of a patient-centered medicines review service. BMC…