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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44304/psn-pdf
    September 09, 2015 - Association of the 2011 ACGME resident duty hour reform with postoperative patient outcomes in surgical specialties. September 9, 2015 Rajaram R, Chung JW, Cohen ME, et al. Association of the 2011 ACGME Resident Duty Hour Reform with Postoperative Patient Outcomes in Surgical Specialties. J Am Coll Surg. 2015;221(…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50886/psn-pdf
    February 12, 2020 - Identifying risks areas related to medication administrations - text mining analysis using free-text descriptions of incident reports. February 12, 2020 Härkänen M, Paananen J, Murrells T, et al. Identifying risks areas related to medication administrations - text mining analysis using free-text descriptions of in…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45216/psn-pdf
    June 08, 2016 - Ambulatory computerized prescribing and preventable adverse drug events. June 8, 2016 Overhage JM, Gandhi TK, Hope C, et al. Ambulatory Computerized Prescribing and Preventable Adverse Drug Events. J Patient Saf. 2016;12(2):69-74. doi:10.1097/PTS.0000000000000194. https://psnet.ahrq.gov/issue/ambulatory-computeriz…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43436/psn-pdf
    August 13, 2014 - Decreasing handoff-related care failures in children's hospitals. August 13, 2014 Bigham MT, Logsdon TR, Manicone PE, et al. Decreasing handoff-related care failures in children's hospitals. Pediatrics. 2014;134(2):e572-e579. doi:10.1542/peds.2013-1844. https://psnet.ahrq.gov/issue/decreasing-handoff-related-care-…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866104/psn-pdf
    June 12, 2024 - When agency fails: an analysis of the association between hospital agency staffing and quality outcomes. June 12, 2024 Beauvais B, Pradhan R, Ramamonjiarivelo Z, et al. When agency fails: an analysis of the association between hospital agency staffing and quality outcomes. Risk Manag Healthc Policy. 2024;17:1361-13…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865336/psn-pdf
    March 27, 2024 - Transfusion-related errors and associated adverse reactions and blood product wastage as reported to the National Healthcare Safety Network Hemovigilance Module, 2014-2022. March 27, 2024 Chavez Ortiz JL, Griffin I, Kazakova SV, et al. Transfusion?related errors and associated adverse reactions and blood product …
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47434/psn-pdf
    January 21, 2019 - Estimating the hospital costs of inpatient harms. January 21, 2019 Anand P, Kranker K, Chen AY. Estimating the hospital costs of inpatient harms. Health Serv Res. 2019;54(1):86-96. doi:10.1111/1475-6773.13066. https://psnet.ahrq.gov/issue/estimating-hospital-costs-inpatient-harms Pressure ulcers, surgical site inf…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/850166/psn-pdf
    June 07, 2023 - Classification of health information technology safety events in a pediatric tertiary care hospital. June 7, 2023 Khan A, Karavite DJ, Muthu N, et al. Classification of health information technology safety events in a pediatric tertiary care hospital. J Patient Saf. 2023;19(4):251-257. doi:10.1097/pts.0000000000001…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39931/psn-pdf
    April 24, 2011 - Emotional influences in patient safety. April 24, 2011 Croskerry P, Abbass A, Wu AW. Emotional Influences in Patient Safety. J Patient Saf. 2010;6(4):199-205. doi:10.1097/pts.0b013e3181f6c01a. https://psnet.ahrq.gov/issue/emotional-influences-patient-safety Clinicians are intimately familiar with the pressures of …
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47787/psn-pdf
    February 20, 2019 - How to be a very safe maternity unit: an ethnographic study. February 20, 2019 Liberati EG, Tarrant C, Willars J, et al. How to be a very safe maternity unit: An ethnographic study. Soc Sci Med. 2019;223:64-72. doi:10.1016/j.socscimed.2019.01.035. https://psnet.ahrq.gov/issue/how-be-very-safe-maternity-unit-ethnog…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74163/psn-pdf
    December 08, 2008 - Follow-up of abnormal screening mammograms among low-income ethnically diverse women: findings from a qualitative study. December 8, 2008 Allen JD, Shelton RC, Harden E, et al. Follow-up of abnormal screening mammograms among low-income ethnically diverse women: findings from a qualitative study. Patient Educ Coun…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846449/psn-pdf
    March 22, 2023 - Healthcare professionals' perception of safety culture and the Operating Room (OR) Black Box technology before clinical implementation: a cross-sectional survey. March 22, 2023 Strandbygaard J, Dose N, Moeller KE, et al. Healthcare professionals’ perception of safety culture and the Operating Room (OR) Black Box t…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74864/psn-pdf
    February 23, 2022 - Exploring changes in patient safety incidents during the COVID-19 pandemic in a Canadian regional hospital system: a retrospective time series analysis. February 23, 2022 Lombardi J, Strobel S, Pullar V, et al. Exploring changes in patient safety incidents during the COVID-19 pandemic in a Canadian regional hospit…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39908/psn-pdf
    October 06, 2010 - Use of temporary nurses and nurse and patient safety outcomes in acute care hospital units. October 6, 2010 Bae S-H, Mark BA, Fried B. Use of temporary nurses and nurse and patient safety outcomes in acute care hospital units. Health Care Manage Rev. 2010;35(4):333-344. doi:10.1097/HMR.0b013e3181dac01c. https://ps…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40548/psn-pdf
    March 23, 2012 - Potentially inappropriate medications defined by STOPP criteria and the risk of adverse drug events in older hospitalized patients. March 23, 2012 Hamilton H, Gallagher P, Ryan C, et al. Potentially inappropriate medications defined by STOPP criteria and the risk of adverse drug events in older hospitalized patien…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46197/psn-pdf
    September 24, 2017 - Implementation and evaluation of a prototype consumer reporting system for patient safety events. September 24, 2017 Weingart SN, Weissman JS, Zimmer KP, et al. Implementation and evaluation of a prototype consumer reporting system for patient safety events. Int J Qual Health Care. 2017;29(4):521-526. doi:10.1093/…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41131/psn-pdf
    February 15, 2012 - Effects of two commercial electronic prescribing systems on prescribing error rates in hospital in-patients: a before and after study. February 15, 2012 Westbrook JI, Reckmann MH, Li L, et al. Effects of two commercial electronic prescribing systems on prescribing error rates in hospital in-patients: a before and …
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46892/psn-pdf
    June 13, 2018 - AHRQ National Scorecard on Hospital-Acquired Conditions Updated Baseline Rates and Preliminary Results 2014–2016. June 13, 2018 Rockville, MD: Agency for Healthcare Research and Quality; June 2018. https://psnet.ahrq.gov/issue/ahrq-national-scorecard-hospital-acquired-conditions-updated-baseline-rates- and-prelim…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42515/psn-pdf
    October 24, 2013 - Using four-phased unit-based patient safety walkrounds to uncover correctable system flaws. October 24, 2013 Taylor AM, Chuo J, Figueroa-Altmann A, et al. Using four-phased unit-based patient safety walkrounds to uncover correctable system flaws. Jt Comm J Qual Patient Saf. 2013;39(9):396-403. https://psnet.ahrq.g…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43190/psn-pdf
    September 04, 2015 - Pediatric obesity and safety in inpatient settings: a systematic literature review. September 4, 2015 Halvorson EE, Irby MB, Skelton JA. Pediatric obesity and safety in inpatient settings: a systematic literature review. Clin Pediatr (Phila). 2014;53(10):975-87. doi:10.1177/0009922814533406. https://psnet.ahrq.gov…