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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35650/psn-pdf
    June 25, 2010 - Am I safe here? Improving patients' perceptions of safety in hospitals. June 25, 2010 Wolosin RJ, Vercler L, Matthews JL. Am I safe here?: improving patients' perceptions of safety in hospitals. J Nurs Care Qual. 2006;21(1):30-40. https://psnet.ahrq.gov/issue/am-i-safe-here-improving-patients-perceptions-safety-ho…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37245/psn-pdf
    December 16, 2011 - Is the availability of hospital IT applications associated with a hospital's risk adjusted incidence rate for patient safety indicators: results from 66 Georgia hospitals. December 16, 2011 Culler SD, Hawley JN, Naylor V, et al. Is the availability of hospital IT applications associated with a hospital's risk adju…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40731/psn-pdf
    December 31, 2014 - Making electronic prescribing alerts more effective: scenario-based experimental study in junior doctors. December 31, 2014 Scott GPT, Shah P, Wyatt JC, et al. Making electronic prescribing alerts more effective: scenario-based experimental study in junior doctors. J Am Med Inform Assoc. 2011;18(6):789-98. doi:10.1…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60040/psn-pdf
    March 11, 2020 - Shifting the Mindset: A Closer Look at Hospital Complaints. March 11, 2020 Newcastle upon Tyne, UK: Healthwatch; January 2020. https://psnet.ahrq.gov/issue/shifting-mindset-closer-look-hospital-complaints Organizations need to do more than report and collect complaint data to realize improvements based on what is…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47464/psn-pdf
    October 17, 2018 - How to prevent the top 4 medication errors. October 17, 2018 Sederstrom J. Drug Topics. September 17, 2018. https://psnet.ahrq.gov/issue/how-prevent-top-4-medication-errors Medication errors continue to be a worldwide patient safety challenge that requires both systems and individual practice strategies for improv…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37621/psn-pdf
    March 19, 2008 - An effort to improve electronic health record medication list accuracy between visits: patients' and physicians' response. March 19, 2008 Staroselsky M, Volk LA, Tsurikova R, et al. An effort to improve electronic health record medication list accuracy between visits: patients' and physicians' response. Int J Med …
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40545/psn-pdf
    June 22, 2011 - Using ORA to explore the relationship of nursing unit communication to patient safety and quality outcomes. June 22, 2011 Effken JA, Carley KM, Gephart SM, et al. Using ORA to explore the relationship of nursing unit communication to patient safety and quality outcomes. Int J Med Inform. 2011;80(7):507-17. doi:10.…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47961/psn-pdf
    January 01, 2021 - Patient and physician experience with interhospital transfer: a qualitative study. June 2, 2019 Mueller SK, Shannon E, Dalal A, et al. Patient and Physician Experience with Interhospital Transfer: A Qualitative Study. J Patient Saf. 2021;17(8):e752-e757. doi:10.1097/PTS.0000000000000501. https://psnet.ahrq.gov/iss…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43772/psn-pdf
    June 24, 2019 - Betsy Lehman Center for Patient Safety. June 24, 2019 501 Boylston Street, 5th Floor, Boston, MA, 02116 info@BetsyLehmanCenterMA.gov https://psnet.ahrq.gov/issue/betsy-lehman-center-patient-safety The Betsy Lehman Center is a nonregulatory Massachusetts state agency named for Betsy Lehman, the Boston Globe columni…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46881/psn-pdf
    March 28, 2018 - Designing for Safety in the ICU. March 28, 2018 Hamilton DK, ed. Crit Care Nurs Q. 2018;41(1):1-92. https://psnet.ahrq.gov/issue/designing-safety-icu Systems and space design are important considerations for safe care delivery. This special issue explores how the built environment can affect safety in intensive ca…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46384/psn-pdf
    November 14, 2018 - Peggy Lillis Foundation. November 14, 2018 266 12th Street #6, Brooklyn, NY 11215. https://psnet.ahrq.gov/issue/peggy-lillis-foundation Clostridium difficile infections are considered a serious hospital-acquired infection. This grassroots foundation employs educational, policy, and advocacy strategies aimed at red…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36838/psn-pdf
    April 19, 2011 - A very public failure: lessons for quality improvement in healthcare organisations from the Bristol Royal Infirmary. April 19, 2011 Walshe K, Offen N. A very public failure: lessons for quality improvement in healthcare organisations from the Bristol Royal Infirmary. Qual Health Care. 2001;10(4):250-6. https://psn…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40478/psn-pdf
    June 13, 2011 - Evaluating the medication process in the context of CPOE use: the significance of working around the system. June 13, 2011 Niazkhani Z, Pirnejad H, van der Sijs H, et al. Evaluating the medication process in the context of CPOE use: the significance of working around the system. Int J Med Inform. 2011;80(7):490-506…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45160/psn-pdf
    May 18, 2016 - Clues to better health care from old malpractice lawsuits. May 18, 2016 Landro L. https://psnet.ahrq.gov/issue/clues-better-health-care-old-malpractice-lawsuits Closed claims have been considered a source for adverse event data for years, and recently such data has been utilized to inform safety improvement work. …
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44141/psn-pdf
    November 06, 2015 - Failures in communication through documents and documentation across the perioperative pathway. November 6, 2015 Braaf S, Riley R, Manias E. Failures in communication through documents and documentation across the perioperative pathway. J Clin Nurs. 2015;24(13-14):1874-1884. doi:10.1111/jocn.12809. https://psnet.a…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43061/psn-pdf
    September 01, 2016 - Appropriateness of commercially available and partially customized medication dosing alerts among pediatric patients. September 1, 2016 Stultz JS, Nahata MC. Appropriateness of commercially available and partially customized medication dosing alerts among pediatric patients. J Am Med Inform Assoc. 2014;21(e1):e35-…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73638/psn-pdf
    August 25, 2021 - The pain was unbearable. So why did doctors turn her away? August 25, 2021 Szalavitz M. Wired Magazine. August 11, 2021.  https://psnet.ahrq.gov/issue/pain-was-unbearable-so-why-did-doctors-turn-her-away The opioid epidemic has contributed to uncertainties for pain management patients that result in harm…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36895/psn-pdf
    March 10, 2011 - A systematic review of the performance characteristics of clinical event monitor signals used to detect adverse drug events in the hospital setting. March 10, 2011 Handler S, Altman RL, Perera S, et al. A systematic review of the performance characteristics of clinical event monitor signals used to detect adverse …
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844779/psn-pdf
    September 11, 2019 - Leveraging patient safety research: efforts made fifteen years since To Err Is Human. September 11, 2019 Liang C, Miao Q, Kang H, et al. Leveraging Patient Safety Research: Efforts Made Fifteen Years Since To Err Is Human. Stud Health Technol Inform. 2019;264:983-987. doi:10.3233/SHTI190371. https://psnet.ahrq.gov…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837038/psn-pdf
    May 04, 2022 - Mind the Implementation Gap. The Persistence of Avoidable Harm in the NHS. May 4, 2022 London UK: Patient Safety Learning: 2022. https://psnet.ahrq.gov/issue/mind-implementation-gap-persistence-avoidable-harm-nhs Unsafe care affects a wide range of individuals and organizations physically, emotionally, and financi…

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