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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37787/psn-pdf
    May 28, 2008 - Adoption of health information technology for medication safety in US hospitals, 2006. May 28, 2008 Furukawa MF, Raghu TS, Spaulding TJ, et al. Adoption of health information technology for medication safety in U.S. Hospitals, 2006. Health Aff (Millwood). 2008;27(3):865-75. doi:10.1377/hlthaff.27.3.865. https://ps…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836964/psn-pdf
    April 20, 2022 - Occurrence of no-harm incidents and adverse events in hospitalized patients with ischemic stroke or TIA: a cohort study using trigger tool methodology. April 20, 2022 Nowak B, Schwendimann R, Lyrer P, et al. Occurrence of no-harm incidents and adverse events in hospitalized patients with ischemic stroke or TIA: a …
  3. 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…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36208/psn-pdf
    January 05, 2017 - Implementing computerized provider order entry with an existing clinical information system. January 5, 2017 Barron WM, Reed L, Forsythe S, et al. Implementing computerized provider order entry with an existing clinical information system. Jt Comm J Qual Patient Saf. 2006;32(9):506-16. https://psnet.ahrq.gov/issue…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38877/psn-pdf
    April 08, 2011 - Computerized order entry with limited decision support to prevent prescription errors in a PICU. April 8, 2011 Kadmon G, Bron-Harlev E, Nahum E, et al. Computerized order entry with limited decision support to prevent prescription errors in a PICU. Pediatrics. 2009;124(3):935-940. doi:10.1542/peds.2008-2737. https…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39670/psn-pdf
    July 07, 2010 - The Power of Safety: State Reporting Provides Lessons in Reducing Harm, Improving Care. July 7, 2010 Washington DC: National Quality Forum; 2010. https://psnet.ahrq.gov/issue/power-safety-state-reporting-provides-lessons-reducing-harm-improving-care The landmark Institute of Medicine (IOM) report, To Err Is Human,…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46416/psn-pdf
    March 13, 2018 - Opioid prescribing for opioid-naive patients in emergency departments and other settings: characteristics of prescriptions and association with long-term use. March 13, 2018 Jeffery MM, Hooten M, Hess EP, et al. Opioid Prescribing for Opioid-Naive Patients in Emergency Departments and Other Settings: Characteristi…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/849319/psn-pdf
    May 24, 2023 - Attitudes of clinicians and patient safety culture before and after the ARRIVE trial. May 24, 2023 White VanGompel E, Carlock F, Singh L, et al. Attitudes of clinicians and patient safety culture before and after the ARRIVE trial. J Obstet Gynecol Neonatal Nurs. 2023;52(3):211-222. doi:10.1016/j.jogn.2022.12.007. …
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35927/psn-pdf
    February 17, 2011 - Claims, errors, and compensation payments in medical malpractice litigation. February 17, 2011 Studdert DM, Mello MM, Gawande AA, et al. Claims, errors, and compensation payments in medical malpractice litigation. N Engl J Med. 2006;354(19):2024-33. https://psnet.ahrq.gov/issue/claims-errors-and-compensation-payme…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37386/psn-pdf
    January 06, 2017 - Medication reconciliation in ambulatory oncology. January 6, 2017 Weingart SN, Cleary A, Seger AC, et al. Medication reconciliation in ambulatory oncology. Jt Comm J Qual Patient Saf. 2007;33(12):750-7. https://psnet.ahrq.gov/issue/medication-reconciliation-ambulatory-oncology The Joint Commission mandates systems…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44646/psn-pdf
    November 11, 2015 - The hidden costs of reconciling surgical sponge counts. November 11, 2015 Steelman VM, Schaapveld AG, Perkhounkova Y, et al. The Hidden Costs of Reconciling Surgical Sponge Counts. AORN J. 2015;102(5):498-506. doi:10.1016/j.aorn.2015.09.002. https://psnet.ahrq.gov/issue/hidden-costs-reconciling-surgical-sponge-coun…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43567/psn-pdf
    October 21, 2016 - National Action Plan for Adverse Drug Event Prevention. October 21, 2016 Washington, DC: Office of Disease Prevention and Health Promotion, United States Department of Health and Human Services; September 2014. https://psnet.ahrq.gov/issue/national-action-plan-adverse-drug-event-prevention This national action pla…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45473/psn-pdf
    April 24, 2018 - Navigating a ship with a broken compass: evaluating standard algorithms to measure patient safety. April 24, 2018 Hefner JL, Huerta T, McAlearney AS, et al. Navigating a ship with a broken compass: evaluating standard algorithms to measure patient safety. J Am Med Inform Assoc. 2017;24(2):310-315. doi:10.1093/jami…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35737/psn-pdf
    July 15, 2010 - Shepherding change: how the market, healthcare providers, and public policy can deliver quality care for the 21st century. July 15, 2010 Kennedy P, Pronovost P. Shepherding change: how the market, healthcare providers, and public policy can deliver quality care for the 21st century. Crit Care Med. 2006;34(3 Suppl)…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34763/psn-pdf
    March 07, 2005 - The Limits of Safety: Organizations, Accidents and Nuclear Weapons. March 7, 2005 Sagan SD. Princeton NJ: Princeton University Press; 1993. ISBN: 9780691032214. https://psnet.ahrq.gov/issue/limits-safety-organizations-accidents-and-nuclear-weapons Two competing paradigms dominate the study of the hazards associate…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47930/psn-pdf
    May 01, 2019 - Evolving quality improvement support strategies to improve Plan–Do–Study–Act cycle fidelity: a retrospective mixed-methods study. May 1, 2019 McNicholas C, Lennox L, Woodcock T, et al. Evolving quality improvement support strategies to improve Plan-Do-Study-Act cycle fidelity: a retrospective mixed-methods study. …
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73364/psn-pdf
    January 01, 2022 - Impact of opioid administration in the intensive care unit and subsequent use in opioid-naïve patients. June 9, 2021 Krancevich NM, Belfer JJ, Draper HM, et al. Impact of opioid administration in the intensive care unit and subsequent use in opioid-naïve patients. Ann Pharmacother. 2022;56(1):52-59. doi:10.1177/10…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41647/psn-pdf
    July 02, 2014 - Seen through their eyes: residents' reflections on the cognitive and contextual components of diagnostic errors in medicine. July 2, 2014 Ogdie AR, Reilly JB, Pang WG, et al. Seen through their eyes: residents' reflections on the cognitive and contextual components of diagnostic errors in medicine. Acad Med. 2012;…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43072/psn-pdf
    November 21, 2016 - Physician attitudes toward family-activated medical emergency teams for hospitalized children. November 21, 2016 Paciotti B, Roberts KE, Tibbetts KM, et al. Physician attitudes toward family-activated medical emergency teams for hospitalized children. Jt Comm J Qual Patient Saf. 2014;40(4):187-192. https://psnet.a…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39543/psn-pdf
    May 19, 2010 - Hospital Survey on Patient Safety Culture: 2010 User Comparative Database Report. May 19, 2010 Sorra J, Famolaro T, Dyer N, Nelson D, Khanna K. Rockville, MD: Agency for Healthcare Research and Quality; March 2010. AHRQ Publication No. 10-0026. https://psnet.ahrq.gov/issue/hospital-survey-patient-safety-culture-20…

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