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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42986/psn-pdf
    February 26, 2014 - Potential inaccuracy of electronically transmitted medication history information used for medication reconciliation. February 26, 2014 National Alert Network. Horsham, PA: Institute for Safe Medication Practices; Bethesda, MD: American Society of Health-System Pharmacists. February 18, 2014. https://psnet.ahrq.g…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39093/psn-pdf
    November 11, 2009 - For whom the Bell Commission tolls: unintended effects of limiting residents' hours. November 11, 2009 Millard WB. For whom the bell commission tolls: unintended effects of limiting residents' hours. Ann Emerg Med. 2009;54(4):A25-9. https://psnet.ahrq.gov/issue/whom-bell-commission-tolls-unintended-effects-limitin…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37767/psn-pdf
    June 01, 2022 - Hospital Survey on Patient Safety Culture 2.0. June 1, 2022 Rockville, MD: Agency for Healthcare Research and Quality; 2019. https://psnet.ahrq.gov/issue/hospital-survey-patient-safety-culture-20 The AHRQ Surveys on Patient Safety Culture™ (SOPS®) Hospital Survey and accompanying toolkit were developed to collect …
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74249/psn-pdf
    January 12, 2022 - Medication safety issues with newly authorized PAXLOVID. January 12, 2022 Institute for Safe Medication Practices. Medication Safety Alerts. January 3, 2022. https://psnet.ahrq.gov/issue/medication-safety-issues-newly-authorized-paxlovid Emerging care practices can produce unsafe situations due to the newness…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74043/psn-pdf
    September 18, 2023 - DAISY Award for Extraordinary Nurses in Patient Safety. September 18, 2023 The Daisy Foundation and Institute for Healthcare Improvement. https://psnet.ahrq.gov/issue/daisy-award-extraordinary-nurses-patient-safety Nurses have a fundamental role in safe care delivery by fostering a healthy work environment. This aw…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43086/psn-pdf
    March 26, 2014 - International Comparisons: A Focus on Quality of Care. March 26, 2014 Ottawa, ON: Canadian Institute for Health Information; January 23, 2014. https://psnet.ahrq.gov/issue/international-comparisons-focus-quality-care This report compared the quality of care in Canada with 34 other countries to identify areas in whi…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35858/psn-pdf
    July 22, 2010 - How long and how much are nurses now working? July 22, 2010 Trinkoff AM, Geiger-Brown J, Brady B, et al. How long and how much are nurses now working? Am J Nurs. 2006;106(4):60-72. https://psnet.ahrq.gov/issue/how-long-and-how-much-are-nurses-now-working The authors analyzed results from a national survey and foun…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35595/psn-pdf
    January 04, 2009 - Patient Safety: Achieving a New Standard of Care. January 4, 2009 Institute of Medicine (US) Committee on Data Standards for Patient Safety, Aspden P, Corrigan JM, Wolcott J, Erickson SM, eds. Washington (DC): National Academies Press (US); 2004. https://psnet.ahrq.gov/issue/patient-safety-achieving-new-standa…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39728/psn-pdf
    January 03, 2017 - Diffusing aviation innovations in a hospital in the Netherlands. January 3, 2017 de Korne DF, van Wijngaarden JDH, Hiddema F, et al. Diffusing aviation innovations in a hospital in The Netherlands. Jt Comm J Qual Patient Saf. 2010;36(8):339-47. https://psnet.ahrq.gov/issue/diffusing-aviation-innovations-hospital-n…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42537/psn-pdf
    October 02, 2013 - The use of a checklist in a pediatric oncology clinic. October 2, 2013 McLean TW, White GM, Bagliani AF, et al. The use of a checklist in a pediatric oncology clinic. Pediatr Blood Cancer. 2013;60(11):1855-9. doi:10.1002/pbc.24657. https://psnet.ahrq.gov/issue/use-checklist-pediatric-oncology-clinic An Institute o…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43202/psn-pdf
    September 11, 2023 - ISMP Survey on High-Alert Medications in Acute Care Settings. September 11, 2023 Plymouth Meeting, PA: Institute for Safe Medication Practices; 2023. https://psnet.ahrq.gov/issue/ismp-survey-high-alert-medications-acute-care-settings Experience from the sharp end helps to inform safety improvement initiatives. The…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41204/psn-pdf
    March 07, 2012 - The Canadian interprofessional patient safety competencies: their role in health-care professionals' education. March 7, 2012 King J, Anderson CM. The Canadian interprofessional patient safety competencies: their role in health-care professionals' education. J Patient Saf. 2012;8(1):30-35. doi:10.1097/PTS.0b013e31…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39033/psn-pdf
    October 21, 2009 - Enhancing medication use safety: benefits of learning from your peers. October 21, 2009 Kazandjian VA, Ogunbo S, Wicker KG, et al. Enhancing medication use safety: benefits of learning from your peers. Qual Saf Health Care. 2009;18(5):331-5. doi:10.1136/qshc.2008.027938. https://psnet.ahrq.gov/issue/enhancing-medi…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50920/psn-pdf
    February 19, 2020 - Preeminent hospitals penalized over rates of patients’ injuries. February 19, 2020 Rau J. Kaiser Health News. January 30, 2020. https://psnet.ahrq.gov/issue/preeminent-hospitals-penalized-over-rates-patients-injuries Medicare reimbursement restrictions are a controversial stimulus to motivate hospital acquired con…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38208/psn-pdf
    November 12, 2008 - Specimen labeling errors: a Q-probes analysis of 147 clinical laboratories. November 12, 2008 Wagar EA, Stankovic AK, Raab SS, et al. Specimen labeling errors: a Q-probes analysis of 147 clinical laboratories. Arch Pathol Lab Med. 2008;132(10):1617-22. doi:10.1043/1543- 2165(2008)132[1617:SLEAQA]2.0.CO;2. https:/…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34899/psn-pdf
    February 15, 2010 - Patient safety in anatomic pathology: measuring discrepancy frequencies and causes. February 15, 2010 Raab SS, Nakhleh RE, Ruby SG. Patient safety in anatomic pathology: measuring discrepancy frequencies and causes. Arch Pathol Lab Med. 2005;129(4):459-466. https://psnet.ahrq.gov/issue/patient-safety-anatomic-path…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38453/psn-pdf
    January 02, 2017 - A multidisciplinary team approach to retained foreign objects. January 2, 2017 Cima RR, Kollengode A, Storsveen AS, et al. A multidisciplinary team approach to retained foreign objects. Jt Comm J Qual Saf. 2009;35(3):123-132. https://psnet.ahrq.gov/issue/multidisciplinary-team-approach-retained-foreign-objects Th…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841789/psn-pdf
    July 01, 2022 - The REPAIR Project. July 1, 2022 University of California San Francisco, San Francisco, CA. https://psnet.ahrq.gov/issue/repair-project Systemic racism reduces the effectiveness and safety of the care people of color receive. The REPAIR ( REParations and Anti-Institutional Racism) Project is examining the impact o…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43003/psn-pdf
    March 05, 2014 - Learning from every death. March 5, 2014 Huddleston JM, Diedrich DA, Kinsey GC, et al. Learning from every death. J Patient Saf. 2014;10(1):6-12. doi:10.1097/PTS.0000000000000053. https://psnet.ahrq.gov/issue/learning-every-death This commentary describes how design and implementation of an institutional mortality…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36610/psn-pdf
    January 14, 2011 - Prevent medication errors: a New Year's resolution: teaching patients about their medications. January 14, 2011 Polzien G. Prevent medication errors: A New Year's resolution: teaching patients about their medications. Home Healthc Nurse. 2007;25(1):59-62. https://psnet.ahrq.gov/issue/prevent-medication-errors-new-…

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