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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33560/psn-pdf
    June 15, 2024 - Disclosure of Errors June 15, 2024 Disclosure of Errors. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/disclosure-errors PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that they reflect current research and practice in the patient safety field. Last reviewed…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33737/psn-pdf
    September 01, 2012 - Preparing for Health Reform: The Federal Government and the Nursing Workforce September 1, 2012 Buerhaus P. Preparing for Health Reform: The Federal Government and the Nursing Workforce. PSNet [internet]. 2012. https://psnet.ahrq.gov/perspective/preparing-health-reform-federal-government-and-nursing-workforce Per…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867443/psn-pdf
    January 08, 2025 - Investigating the impact of a pharmacist intervention on inappropriate prescribing practices at hospital admission and discharge in older patients: a secondary outcome analysis from a randomized controlled trial. January 8, 2025 Garcia BH, Omma KK, Småbrekke L, et al. Investigating the impact of a pharmacist inter…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73064/psn-pdf
    March 24, 2021 - Outpatient insulin-related adverse events due to mix-up errors: findings from two national surveillance systems, United States, 2012-2017. March 24, 2021 Geller AI, Conrad AO, Weidle NJ, et al. Outpatient insulin?related adverse events due to mix?up errors: Findings from two national surveillance systems, United S…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43679/psn-pdf
    May 22, 2015 - Patient safety goals for the proposed Federal Health Information Technology Safety Center. May 22, 2015 Sittig DF, Classen D, Singh H. Patient safety goals for the proposed Federal Health Information Technology Safety Center. J Am Med Inform Assoc. 2015;22(2):472-8. doi:10.1136/amiajnl-2014-002988. https://psnet.a…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44178/psn-pdf
    July 03, 2016 - A trigger tool to detect harm in pediatric inpatient settings. July 3, 2016 Stockwell DC, Bisarya H, Classen D, et al. A trigger tool to detect harm in pediatric inpatient settings. Pediatrics. 2015;135(6):1036-42. doi:10.1542/peds.2014-2152. https://psnet.ahrq.gov/issue/trigger-tool-detect-harm-pediatric-inpatien…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853234/psn-pdf
    September 06, 2023 - Perceptions and attitudes of pediatricians and families with regard to pediatric medication errors at home. September 6, 2023 de Dios JG, Lopez-Pineda A, Juan GM-P, et al. Perceptions and attitudes of pediatricians and families with regard to pediatric medication errors at home. BMC Pediatr. 2023;23(1):380. doi:10.…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35611/psn-pdf
    June 23, 2010 - Error or "act of God"? A study of patients' and operating room team members' perceptions of error definition, reporting, and disclosure. June 23, 2010 Espin S, Levinson W, Regehr G, et al. Error or "act of God"? A study of patients' and operating room team members' perceptions of error definition, reporting, and d…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41497/psn-pdf
    April 05, 2013 - Avoiding handover fumbles: a controlled trial of a structured handover tool versus traditional handover methods. April 5, 2013 Payne CE, Stein JM, Leong T, et al. Avoiding handover fumbles: a controlled trial of a structured handover tool versus traditional handover methods. BMJ Qual Saf. 2012;21(11):925-32. doi:1…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36163/psn-pdf
    September 29, 2010 - Improving the bar-coded medication administration system at the Department of Veterans Affairs. September 29, 2010 Mills PD, Neily J, Mims E, et al. Improving the bar-coded medication administration system at the Department of Veterans Affairs. Am J Health Syst Pharm. 2006;63(15):1442-7. https://psnet.ahrq.gov/iss…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41611/psn-pdf
    November 23, 2012 - Self-reported uptake of recommendations after dissemination of medication incident alerts. November 23, 2012 Cheung K-C, Wensing M, Bouvy ML, et al. Self-reported uptake of recommendations after dissemination of medication incident alerts. BMJ Qual Saf. 2012;21(12):1009-18. doi:10.1136/bmjqs-2012-000828. https://p…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46450/psn-pdf
    August 20, 2018 - Improving Diagnostic Quality and Safety Final Report. August 20, 2018 Washington, DC: National Quality Forum. September 19, 2017. https://psnet.ahrq.gov/issue/improving-diagnostic-quality-and-safety-final-report Although diagnostic error is a well-recognized source of preventable patient harm, measuring and mitiga…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48057/psn-pdf
    June 26, 2019 - Multicenter study to evaluate the benefits of technology- assisted workflow on i.v. room efficiency, costs, and safety. June 26, 2019 Eckel SF, Higgins JP, Hess E, et al. Multicenter study to evaluate the benefits of technology-assisted workflow on i.v. room efficiency, costs, and safety. Am J Health-Syst Pharm. 2…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39444/psn-pdf
    June 28, 2010 - The relationship between organizational leadership for safety and learning from patient safety events. June 28, 2010 Ginsburg LR, Chuang Y-T, Berta WB, et al. The relationship between organizational leadership for safety and learning from patient safety events. Health Serv Res. 2010;45(3):607-632. doi:10.1111/j.147…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42721/psn-pdf
    December 12, 2014 - Infusional chemotherapy and medication errors in a tertiary care pediatric cancer unit in a resource-limited setting. December 12, 2014 Dhamija M, Kapoor G, Juneja A. Infusional chemotherapy and medication errors in a tertiary care pediatric cancer unit in a resource-limited setting. J Pediatr Hematol Oncol. 2014;…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837136/psn-pdf
    May 18, 2022 - What can we learn from in-depth analysis of human errors resulting in diagnostic errors in the emergency department: an analysis of serious adverse event reports. May 18, 2022 Baartmans MC, Hooftman J, Zwaan L, et al. What can we learn from in-depth analysis of human errors resulting in diagnostic errors in the em…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44042/psn-pdf
    November 03, 2015 - Deployment of rapid response teams by 31 hospitals in a statewide collaborative. November 3, 2015 Stolldorf DP, Jones CB. Deployment of rapid response teams by 31 hospitals in a statewide collaborative. Jt Comm J Qual Patient Saf. 2015;41(4):186-191. https://psnet.ahrq.gov/issue/deployment-rapid-response-teams-31-…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39729/psn-pdf
    September 20, 2011 - Contextual errors and failures in individualizing patient care: a multicenter study. September 20, 2011 Weiner SJ, Schwartz A, Weaver FM, et al. Contextual errors and failures in individualizing patient care: a multicenter study. Ann Intern Med. 2010;153(2):69-75. doi:10.7326/0003-4819-153-2-201007200-00002. https…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37546/psn-pdf
    June 14, 2011 - Effective interventions and implementation strategies to reduce adverse drug events in the Veterans Affairs (VA) system. June 14, 2011 Mills PD, Neily J, Kinney LM, et al. Effective interventions and implementation strategies to reduce adverse drug events in the Veterans Affairs (VA) system. Qual Saf Health Care. …
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45894/psn-pdf
    June 23, 2017 - Tell me how pleased you are with your workplace, and I will tell you how often you wash your hands. June 23, 2017 Sholomovich L, Magnezi R. Tell me how pleased you are with your workplace, and I will tell you how often you wash your hands. Am J Infect Control. 2017;45(6):677-681. doi:10.1016/j.ajic.2016.12.005. ht…

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