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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37022/psn-pdf
    September 24, 2010 - Implementation and impact of a rapid response team in a children's hospital. September 24, 2010 Zenker P, Schlesinger A, Hauck M, et al. Implementation and impact of a rapid response team in a children's hospital. Jt Comm J Qual Patient Saf. 2007;33(7):418-425. https://psnet.ahrq.gov/issue/implementation-and-impac…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/764405/psn-pdf
    March 02, 2022 - Evaluation of communication and safety behaviors during hospital-wide code response simulation. March 2, 2022 Ren DM, Abrams A, Banigan M, et al. Evaluation of communication and safety behaviors during hospital- wide code response simulation. Simul Healthc. 2022;17(1):e45-e50. doi:10.1097/sih.0000000000000575. htt…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73616/psn-pdf
    August 18, 2021 - Do Black and White Patients Experience Similar Rates of Adverse Safety Events at the Same Hospital? August 18, 2021 Gangopadhyaya A. Washington DC; Urban Institute: July 2021. https://psnet.ahrq.gov/issue/do-black-and-white-patients-experience-similar-rates-adverse-safety-events- same-hospital Racial inequities h…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46255/psn-pdf
    September 06, 2017 - Patient Safety in the Home: Assessment of Issues, Challenges, and Opportunities. September 6, 2017 Carpenter D, Famolaro T, Hassell S, et al. Cambridge, MA: Institute for Healthcare Improvement; 2017. https://psnet.ahrq.gov/issue/patient-safety-home-assessment-issues-challenges-and-opportunities The ambulatory env…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47523/psn-pdf
    December 05, 2018 - Developing standardized "receiver-driven" handoffs between referring providers and the emergency department: results of a multidisciplinary needs assessment. December 5, 2018 Huth K, Stack AM, Chi G, et al. Developing Standardized "Receiver-Driven" Handoffs Between Referring Providers and the Emergency Department…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73062/psn-pdf
    January 01, 2022 - Description of the role of pharmacist independent double checks during cognitive order verification of outpatient parenteral anti-cancer therapy. March 25, 2021 Booth JP, Kennerly-Shah JM, Hartman AD. Description of the role of pharmacist independent double checks during cognitive order verification of outpatient …
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41186/psn-pdf
    January 03, 2017 - The costs of adverse drug events in community hospitals. January 3, 2017 Hug BL, Keohane C, Seger DL, et al. The costs of adverse drug events in community hospitals. Jt Comm J Qual Patient Saf. 2012;38(3):120-6. https://psnet.ahrq.gov/issue/costs-adverse-drug-events-community-hospitals Adverse drug events (ADEs) a…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45962/psn-pdf
    April 24, 2018 - Bridging leadership roles in quality and patient safety: experience of 6 US academic medical centers. April 24, 2018 Myers JS, Tess A, McKinney K, et al. Bridging Leadership Roles in Quality and Patient Safety: Experience of 6 US Academic Medical Centers. J Grad Med Educ. 2017;9(1):9-13. doi:10.4300/JGME-D-16-00065…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38309/psn-pdf
    December 23, 2016 - Safely implementing health information and converging technologies. December 23, 2016 Safely implementing health information and converging technologies. Sentinel event alert. 2008;(42):1-4. https://psnet.ahrq.gov/issue/safely-implementing-health-information-and-converging-technologies As health information techno…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36424/psn-pdf
    January 07, 2008 - Teamwork in the operating room: frontline perspectives among hospitals and operating room personnel. January 7, 2008 Sexton JB; Makary MA; Tersigni AR; Pryor D; Hendrich A; Thomas EJ; Holzmueller CG; Knight AP; Wu Y; Pronovost PJ. https://psnet.ahrq.gov/issue/teamwork-operating-room-frontline-perspectives-among-ho…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60271/psn-pdf
    April 29, 2020 - Pain management best practices from multispecialty organizations during the COVID-19 pandemic and public health crises. April 29, 2020 Cohen SP, Baber ZB, Buvanendran A, et al. Pain Management Best Practices from Multispecialty Organizations During the COVID-19 Pandemic and Public Health Crises. Pain Med. 2020;21(…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34845/psn-pdf
    June 30, 2011 - The JCAHO patient safety event taxonomy: a standardized terminology and classification schema for near misses and adverse events. June 30, 2011 Chang A, Schyve PM, Croteau RJ, et al. The JCAHO patient safety event taxonomy: a standardized terminology and classification schema for near misses and adverse events. In…
  13. psnet.ahrq.gov/issue/marylanddc-patient-safety-coalition
    September 28, 2023 - Multi-use Website Maryland/DC Patient Safety Coalition. Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL March 17, 2011 The Maryland Patient Safety Center facilitates the study …
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865873/psn-pdf
    May 15, 2024 - A review of medication errors and the second victim in pediatric pharmacy. May 15, 2024 Bredenkamp K, Raschka MJ, Holmes A. A review of medication errors and the second victim in pediatric pharmacy. J Pediatr Pharmacol Ther. 2024;29(2):100-106. doi:10.5863/1551-6776-29.2.100. https://psnet.ahrq.gov/issue/review-me…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43644/psn-pdf
    April 22, 2015 - SIMMEON-Prep study: SIMulation of Medication Errors in ONcology: prevention of antineoplastic preparation errors. April 22, 2015 Sarfati L, Ranchon F, Vantard N, et al. SIMMEON-Prep study: SIMulation of Medication Errors in ONcology: prevention of antineoplastic preparation errors. J Clin Pharm Ther. 2015;40(1):55…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35471/psn-pdf
    September 21, 2009 - Medication safety in the ambulatory chemotherapy setting. September 21, 2009 Gandhi TK, Bartel SB, Shulman LN, et al. Medication safety in the ambulatory chemotherapy setting. Cancer. 2005;104(11). doi:10.1002/cncr.21442. https://psnet.ahrq.gov/issue/medication-safety-ambulatory-chemotherapy-setting Chemotherapeu…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74838/psn-pdf
    February 16, 2022 - Overstating inpatient deaths due to medical error erodes trust in healthcare and the patient safety movement. February 16, 2022 Gunderson CG, Rodwin BA. Overstating inpatient deaths due to medical error erodes trust in healthcare and the patient safety movement. J Hosp Med. 2022;17(5):399-402. doi:10.1002/jhm.2768.…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/849328/psn-pdf
    May 24, 2023 - Assessing the impact of hospital mergers and acquisitions on safety culture with proactive risk assessments May 24, 2023 Folcarelli P, Hoffman J, Janes M, et al. Assessing the impact of hospital mergers and acquisitions on safety culture with proactive risk assessments. J Healthc Risk Manag. 2023;43(1):26-31. doi:…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46235/psn-pdf
    January 01, 2021 - Safety culture in the operating room: variability among perioperative healthcare workers. September 13, 2017 Pimentel MPT, Choi S, Fiumara K, et al. Safety culture in the operating room: variability among perioperative healthcare workers. J Patient Saf. 2021;17(6):412-416. doi:10.1097/pts.0000000000000385. https:/…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46506/psn-pdf
    October 11, 2017 - Getting Ahead of Harm Before It Happens: A Guide About Proactive Analysis for Improving Surgical Care Safety. October 11, 2017 Wiley K, Davies JM. Edmonton, AB: Canadian Patient Safety Institute; 2017. https://psnet.ahrq.gov/issue/getting-ahead-harm-it-happens-guide-about-proactive-analysis-improving- surgical-car…

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