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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40617/psn-pdf
    November 01, 2011 - Increasing medication error reporting rates while reducing harm through simultaneous cultural and system-level interventions in an intensive care unit. November 1, 2011 Abstoss KM, Shaw BE, Owens TA, et al. Increasing medication error reporting rates while reducing harm through simultaneous cultural and system-lev…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42877/psn-pdf
    January 22, 2014 - Identification of poor performance in a national medical workforce over 11 years: an observational study. January 22, 2014 Donaldson LJ, Panesar S, McAvoy PA, et al. Identification of poor performance in a national medical workforce over 11 years: an observational study. BMJ Qual Saf. 2014;23(2):147-52. doi:10.1136…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836809/psn-pdf
    March 30, 2022 - Pharmacist transition-of-care services improve patient satisfaction and decrease hospital readmissions. March 30, 2022 March KL, Peters MJ, Finch CK, et al. J Pharm Pract. 2022;35(1):86-93. https://psnet.ahrq.gov/issue/pharmacist-transition-care-services-improve-patient-satisfaction-and-decrease- hospital Tr…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47108/psn-pdf
    June 06, 2018 - Cognitive bias in clinical practice—nurturing healthy skepticism among medical students. June 6, 2018 Bhatti A. Cognitive bias in clinical practice - nurturing healthy skepticism among medical students. Adv Med Educ Pract. 2018;9:235-237. doi:10.2147/AMEP.S149558. https://psnet.ahrq.gov/issue/cognitive-bias-clinic…
  5. psnet.ahrq.gov/primer/telehealth-and-patient-safety
    July 27, 2022 - Telehealth and Patient Safety. Citation Text: O'Malley G, Shaikh U, Marcin JP. Telehealth and Patient Safety.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022. Copy Citation Format: Google Scholar BibTeX EndNote X3 …
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40243/psn-pdf
    June 10, 2018 - Preventing medication errors during codes. June 10, 2018 ISMP Medication Safety Alert! Acute care edition. February 9, 2011;16:1-3. https://psnet.ahrq.gov/issue/preventing-medication-errors-during-codes This piece discusses medication errors during emergency resuscitations and outlines risk-reduction strategies. …
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36491/psn-pdf
    January 07, 2011 - Doctors fear criminalization of medical mistakes. January 7, 2011 Sorrel AL. American Medical News. November 27, 2006. https://psnet.ahrq.gov/issue/doctors-fear-criminalization-medical-mistakes This article discusses how the threat of criminal charges for deaths caused by medical mistakes may affect treatment deci…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35768/psn-pdf
    June 16, 2019 - ISMP medication error report analysis. June 16, 2019 Cohen MR. https://psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-3 This monthly selection of medication error reports provides examples of problems with drug name confusion and misspellings, oral medication misadministration, and dispensing dose disc…
  9. psnet.ahrq.gov/issue/impacts-using-community-health-volunteers-coach-medication-safety-behaviors-among-rural
    September 15, 2011 - Study The impacts of using community health volunteers to coach medication safety behaviors among rural elders with chronic illnesses. Citation Text: Wang C-J, Fetzer SJ, Yang Y-C, et al. The impacts of using community health volunteers to coach medication safety behaviors among rural e…
  10. psnet.ahrq.gov/issue/shame-and-guilt-ems-qualitative-analysis-culture-and-attitudes-prehospital-emergency-care
    August 26, 2020 - Study Shame and guilt in EMS: a qualitative analysis of culture and attitudes in prehospital emergency care. Citation Text: Hoff JJ, Zimmerman A, Tupetz A, et al. Shame and guilt in EMS: a qualitative analysis of culture and attitudes in prehospital emergency care. Prehosp Emerg Care. 20…
  11. psnet.ahrq.gov/issue/enhancing-safe-medication-use-home-care-insights-informal-caregivers
    December 02, 2020 - Study Enhancing safe medication use in home care: insights from informal caregivers. Citation Text: Gil-Hernández E, Ballester P, Guilabert M, et al. Enhancing safe medication use in home care: insights from informal caregivers. Front Med (Lausanne). 2024;11:1494771. doi:10.3389/fmed.202…
  12. psnet.ahrq.gov/issue/apologies-following-adverse-medical-event-importance-focusing-consumers-needs
    June 27, 2011 - Study Apologies following an adverse medical event: the importance of focusing on the consumer's needs. Citation Text: Allan A, McKillop D, Dooley J, et al. Apologies following an adverse medical event: The importance of focusing on the consumer's needs. Patient Educ Couns. 2015;98(9):10…
  13. psnet.ahrq.gov/issue/epidemiology-patterns-care-and-mortality-patients-acute-respiratory-distress-syndrome
    August 04, 2021 - Study Epidemiology, patterns of care, and mortality for patients with acute respiratory distress syndrome in intensive care units in 50 countries. Citation Text: Bellani G, Laffey JG, Pham T, et al. Epidemiology, Patterns of Care, and Mortality for Patients With Acute Respiratory Distres…
  14. psnet.ahrq.gov/issue/enteral-nutrition-underappreciated-source-patient-safety-events
    February 01, 2023 - Study Enteral nutrition: an underappreciated source of patient safety events. Citation Text: Citty SW, Chew M, Hiller LD, et al. Enteral nutrition: an underappreciated source of patient safety events. Nutr Clin Prac. 2024;39(4):784-799. doi:10.1002/ncp.11153. Copy Citation Format: …
  15. psnet.ahrq.gov/issue/developing-implementing-evaluating-electronic-apparent-cause-analysis-across-health-care
    February 07, 2018 - Study Developing, implementing, evaluating electronic apparent cause analysis across a health care system. Citation Text: Oster CA, Woods E, Mumma J, et al. Developing, implementing, evaluating electronic apparent cause analysis across a health care system. Jt Comm J Qual Patient Saf. 2…
  16. psnet.ahrq.gov/issue/scientific-view-global-literature-medical-error-reporting-and-reporting-systems-1977-2021
    October 19, 2022 - Review Scientific view of the global literature on medical error reporting and reporting systems from 1977 to 2021: a bibliometric analysis. Citation Text: Ünal A, Seren Intepeler Ş. Scientific view of the global literature on medical error reporting and reporting systems from 1977 to 20…
  17. psnet.ahrq.gov/issue/building-patient-trust-hospitals-combination-hospital-related-factors-and-health-care
    April 14, 2021 - Study Building patient trust in hospitals: a combination of hospital-related factors and health care clinician behaviors. Citation Text: Greene J, Samuel-Jakubos H. Building patient trust in hospitals: a combination of hospital-related factors and health care clinician behaviors. Jt Comm…
  18. psnet.ahrq.gov/issue/causes-adverse-events-home-mechanical-ventilation-nursing-perspective
    November 10, 2021 - Study Causes of adverse events in home mechanical ventilation: a nursing perspective. Citation Text: Lipprandt M, Liedtke W, Langanke M, et al. Causes of adverse events in home mechanical ventilation: a nursing perspective. BMC Nurs. 2022;21(1):264. doi:10.1186/s12912-022-01038-2. Copy…
  19. psnet.ahrq.gov/issue/toward-increased-patient-safety-electronic-communication-medication-information-between
    June 23, 2021 - Study Toward increased patient safety? Electronic communication of medication information between nurses in home health care and general practitioners. Citation Text: Lyngstad M, Melby L, Grimsmo A, et al. Toward Increased Patient Safety? Electronic Communication of Medication Informat…
  20. psnet.ahrq.gov/issue/cardiopulmonary-arrest-and-mortality-trends-and-their-association-rapid-response-system
    January 15, 2009 - Study Cardiopulmonary arrest and mortality trends, and their association with rapid response system expansion. Citation Text: Chen J, Ou L, Hillman KM, et al. Cardiopulmonary arrest and mortality trends, and their association with rapid response system expansion. Med J Aust. 2014;201(3):…

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