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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45562/psn-pdf
    October 12, 2016 - Characterising the nature of primary care patient safety incident reports in the England and Wales National Reporting and Learning System: a mixed-methods agenda-setting study for general practice. October 12, 2016 Carson-Stevens A, Hibbert P, Williams H, et al. Characterising The Nature Of Primary Care Patient Sa…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40600/psn-pdf
    September 09, 2011 - To make or buy patient safety solutions: a resource dependence and transaction cost economics perspective. September 9, 2011 Fareed N, Mick SS. To make or buy patient safety solutions: a resource dependence and transaction cost economics perspective. Health Care Manage Rev. 2011;36(4):288-298. doi:10.1097/HMR.0b01…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46361/psn-pdf
    May 23, 2018 - Inadequate hand-off communication. May 23, 2018 Inadequate hand-off communication. Sentinel event alert. 2017;58(58):1-6. https://psnet.ahrq.gov/issue/inadequate-hand-communication The Joint Commission publishes sentinel event alerts to draw attention to pressing or emerging safety issues and provide guidelines fo…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44826/psn-pdf
    February 14, 2017 - Validity of the Agency for Healthcare Research and Quality Patient Safety Indicators and the Centers for Medicare and Medicaid Hospital-acquired Conditions: a systematic review and meta-analysis. February 14, 2017 Winters BD, Bharmal A, Wilson RF, et al. Validity of the Agency for Health Care Research and Quality …
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867392/psn-pdf
    December 18, 2024 - Large-scale observational study of AI-based patient and surgical material verification system in ophthalmology: real-world evaluation in 37 529 cases. December 18, 2024 Tabuchi H, Ishitobi N, Deguchi H, et al. Large-scale observational study of AI-based patient and surgical material verification system in ophthalm…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43904/psn-pdf
    October 13, 2015 - Reducing unacceptable missed doses: pharmacy assistant–supported medicine administration. October 13, 2015 Baqir W, Jones K, Horsley W, et al. Reducing unacceptable missed doses: pharmacy assistant-supported medicine administration. Int J Pharm Pract. 2015;23(5):327-332. doi:10.1111/ijpp.12172. https://psnet.ahrq.…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/863747/psn-pdf
    March 06, 2024 - "Good care is slow enough to be able to pay attention": primary care time scarcity and patient safety. March 6, 2024 Satterwhite S, Nguyen M-LT, Honcharov V, et al. "Good care is slow enough to be able to pay attention": primary care time scarcity and patient safety. J Gen Intern Med. 2024;39(9):1575-1582. doi:10.…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41974/psn-pdf
    February 01, 2013 - Prevalence of copied information by attendings and residents in critical care progress notes. February 1, 2013 Thornton D, Schold JD, Venkateshaiah L, et al. Prevalence of copied information by attendings and residents in critical care progress notes. Crit Care Med. 2013;41(2):382-8. doi:10.1097/CCM.0b013e3182711a…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40038/psn-pdf
    December 23, 2016 - A follow-up report on preventing suicide: focus on medical/surgical units and the emergency department. December 23, 2016 A follow-up report on preventing suicide: focus on medical/surgical units and the emergency department. Sentinel Event Alert. 2010;46(46):1-4. https://psnet.ahrq.gov/issue/follow-report-prevent…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38621/psn-pdf
    February 18, 2011 - Process of care failures in breast cancer diagnosis. February 18, 2011 Weingart SN, Saadeh MG, Simchowitz B, et al. Process of care failures in breast cancer diagnosis. J Gen Intern Med. 2009;24(6):702-709. doi:10.1007/s11606-009-0982-0. https://psnet.ahrq.gov/issue/process-care-failures-breast-cancer-diagnosis Di…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49633/psn-pdf
    September 01, 2011 - references https://psnet.ahrq.gov//#references by nursing staff to prevent serious breakdown from occurring … constitute nearly 10% of Medicare admissions to acute care, with nearly 40% of these hospitalizations occurring … taking high risk medications such as anticoagulants are monitored daily to assure no adverse events are occurring
  12. psnet.ahrq.gov/web-mm/buprenorphine-and-medically-ill-patient
    August 20, 2018 - Opioid addiction is common in aging Americans who often have comorbid medical disorders and other co-occurring … First is the recognition that those with opioid dependence often have co-occurring illnesses that must … Those with co-occurring medical and mental disorders may benefit from being opioid maintained rather
  13. psnet.ahrq.gov/issue/systematic-review-psychological-literature-interruption-and-its-patient-safety-implications
    September 24, 2016 - September 24, 2016 Medication errors occurring with the use of bar-code administration
  14. psnet.ahrq.gov/issue/patient-reported-approach-identify-medical-errors-and-improve-patient-safety-emergency
    July 13, 2010 - June 2, 2021 Analysis of risk factors for patient safety events occurring in the emergency
  15. psnet.ahrq.gov/issue/characteristics-medication-errors-and-adverse-drug-events-hospitals-participating-california
    July 13, 2010 - October 30, 2010 Medication errors occurring with the use of bar-code administration
  16. psnet.ahrq.gov/issue/comparison-voluntary-safety-reporting-system-global-trigger-tool-identifying-adverse-events
    July 24, 2017 - October 16, 2024 Review of reported adverse events occurring among the homeless veteran
  17. psnet.ahrq.gov/issue/multifaceted-approach-safety-synergistic-detection-adverse-drug-events-adult-inpatients
    April 11, 2011 - March 10, 2011 Medication errors occurring with the use of bar-code administration technology
  18. psnet.ahrq.gov/issue/safety-overlapping-surgery-high-volume-referral-center
    January 11, 2017 - August 29, 2012 Classification of adverse events occurring in a surgical intensive care
  19. psnet.ahrq.gov/issue/finding-diagnostic-errors-children-admitted-picu
    May 21, 2016 - May 18, 2022 Preventable harm occurring to critically ill children.
  20. psnet.ahrq.gov/issue/effect-visitation-restrictions-ed-error
    July 01, 2016 - March 2, 2022 Analysis of risk factors for patient safety events occurring in the emergency