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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41327/psn-pdf
    November 27, 2012 - Multiple patient safety events within a single hospitalization: a national profile in US hospitals. November 27, 2012 Yu H, Greenberg MD, Haviland AM, et al. Multiple patient safety events within a single hospitalization: a national profile in US hospitals. Am J Med Qual. 2012;27(6):472-479. doi:10.1177/10628606124…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41884/psn-pdf
    December 21, 2014 - Supratherapeutic dosing of acetaminophen among hospitalized patients. December 21, 2014 Zhou L, Maviglia SM, Mahoney LM, et al. Supratherapeutic dosing of acetaminophen among hospitalized patients. Arch Intern Med. 2012;172(22):1721-8. https://psnet.ahrq.gov/issue/supratherapeutic-dosing-acetaminophen-among-hospit…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47173/psn-pdf
    June 06, 2018 - Pediatric ADHD medication exposures reported to US poison control centers. June 6, 2018 King SA, Casavant MJ, Spiller HA, et al. Pediatric ADHD Medication Exposures Reported to US Poison Control Centers. Pediatrics. 2018;141(6). doi:10.1542/peds.2017-3872. https://psnet.ahrq.gov/issue/pediatric-adhd-medication-exp…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45608/psn-pdf
    October 27, 2016 - Errors, omissions, and outliers in hourly vital signs measurements in intensive care. October 27, 2016 Maslove DM, Dubin JA, Shrivats A, et al. Errors, Omissions, and Outliers in Hourly Vital Signs Measurements in Intensive Care. Crit Care Med. 2016;44(11):e1021-e1030. https://psnet.ahrq.gov/issue/errors-omissions…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43299/psn-pdf
    December 23, 2016 - Preventing infection from the misuse of vials. December 23, 2016 Preventing infection from the misuse of vials. Sentinel Event Alert. 2014;June 16(52):1-6. https://psnet.ahrq.gov/issue/preventing-infection-misuse-vials The Joint Commission has issued a sentinel event alert regarding infections caused by the misuse …

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44131/psn-pdf
    May 13, 2015 - Patient–doctor continuity and diagnosis of cancer: electronic medical records study in general practice. May 13, 2015 Ridd MJ, Ferreira DLS, Montgomery AA, et al. Patient-doctor continuity and diagnosis of cancer: electronic medical records study in general practice. Br J Gen Pract. 2015;65(634):e305-11. doi:10.33…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47491/psn-pdf
    November 07, 2018 - Integrating patient safety education into early medical education utilizing cadaver, sponges, and an inter- professional team. November 7, 2018 Kutaimy R, Zhang L, Blok D, et al. Integrating patient safety education into early medical education utilizing cadaver, sponges, and an inter-professional team. BMC Med Ed…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41795/psn-pdf
    September 07, 2016 - Drug shortage-associated increase in catheter-related blood stream infection in children. September 7, 2016 Ralls MW, Blackwood A, Arnold MA, et al. Drug shortage-associated increase in catheter-related blood stream infection in children. Pediatrics. 2012;130(5):e1369-73. doi:10.1542/peds.2011-3894. https://psnet.…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41924/psn-pdf
    April 05, 2013 - Disclosure-and-resolution programs that include generous compensation offers may prompt a complex patient response. April 5, 2013 Murtagh L, Gallagher TH, Andrew P, et al. Disclosure-and-resolution programs that include generous compensation offers may prompt a complex patient response. Health Aff (Millwood). 2012…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44915/psn-pdf
    January 01, 2020 - Electronic health record adoption and rates of in-hospital adverse events. February 24, 2016 Furukawa MF, Eldridge N, Wang Y, et al. Electronic Health Record Adoption and Rates of In-hospital Adverse Events. J Patient Saf. 2020;16(2):137-142. doi:10.1097/pts.0000000000000257. https://psnet.ahrq.gov/issue/electroni…

  11. 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…

  12. 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.…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852746/psn-pdf
    August 23, 2023 - Common contributing factors of diagnostic error: a retrospective analysis of 109 serious adverse event reports from Dutch hospitals. August 23, 2023 Hooftman J, Dijkstra AC, Suurmeijer I, et al. Common contributing factors of diagnostic error: a retrospective analysis of 109 serious adverse event reports from Dutc…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841772/psn-pdf
    December 21, 2022 - Detectability of medication errors with a STOPP/START- based medication review in older people prior to a potentially preventable drug-related hospital admission. December 21, 2022 Sallevelt BTGM, Egberts TCG, Huibers CJA, et al. Detectability of medication errors with a STOPP/START- based medication review in old…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/764396/psn-pdf
    March 02, 2022 - Family Input for Quality and Safety (FIQS): using mobile technology for in-hospital reporting from families and patients. March 2, 2022 Bardach NS, Stotts JR, Fiore DM, et al. Family Input for Quality and Safety (FIQS): Using mobile technology for in?hospital reporting from families and patients. J Hosp Med. 2022;…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41192/psn-pdf
    November 26, 2014 - Effect of patient- and medication-related factors on inpatient medication reconciliation errors. November 26, 2014 Salanitro AH, Osborn CY, Schnipper JL, et al. Effect of patient- and medication-related factors on inpatient medication reconciliation errors. J Gen Intern Med. 2012;27(8):924-932. doi:10.1007/s11606-0…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36807/psn-pdf
    October 25, 2013 - HealthGrades Quality Study: Fourth Annual Patient Safety in American Hospitals Study. October 25, 2013 Denver, CO; Health Grades Inc; 2007. https://psnet.ahrq.gov/issue/healthgrades-quality-study-fourth-annual-patient-safety-american-hospitals- study This fourth annual report on the safety of hospitalized Medicar…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837202/psn-pdf
    May 25, 2022 - Reasons for bias in ambulance clinicians' assessments of non-conveyed patients: a mixed-methods study. May 25, 2022 Johansson H, Lundgren K, Hagiwara MA. Reasons for bias in ambulance clinicians’ assessments of non- conveyed patients: a mixed-methods study. BMC Emerg Med. 2022;22(1):79. doi:10.1186/s12873-022- 006…

  19. 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…

  20. 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…
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