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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47478/psn-pdf
    January 16, 2019 - Prospective daily review of discharge medications by pharmacists: effects on measures of safety and efficiency. January 16, 2019 Craynon R, Hager DR, Reed M, et al. Prospective daily review of discharge medications by pharmacists: Effects on measures of safety and efficiency. Am J Health Syst Pharm. 2018;75(19):14…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837736/psn-pdf
    July 27, 2022 - Body mass index category and adverse events in hospitalized children. July 27, 2022 Halvorson EE, Thurtle DP, Easter A, et al. Body mass index category and adverse events in hospitalized children. Acad Pediatr. 2022;22(5):747-753. doi:10.1016/j.acap.2021.09.004. https://psnet.ahrq.gov/issue/body-mass-index-categor…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845350/psn-pdf
    March 01, 2023 - Implementing human factors in anaesthesia: guidance for clinicians, departments and hospitals: Guidelines from the Difficult Airway Society and the Association of Anaesthetists. March 1, 2023 Kelly FE, Frerk C, Bailey CR, et al. Implementing human factors in anaesthesia: guidance for clinicians, departments and h…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73984/psn-pdf
    October 20, 2021 - Analyzing diagnostic errors in the acute setting: a process-driven approach. October 20, 2021 Griffin JA, Carr K, Bersani K, et al. Analyzing diagnostic errors in the acute setting: a process-driven approach. Diagnosis (Berl). 2022;9(1):77-88. doi:10.1515/dx-2021-0033. https://psnet.ahrq.gov/issue/analyzing-diagno…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35207/psn-pdf
    December 19, 2009 - Patient safety concerns arising from test results that return after hospital discharge. December 19, 2009 Roy CL, Poon EG, Karson A, et al. Patient safety concerns arising from test results that return after hospital discharge. Ann Intern Med. 2005;143(2):121-128. https://psnet.ahrq.gov/issue/patient-safety-concer…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47186/psn-pdf
    October 24, 2018 - Quality, Value, and Patient Safety in Orthopedic Surgery. October 24, 2018 Azar FM, ed. Orthop Clin North Am. 2018;49(4):A1-A8,389-552. https://psnet.ahrq.gov/issue/quality-value-and-patient-safety-orthopedic-surgery Quality and value have intersecting influence on the safety of health care. Articles in this specia…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837694/psn-pdf
    July 20, 2022 - Implementing root cause analysis and action: integrating human factors to create strong interventions and reduce risk of patient harm. July 20, 2022 Wolf L, Gorman K, Clark J, et al. Implementing root cause analysis and action: integrating human factors to create strong interventions and reduce risk of patient har…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844987/psn-pdf
    February 22, 2023 - Examining medication ordering errors using AHRQ Network of Patient Safety Databases. February 22, 2023 Grauer A, Rosen A, Applebaum JR, et al. Examining medication ordering errors using AHRQ network of patient safety databases. J Am Med Inform Assoc. 2023;30(5):838-845. doi:10.1093/jamia/ocad007. https://psnet.ahr…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854389/psn-pdf
    October 11, 2023 - Alliance for Innovation on Maternal Health: Consensus Bundle on Sepsis in Obstetric Care. October 11, 2023 Bauer ME, Albright C, Prabhu M, et al. Alliance for Innovation on Maternal Health: Consensus Bundle on Sepsis in Obstetric Care. Obstet Gynecol. 2023;142(3):481-492. doi:10.1097/aog.0000000000005304. https://…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50918/psn-pdf
    February 19, 2020 - Finding dental harm to patients through electronic health record-based triggers. February 19, 2020 Walji MF, Yansane A, Hebballi NB, et al. Finding dental harm to patients through electronic health record- based triggers . JDR Clin Trans Res. 2020;5(3):271-277. doi:10.1177/2380084419892550. https://psnet.ahrq.gov/…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46920/psn-pdf
    August 08, 2018 - Identification and characterization of failures in infectious agent transmission precaution practices in hospitals: a qualitative study. August 8, 2018 Krein SL, Mayer J, Harrod M, et al. Identification and Characterization of Failures in Infectious Agent Transmission Precaution Practices in Hospitals: A Qualitati…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45815/psn-pdf
    January 25, 2017 - Handoffs: transitions of care for children in the emergency department. January 25, 2017 American Academy of Pediatrics Committee on Pediatric Emergency Medicine, American College of Emergency Physicians Pediatric Emergency Medicine Committee, Emergency Nurses Association Pediatric Committee. Pediatrics. 2016;138:…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837671/psn-pdf
    July 13, 2022 - Long-term care healthcare-associated infections in 2021: an analysis of 17,971 reports. July 13, 2022 Kepner S, Adkins JA, Jones RM. Long-term care healthcare-associated infections in 2021: an analysis of 17,971 reports. Patient Saf. 2022;4(2):6-17. doi:10.33940/data/2022.6.1. https://psnet.ahrq.gov/issue/long-ter…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/849331/psn-pdf
    May 24, 2023 - Long-term care healthcare-associated infections in 2022: an analysis of 20,216 reports. May 24, 2023 Kepner S, Bingman C, Jones RM. Long-term care healthcare-associated iInfections in 2022: an analysis of 20,216 reports. Patient Saf. 2023;5(2):20-31. doi:10.33940/001c.74494. https://psnet.ahrq.gov/issue/long-term-…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34784/psn-pdf
    June 24, 2015 - The potential for improved teamwork to reduce medical errors in the emergency department. June 24, 2015 Risser DT, Rice MM, Salisbury ML, et al. The potential for improved teamwork to reduce medical errors in the emergency department. Ann Emerg Med. 2005;34(3):373-383. doi:10.1016/s0196-0644(99)70134-4. https://ps…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44898/psn-pdf
    November 23, 2016 - Types and patterns of safety concerns in home care: client and family caregiver perspectives. November 23, 2016 Tong CE, Sims-Gould J, Martin-Matthews A. Types and patterns of safety concerns in home care: client and family caregiver perspectives. Int J Qual Health Care. 2016;28(2):214-220. doi:10.1093/intqhc/mzw0…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74005/psn-pdf
    October 27, 2021 - The postpartum hemorrhage patient safety bundle implementation at a single institution: successes, failures, and lessons learned, October 27, 2021 Duzyj CM, Boyle C, Mahoney K, et al. The postpartum hemorrhage patient safety bundle implementation at a single institution: successes, failures, and lessons learned. A…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44344/psn-pdf
    July 22, 2015 - Making healthcare safer by understanding, designing and buying better IT. July 22, 2015 Thimbleby H, Lewis A, Williams J. Making healthcare safer by understanding, designing and buying better IT. Clin Med (Lond). 2015;15(3):258-62. doi:10.7861/clinmedicine.15-3-258. https://psnet.ahrq.gov/issue/making-healthcare-s…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47832/psn-pdf
    February 27, 2019 - Another round of the blame game: a paralyzing criminal indictment that recklessly "overrides" just culture. February 27, 2019 ISMP Medication Safety Alert! Acute Care Edition. February 14, 2019;24. https://psnet.ahrq.gov/issue/another-round-blame-game-paralyzing-criminal-indictment-recklessly- overrides-just-cultu…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851201/psn-pdf
    July 05, 2023 - ‘I felt like I was dying’: how women with postpartum depression fall through the cracks of U.S. health care. July 5, 2023 Gammon K. STAT. June 26, 2023. https://psnet.ahrq.gov/issue/i-felt-i-was-dying-how-women-postpartum-depression-fall-through-cracks-us- health-care The maternal mental health crisis results in …

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