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  1. psnet.ahrq.gov/issue/prescribing-discrepancies-likely-cause-adverse-drug-events-after-patient-transfer
    December 08, 2010 - Study Prescribing discrepancies likely to cause adverse drug events after patient transfer. Citation Text: Boockvar KS, Liu S, Goldstein N, et al. Prescribing discrepancies likely to cause adverse drug events after patient transfer. Qual Saf Health Care. 2009;18(1):32-6. doi:10.1136/qshc…
  2. psnet.ahrq.gov/issue/barriers-and-facilitators-adverse-event-reporting-adolescent-patients-and-their-families
    February 15, 2023 - Study Barriers and facilitators of adverse event reporting by adolescent patients and their families. Citation Text: Sawhney PN, Davis LS, Daraiseh NM, et al. Barriers and Facilitators of Adverse Event Reporting by Adolescent Patients and Their Families. J Patient Saf. 2020;16(3):232-237…
  3. psnet.ahrq.gov/issue/intervention-decrease-narcotic-related-adverse-drug-events-childrens-hospitals
    April 11, 2011 - Study An intervention to decrease narcotic-related adverse drug events in children's hospitals. Citation Text: Sharek PJ, McClead RE, Taketomo C, et al. An intervention to decrease narcotic-related adverse drug events in children's hospitals. Pediatrics. 2008;122(4):e861-e866. doi:10.1…
  4. psnet.ahrq.gov/issue/workarounds-electronic-health-record-systems-and-revised-sociotechnical-electronic-health
    October 05, 2022 - Review Workarounds in electronic health record systems and the revised Sociotechnical Electronic Health Record Workaround Analysis Framework: scoping review. Citation Text: Blijleven V, Hoxha F, Jaspers MWM. Workarounds in electronic health record systems and the revised sociotechnical E…
  5. psnet.ahrq.gov/issue/disclosing-medical-errors-patients-its-not-what-you-say-its-what-they-hear
    October 26, 2010 - Study Classic Disclosing medical errors to patients: it's not what you say, it's what they hear. Citation Text: Wu AW, Huang I-C, Stokes S, et al. Disclosing medical errors to patients: it's not what you say, it's what they hear. J Gen Intern Med. 2009;24(9):1…
  6. psnet.ahrq.gov/issue/standardized-formulary-reduce-pediatric-medication-dosing-errors-mixed-methods-study
    August 25, 2021 - Study A standardized formulary to reduce pediatric medication dosing errors: a mixed methods study. Citation Text: Bosson N, Kaji AH, Gausche-Hill M. A standardized formulary to reduce pediatric medication dosing errors: a mixed methods study. Prehosp Emerg Care. 2022;26(4):492-502. doi:…
  7. psnet.ahrq.gov/issue/surgical-safety-and-hospital-volume-across-wide-range-interventions
    April 04, 2011 - Study Surgical safety and hospital volume across a wide range of interventions. Citation Text: Eggli Y, Halfon P, Meylan D, et al. Surgical safety and hospital volume across a wide range of interventions. Med Care. 2010;48(11):962-71. doi:10.1097/MLR.0b013e3181eaf9f6. Copy Citation …
  8. psnet.ahrq.gov/issue/investigation-mental-and-physical-health-nurses-associated-errors-clinical-practice
    September 21, 2022 - Study Investigation of mental and physical health of nurses associated with errors in clinical practice. Citation Text: Pappa D, Koutelekos I, Evangelou E, et al. Investigation of mental and physical health of nurses associated with errors in clinical practice. Healthcare (Basel). 2022;1…
  9. psnet.ahrq.gov/issue/exploring-health-care-professionals-perceptions-incidents-and-incident-reporting
    August 28, 2013 - Study Exploring health care professionals' perceptions of incidents and incident reporting in rehabilitation settings. Citation Text: Espin S, Carter C, Janes N, et al. Exploring Health Care Professionals' Perceptions of Incidents and Incident Reporting in Rehabilitation Settings. J Pati…
  10. psnet.ahrq.gov/issue/can-aviation-based-team-training-elicit-sustainable-behavioral-change
    July 19, 2023 - Study Can aviation-based team training elicit sustainable behavioral change? Citation Text: Sax HC, Browne P, Mayewski RJ, et al. Can aviation-based team training elicit sustainable behavioral change? Arch Surg. 2009;144(12):1133-1137. doi:10.1001/archsurg.2009.207. Copy Citation …
  11. psnet.ahrq.gov/issue/cluster-randomized-trial-evaluate-impact-team-training-surgical-outcomes
    April 24, 2018 - Study Cluster randomized trial to evaluate the impact of team training on surgical outcomes. Citation Text: Duclos A, Peix JL, Piriou V, et al. Cluster randomized trial to evaluate the impact of team training on surgical outcomes. Br J Surg. 2016;103(13):1804-1814. doi:10.1002/bjs.10295.…
  12. psnet.ahrq.gov/issue/antibiotic-resistant-infection-treatment-costs-have-doubled-2002-now-exceeding-2-billion
    July 02, 2019 - Study Classic Antibiotic-resistant infection treatment costs have doubled since 2002, now exceeding $2 billion annually. Citation Text: Thorpe KE, Joski P, Johnston KJ. Antibiotic-Resistant Infection Treatment Costs Have Doubled Since 2002, Now Exceeding $2 Bill…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42581/psn-pdf
    July 12, 2016 - Partnering with Patients to Drive Shared Decisions, Better Value, and Care Improvement—Workshop Proceedings. July 12, 2016 Roundtable on Value and Science Driven Healthcare; Institute of Medicine. Washington, DC: National Academies Press; 2013. ISBN: 9780309288965. https://psnet.ahrq.gov/issue/partnering-patients-…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43880/psn-pdf
    February 04, 2015 - Healthcare Safety for Nursing Personnel: An Organizational Guide to Achieving Results. February 4, 2015 Tweedy JT. Boca Raton, FL: CRC Press; 2014. ISBN: 9781482230277. https://psnet.ahrq.gov/issue/healthcare-safety-nursing-personnel-organizational-guide-achieving-results This publication provides information abou…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60527/psn-pdf
    May 27, 2020 - The flaw of medicine: addressing racial and gender disparities in critical care. May 27, 2020 Hilton EJ, Goff KL, Sreedharan R, et al. The flaw of medicine: addressing racial and gender disparities in critical care. Anesthesiol Clin. 2020;38(2):357-368. doi:10.1016/j.anclin.2020.01.011. https://psnet.ahrq.gov/issu…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42157/psn-pdf
    April 22, 2013 - High performance teamwork training and systems redesign in outpatient oncology. April 22, 2013 Bunnell CA, Gross AH, Weingart SN, et al. High performance teamwork training and systems redesign in outpatient oncology. BMJ Qual Saf. 2013;22(5):405-13. doi:10.1136/bmjqs-2012-000948. https://psnet.ahrq.gov/issue/high-…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39663/psn-pdf
    June 09, 2011 - Value of human factors to medication and patient safety in the intensive care unit. June 9, 2011 Scanlon M, Karsh B-T. Value of human factors to medication and patient safety in the intensive care unit. Crit Care Med. 2010;38. doi:10.1097/ccm.0b013e3181dd8de2. https://psnet.ahrq.gov/issue/value-human-factors-medic…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45926/psn-pdf
    May 17, 2017 - Toolkit To Improve Safety in Ambulatory Surgery Centers. May 17, 2017 Rockville, MD: Agency for Healthcare Research and Quality; December 2014. https://psnet.ahrq.gov/issue/toolkit-improve-safety-ambulatory-surgery-centers Ambulatory surgery centers provide care to growing numbers of patients. This toolkit draws fr…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37752/psn-pdf
    May 07, 2019 - Guidance for the Safe Use of Automated Dispensing Cabinets. May 7, 2019 Horsham, PA: Institute for Safe Medication Practices; 2019. https://psnet.ahrq.gov/issue/guidance-safe-use-automated-dispensing-cabinets Drug dispensing systems have been adopted in hospitals to prevent medication errors, but accidents associ…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36545/psn-pdf
    January 10, 2011 - Transition of care for hospitalized elderly patients—development of a discharge checklist for hospitalists. January 10, 2011 Halasyamani L, Kripalani S, Coleman E, et al. Transition of care for hospitalized elderly patients—Development of a discharge checklist for hospitalists. J Hosp Med. 2006;1(6). doi:10.1002/…

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