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8561. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40775/psn-pdf
      September 14, 2011 - Ambulatory surgery facilities: a comprehensive review of medication error reports in Pennsylvania. September 14, 2011   Grissinger M, Dabliz R. Pa Patient Saf Advis 2011 Sep;8(3):85-93. https://psnet.ahrq.gov/issue/ambulatory-surgery-facilities-comprehensive-review-medication-error-reports- pennsylvania Anal…

8562. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43591/psn-pdf
      August 02, 2015 - The automated operating room: a team approach to patient safety and communication. August 2, 2015 Nissan J, Campos V, Delgado H, et al. The automated operating room: a team approach to patient safety and communication. JAMA Surg. 2014;149(11):1209-10. doi:10.1001/jamasurg.2014.1825. https://psnet.ahrq.gov/issue/au…

8563. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60926/psn-pdf
      September 16, 2020 - Sent home to die. September 16, 2020 Waldman A, Kaplan J. Sent home to die. ProPublica. 2020. https://psnet.ahrq.gov/issue/sent-home-die Hospitals have been deeply challenged to provide effective care during the COVID crisis. This article discusses how rationing and ineffective protection for families and patients…

8564. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41867/psn-pdf
      January 30, 2013 - Medication discrepancies in integrated electronic health records. January 30, 2013 Linsky A, Simon SR. Medication discrepancies in integrated electronic health records. BMJ Qual Saf. 2013;22(2):103-9. doi:10.1136/bmjqs-2012-001301. https://psnet.ahrq.gov/issue/medication-discrepancies-integrated-electronic-health-…

8565. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39783/psn-pdf
      August 25, 2010 - Ethics, oversight and quality improvement initiatives. August 25, 2010 Taylor HA, Pronovost PJ, Sugarman J. Ethics, oversight and quality improvement initiatives. Quality and Safety in Health Care. 2010;19(4). doi:10.1136/qshc.2009.038034. https://psnet.ahrq.gov/issue/ethics-oversight-and-quality-improvement-initia…

8566. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36771/psn-pdf
      January 22, 2017 - A pediatric medical emergency team manages a complex child with hypoxia and a worried parent. January 22, 2017 Shilkofski NA, Hunt EA. A pediatric medical emergency team manages a complex child with hypoxia and worried parent. Jt Comm J Qual Patient Saf. 2007;33(4):236-41, 185. https://psnet.ahrq.gov/issue/pediatr…

8567. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39103/psn-pdf
      November 18, 2009 - Identifying organizational cultures that promote patient safety. November 18, 2009 Singer SJ, Falwell A, Gaba DM, et al. Identifying organizational cultures that promote patient safety. Health Care Manag Rev. 2009;34(4):300-311. doi:10.1097/HMR.0b013e3181afc10c. https://psnet.ahrq.gov/issue/identifying-organizatio…

8568. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44383/psn-pdf
      January 05, 2017 - Field Guide to Collaborative Care: Implementing the Future of Health Care. January 5, 2017 Uhlig P, Raboin WE. Overland Park, KS: Oak Prairie Health Press; 2015. ISBN: 9780991411290. https://psnet.ahrq.gov/issue/field-guide-collaborative-care-implementing-future-health-care This online resource provides instructio…

8569. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40658/psn-pdf
      August 03, 2011 - Development and validation of a tool to improve paediatric referral/consultation communication. August 3, 2011 Stille CJ, Mazor KM, Meterko V, et al. Development and validation of a tool to improve paediatric referral/consultation communication. BMJ Qual Saf. 2011;20(8):692-7. doi:10.1136/bmjqs.2010.045781. https:…

8570. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37758/psn-pdf
      March 10, 2011 - Informatics opportunities: the intersection of patient safety and clinical informatics. March 10, 2011 Kilbridge PM, Classen D. The informatics opportunities at the intersection of patient safety and clinical informatics. J Am Med Inform Assoc. 2008;15(4):397-407. doi:10.1197/jamia.M2735. https://psnet.ahrq.gov/is…

8571. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73897/psn-pdf
      September 29, 2021 - Peer Support Toolkit. September 29, 2021 Betsy Lehman Center for Patient Safety. September 2021. https://psnet.ahrq.gov/issue/peer-support-toolkit Clinicians involved in adverse events that harm patients can struggle to come to terms with error. This toolkit is designed to assist organizations in the development o…

8572. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38698/psn-pdf
      June 10, 2009 - Towards a framework to select techniques for error prediction: supporting novice users in the healthcare sector. June 10, 2009 Lyons M. Towards a framework to select techniques for error prediction: supporting novice users in the healthcare sector. Appl Ergon. 2009;40(3):379-95. doi:10.1016/j.apergo.2008.11.004. …

8573. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45134/psn-pdf
      August 10, 2016 - Patient Safety: Exploring Quality of Care in the US. August 10, 2016 ProPublica, Inc. New York, NY. 2012-2016. https://psnet.ahrq.gov/issue/patient-safety-exploring-quality-care-us This website provides resources exploring patient safety challenges from various perspectives, including feature length articles and m…

8574. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38905/psn-pdf
      September 02, 2009 - The effects of on-screen, point of care computer reminders on processes and outcomes of care. September 2, 2009 Shojania KG, Jennings A, Mayhew A, et al. The effects of on-screen, point of care computer reminders on processes and outcomes of care. Cochrane Database Syst Rev. 2009;(3):CD001096. doi:10.1002/14651858…

8575. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39576/psn-pdf
      September 25, 2010 - Taking Care of Myself: A Guide for When I Leave the Hospital. September 25, 2010 Rockville, MD: Agency for Healthcare Research and Quality; April 2010. AHRQ Publication No. 10-0059. https://psnet.ahrq.gov/issue/taking-care-myself-guide-when-i-leave-hospital This guide provides patients with information they need t…

8576. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43351/psn-pdf
      July 16, 2014 - Patient involvement in medication safety in hospital: an exploratory study. July 16, 2014 Mohsin-Shaikh S, Garfield S, Franklin BD. Patient involvement in medication safety in hospital: an exploratory study. Int J Clin Pharm. 2014;36(3):657-66. doi:10.1007/s11096-014-9951-8. https://psnet.ahrq.gov/issue/patient-in…

8577. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35989/psn-pdf
      September 17, 2010 - Using preprinted medication order forms to improve the safety of investigational drug use. September 17, 2010 Tamer H, Shehab N. Using preprinted medication order forms to improve the safety of investigational drug use. Am J Health Syst Pharm. 2006;63(11):1022, 1025-1026, 1028. https://psnet.ahrq.gov/issue/using-p…

8578. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35133/psn-pdf
      March 11, 2011 - Parents as partners in obtaining the medication history. March 11, 2011 Porter SC, Kohane IS, Goldmann DA. Parents as partners in obtaining the medication history. J Am Med Inform Assoc. 2005;12(3):299-305. https://psnet.ahrq.gov/issue/parents-partners-obtaining-medication-history This study examined the utility o…

8579. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36234/psn-pdf
      October 21, 2010 - Conceptual Framework for the International Classification for Patient Safety Version 1.1. Final Technical Report January 2009. October 21, 2010 World Alliance for Patient Safety. Geneva, Switzerland: World Health Organization; 2009. https://psnet.ahrq.gov/issue/conceptual-framework-international-classification-pat…

8580. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45558/psn-pdf
      May 10, 2017 - Prevention Is Better Than Cure: Learning From Adverse Events in Healthcare. May 10, 2017 Leistikow I. Boca Raton, FL: CRC Press; 2017. ISBN: 9781138197763. https://psnet.ahrq.gov/issue/prevention-better-cure-learning-adverse-events-healthcare Patients continue to experience preventable health care–associated harm.…