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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47162/psn-pdf
    August 15, 2018 - Evaluation of the frequency of dispensing electronically discontinued medications and associated outcomes. August 15, 2018 Copi EJ, Kelley LR, Fisher KK. Evaluation of the frequency of dispensing electronically discontinued medications and associated outcomes. J Am Pharm Assoc (2003). 2018;58(4S):S46-S50. doi:10.1…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851067/psn-pdf
    June 28, 2023 - Assessing medication safety in settings not designated solely for pediatric patients. June 28, 2023 ISMP Medication Safety Alert! Acute care edition. June 15, 2023;28(12);1-5. https://psnet.ahrq.gov/issue/assessing-medication-safety-settings-not-designated-solely-pediatric-patients Pediatric patients are at increa…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40169/psn-pdf
    January 26, 2011 - The association between night or weekend admission and hospitalization-relevant patient outcomes. January 26, 2011 Khanna R, Wachsberg K, Marouni A, et al. The association between night or weekend admission and hospitalization-relevant patient outcomes. J Hosp Med. 2011;6(1):10-4. doi:10.1002/jhm.833. https://psne…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60668/psn-pdf
    July 08, 2020 - Preserving organizational resilience, patient safety, and staff retention during COVID-19 requires a holistic consideration of the psychological safety of healthcare workers July 8, 2020 Rangachari P, L. Woods J. Preserving organizational resilience, patient safety, and staff retention during COVID-19 requires a …
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61051/psn-pdf
    October 21, 2020 - Safety investigations from across the pond: deep learning from England’s Healthcare Safety Investigation Branch (HSIB). October 21, 2020 ISMP Medication Safety Alert! Acute Care Edition. October 8, 2020;25(20):1-4 https://psnet.ahrq.gov/issue/safety-investigations-across-pond-deep-learning-englands-healthcare-safe…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866824/psn-pdf
    September 25, 2024 - 'Failing wisely' can promote a safer healthcare system. September 25, 2024 Fleisher LA, Edmondson AC. 'Failing wisely' can promote a safer healthcare system. MedPage Today. September 17, 2024; https://psnet.ahrq.gov/issue/failing-wisely-can-promote-safer-healthcare-system The ability to learn-by-doing in an enviro…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/843094/psn-pdf
    January 25, 2023 - Getting Started with a Communication and Resolution Program (CRP) Policy or Commitment Statement to CR. January 25, 2023 Collaborative for Accountability and Improvement Policy Committee. Seattle, WA: University of Washington; 2022 https://psnet.ahrq.gov/issue/getting-started-communication-and-resolution-program-c…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72481/psn-pdf
    November 18, 2020 - Computer-based simulation to reduce EHR-related chemotherapy ordering errors. November 18, 2020 Wyatt KD, Freedman EB, Arteaga GM, et al. Computer?based simulation to reduce EHR?related chemotherapy ordering errors. Cancer Med. 2020;9(23):8844-8851. doi:10.1002/cam4.3496. https://psnet.ahrq.gov/issue/computer-base…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73965/psn-pdf
    October 13, 2021 - Association of simulation training with rates of medical malpractice claims among obstetrician-gynecologists. October 13, 2021 Schaffer AC, Babayan A, Einbinder JS, et al. Association of simulation training with rates of medical malpractice claims among obstetrician-gynecologists. Obstet Gynecol. 2021;138(2):246-25…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44259/psn-pdf
    April 01, 2024 - Training Program for Nurses on Shift Work and Long Work Hours. April 1, 2024 Caruso CC, Geiger-Brown J, Takahashi M, Trinkoff A, Nakata A. Cincinnati, OH: US Department of Health and Human Services, Public Health Service, Centers for Disease Control and Prevention, National Institute for Occupational Safety and He…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40623/psn-pdf
    July 20, 2011 - Policy and practice in the use of root cause analysis to investigate clinical adverse events: mind the gap. July 20, 2011 Nicolini D, Waring J, Mengis J. Policy and practice in the use of root cause analysis to investigate clinical adverse events: mind the gap. Soc Sci Med. 2011;73(2):217-25. doi:10.1016/j.socscime…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853442/psn-pdf
    September 13, 2023 - Pediatric Diagnostic Safety: State of the Science and Future Directions. September 13, 2023 Grubenhoff JA, Cifra CL, Marshall T, et al. Rockville, MD: Agency for Healthcare Research and Quality; September 2023. AHRQ Publication No. 23-0040-5-EF. https://psnet.ahrq.gov/issue/pediatric-diagnostic-safety-state-scienc…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851357/psn-pdf
    July 12, 2023 - The challenge of risk prevention in home healthcare-an interview study with nurses in municipal care. July 12, 2023 Lekman J, Lindén E, Ekstedt M. The challenge of risk prevention in home healthcare—an interview study with nurses in municipal care. Scand J Caring Sci. 2023;37(4):1067-1078. doi:10.1111/scs.13181. h…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43134/psn-pdf
    September 04, 2015 - Evaluating the accuracy of electronic pediatric drug dosing rules. September 4, 2015 Kirkendall E, Spooner A, Logan JR. Evaluating the accuracy of electronic pediatric drug dosing rules. J Am Med Inform Assoc. 2014;21(e1):e43-9. doi:10.1136/amiajnl-2013-001793. https://psnet.ahrq.gov/issue/evaluating-accuracy-elec…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45009/psn-pdf
    March 30, 2016 - Fatal mistakes. March 30, 2016 Kliff S. Vox Media. March 15, 2016. https://psnet.ahrq.gov/issue/fatal-mistakes Health professionals involved in medical errors experience psychological stress, which can have serious consequences if they are unable to cope with their mistake. Reporting on the second victim phenomeno…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34894/psn-pdf
    July 10, 2008 - Hospitalization and death associated with potentially inappropriate medication prescriptions among elderly nursing home residents. July 10, 2008 Lau DT, Kasper JD, Potter DEB, et al. Hospitalization and death associated with potentially inappropriate medication prescriptions among elderly nursing home residents. A…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34914/psn-pdf
    February 27, 2009 - Drug error in anaesthetic practice: a review of 896 reports from the Australian Incident Monitoring Study database. February 27, 2009 Abeysekera A, Bergman IJ, Kluger MT, et al. Drug error in anaesthetic practice: a review of 896 reports from the Australian Incident Monitoring Study database. Anaesthesia. 2005;60(3…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45378/psn-pdf
    January 23, 2017 - Quantitative analysis of the content of EMS handoff of critically ill and injured patients to the emergency department. January 23, 2017 Goldberg SA, Porat A, Strother CG, et al. Quantitative Analysis of the Content of EMS Handoff of Critically Ill and Injured Patients to the Emergency Department. Prehosp Emerg Ca…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47033/psn-pdf
    June 06, 2018 - Post-hospital medication discrepancies at home: risk factor for 90-day return to emergency department. June 6, 2018 Costa LL, Byon HD. Post-Hospital Medication Discrepancies at Home: Risk Factor for 90-Day Return to Emergency Department. J Nurs Care Qual. 2018;33(2):180-186. doi:10.1097/NCQ.0000000000000278. https…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46922/psn-pdf
    January 01, 2019 - Reducing interdisciplinary communication failures through secure text messaging: a quality improvement project. March 21, 2018 Hansen JE, Lazow M, Hagedorn PA. Reducing Interdisciplinary Communication Failures Through Secure Text Messaging. Pediatr Qual Saf. 2019;3(1). doi:10.1097/pq9.0000000000000053. https://ps…

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