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  1. psnet.ahrq.gov/issue/medicare-and-medicaid-programs-hospital-and-critical-access-hospital-cah-changes-promote
    August 28, 2024 - Regulation Medicare and Medicaid Programs; Hospital and Critical Access Hospital (CAH) Changes to Promote Innovation, Flexibility, and Improvement in Patient Care; Proposed Rule. Citation Text: Medicare and Medicaid Programs; Hospital and Critical Access Hospital (CAH) Changes to Promote…
  2. psnet.ahrq.gov/issue/preventing-communication-errors-telephone-medicine
    December 01, 2004 - Commentary Preventing communication errors in telephone medicine. Citation Text: Reisman AB, Brown KE. Preventing communication errors in telephone medicine. J Gen Intern Med. 2005;20(10):959-63. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 …
  3. psnet.ahrq.gov/issue/critical-incident-stress-debriefing-after-adverse-patient-safety-events
    April 03, 2019 - Review Critical incident stress debriefing after adverse patient safety events. Citation Text: Harrison R, Wu AW. Critical incident stress debriefing after adverse patient safety events. Am J Med Qual. 2017;23(5):310-312. Copy Citation Format: Google Scholar PubMed BibTeX E…
  4. psnet.ahrq.gov/issue/government-and-industry-fail-protect-public-when-they-suggest-carefully-following
    February 24, 2016 - Newspaper/Magazine Article Government and industry fail to protect the public when they suggest "carefully following instructions" is enough to prevent vaccine errors. Citation Text: Government and industry fail to protect the public when they suggest "carefully following instructions" i…
  5. psnet.ahrq.gov/issue/adverse-events-0
    September 20, 2011 - Multi-use Website Adverse Events. Citation Text: Adverse Events. United States Office of the Inspector General: 2010-2023. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Cop…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48053/psn-pdf
    July 17, 2019 - Review of medication errors that are new or likely to occur more frequently with electronic medication management systems. July 17, 2019 Van de Vreede M, McGrath A, de Clifford J. Review of medication errors that are new or likely to occur more frequently with electronic medication management systems. Aust Health …
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73474/psn-pdf
    July 07, 2021 - Resident and family engagement in medication management in aged care facilities: a systematic review. July 7, 2021 Manias E, Bucknall T, Hutchinson AM, et al. Resident and family engagement in medication management in aged care facilities: a systematic review. Expert Opin Drug Saf. 2021:1-19. doi:10.1080/14740338.…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46872/psn-pdf
    May 09, 2018 - Obstetric Care Consensus No. 5: Severe Maternal Morbidity: Screening and Review. May 9, 2018 Obstetric Care Consensus No. 5: Severe Maternal Morbidity: Screening and Review. Obstet Gynecol. 2016;128(3):e54-60. doi:10.1097/AOG.0000000000001642. https://psnet.ahrq.gov/issue/obstetric-care-consensus-no-5-severe-mater…
  9. 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…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43860/psn-pdf
    March 25, 2015 - Pharmacy dispensing errors: claims study emphasizes need for systematic vigilance. March 25, 2015 Webb J. Drug Topics. March 10, 2015. https://psnet.ahrq.gov/issue/pharmacy-dispensing-errors-claims-study-emphasizes-need-systematic- vigilance Pharmacies can serve as gatekeepers to ensure patients receive the corre…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46154/psn-pdf
    June 07, 2017 - Postoperative opioid prescribing and the pain scores on Hospital Consumer Assessment of Healthcare Providers and Systems survey. June 7, 2017 Lee JS, Hu HM, Brummett CM, et al. Postoperative Opioid Prescribing and the Pain Scores on Hospital Consumer Assessment of Healthcare Providers and Systems Survey. JAMA. 201…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34881/psn-pdf
    January 05, 2017 - Communicating critical test results: safe practice recommendations. January 5, 2017 Hanna D, Griswold P, Leape L, et al. Communicating critical test results: safe practice recommendations. Jt Comm J Qual Patient Saf. 2005;31(2):68-80. https://psnet.ahrq.gov/issue/communicating-critical-test-results-safe-practice-r…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73968/psn-pdf
    October 13, 2021 - Institution of just culture physician peer review in an academic medical center. October 13, 2021 Volkar JK, Phrampus P, English D, et al. Institution of just culture physician peer review in an academic medical center. J Patient Saf. 2021;17(7):e689-e693. doi:10.1097/pts.0000000000000449. https://psnet.ahrq.gov/i…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866275/psn-pdf
    July 10, 2024 - Advanced practice nurses' experiences of patient safety: a focus group study. July 10, 2024 Glarcher M, Rihari-Thomas J, Duffield C, et al. Advanced practice nurses’ experiences of patient safety: a focus group study. Contemp Nurse. 2024;Epub Jun 11. doi:10.1080/10376178.2024.2363911. https://psnet.ahrq.gov/issue/…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44801/psn-pdf
    June 22, 2016 - Safety for all: integrated design for inpatient units. June 22, 2016 Hunt JM, Sine DM. Patient Saf Qual Healthc. May/June 2016;13:20-28. https://psnet.ahrq.gov/issue/safety-all-integrated-design-inpatient-units Design is emerging as an important tactic to augment safe care delivery. Hospitals that provide care for …
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44705/psn-pdf
    January 01, 2017 - Team dynamics, clinical work satisfaction, and patient care coordination between primary care providers: a mixed methods study. December 7, 2016 Song H, Ryan M, Tendulkar S, et al. Team dynamics, clinical work satisfaction, and patient care coordination between primary care providers: A mixed methods study. Health…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867077/psn-pdf
    November 20, 2023 - Interprofessional Education Collaborative Core Competencies for Interprofessional Collaborative Practice November 20, 2023 Interprofessional Education Collaborative Core Competencies For Interprofessional Collaborative Practice. Washington DC: Interprofessional Education Collaborative; 2023. https://psnet.ahrq.gov…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44677/psn-pdf
    June 07, 2016 - Computerised prescribing for safer medication ordering: still a work in progress. June 7, 2016 Schiff G, Hickman T-TT, Volk LA, et al. Computerised prescribing for safer medication ordering: still a work in progress. BMJ Qual Saf. 2016;25(5):315-9. doi:10.1136/bmjqs-2015-004677. https://psnet.ahrq.gov/issue/comput…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46176/psn-pdf
    October 04, 2017 - Incidence and severity of prescribing errors in parenteral nutrition for pediatric inpatients at a neonatal and pediatric intensive care unit. October 4, 2017 Hermanspann T, Schoberer M, Robel-Tillig E, et al. Incidence and Severity of Prescribing Errors in Parenteral Nutrition for Pediatric Inpatients at a Neonat…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44210/psn-pdf
    September 09, 2015 - The future of graduate medical education: a systems- based approach to ensure patient safety. September 9, 2015 Bagian JP. The Future of Graduate Medical Education: A Systems-Based Approach to Ensure Patient Safety. Acad Med. 2015;90(9):1199-202. doi:10.1097/ACM.0000000000000824. https://psnet.ahrq.gov/issue/futur…

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