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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41452/psn-pdf
    June 06, 2012 - Patient Safety and Satisfaction: The State of American Hospitals. June 6, 2012 Golden, CO: HealthGrades Inc.; May 2012. https://psnet.ahrq.gov/issue/patient-safety-and-satisfaction-state-american-hospitals This report used Medicare hospitalization data from 2008–2010 to explore correlations between patient–provid…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37561/psn-pdf
    September 30, 2015 - Important Warnings and Instructions for Heparin Sodium Injection (Baxter). September 30, 2015 MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; February 28, 2008. https://psnet.ahrq.gov/issue/important-warnings-and-instructions-heparin-sodium-injection-baxter This announcement update alert…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41129/psn-pdf
    February 08, 2012 - Reducing medical errors and adverse events. February 8, 2012 Pham JC, Aswani MS, Rosen MA, et al. Reducing medical errors and adverse events. Annu Rev Med. 2012;63:447-63. doi:10.1146/annurev-med-061410-121352. https://psnet.ahrq.gov/issue/reducing-medical-errors-and-adverse-events This article provides an overvie…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33939/psn-pdf
    January 17, 2012 - VHA National Patient Safety Improvement Handbook. January 17, 2012 https://psnet.ahrq.gov/issue/vha-national-patient-safety-improvement-handbook A handbook developed by the VA and the National Center for Patient Safety that provides guidance on how to limit opportunities that adversely impact patient safety and car…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39607/psn-pdf
    June 16, 2010 - How to discuss errors and adverse events with cancer patients. June 16, 2010 Yardley I, Yardley SJ, Wu AW. How to discuss errors and adverse events with cancer patients. Curr Oncol Rep. 2010;12(4):253-60. doi:10.1007/s11912-010-0109-0. https://psnet.ahrq.gov/issue/how-discuss-errors-and-adverse-events-cancer-patie…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40419/psn-pdf
    October 21, 2011 - ISMP Medication Safety Self Assessment for Hospitals. October 21, 2011 Horsham, PA: Institute for Safe Medication Practices; April 2011. https://psnet.ahrq.gov/issue/ismp-medication-safety-self-assessment-hospitals This tool provides hospitals with a team-based process to evaluate medication practices in their faci…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41848/psn-pdf
    November 28, 2016 - The heart of health care: parents' perspectives on patient safety. November 28, 2016 Micalizzi DA, Bismark M. The heart of health care: parents' perspectives on patient safety. Pediatr Clin North Am. 2012;59(6):1233-1246. doi:10.1016/j.pcl.2012.08.004. https://psnet.ahrq.gov/issue/heart-health-care-parents-perspec…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36611/psn-pdf
    January 14, 2011 - In the wake of hospital inquiries: impact on staff and safety. January 14, 2011 Dunbar JA, Reddy P, Beresford B, et al. In the wake of hospital inquiries: impact on staff and safety. Med J Aust. 2007;186(2):80-3. https://psnet.ahrq.gov/issue/wake-hospital-inquiries-impact-staff-and-safety The authors present seve…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36750/psn-pdf
    July 10, 2008 - Physicians and electronic health records: a statewide survey. July 10, 2008 Simon SR, Kaushal R, Cleary PD, et al. Physicians and electronic health records: a statewide survey. Arch Intern Med. 2007;167(5):507-12. https://psnet.ahrq.gov/issue/physicians-and-electronic-health-records-statewide-survey The investiga…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38368/psn-pdf
    July 30, 2015 - Childrens' Hospitals' Solutions for Patient Safety. July 30, 2015 https://psnet.ahrq.gov/issue/childrens-hospitals-solutions-patient-safety This Web site provides resources related to a collaborative effort involving more than 80 hospitals with a goal of reducing health care–associated conditions, readmissions, and…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37504/psn-pdf
    June 29, 2011 - Safety in home care: a broadened perspective of patient safety. June 29, 2011 Lang A, Edwards N, Fleiszer A. Safety in home care: a broadened perspective of patient safety. International Journal for Quality in Health Care. 2007;20(2). doi:10.1093/intqhc/mzm068. https://psnet.ahrq.gov/issue/safety-home-care-broaden…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37632/psn-pdf
    December 04, 2016 - Disclosure through our eyes. December 4, 2016 Sheridan S, Conrad N, King S, et al. Disclosure Through Our Eyes. J Patient Saf. 2008;4(1):18-26. doi:10.1097/pts.0b013e31816543cc. https://psnet.ahrq.gov/issue/disclosure-through-our-eyes This article relates personal experiences of medical errors and offers a powerfu…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37896/psn-pdf
    March 18, 2010 - Sterile water should not be given "freely." March 18, 2010 PA-PSRS Patient Saf Advis. June 2008;5:53-56. https://psnet.ahrq.gov/issue/sterile-water-should-not-be-given-freely This article reports on cases of improper IV administration of sterile water, a high-alert substance, for the treatment of hypernatremia and…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36510/psn-pdf
    June 13, 2011 - Using clinical decision support to improve medication reconciliation. June 13, 2011 Moore G. Patient Saf Qual Healthc. November / December 2006. https://psnet.ahrq.gov/issue/using-clinical-decision-support-improve-medication-reconciliation The author provides strategies to enhance the value of medication reconcili…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40413/psn-pdf
    June 18, 2018 - Drug Shortages. June 18, 2018 US Food and Drug Administration. https://psnet.ahrq.gov/issue/drug-shortages Medication shortages are emerging as a patient safety issue. This Web site helps hospitals and practitioners monitor drug availability and design processes to manage shortages in daily care. It provides acce…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36054/psn-pdf
    November 10, 2011 - Our broken health care system and how to fix it: an essay on health law and policy. November 10, 2011 Jost TS. Wake Forest Law Rev. 2006;41:537-618. https://psnet.ahrq.gov/issue/our-broken-health-care-system-and-how-fix-it-essay-health-law-and-policy The author discusses problems in the U.S. health care system and…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40523/psn-pdf
    August 31, 2011 - A Hospital Accident: Lessons Learned – A Death, A Conviction, and A Healing. August 31, 2011 Texas Medical Institute of Technology. June 16, 2011. https://psnet.ahrq.gov/issue/hospital-accident-lessons-learned-death-conviction-and-healing This webinar covered how medical errors affect both the family and provider …
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39452/psn-pdf
    April 14, 2010 - Patient safety and medications in the home. April 14, 2010 McKenzie H. Patient safety and medications in the home. Home Healthc Nurse. 2010;28(3):198-200. doi:10.1097/01.NHH.0000369773.18785.5b. https://psnet.ahrq.gov/issue/patient-safety-and-medications-home This article addresses medication safety in the homecar…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37316/psn-pdf
    January 04, 2012 - Health information exchange and patient safety. January 4, 2012 Kaelber DC, Bates DW. Health information exchange and patient safety. J Biomed Inform. 2007;40(6 Suppl):S40-5. https://psnet.ahrq.gov/issue/health-information-exchange-and-patient-safety This review spotlights specific areas in which health informatio…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36643/psn-pdf
    January 14, 2011 - Addressing the nursing work environment to promote patient safety. January 14, 2011 Lin L, Liang BA. Addressing the nursing work environment to promote patient safety. Nurs Forum. 2007;42(1):20-30. https://psnet.ahrq.gov/issue/addressing-nursing-work-environment-promote-patient-safety The authors assess factors i…

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