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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853063/psn-pdf
    August 30, 2023 - Exploring medication safety structures and processes in nursing homes: a cross-sectional study. August 30, 2023 Favez L, Zúñiga F, Meyer-Massetti C. Exploring medication safety structures and processes in nursing homes: a cross-sectional study. Int J Clin Pharm. 2023;45(6):1464-1471. doi:10.1007/s11096-023-01625-6.…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42744/psn-pdf
    September 01, 2016 - Physicians' responses to clinical decision support on an intensive care unit—comparison of four different alerting methods. September 1, 2016 Scheepers-Hoeks A-MJ, Grouls RJ, Neef C, et al. Physicians' responses to clinical decision support on an intensive care unit--comparison of four different alerting methods. …
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45072/psn-pdf
    May 04, 2016 - Interventions to improve safe sleep among hospitalized infants at eight children's hospitals. May 4, 2016 Kuhlmann S, Ahlers-Schmidt CR, Lukasiewicz G, et al. Interventions to Improve Safe Sleep Among Hospitalized Infants at Eight Children's Hospitals. Hosp Pediatr. 2016;6(2):88-94. doi:10.1542/hpeds.2015- 0121. …
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866279/psn-pdf
    July 10, 2024 - Need to systematically identify and mitigate risks upon hospitalisation for patients with chronic health conditions. July 10, 2024 Pronovost PJ, Carrington EM. Need to systematically identify and mitigate risks upon hospitalisation for patients with chronic health conditions. BMJ Qual Saf. 2024;33(11):755-758. doi…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846759/psn-pdf
    March 29, 2023 - A contemporary analysis of closed claims related to wrong site surgery. March 29, 2023 Tan J, Ross JM, Wright D, et al. A contemporary analysis of closed claims related to wrong site surgery. Jt Comm J Qual Patient Saf. 2023;49(5):265-273. doi:10.1016/j.jcjq.2023.02.002. https://psnet.ahrq.gov/issue/contemporary-a…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50654/psn-pdf
    November 13, 2019 - Exploring stakeholder perceptions around implementation of the Operating Room Black Box for patient safety research: a qualitative study using the theoretical domains framework. November 13, 2019 Etherington N, Usama A, Patey AM, et al. Exploring stakeholder perceptions around implementation of the Operating Room…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/855096/psn-pdf
    November 08, 2023 - Systematic workup of transfusion reactions reveals passive co-reporting of handling errors. November 8, 2023 Nitsche E, Dreßler J, Henschler R. Systematic workup of transfusion reactions reveals passive co-reporting of handling errors. J Blood Med. 2023;14:435-443. doi:10.2147/jbm.s411188. https://psnet.ahrq.gov/i…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38309/psn-pdf
    December 23, 2016 - Safely implementing health information and converging technologies. December 23, 2016 Safely implementing health information and converging technologies. Sentinel event alert. 2008;(42):1-4. https://psnet.ahrq.gov/issue/safely-implementing-health-information-and-converging-technologies As health information techno…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851663/psn-pdf
    July 26, 2023 - Quality of Care Concerns and the Facility Response Following a Medical Emergency at the VA Southern Nevada Health Care System in Las Vegas. July 26, 2023 Washington, DC: VA Office of the Inspector General; June 28, 2023. Report no. 22-02725-132. https://psnet.ahrq.gov/issue/quality-care-concerns-and-facility-…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48024/psn-pdf
    January 01, 2021 - The mental health trigger tool: development and testing of a specialized trigger tool for mental health settings. July 10, 2019 Sajith SG, Fung D, Chua HC. The Mental Health Trigger Tool: Development and Testing of a Specialized Trigger Tool for Mental Health Settings. J Patient Saf. 2021;17(4):e306-e312. doi:10.1…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45199/psn-pdf
    June 15, 2016 - Towards safer transitions: a curriculum to teach and assess hospital-to-hospice handoffs. June 15, 2016 Darrah NJ, O'Connor NR. Toward Safer Transitions: A Curriculum to Teach and Assess Hospital-to- Hospice Handoffs. J Pain Symptom Manage. 2016;51(6):959-962.e2. doi:10.1016/j.jpainsymman.2016.01.012. https://psn…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36813/psn-pdf
    March 24, 2011 - Ambulatory care adverse events and preventable adverse events leading to a hospital admission. March 24, 2011 Woods D, Thomas EJ, Holl JL, et al. Ambulatory care adverse events and preventable adverse events leading to a hospital admission. Qual Saf Health Care. 2007;16(2):127-131. https://psnet.ahrq.gov/issue/amb…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/862990/psn-pdf
    February 21, 2024 - Assessing the excess costs of the in-hospital adverse events covered by the AHRQ's Patient Safety Indicators in Switzerland. February 21, 2024 Giese A, Khanam R, Nghiem S, et al. Assessing the excess costs of the in-hospital adverse events covered by the AHRQ’s Patient Safety Indicators in Switzerland. PLoS ONE. 2…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72727/psn-pdf
    February 10, 2021 - System factors affecting intraoperative risk and resilience: applying a novel integrated approach to study surgical performance and patient safety. February 10, 2021 Kolodzey L, Trbovich PL, Kashfi A, et al. System Factors Affecting Intraoperative Risk and Resilience. Ann Surg. 2020;272(6):1164-1170. doi:10.1097/s…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47379/psn-pdf
    November 14, 2018 - Analysis of medication therapy discontinuation orders in new electronic prescriptions and opportunities for implementing CancelRx. November 14, 2018 Yang Y, Ward-Charlerie S, Kashyap N, et al. Analysis of medication therapy discontinuation orders in new electronic prescriptions and opportunities for implementing C…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866163/psn-pdf
    June 19, 2024 - Performance evaluation of ChatGPT in detecting diagnostic errors and their contributing factors: an analysis of 545 case reports of diagnostic errors. June 19, 2024 Harada Y, Suzuki T, Harada T, et al. Performance evaluation of ChatGPT in detecting diagnostic errors and their contributing factors: an analysis of 5…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73136/psn-pdf
    April 14, 2021 - Nurse's Achilles Heel: using big data to determine workload factors that impact near misses. April 14, 2021 Campbell AA, Harlan T, Campbell M, et al. Nurse's Achilles Heel: using big data to determine workload factors that impact near misses. J Nurs Scholarsh. 2021;53(3):333-342. doi:10.1111/jnu.12652. https://psn…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865486/psn-pdf
    April 03, 2024 - Clinical informatics team members' perspectives on health information technology safety after experiential learning and safety process development: qualitative descriptive study. April 3, 2024 Recsky C, Rush KL, MacPhee M, et al. Clinical informatics team members' perspectives on health information technology saf…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46765/psn-pdf
    April 04, 2018 - Advancing perinatal patient safety through application of safety science principles using health IT. April 4, 2018 Webb J, Sorensen A, Sommerness SA, et al. Advancing perinatal patient safety through application of safety science principles using health IT. BMC Med Inform Decis Mak. 2017;17(1):176. doi:10.1186/s12…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44914/psn-pdf
    February 15, 2017 - Safer prescribing—a trial of education, informatics, and financial incentives. February 15, 2017 Dreischulte T, Donnan P, Grant A, et al. Safer Prescribing--A Trial of Education, Informatics, and Financial Incentives. N Engl J Med. 2016;374(11):1053-64. doi:10.1056/NEJMsa1508955. https://psnet.ahrq.gov/issue/safer…