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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37871/psn-pdf
    January 06, 2017 - A controlled trial of a rapid response system in an academic medical center. January 6, 2017 Rothschild JM, Woolf S, Finn KM, et al. A controlled trial of a rapid response system in an academic medical center. Jt Comm J Qual Patient Saf. 2008;34(7):417-25, 365. https://psnet.ahrq.gov/issue/controlled-trial-rapid-r…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844769/psn-pdf
    January 01, 2020 - Failure to administer recommended chemotherapy: acceptable variation or cancer care quality blind spot? September 18, 2019 Ellis RJ, Schlick CJR, Feinglass J, et al. Failure to administer recommended chemotherapy: acceptable variation or cancer care quality blind spot? BMJ Qual Saf. 2020;29(2):103-112. doi:10.1136/…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/849120/psn-pdf
    May 17, 2023 - Systematic literature review on the effectiveness and safety of paediatric hospital-at-home care as a substitute for hospital care. May 17, 2023 Detollenaere J, Van Ingelghem I, Van den Heede K, et al. Systematic literature review on the effectiveness and safety of paediatric hospital-at-home care as a substitute …
  4. psnet.ahrq.gov/issue/safe-patient-outcomes-occur-timely-standardized-communication-critical-values
    January 15, 2020 - Newspaper/Magazine Article Safe patient outcomes occur with timely, standardized communication of critical values. Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL April 16, 2018 …
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60612/psn-pdf
    January 01, 2021 - COVID-19: patient safety and quality improvement skills to deploy during the surge. June 24, 2020 Staines A, Amalberti R, Berwick DM, et al. COVID-19: patient safety and quality improvement skills to deploy during the surge. Int J Qual Health Care. 2021;33(1):mzaa050. doi:10.1093/intqhc/mzaa050. https://psnet.ahrq…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43655/psn-pdf
    December 19, 2014 - Systematic biases in group decision-making: implications for patient safety. December 19, 2014 Mannion R, Thompson C. Systematic biases in group decision-making: implications for patient safety. Int J Qual Health Care. 2014;26(6):606-12. doi:10.1093/intqhc/mzu083. https://psnet.ahrq.gov/issue/systematic-biases-gro…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73286/psn-pdf
    May 19, 2021 - Engineering care transitions: clinician perceptions of barriers to safe medication management during transitions of patient care. May 19, 2021 Hannum SM, Abebe E, Xiao Y, et al. Engineering care transitions: clinician perceptions of barriers to safe medication management during transitions of patient care. Appl Er…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73324/psn-pdf
    May 26, 2021 - Medication-related hospital readmissions within 30 days of discharge: prevalence, preventability, type of medication errors and risk factors. May 26, 2021 Uitvlugt EB, Janssen MJA, Siegert CEH, et al. Medication-related hospital readmissions within 30 days of discharge: prevalence, preventability, type of medicati…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865806/psn-pdf
    May 08, 2024 - Entangled in complexity: an ethnographic study of organizational adaptability and safe care transitions for patients with complex care needs. May 8, 2024 Hedqvist A?T, Praetorius G, Ekstedt M, et al. Entangled in complexity: an ethnographic study of organizational adaptability and safe care transitions for patient…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866170/psn-pdf
    June 19, 2024 - The World Federation of Chiropractic Global Patient Safety Task Force: a call to action. June 19, 2024 Coleman BC, Rubinstein SM, Salsbury SA, et al. The World Federation of Chiropractic Global Patient Safety Task Force: a call to action. Chiropr Man Therap. 2024;32(1):15. doi:10.1186/s12998-024-00536-1. https://p…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73131/psn-pdf
    April 14, 2021 - Identification of common themes from never events data published by NHS England. April 14, 2021 Omar I, Graham Y, Singhal R, et al. Identification of common themes from never events data published by NHS England. World J Surg. 2021;45(3):697-704. doi:10.1007/s00268-020-05867-7. https://psnet.ahrq.gov/issue/identif…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43444/psn-pdf
    August 27, 2014 - Patient-safety–related hospital deaths in England: thematic analysis of incidents reported to a national database, 2010–2012. August 27, 2014 Donaldson LJ, Panesar S, Darzi A. Patient-safety-related hospital deaths in England: thematic analysis of incidents reported to a national database, 2010-2012. PLoS Med. 201…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47059/psn-pdf
    May 16, 2018 - Participating in a multisite study exploring operational failures encountered by frontline nurses: lessons learned. May 16, 2018 Melnyk H, Rosenfeld P, Glassman KS. Participating in a Multisite Study Exploring Operational Failures Encountered by Frontline Nurses: Lessons Learned. J Nurs Adm. 2018;48(4):203-208. do…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61092/psn-pdf
    November 04, 2020 - Patient race and opioid misuse history influence provider risk perceptions for future opioid-related problems. November 4, 2020 Hirsh AT, Anastas TM, Miller MM, et al. Patient race and opioid misuse history influence provider risk perceptions for future opioid-related problems. Am Psychol. 2020;75(6):784-795. doi:…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46678/psn-pdf
    January 03, 2018 - Measuring patient safety in real time: an essential method for effectively improving the safety of care. January 3, 2018 Classen DC, Griffin FA, Berwick DM. Measuring Patient Safety in Real Time: An Essential Method for Effectively Improving the Safety of Care. Ann Intern Med. 2017;167(12). doi:10.7326/m17-2202. h…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45355/psn-pdf
    September 28, 2016 - Getting it right for patient safety: specimen collection process improvement from operating room to pathology. September 28, 2016 D'Angelo R, Mejabi O. Getting It Right for Patient Safety: Specimen Collection Process Improvement From Operating Room to Pathology. Am J Clin Pathol. 2016;146(1):8-17. doi:10.1093/ajcp/…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38029/psn-pdf
    September 03, 2008 - Minimizing surgical error by incorporating objective assessment into surgical education. September 3, 2008 Champion HR, Meglan DA, Shair EK. Minimizing Surgical Error by Incorporating Objective Assessment into Surgical Education. J Am Coll Surg. 2008;207(2). doi:10.1016/j.jamcollsurg.2008.02.038. https://psnet.ahr…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60524/psn-pdf
    May 27, 2020 - Varying rates of patient identity verification when using computerized provider order entry. May 27, 2020 Fortman E, Hettinger AZ, Howe JL, et al. Varying rates of patient identity verification when using computerized provider order entry. J Am Med Info Assoc. 2020;27(6):924-928. doi:10.1093/jamia/ocaa047. https:/…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866276/psn-pdf
    July 10, 2024 - Quality and patient safety metrics: developing a structured program for improving patient care in the Department of Medicine at The Ottawa Hospital. July 10, 2024 Hasimja-Saraqini D, McNeill K, Kuk H, et al. Quality and patient safety metrics: developing a structured program for improving patient care in the Depar…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60180/psn-pdf
    April 01, 2020 - Incidence of wrong-site surgery list errors for a 2-year period in a single national health service board. April 1, 2020 Geraghty A, Ferguson L, McIlhenny C, et al. Incidence of wrong-site surgery list errors for a 2-year period in a single national health service board. J Patient Saf. 2020;16(1):79-83. doi:10.109…

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