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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72674/psn-pdf
    January 27, 2021 - The effect of blue-enriched lighting on medical error rate in a university hospital ICU. January 27, 2021 Chen Y, Broman AT, Priest G, et al. The Effect of Blue-Enriched Lighting on Medical Error Rate in a University Hospital ICU. Jt Comm J Qual Saf. 2021;47(3):165-175. doi:10.1016/j.jcjq.2020.11.007. https://psne…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72761/psn-pdf
    February 17, 2021 - Using ventilator splitters during the COVID-19 pandemic-- letter to health care providers. February 17, 2021 Silver Spring, MD: Division of Industry and Consumer Education, US Food and Drug Administration; February 9. 2021. https://psnet.ahrq.gov/issue/using-ventilator-splitters-during-covid-19-pandemic-letter-hea…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47028/psn-pdf
    May 02, 2018 - Medication errors 2018: the year in review. May 2, 2018 Valentine D, Ingram V, Fobi BNN, Brahmbhatt V. Pharmacy Practice News. April 4, 2018. https://psnet.ahrq.gov/issue/medication-errors-2018-year-review Despite considerable effort, medication errors continue to occur and result in patient harm. Summari…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44333/psn-pdf
    July 15, 2015 - One hospital's initiatives to encourage safe opioid use. July 15, 2015 Surprise JK, Simpson MH. One Hospital's Initiatives to Encourage Safe Opioid Use. J Infus Nurs. 2015;38(4):278-83. doi:10.1097/NAN.0000000000000110. https://psnet.ahrq.gov/issue/one-hospitals-initiatives-encourage-safe-opioid-use This commentar…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45387/psn-pdf
    August 15, 2016 - Preventing medication errors. August 15, 2016 Stefanacci RG, Riddle A. Preventing medication errors. Geriatr Nurs. 2016;37(4):307-10. doi:10.1016/j.gerinurse.2016.06.005. https://psnet.ahrq.gov/issue/preventing-medication-errors Nursing home patients are particularly vulnerable to medication errors. This commentar…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37469/psn-pdf
    January 16, 2008 - Towards the reduction of medication errors in orthopedics and spinal surgery: outcomes using a pharmacist-led approach. January 16, 2008 Weiner BK, Venarske J, Yu M, et al. Towards the reduction of medication errors in orthopedics and spinal surgery: outcomes using a pharmacist-led approach. Spine (Phila Pa 1976).…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41721/psn-pdf
    October 03, 2012 - Rural inpatient telepharmacy consultation demonstration for after-hours medication review. October 3, 2012 Cole SL, Grubbs JH, Din C, et al. Rural inpatient telepharmacy consultation demonstration for after-hours medication review. Telemed J E Health. 2012;18(7):530-7. doi:10.1089/tmj.2011.0222. https://psnet.ahrq…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41577/psn-pdf
    September 27, 2016 - Nursing perception of the impact of medication carts on patient safety and ergonomics in a teaching health care center. September 27, 2016 Rochais E, Atkinson S, Bussières J-F. Nursing perception of the impact of medication carts on patient safety and ergonomics in a teaching health care center. J Pharm Pract. 201…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60263/psn-pdf
    April 22, 2020 - Rationing protective gear means checking on coronavirus patients less often. This can be deadly. April 22, 2020 Kaplan J, Presser L, Miller M. ProPublica. April 10, 2020. https://psnet.ahrq.gov/issue/rationing-protective-gear-means-checking-coronavirus-patients-less-often-can- be-deadly Increased complexity and p…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43321/psn-pdf
    August 02, 2015 - Costs associated with surgical site infections in Veterans Affairs hospitals. August 2, 2015 Schweizer ML, Cullen JJ, Perencevich E, et al. Costs Associated With Surgical Site Infections in Veterans Affairs Hospitals. JAMA Surg. 2014;149(6):575-81. doi:10.1001/jamasurg.2013.4663. https://psnet.ahrq.gov/issue/costs…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35019/psn-pdf
    June 22, 2009 - Improving patient safety in critical care: big challenge, exciting opportunity/L'amelioration de la securite des patients a l'unite des soins intensifs : un grand defi, une occasion stimulante. June 22, 2009 Dodek P. Improving patient safety in critical care: big challenge, exciting opportunity. Can J Anaesth. 20…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44838/psn-pdf
    February 10, 2016 - ADVERSE drug events: incidence and risk reduction across the care continuum. February 10, 2016 Wanderer JP, Rathmell JP. ADVERSE Drug Events: Incidence & risk reduction across the care continuum. Anesthesiology. 2016;124(1):A23. doi:10.1097/01.anes.0000473722.20007.03. https://psnet.ahrq.gov/issue/adverse-drug-eve…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45986/psn-pdf
    March 29, 2017 - Pediatric prehospital medication dosing errors: a national survey of paramedics. March 29, 2017 Hoyle JD, Crowe RP, Bentley MA, et al. Pediatric prehospital medication dosing errors: a national survey of paramedics. Prehosp Emerg Care. 2017;21(2):185-191. doi:10.1080/10903127.2016.1227001. https://psnet.ahrq.gov/i…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34870/psn-pdf
    April 18, 2016 - Unintended medication discrepancies at the time of hospital admission. April 18, 2016 Cornish PL, Knowles SR, Marchesano R, et al. Unintended medication discrepancies at the time of hospital admission. Arch Intern Med. 2005;165(4):424-9. https://psnet.ahrq.gov/issue/unintended-medication-discrepancies-time-hospita…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44048/psn-pdf
    November 20, 2015 - Clinical handover of the critically ill postoperative patient: an integrative review. November 20, 2015 Gardiner TM, Marshall AP, Gillespie BM. Clinical handover of the critically ill postoperative patient: an integrative review. Aust Crit Care. 2015;28(4):226-34. doi:10.1016/j.aucc.2015.02.001. https://psnet.ahrq…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/764411/psn-pdf
    March 02, 2022 - Nowhere is safe: record number of patients contracted Covid in the hospital in January. March 2, 2022 Levy R, Vestal AJ. Politico. February 19, 2022. https://psnet.ahrq.gov/issue/nowhere-safe-record-number-patients-contracted-covid-hospital-january Transmission of COVID-19 in the health care setting continues to b…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50425/psn-pdf
    September 04, 2019 - Why doctors still offer treatments that may not help. September 4, 2019 Frakt A. New York Times. August 26, 2019. https://psnet.ahrq.gov/issue/why-doctors-still-offer-treatments-may-not-help The slow adoption of improvement innovations is a persistent challenge to high-quality and safe patient care. This newspaper…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45658/psn-pdf
    November 09, 2016 - Hospitals installed more sinks to stop infections. The sinks can make the problem worse. November 9, 2016 Branswell H. STAT. October 25, 2016. https://psnet.ahrq.gov/issue/hospitals-installed-more-sinks-stop-infections-sinks-can-make-problem-worse Hospitals have sought to improve hand hygiene with interventions su…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60750/psn-pdf
    August 06, 2020 - Missed breast cancer: effects of subconscious bias and lesion characteristics. August 6, 2020 Lamb LR, Mohallem Fonseca M, Verma R, et al. Missed breast cancer: effects of subconscious bias and lesion characteristics. RadioGraphics. 2020;40(4):941-960. doi:10.1148/rg.2020190090. https://psnet.ahrq.gov/issue/missed…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854252/psn-pdf
    October 04, 2023 - Standardization and visualization of the surgical time-out. October 4, 2023 Levy BE, Wilt WS, Lantz S, et al. Standardization and visualization of the surgical time-out. J Patient Saf. 2023;19(7):453-459. doi:10.1097/pts.0000000000001156. https://psnet.ahrq.gov/issue/standardization-and-visualization-surgical-time-…