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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37754/psn-pdfMay 14, 2008 - Potentially inappropriate medication use in hospitalized elders. May 14, 2008 Rothberg MB, Pekow PS, Liu F, et al. Potentially inappropriate medication use in hospitalized elders. J Hosp Med. 2008;3(2):91-102. doi:10.1002/jhm.290. https://psnet.ahrq.gov/issue/potentially-inappropriate-medication-use-hospitalized-e… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47645/psn-pdfApril 17, 2019 - When a nurse is prosecuted for a fatal medical mistake, does it make medicine safer? April 17, 2019 Gordon M. Health Shots. National Public Radio. April 10, 2019. https://psnet.ahrq.gov/issue/when-nurse-prosecuted-fatal-medical-mistake-does-it-make-medicine-safer Punitive responses to medical errors persist despit… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40985/psn-pdfDecember 07, 2011 - Implementing the World Health Organization surgical safety checklist: a model for future perioperative initiatives. December 7, 2011 Styer KA, Ashley SW, Schmidt I, et al. Implementing the World Health Organization surgical safety checklist: a model for future perioperative initiatives. AORN J. 2011;94(6):590-8. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/836759/psn-pdfApril 06, 2022 - Diversion is a Threat to Patient Safety: Adopting Best Practices. March 16, 2022 Institute for Safe Medication Practices. April 6, 2022. https://psnet.ahrq.gov/issue/diversion-threat-patient-safety-adopting-best-practices Drug diversion can result in patient harm due to reduced medication availability, impai… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/851461/psn-pdfJuly 19, 2023 - Patient safety 2.0: slaying dragons, not just investigating them. July 19, 2023 Card AJ. Patient safety 2.0: slaying dragons, not just investigating them. J Patient Saf. 2023;19(6):394-395. doi:10.1097/pts.0000000000001140. https://psnet.ahrq.gov/issue/patient-safety-20-slaying-dragons-not-just-investigating-them … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45792/psn-pdfDecember 20, 2017 - Reevaluation of diagnosis in adults with physician- diagnosed asthma. December 20, 2017 Aaron SD, Vandemheen KL, FitzGerald M, et al. Reevaluation of Diagnosis in Adults With Physician- Diagnosed Asthma. JAMA. 2017;317(3):269-279. doi:10.1001/jama.2016.19627. https://psnet.ahrq.gov/issue/reevaluation-diagnosis-adu… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42468/psn-pdfAugust 07, 2013 - A comprehensive quality assurance program for personnel and procedures in radiation oncology: value of voluntary error reporting and checklists. August 7, 2013 Kalapurakal JA, Zafirovski A, Smith J, et al. A comprehensive quality assurance program for personnel and procedures in radiation oncology: value of volunt… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38945/psn-pdfNovember 25, 2009 - The negative impact of nurse-physician disruptive behavior on patient safety: a review of the literature. November 25, 2009 Saxton R, Hines T, Enriquez M. The negative impact of nurse-physician disruptive behavior on patient safety: a review of the literature. J Patient Saf. 2009;5(3):180-183. doi:10.1097/pts.0b013… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/839327/psn-pdfDecember 05, 2024 - The National Healthcare System Action Alliance for Patient and Workforce Safety. December 5, 2024 US Department of Health and Human Services. https://psnet.ahrq.gov/issue/national-healthcare-system-action-alliance-advance-patient-safety The large system change required to reduce patient harm requires multi-stakeho… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/836761/psn-pdfMarch 16, 2022 - Complexity bias in the prevention of iatrogenic injury: why specific harms may inhibit performance. March 16, 2022 Padula WV, Armstrong DG, Goldman DP. Complexity bias in the prevention of iatrogenic injury: why specific harms may inhibit performance. Mayo Clin Proc. 2022;97(2):221-224. doi:10.1016/j.mayocp.2021.1… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47851/psn-pdfMay 22, 2019 - Communication and Resolution After an Adverse Health Care Incident. May 22, 2019 Pettersen B, Tate J, Tipper K, McKean H. Colorado Senate Bill 19-201. https://psnet.ahrq.gov/issue/communication-and-resolution-after-adverse-health-care-incident Communication-and-resolution mechanisms are seen as important approache… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/855107/psn-pdfJanuary 01, 2019 - Foundations of Safety Science: a century of understanding accidents and disasters. January 1, 2019 Dekker S. Taylor & Francis Group, Boca Raton, FL: CRC Press; 2019. ISBN: 9781138481787. https://psnet.ahrq.gov/issue/foundations-safety-science-century-understanding-accidents-and-disasters Safety science p… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45273/psn-pdfOctober 13, 2018 - Using an inpatient portal to engage families in pediatric hospital care. October 13, 2018 Kelly MM, Hoonakker P, Dean SM. Using an inpatient portal to engage families in pediatric hospital care. J Am Med Inform Assoc. 2017;24(1):153-161. doi:10.1093/jamia/ocw070. https://psnet.ahrq.gov/issue/using-inpatient-portal… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/862151/psn-pdfFebruary 07, 2024 - Taking up the challenge to improve name and role recognition in the operating room. February 7, 2024 Thota B, Rabinowitz A, Guttman OT. Taking up the challenge to improve name and role recognition in the operating room. J Patient Saf. 2024;20(1):45-47. doi:10.1097/pts.0000000000001177. https://psnet.ahrq.gov/issue… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74848/psn-pdfFebruary 16, 2022 - Patients for Patient Safety US. February 16, 2022 404.510.8787; info@pfps.us https://psnet.ahrq.gov/issue/patients-patient-safety-us Patient safety improvement has made progress but more can be done. This organization supports community efforts in the United States to engage policymakers in work toward aligning ef… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/841492/psn-pdfDecember 14, 2022 - Cybersecurity is Patient Safety: Policy Options in the Health Care Sector. December 14, 2022 Washington DC; Office of Senator Mark Warner: November 25, 2022. https://psnet.ahrq.gov/issue/cybersecurity-patient-safety-policy-options-health-care-sector There is lack of consensus concerning the need for increased syst… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34981/psn-pdfJuly 14, 2010 - Child-specific risk factors and patient safety. July 14, 2010 Woods DM, Holl JL, Shonkoff JP, et al. J Patient Saf. 2005;1(1):17-22. https://psnet.ahrq.gov/issue/child-specific-risk-factors-and-patient-safety To discover factors that may contribute to a child’s risk for error during hospitalization, this study iden… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41285/psn-pdfJune 01, 2012 - Effect of medication reconciliation at hospital admission on medication discrepancies during hospitalization and at discharge for geriatric patients. June 1, 2012 Cornu P, Steurbaut S, Leysen T, et al. Effect of medication reconciliation at hospital admission on medication discrepancies during hospitalization and … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/838916/psn-pdfOctober 26, 2022 - Falling through the cracks: the invisible hospital cleaning workforce. October 26, 2022 Hacker CE, Debono D, Travaglia J, et al. Falling through the cracks: the invisible hospital cleaning workforce. J Health Organ Manag. 2022;36(8):981-986. doi:10.1108/jhom-02-2022-0035. https://psnet.ahrq.gov/issue/falling-throu… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/838196/psn-pdfJuly 01, 2019 - The impact of racism on child and adolescent health. July 1, 2019 Trent M, Dooley DG, Dougé J, et al. The impact of racism on child and adolescent health. Pediatrics. 2019;144(2):e20191765. doi:10.1542/peds.2019-1765. https://psnet.ahrq.gov/issue/impact-racism-child-and-adolescent-health Children and adolescents a…
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