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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47160/psn-pdf
    August 08, 2018 - Preventing dispensing errors by alerting for drug confusions in the pharmacy information system—a survey of users. August 8, 2018 Campmans Z, van Rhijn A, Dull RM, et al. Preventing dispensing errors by alerting for drug confusions in the pharmacy information system-A survey of users. PLoS One. 2018;13(5):e0197469…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74169/psn-pdf
    December 08, 2021 - Pointing fingers: verbosity of patient safety narratives is associated with attribution of blame. December 8, 2021 Ackerman RS, Patel SY, Costache M, et al. Anesthesiology News. November 21, 2021. https://psnet.ahrq.gov/issue/pointing-fingers-verbosity-patient-safety-narratives-associated-attribution- bl…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837801/psn-pdf
    August 10, 2022 - Decreasing misdiagnoses of urinary tract infections in a pediatric emergency department. August 10, 2022 Ostrow O, Prodanuk M, Foong Y, et al. Decreasing misdiagnoses of urinary tract infections in a pediatric emergency department. Pediatrics. 2022;150(1):e2021055866. doi:10.1542/peds.2021-055866. https://psnet.ah…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866728/psn-pdf
    September 18, 2024 - ROI for a fall prevention intervention: invest a little, save a lot. September 18, 2024 Cooper AS. ROI for a fall prevention intervention: invest a little, save a lot. Nurs Adm Q. 2024;48(3):248- 252. doi:10.1097/naq.0000000000000647. https://psnet.ahrq.gov/issue/roi-fall-prevention-intervention-invest-little-save…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46249/psn-pdf
    July 12, 2017 - Zero preventable deaths after traumatic injury: an achievable goal. July 12, 2017 Spinella PC. Zero preventable deaths after traumatic injury. J Trauma Acute Care Surg. 2017;82:S2-S8. doi:10.1097/ta.0000000000001425. https://psnet.ahrq.gov/issue/zero-preventable-deaths-after-traumatic-injury-achievable-goal Criti…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866746/psn-pdf
    September 18, 2024 - Looking beyond LinkedIn: the case for excellence and academic rigor in quality and safety programs. September 18, 2024 Bearman G, Nori P. Looking beyond LinkedIn: the case for excellence and academic rigor in quality and safety programs. Am J Med. 2024;137(8):694-697. doi:10.1016/j.amjmed.2024.04.018. https://psne…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866311/psn-pdf
    January 01, 2025 - Systematic review of types of safety incidents and the processes and systems used for safety incident reporting in care homes. July 17, 2024 Scott J, Sykes K, Waring J, et al. Systematic review of types of safety incidents and the processes and systems used for safety incident reporting in care homes. J Adv Nurs. …
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35762/psn-pdf
    January 02, 2017 - Using Failure Mode and Effects Analysis for safe administration of chemotherapy to hospitalized children with cancer. January 2, 2017 Robinson DL, Heigham M, Clark J. Using Failure Mode and Effects Analysis for safe administration of chemotherapy to hospitalized children with cancer. Jt Comm J Qual Patient Saf. 20…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/862984/psn-pdf
    February 21, 2024 - Machine learning in medication prescription: a systematic review. February 21, 2024 Iancu A, Leb I, Prokosch H-U, et al. Machine learning in medication prescription: a systematic review. Int J Med Inform. 2023;180:105241. doi:10.1016/j.ijmedinf.2023.105241. https://psnet.ahrq.gov/issue/machine-learning-medication-…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46577/psn-pdf
    April 03, 2018 - The new diagnostic team. April 3, 2018 Graber ML, Rusz D, Jones ML, et al. The new diagnostic team. Diagnosis (Berl). 2017;4(4):225-238. doi:10.1515/dx-2017-0022. https://psnet.ahrq.gov/issue/new-diagnostic-team Teamwork has been highlighted as a key component of patient safety that also applies to improving diag…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35207/psn-pdf
    December 19, 2009 - Patient safety concerns arising from test results that return after hospital discharge. December 19, 2009 Roy CL, Poon EG, Karson A, et al. Patient safety concerns arising from test results that return after hospital discharge. Ann Intern Med. 2005;143(2):121-128. https://psnet.ahrq.gov/issue/patient-safety-concer…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39277/psn-pdf
    August 22, 2018 - Preventing maternal death. August 22, 2018 Preventing maternal death. Sentinel Event Alert. 2010;44(44):1-4. https://psnet.ahrq.gov/issue/preventing-maternal-death The Joint Commission issues Sentinel Event Alerts to highlight areas of high risk and to promote the rapid adoption of risk reduction strategies. Adher…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46907/psn-pdf
    April 11, 2018 - To combat physician burnout and improve care, fix the electronic health record. April 11, 2018 Wachter R, Goldsmith J. Harv Bus Rev. March 30, 2018. https://psnet.ahrq.gov/issue/combat-physician-burnout-and-improve-care-fix-electronic-health-record Increased workload associated with electronic health record (EHR) …
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48180/psn-pdf
    August 21, 2019 - Burnout and Resilience and Quality and Safety Programs in Obstetrics and Gynecology. August 21, 2019 Main EK, Fowler JM, Gabbe SG, eds. Clin Obstet Gynecol. 2019;62:vii-xii,403-626. https://psnet.ahrq.gov/issue/burnout-and-resilience-and-quality-and-safety-programs-obstetrics-and- gynecology Obstetrics is a high-…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854389/psn-pdf
    October 11, 2023 - Alliance for Innovation on Maternal Health: Consensus Bundle on Sepsis in Obstetric Care. October 11, 2023 Bauer ME, Albright C, Prabhu M, et al. Alliance for Innovation on Maternal Health: Consensus Bundle on Sepsis in Obstetric Care. Obstet Gynecol. 2023;142(3):481-492. doi:10.1097/aog.0000000000005304. https://…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838641/psn-pdf
    October 19, 2022 - Optimizing Pediatric Patient Safety in the Emergency Care Setting. October 19, 2022 Joseph MM, Mahajan P, Snow SK, et al. Optimizing Pediatric Patient Safety in the Emergency Care Setting. Pediatrics. 2022;150(5):e2022059673. doi:10.1542/peds.2022-059673. https://psnet.ahrq.gov/issue/optimizing-pediatric-patient-s…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44935/psn-pdf
    April 15, 2016 - Pharmacy-led medication reconciliation programmes at hospital transitions: a systematic review and meta- analysis. April 15, 2016 Mekonnen AB, McLachlan AJ, Brien J-AE. Pharmacy-led medication reconciliation programmes at hospital transitions: a systematic review and meta-analysis. J Clin Pharm Ther. 2016;41(2):12…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44957/psn-pdf
    March 09, 2016 - Government and industry fail to protect the public when they suggest "carefully following instructions" is enough to prevent vaccine errors. March 9, 2016 ISMP Medication Safety Alert! Acute care edition. February 25, 2016;21(4):1-5. https://psnet.ahrq.gov/issue/government-and-industry-fail-protect-public-when-the…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60813/psn-pdf
    January 01, 2021 - Medication-related interventions delivered both in hospital and following discharge: a systematic review and meta-analysis. August 19, 2020 Daliri S, Boujarfi S, el Mokaddam A, et al. Medication-related interventions delivered both in hospital and following discharge: a systematic review and meta-analysis. BMJ Qua…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838080/psn-pdf
    September 14, 2022 - Effect on diagnostic accuracy of cognitive reasoning tools for the workplace setting: systematic review and meta-analysis. September 14, 2022 Staal J, Hooftman J, Gunput STG, et al. Effect on diagnostic accuracy of cognitive reasoning tools for the workplace setting: systematic review and meta-analysis. BMJ Qual S…

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