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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40145/psn-pdf
    November 14, 2011 - Postoperative sepsis in the United States. November 14, 2011 Vogel TR, Dombrovskiy VY, Carson JL, et al. Postoperative sepsis in the United States. Ann Surg. 2010;252(6):1065-71. doi:10.1097/SLA.0b013e3181dcf36e. https://psnet.ahrq.gov/issue/postoperative-sepsis-united-states The safety of patients undergoing surg…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46657/psn-pdf
    December 16, 2017 - Diagnostic accuracy of pediatric teledermatology using parent-submitted photographs: a randomized clinical trial. December 16, 2017 O'Connor DM, Jew OS, Perman MJ, et al. Diagnostic Accuracy of Pediatric Teledermatology Using Parent- Submitted Photographs: A Randomized Clinical Trial. JAMA Dermatol. 2017;153(12):12…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42909/psn-pdf
    December 12, 2014 - Does applying technology throughout the medication use process improve patient safety with antineoplastics? December 12, 2014 Bubalo J, Warden BA, Wiegel JJ, et al. Does applying technology throughout the medication use process improve patient safety with antineoplastics? J Oncol Pharm Pract. 2014;20(6):445-60. do…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836829/psn-pdf
    March 30, 2022 - Safety in fragile, conflict-affected, and vulnerable settings: An evidence scanning approach for identifying patient safety interventions. March 30, 2022 O’Brien N, Shaw A, Flott K, et al. Safety in fragile, conflict-affected, and vulnerable settings: an evidence scanning approach for identifying patient safety in…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44162/psn-pdf
    May 27, 2015 - Computerised clinical decision support systems to improve medication safety in long-term care homes: a systematic review. May 27, 2015 Marasinghe KM. Computerised clinical decision support systems to improve medication safety in long-term care homes: a systematic review. BMJ Open. 2015;5(5):e006539. doi:10.1136/bm…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44207/psn-pdf
    August 21, 2018 - U.S. compounding pharmacy-related outbreaks, 2001-- 2013: public health and patient safety lessons learned. August 21, 2018 Shehab N, Brown MN, Kallen AJ, et al. U.S. compounding pharmacy-related outbreaks, 2001--2013: public health and patient safety lessons learned. J Patient Saf. 2018;14(3):164-173. doi:10.1097…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45192/psn-pdf
    December 04, 2016 - Evidence summary and recommendations for improved communication during care transitions. December 4, 2016 Jackson PD, Biggins MS, Cowan L, et al. Evidence Summary and Recommendations for Improved Communication during Care Transitions. Rehabil Nurs. 2016;41(3):135-48. doi:10.1002/rnj.230. https://psnet.ahrq.gov/iss…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46566/psn-pdf
    June 25, 2018 - A systematic review of interventions to follow-up test results pending at discharge. June 25, 2018 Darragh PJ, Bodley T, Orchanian-Cheff A, et al. A Systematic Review of Interventions to Follow-Up Test Results Pending at Discharge. J Gen Intern Med. 2018;33(5):750-758. doi:10.1007/s11606-017-4290-9. https://psnet.…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47121/psn-pdf
    August 08, 2018 - Assessment of programs aimed to decrease or prevent mistreatment of medical trainees. August 8, 2018 Mazer LM, Bereknyei Merrell S, Hasty BN, et al. Assessment of Programs Aimed to Decrease or Prevent Mistreatment of Medical Trainees. JAMA Netw Open. 2018;1(3):e180870. doi:10.1001/jamanetworkopen.2018.0870. https…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43799/psn-pdf
    January 07, 2015 - Omission of high-alert medications: a hidden danger. January 7, 2015 Grissinger M, Alghamdi D. PA-PSRS Patient Saf Advis. December 2014;11:149-155. https://psnet.ahrq.gov/issue/omission-high-alert-medications-hidden-danger Analyzing incidents reported over a 4-month period, this article reveals that 21% of 2700 med…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39602/psn-pdf
    August 09, 2013 - Postoperative handover: problems, pitfalls, and prevention of error. August 9, 2013 Nagpal K, Arora S, Abboudi M, et al. Postoperative handover: problems, pitfalls, and prevention of error. Ann Surg. 2010;252(1):171-6. doi:10.1097/SLA.0b013e3181dc3656. https://psnet.ahrq.gov/issue/postoperative-handover-problems-p…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60616/psn-pdf
    June 24, 2020 - Nurse-reported bullying and documented adverse patient events: an exploratory study in a US Hospital. June 24, 2020 Arnetz JE, Neufcourt L, Sudan S, et al. Nurse-reported bullying and documented adverse patient events: an exploratory study in a US Hospital. J Nurs Care Qual. 2020;35(3):206-212. doi:10.1097/ncq.000…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851645/psn-pdf
    July 26, 2023 - Anticoagulation-associated adverse drug events in hospitalized patients across two time periods. July 26, 2023 Fanikos J, Tawfik Y, Almheiri D, et al. Anticoagulation-associated adverse drug events in hospitalized patients across two time periods. Am J Med. 2023;136(9):927-936. doi:10.1016/j.amjmed.2023.05.013. ht…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45919/psn-pdf
    July 05, 2017 - Managing the patient identification crisis in healthcare and laboratory medicine. July 5, 2017 Lippi G, Mattiuzzi C, Bovo C, et al. Managing the patient identification crisis in healthcare and laboratory medicine. Clin Biochem. 2017;50(10-11):562-567. doi:10.1016/j.clinbiochem.2017.02.004. https://psnet.ahrq.gov/i…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45851/psn-pdf
    February 22, 2017 - Eight years of decreased methicillin-resistant Staphylococcus aureus health care–associated infections associated with a Veterans Affairs prevention initiative. February 22, 2017 Evans ME, Kralovic SM, Simbartl LA, et al. Eight years of decreased methicillin-resistant Staphylococcus aureus health care-associated i…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47607/psn-pdf
    February 13, 2019 - Infection prevention in long-term care: re-evaluating the system using a human factors engineering approach. February 13, 2019 Katz MJ, Gurses AP. Infection prevention in long-term care: re-evaluating the system using a human factors engineering approach. Infect Control Hosp Epidemiol. 2019;40(1):95-99. doi:10.1017…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867388/psn-pdf
    December 18, 2024 - Secure messaging use and wrong-patient ordering errors among inpatient clinicians. December 18, 2024 Lou SS, Lew D, Xia L, et al. Secure messaging use and wrong-patient ordering errors among inpatient clinicians. JAMA Netw Open. 2024;7(12):e2447797. doi:10.1001/jamanetworkopen.2024.47797. https://psnet.ahrq.gov/is…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45699/psn-pdf
    December 21, 2016 - Towards a new paradigm in laboratory medicine: the five rights. December 21, 2016 Plebani M. Towards a new paradigm in laboratory medicine: the five rights. Clin Chem Lab Med. 2016;54(12):1881-1891. doi:10.1515/cclm-2016-0848. https://psnet.ahrq.gov/issue/towards-new-paradigm-laboratory-medicine-five-rights Error…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44456/psn-pdf
    September 02, 2015 - Tackling communication barriers between long-term care facility and emergency department transfers to improve medication safety in older adults. September 2, 2015 Callinan SM, Brandt NJ. Tackling communication barriers between long-term care facility and emergency department transfers to improve medication safety …
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44238/psn-pdf
    November 03, 2015 - Use of temporary names for newborns and associated risks. November 3, 2015 Adelman JS, Aschner JL, Schechter CB, et al. Use of Temporary Names for Newborns and Associated Risks. Pediatrics. 2015;136(2):327-333. doi:10.1542/peds.2015-0007. https://psnet.ahrq.gov/issue/use-temporary-names-newborns-and-associated-ris…

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