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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47069/psn-pdf
    June 18, 2021 - Physical and verbal violence against health care workers. June 18, 2021 Physical and verbal violence against health care workers. Sentinel Event Alert. 2018;59:1-9 (revised June 18, 2021). https://psnet.ahrq.gov/issue/physical-and-verbal-violence-against-health-care-workers The Joint Commission issues sentinel eve…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44556/psn-pdf
    December 23, 2016 - Preventing falls and fall-related injuries in health care facilities. December 23, 2016 Sentinel Event Alert. September 28, 2015;(55):1-5. https://psnet.ahrq.gov/issue/preventing-falls-and-fall-related-injuries-health-care-facilities Falls in the hospital are common, particularly among elderly patients, and falls …
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50443/psn-pdf
    October 09, 2019 - Medicare's Hospital-Acquired Condition Reduction Program and community diversity in the United States: the need to account for racial and ethnic segregation. October 9, 2019 Hamadi H, Tafili A, Apatu E, et al. Medicare' Hospital-Acquired Condition Reduction Program and Community Diversity in the United States: The…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865969/psn-pdf
    May 29, 2024 - Impact of pharmacist-led interventions on medication- related problems among patients treated for cancer: a systematic review and meta-analysis of randomized control trials. May 29, 2024 Fentie AM, Huluka SA, Gebremariam GT, et al. Impact of pharmacist-led interventions on medication- related problems among patie…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42419/psn-pdf
    July 17, 2013 - Health IT Patient Safety Action and Surveillance Plan. July 17, 2013 Washington, DC: Office of the National Coordinator for Health Information Technology; July 2, 2013. https://psnet.ahrq.gov/issue/health-it-patient-safety-action-and-surveillance-plan This report from the Department of Health and Human Services (HH…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72568/psn-pdf
    January 01, 2021 - Alternatives to opioid education and a prescription drug monitoring program cumulatively decreased outpatient opioid prescriptions. December 16, 2020 Sigal A, Shah A, Onderdonk A, et al. Alternatives to opioid education and a prescription drug monitoring program cumulatively decreased outpatient opioid prescriptio…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45701/psn-pdf
    December 21, 2016 - Clinical decision support for drug related events: moving towards better prevention. December 21, 2016 Kane-Gill SL, Achanta A, Kellum JA, et al. Clinical decision support for drug related events: Moving towards better prevention. World J Crit Care Med. 2016;5(4):204-211. https://psnet.ahrq.gov/issue/clinical-deci…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74725/psn-pdf
    February 02, 2022 - A retrospective audit of postoperative days alive and out of hospital, including before and after implementation of the WHO surgical safety checklist. February 2, 2022 Moore MR, Mitchell SJ, Weller JM, et al. A retrospective audit of postoperative days alive and out of hospital, including before and after implemen…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865585/psn-pdf
    April 17, 2024 - Estimating the impact on patient safety of enabling the digital transfer of patients' prescription information in the English NHS. April 17, 2024 Camacho EM, Gavan S, Keers RN, et al. Estimating the impact on patient safety of enabling the digital transfer of patients’ prescription information in the English NHS. …
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61021/psn-pdf
    October 14, 2020 - Deficiencies in provider-reported interpreter use in a clinical trial comparing telephonic and video interpretation in a pediatric emergency department. October 14, 2020 Gutman CK, Klein EJ, Follmer K, et al. Deficiencies in provider-reported interpreter use in a clinical trial comparing telephonic and video inter…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45700/psn-pdf
    September 01, 2018 - Resolving malpractice claims after tort reform: experience in a self-insured Texas public academic health system. September 1, 2018 Sage WM, Harding MC, Thomas EJ. Resolving Malpractice Claims after Tort Reform: Experience in a Self- Insured Texas Public Academic Health System. Health Serv Res. 2016;51 Suppl 3:2615…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42832/psn-pdf
    September 01, 2016 - Overrides of medication-related clinical decision support alerts in outpatients. September 1, 2016 Nanji KC, Slight SP, Seger DL, et al. Overrides of medication-related clinical decision support alerts in outpatients. J Am Med Inform Assoc. 2014;21(3):487-91. doi:10.1136/amiajnl-2013-001813. https://psnet.ahrq.gov…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36997/psn-pdf
    June 29, 2011 - Dispensing errors in community pharmacy: perceived influence of sociotechnical factors. June 29, 2011 Szeinbach S, Seoane-Vazquez E, Parekh A, et al. Dispensing errors in community pharmacy: perceived influence of sociotechnical factors. Int J Qual Health Care. 2007;19(4):203-9. https://psnet.ahrq.gov/issue/dispen…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854828/psn-pdf
    October 25, 2023 - Medication safety amid technological change: usability evaluation to inform inpatient nurses' electronic health record system transition. October 25, 2023 Reale C, Ariosto DA, Weinger MB, et al. Medication safety amid technological change: usability evaluation to inform inpatient nurses' electronic health record s…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74203/psn-pdf
    December 22, 2021 - Surgical safety checklist audits may be misleading! Improving the implementation and adherence of the surgical safety checklist: a quality improvement project. December 22, 2021 Brown B, Bermingham S, Vermeulen M, et al. Surgical safety checklist audits may be misleading! Improving the implementation and adherence…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42796/psn-pdf
    December 13, 2013 - Telemedicine consultations and medication errors in rural emergency departments. December 13, 2013 Dharmar M, Kuppermann N, Romano PS, et al. Telemedicine consultations and medication errors in rural emergency departments. Pediatrics. 2013;132(6):1090-7. doi:10.1542/peds.2013-1374. https://psnet.ahrq.gov/issue/tel…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74854/psn-pdf
    February 23, 2022 - Nursing guidelines for comprehensive harm prevention strategies for adult patients in acute hospitals: an integrative review and synthesis. February 23, 2022 Redley B, Douglas T, Hoon L, et al. Nursing guidelines for comprehensive harm prevention strategies for adult patients in acute hospitals: An integrative rev…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40436/psn-pdf
    August 25, 2011 - Hospital discharge documentation and risk of rehospitalisation. August 25, 2011 Hansen LO, Strater A, Smith L, et al. Hospital discharge documentation and risk of rehospitalisation. BMJ Qual Saf. 2011;20(9):773-8. doi:10.1136/bmjqs.2010.048470. https://psnet.ahrq.gov/issue/hospital-discharge-documentation-and-risk…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60580/psn-pdf
    January 01, 2022 - Sustaining the gains: a 7-year follow-through of a hospital-wide patient safety improvement project on hospital-wide adverse event outcomes and patient safety culture. June 10, 2020 Sim MA, Ti LK, Mujumdar S, et al. Sustaining the gains: a 7-year follow-through of a hospital-wide patient safety improvement projec…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35906/psn-pdf
    May 27, 2011 - Error reduction in pediatric chemotherapy: computerized order entry and failure modes and effects analysis. May 27, 2011 Kim G, Chen AR, Arceci RJ, et al. Error reduction in pediatric chemotherapy: computerized order entry and failure modes and effects analysis. Arch Pediatr Adolesc Med. 2006;160(5):495-8. https:/…

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