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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42568/psn-pdf
    December 29, 2014 - Hospital readmission and parent perceptions of their child's hospital discharge. December 29, 2014 Berry JG, Ziniel SI, Freeman L, et al. Hospital readmission and parent perceptions of their child's hospital discharge. Int J Qual Health Care. 2013;25(5):573-81. doi:10.1093/intqhc/mzt051. https://psnet.ahrq.gov/iss…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41847/psn-pdf
    November 28, 2012 - Improving organizational climate for quality and quality of care: does membership in a collaborative help? November 28, 2012 Nembhard IM, Northrup V, Shaller D, et al. Improving organizational climate for quality and quality of care: does membership in a collaborative help? Med Care. 2012;50 Suppl:S74-82. doi:10.1…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42710/psn-pdf
    December 29, 2014 - Impact of electronic chemotherapy order forms on prescribing errors at an urban medical center: results from an interrupted time-series analysis. December 29, 2014 Elsaid K, Truong T, Monckeberg M, et al. Impact of electronic chemotherapy order forms on prescribing errors at an urban medical center: results from a…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73364/psn-pdf
    January 01, 2022 - Impact of opioid administration in the intensive care unit and subsequent use in opioid-naïve patients. June 9, 2021 Krancevich NM, Belfer JJ, Draper HM, et al. Impact of opioid administration in the intensive care unit and subsequent use in opioid-naïve patients. Ann Pharmacother. 2022;56(1):52-59. doi:10.1177/10…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42047/psn-pdf
    March 18, 2013 - Do you have to re-examine to reconsider your diagnosis? Checklists and cardiac exam. March 18, 2013 Sibbald M, de Bruin A, Cavalcanti RB, et al. Do you have to re-examine to reconsider your diagnosis? Checklists and cardiac exam. BMJ Qual Saf. 2013;22(4):333-8. doi:10.1136/bmjqs-2012-001537. https://psnet.ahrq.gov…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47900/psn-pdf
    January 01, 2021 - Is physician mentorship associated with the occurrence of adverse patient safety events? April 10, 2019 Harrison R, Sharma A, Lawton R, et al. Is Physician Mentorship Associated With the Occurrence of Adverse Patient Safety Events? J Patient Saf. 2021;17(8):e1633-e1637. doi:10.1097/PTS.0000000000000592. https://p…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866908/psn-pdf
    October 09, 2024 - Risk factors for wrong-site surgery: a study of 1,166 reports of informed consent and schedule errors. October 9, 2024 Taylor MA, Yonash RA. Risk factors for wrong-site surgery: a study of 1,166 reports of informed consent and schedule errors. Patient Safety. 2024;6(1):1-11. doi:10.33940/001c.117084. https://psnet…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47247/psn-pdf
    December 19, 2018 - Preventing central line–associated bloodstream infections in the intensive care unit: application of high- reliability principles. December 19, 2018 McCraw B, Crutcher T, Polancich S, et al. Preventing Central Line-Associated Bloodstream Infections in the Intensive Care Unit: Application of High-Reliability Princi…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38891/psn-pdf
    January 04, 2010 - Do calculation errors by nurses cause medication errors in clinical practice? A literature review. January 4, 2010 Wright K. Do calculation errors by nurses cause medication errors in clinical practice? A literature review. Nurse Educ Today. 2010;30(1):85-97. doi:10.1016/j.nedt.2009.06.009. https://psnet.ahrq.gov/…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44609/psn-pdf
    June 21, 2016 - The missing evidence: a systematic review of patients' experiences of adverse events in health care. June 21, 2016 Harrison R, Walton M, Manias E, et al. The missing evidence: a systematic review of patients' experiences of adverse events in health care. Int J Qual Health Care. 2015;27(6):424-42. doi:10.1093/intqhc…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/857444/psn-pdf
    December 06, 2023 - The relationship between nursing home staffing and resident safety outcomes: a systematic review of reviews. December 6, 2023 Blatter C, Osi?ska M, Simon M, et al. The relationship between nursing home staffing and resident safety outcomes: a systematic review of reviews. Int J Nurs Stud. 2023;150:104641. doi:10.1…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38047/psn-pdf
    January 31, 2011 - Single-patient rooms for safe patient-centered hospitals. January 31, 2011 Detsky ME. Single-Patient Rooms for Safe Patient-Centered Hospitals. JAMA. 2008;300(8). doi:10.1001/jama.300.8.954. https://psnet.ahrq.gov/issue/single-patient-rooms-safe-patient-centered-hospitals Providing patient-centered care continues …
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44103/psn-pdf
    July 08, 2015 - Results of survey on pediatric medication safety—part 1 and part 2. July 8, 2015 ISMP Medication Safety Alert! Acute Care Edition. June 4, 2015;20:1-6. July 2, 2015;20:1-5. https://psnet.ahrq.gov/issue/results-survey-pediatric-medication-safety-part-1-and-part-2 Hospitalized children are susceptible to medication …
  14. psnet.ahrq.gov/issue/patient-safety-group
    March 27, 2024 - Multi-use Website The Patient Safety Group. Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL August 9, 2006 Development of The Patient Safety Group was motivated by the death of…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45575/psn-pdf
    November 09, 2016 - Developing a high value care programme from the bottom up: a programme of faculty-resident improvement projects targeting harmful or unnecessary care. November 9, 2016 Stinnett-Donnelly JM, Stevens PG, Hood VL. Developing a high value care programme from the bottom up: a programme of faculty-resident improvement p…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39123/psn-pdf
    April 30, 2014 - Incorrect surgical procedures within and outside of the operating room. April 30, 2014 Neily J, Mills PD, Eldridge N, et al. Incorrect surgical procedures within and outside of the operating room. Arch Surg. 2009;144(11):1028-34. doi:10.1001/archsurg.2009.126. https://psnet.ahrq.gov/issue/incorrect-surgical-proced…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/850931/psn-pdf
    June 21, 2023 - What US hospitals are doing to prevent common device- associated infections during the coronavirus disease 2019 (COVID-19) pandemic: results from a national survey in the United States. June 21, 2023 Saint S, Greene MT, Krein SL, et al. What US hospitals are doing to prevent common device-associated infections du…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46565/psn-pdf
    January 23, 2019 - Closing the Loop: A Guide to Safer Ambulatory Referrals in the EHR Era. January 23, 2019 Institute for Healthcare Improvement, National Patient Safety Foundation. Cambridge, MA: Institute for Healthcare Improvement; 2017. https://psnet.ahrq.gov/issue/closing-loop-guide-safer-ambulatory-referrals-ehr-era Missed an…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42588/psn-pdf
    September 18, 2013 - Cognitive debiasing; part 1 and part 2. September 18, 2013 Croskerry P, Singhal G, Mamede S. Cognitive debiasing 1: origins of bias and theory of debiasing. BMJ Qual Saf. 2013;22 Suppl 2:ii58-ii64. doi:10.1136/bmjqs-2012-001712. https://psnet.ahrq.gov/issue/cognitive-debiasing-part-1-and-part-2 Experienced diagnos…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72566/psn-pdf
    January 01, 2021 - Incidence, nature and causes of avoidable significant harm in primary care in England: retrospective case note review. December 16, 2020 Avery AJ, Sheehan C, Bell BG, et al. Incidence, nature and causes of avoidable significant harm in primary care in England: retrospective case note review. BMJ Qual Saf. 2021;30(…

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