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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47462/psn-pdf
    October 31, 2018 - Emergency department checklist: an innovation to improve safety in emergency care. October 31, 2018 Redfern E, Hoskins R, Gray J, et al. Emergency department checklist: an innovation to improve safety in emergency care. BMJ Open Qual. 2018;7(3):e000325. doi:10.1136/bmjoq-2018-000325. https://psnet.ahrq.gov/issue/e…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867016/psn-pdf
    October 23, 2024 - An automated, dynamic radiation oncology prescription checking system. October 23, 2024 Pashtan IM, Kosak T, Shin K-Y, et al. An automated, dynamic radiation oncology prescription checking system. Pract Radiat Oncol. 2024;14(4):343-352. doi:10.1016/j.prro.2023.12.002. https://psnet.ahrq.gov/issue/automated-dynamic…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41425/psn-pdf
    June 19, 2012 - Mortality and morbidity meetings: an untapped resource for improving the governance of patient safety? June 19, 2012 Higginson J, Walters R, Fulop NJ. Mortality and morbidity meetings: an untapped resource for improving the governance of patient safety? BMJ Qual Saf. 2012;21(7):576-585. doi:10.1136/bmjqs-2011-00060…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74848/psn-pdf
    February 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…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73396/psn-pdf
    June 16, 2021 - The impact of the built environment on patient falls in hospital rooms: an integrative review. June 16, 2021 Pati D, Valipoor S, Lorusso L, et al. The impact of the built environment on patient falls in hospital rooms: an integrative review. J Patient Saf. 2021;17(4):273-281. doi:10.1097/pts.0000000000000613. http…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39332/psn-pdf
    July 24, 2010 - Risk-sensitive events during laparoscopic cholecystectomy: the influence of the integrated operating room and a preoperative checklist tool. July 24, 2010 Buzink SN, van Lier L, de Hingh IHJT, et al. Risk-sensitive events during laparoscopic cholecystectomy: the influence of the integrated operating room and a pre…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854252/psn-pdf
    October 04, 2023 - Standardization and visualization of the surgical time-out. October 4, 2023 Levy BE, Wilt WS, Lantz S, et al. Standardization and visualization of the surgical time-out. J Patient Saf. 2023;19(7):453-459. doi:10.1097/pts.0000000000001156. https://psnet.ahrq.gov/issue/standardization-and-visualization-surgical-time-…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46322/psn-pdf
    August 02, 2017 - Sophisticated digital aids could help determine what ails you. August 2, 2017 Maron DF. Scientific American. July 21, 2017. https://psnet.ahrq.gov/issue/sophisticated-digital-aids-could-help-determine-what-ails-you Clinical decision support systems are a key strategy to improve diagnostic accuracy. This magazine a…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34870/psn-pdf
    April 18, 2016 - Unintended medication discrepancies at the time of hospital admission. April 18, 2016 Cornish PL, Knowles SR, Marchesano R, et al. Unintended medication discrepancies at the time of hospital admission. Arch Intern Med. 2005;165(4):424-9. https://psnet.ahrq.gov/issue/unintended-medication-discrepancies-time-hospita…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36106/psn-pdf
    May 27, 2011 - Evidence-based red cell transfusion in the critically ill: quality improvement using computerized physician order entry. May 27, 2011 Rana R, Afessa B, Keegan MT, et al. Evidence-based red cell transfusion in the critically ill: quality improvement using computerized physician order entry. Crit Care Med. 2006;34(7…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44838/psn-pdf
    February 10, 2016 - ADVERSE drug events: incidence and risk reduction across the care continuum. February 10, 2016 Wanderer JP, Rathmell JP. ADVERSE Drug Events: Incidence & risk reduction across the care continuum. Anesthesiology. 2016;124(1):A23. doi:10.1097/01.anes.0000473722.20007.03. https://psnet.ahrq.gov/issue/adverse-drug-eve…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45986/psn-pdf
    March 29, 2017 - Pediatric prehospital medication dosing errors: a national survey of paramedics. March 29, 2017 Hoyle JD, Crowe RP, Bentley MA, et al. Pediatric prehospital medication dosing errors: a national survey of paramedics. Prehosp Emerg Care. 2017;21(2):185-191. doi:10.1080/10903127.2016.1227001. https://psnet.ahrq.gov/i…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44473/psn-pdf
    September 27, 2016 - Medication errors in hospitals: a literature review of disruptions to nursing practice during medication administration. September 27, 2016 Hayes C, Jackson D, Davidson PM, et al. Medication errors in hospitals: a literature review of disruptions to nursing practice during medication administration. J Clin Nurs. 2…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841492/psn-pdf
    December 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…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837605/psn-pdf
    June 29, 2022 - Under the Skin. The Hidden Toll of Racism on American Lives and on the Health of our Nation. June 29, 2022 Villarosa L. New York, NT: Doubleday: 2022. ISBN 9780385544887.  https://psnet.ahrq.gov/issue/under-skin-hidden-toll-racism-american-lives-and-health-our-nation Health inequities are receiving increased …
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44048/psn-pdf
    November 20, 2015 - Clinical handover of the critically ill postoperative patient: an integrative review. November 20, 2015 Gardiner TM, Marshall AP, Gillespie BM. Clinical handover of the critically ill postoperative patient: an integrative review. Aust Crit Care. 2015;28(4):226-34. doi:10.1016/j.aucc.2015.02.001. https://psnet.ahrq…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45792/psn-pdf
    December 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…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39263/psn-pdf
    February 03, 2010 - Is there a benefit to multidisciplinary rounds in an open trauma intensive care unit regarding ventilator-associated pneumonia? February 3, 2010 Johnson V, Mangram A, Mitchell C, et al. Is there a benefit to multidisciplinary rounds in an open trauma intensive care unit regarding ventilator-associated pneumonia? A…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40219/psn-pdf
    December 29, 2014 - Cardiac surgery errors: results from the UK National Reporting and Learning System. December 29, 2014 Martinez EA, Shore AD, Colantuoni E, et al. Cardiac surgery errors: results from the UK National Reporting and Learning System. Int J Qual Health Care. 2011;23(2):151-8. doi:10.1093/intqhc/mzq084. https://psnet.ah…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73249/psn-pdf
    May 12, 2021 - I-PASS handover system: a decade of evidence demands action. May 12, 2021 Shahian DM. I-PASS handover system: a decade of evidence demands action. BMJ Qual Saf. 2021;30(10):769-774. doi:10.1136/bmjqs-2021-013314. https://psnet.ahrq.gov/issue/i-pass-handover-system-decade-evidence-demands-action The I-PASS structu…