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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852803/psn-pdf
    August 23, 2023 - Sentinel Event Alert 67: Preserving Patient Safety After a Cyberattack. August 23, 2023 Sentinel Event Alert 67: Preserving Patient Safety After a Cyberattack. Jt Comm J Qual Patient Saf. 2023;49(12):724-729. doi:10.1016/j.jcjq.2023.07.006. https://psnet.ahrq.gov/issue/sentinel-event-alert-67-preserving-patient-sa…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34594/psn-pdf
    January 04, 2017 - John M. Eisenberg Patient Safety Awards. The Leapfrog Group for Patient Safety: rewarding higher standards. January 4, 2017 Eikel C, Delbanco S. John M. Eisenberg Patient Safety Awards. The Leapfrog Group for Patient Safety: rewarding higher standards. Jt Comm J Qual Saf. 2003;29(12):634-9. https://psnet.ahrq.gov/…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46763/psn-pdf
    January 27, 2019 - Human-simulation-based learning to prevent medication error: a systematic review. January 27, 2019 Sarfati L, Ranchon F, Vantard N, et al. Human-simulation-based learning to prevent medication error: A systematic review. J Eval Clin Pract. 2019;25(1):11-20. doi:10.1111/jep.12883. https://psnet.ahrq.gov/issue/human…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46206/psn-pdf
    August 02, 2017 - Patient safety in dentistry: development of a candidate 'never event' list for primary care. August 2, 2017 Black I, Bowie P. Patient safety in dentistry: development of a candidate 'never event' list for primary care. Br Dent J. 2017;222(10):782-788. doi:10.1038/sj.bdj.2017.456. https://psnet.ahrq.gov/issue/patie…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/839326/psn-pdf
    November 02, 2022 - Safety considerations for challenges when using smart infusion pumps. November 2, 2022 ISMP Medication Safety Alert! Acute care edition. October 20, 2022;20(21):1-5. https://psnet.ahrq.gov/issue/safety-considerations-challenges-when-using-smart-infusion-pumps Errors due to inadequate information use with intraveno…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44009/psn-pdf
    July 18, 2016 - Automated communication tools and computer-based medication reconciliation to decrease hospital discharge medication errors. July 18, 2016 Smith KJ, Handler S, Kapoor WN, et al. Automated Communication Tools and Computer-Based Medication Reconciliation to Decrease Hospital Discharge Medication Errors. Am J Med Qua…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42117/psn-pdf
    March 20, 2013 - Nurse–patient ratios as a patient safety strategy: a systematic review. March 20, 2013 Shekelle PG. Nurse-patient ratios as a patient safety strategy: a systematic review. Ann Intern Med. 2013;158(5 Pt 2):404-409. doi:10.7326/0003-4819-158-5-201303051-00007. https://psnet.ahrq.gov/issue/nurse-patient-ratios-patien…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/850356/psn-pdf
    June 14, 2023 - Prescribing errors in children: why they happen and how to prevent them. June 14, 2023 Conn R, Fox A, Carrington A, et al. Prescribing errors in children: why they happen and how to prevent them. Pharmaceutical Journal. 2023;310:7973. doi:10.1211/pj.2023.1.184013. https://psnet.ahrq.gov/issue/prescribing-errors-ch…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43478/psn-pdf
    August 27, 2014 - Is it time to move beyond errors in clinical reasoning and discuss accuracy? August 27, 2014 Wood TJ. Is it time to move beyond errors in clinical reasoning and discuss accuracy? Adv Health Sci Educ Theory Pract. 2014;19(3):403-407. doi:10.1007/s10459-014-9498-4. https://psnet.ahrq.gov/issue/it-time-move-beyond-er…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72813/psn-pdf
    March 10, 2021 - Racial/ethnic inequities in pregnancy-related morbidity and mortality. March 10, 2021 Minehart RD, Bryant AS, Jackson J, et al. Racial/ethnic inequities in pregnancy-related morbidity and mortality. Obstet Gynecol Clin North Am. 2021;48(1):31-51. doi:10.1016/j.ogc.2020.11.005. https://psnet.ahrq.gov/issue/racialet…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40598/psn-pdf
    August 10, 2011 - An inpatient fall prevention initiative in a tertiary care hospital. August 10, 2011 Weinberg J, Proske D, Szerszen A, et al. An inpatient fall prevention initiative in a tertiary care hospital. Jt Comm J Qual Patient Saf. 2011;37(7):317-325. https://psnet.ahrq.gov/issue/inpatient-fall-prevention-initiative-tertia…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73185/psn-pdf
    April 28, 2021 - Balancing patient safety, clinical efficacy, and cybersecurity with clinician partners. April 28, 2021 Schneider J, Wirth A. Balancing patient safety, clinical efficacy, and cybersecurity with clinician partners. Biomed Instrum Technol. 2021;55(1):21-28. doi:10.2345/0899-8205-55.1.21. https://psnet.ahrq.gov/issue/…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38774/psn-pdf
    July 08, 2009 - Evaluation of causes and frequency of medication errors during information technology downtime. July 8, 2009 Hanuscak TL, Szeinbach SL, Seoane-Vazquez E, et al. Evaluation of causes and frequency of medication errors during information technology downtime. Am J Health Syst Pharm. 2009;66(12):1119-24. doi:10.2146/a…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34730/psn-pdf
    October 29, 2013 - Medication Errors. 2nd ed. October 29, 2013 Cohen MR, ed. Washington DC: American Pharmacists Association; 2007. https://psnet.ahrq.gov/issue/medication-errors-2nd-ed Cohen, executive director of the Institute for Safe Medication Practices (ISMP), combined 25 years of experience as a leader in medication safety wi…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43045/psn-pdf
    August 02, 2015 - A multistep approach to improving biopsy site identification in dermatology: physician, staff, and patient roles based on a Delphi consensus. August 2, 2015 Alam M, Lee A, Ibrahimi OA, et al. A multistep approach to improving biopsy site identification in dermatology: physician, staff, and patient roles based on a…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838623/psn-pdf
    October 19, 2022 - Resident and nurse perspectives on the use of secure text messaging systems. October 19, 2022 Aziz S, Barber J, Singh A, et al. Resident and nurse perspectives on the use of secure text messaging systems. J Hosp Med. 2022;17(11):880-887. doi:10.1002/jhm.12953. https://psnet.ahrq.gov/issue/resident-and-nurse-perspe…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837075/psn-pdf
    May 11, 2022 - Lessons Learned from the COVID-19 Pandemic to Improve Diagnosis. Proceedings of a Workshop–in Brief. May 11, 2022 National Academies of Sciences, Engineering, and Medicine. Washington, DC: The National Academies Press; 2022. https://psnet.ahrq.gov/issue/lessons-learned-covid-19-pandemic-improve-diagnosis-proceedin…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/862613/psn-pdf
    February 14, 2024 - Standardizing medication reconciliation in a pediatric emergency department. February 14, 2024 Sheth S, Bialostozky M, Hollenbach K, et al. Standardizing medication reconciliation in a pediatric emergency department. Pediatrics. 2024;153(2):e2023061964. doi:10.1542/peds.2023-061964. https://psnet.ahrq.gov/issue/st…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/861285/psn-pdf
    January 24, 2024 - Analysis of a medication safety intervention in the pediatric emergency department. January 24, 2024 Samuels-Kalow ME, Tassone R, Manning W, et al. Analysis of a medication safety intervention in the pediatric emergency department. JAMA Netw Open. 2024;7(1):e2351629. doi:10.1001/jamanetworkopen.2023.51629. https:…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852748/psn-pdf
    August 23, 2023 - Compliance with central line maintenance bundle and infection rates. August 23, 2023 Tripathi S, McGarvey J, Lee K, et al. Compliance with central line maintenance bundle and infection rates. Pediatrics. 2023;152(3):e2022059688. doi:10.1542/peds.2022-059688. https://psnet.ahrq.gov/issue/compliance-central-line-mai…