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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39626/psn-pdf
    June 23, 2010 - The Medication Manager: results of a medication at the bedside pilot in a pediatric teaching institution. June 23, 2010 Wagner D, Pasko D, Glenn D, et al. The Medication Manager. J Patient Saf. 2010;6(2). doi:10.1097/pts.0b013e3181cb43b4. https://psnet.ahrq.gov/issue/medication-manager-results-medication-bedside-p…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867699/psn-pdf
    June 01, 2023 - Toolkit for Improving Surgical Care and Recovery. June 1, 2023 Agency for Healthcare Research and Quality. Toolkit for Improving Surgical Care and Recovery. June 2023. https://psnet.ahrq.gov/issue/toolkit-improving-surgical-care-and-recovery Improving patient experience fosters better communication, trust, and col…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37080/psn-pdf
    October 03, 2011 - Pharmacists' perceptions of computerized prescriber- order-entry systems. October 3, 2011 Inquilla CC, Szeinbach S, Seoane-Vazquez E, et al. Pharmacists' perceptions of computerized prescriber- order-entry systems. Am J Health Syst Pharm. 2007;64(15):1626-32. https://psnet.ahrq.gov/issue/pharmacists-perceptions-co…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41608/psn-pdf
    August 22, 2012 - Reduction in pediatric identification band errors: a quality collaborative. August 22, 2012 Phillips SC, Saysana M, Worley S, et al. Reduction in pediatric identification band errors: a quality collaborative. Pediatrics. 2012;129(6):e1587-93. doi:10.1542/peds.2011-1911. https://psnet.ahrq.gov/issue/reduction-pedia…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847734/psn-pdf
    April 19, 2023 - Patient safety tools for primary care. April 19, 2023 Domdera J. Fam Pract Manag. 2023;30(2):24-28. https://psnet.ahrq.gov/issue/patient-safety-tools-primary-care A large segment of patients receives outpatient care. This commentary suggests that high-reliability concepts be applied in the primary care environment…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36261/psn-pdf
    August 04, 2009 - Malpractice liability, patient safety, and the personification of medical injury: opportunities for academic medicine. August 4, 2009 Sage WM. Malpractice liability, patient safety, and the personification of medical injury: opportunities for academic medicine. Acad Med. 2006;81(9):823-6. https://psnet.ahrq.gov/i…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34991/psn-pdf
    June 22, 2009 - Use of failure mode and effects analysis in improving the safety of i.v. drug administration. June 22, 2009 Adachi W, Lodolce AE. Use of failure mode and effects analysis in improving the safety of i.v. drug administration. Am J Health Syst Pharm. 2005;62(9):917-20. https://psnet.ahrq.gov/issue/use-failure-mode-an…
  8. psnet.ahrq.gov/issue/breast-cancer-missed-screening-hindsight-or-mistakes
    November 15, 2023 - Study Breast cancer missed at screening; hindsight or mistakes? Citation Text: Hovda T, Larsen M, Romundstad L, et al. Breast cancer missed at screening; hindsight or mistakes? Eur J Radiol. 2023;165:110913. doi:10.1016/j.ejrad.2023.110913. Copy Citation Format: DOI Google …
  9. psnet.ahrq.gov/issue/safety-inpatient-health-care
    May 15, 2024 - Study The safety of inpatient health care. Citation Text: Bates DW, Levine DM, Salmasian H, et al. The safety of inpatient health care. New Engl J Med. 2023;388(2):142-153. doi:10.1056/nejmsa2206117. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 X…
  10. psnet.ahrq.gov/issue/application-global-trigger-tool-systematic-review
    December 06, 2023 - Review The application of the Global Trigger Tool: a systematic review. Citation Text: Hibbert PD, Molloy CJ, Hooper TD, et al. The application of the Global Trigger Tool: a systematic review. Int J Qual Health Care. 2016;28(6):640-649. doi:10.1093/intqhc/mzw115. Copy Citation For…
  11. psnet.ahrq.gov/issue/improving-hand-hygiene-eight-hospitals-united-states-targeting-specific-causes-noncompliance
    April 13, 2022 - Study Classic Improving hand hygiene at eight hospitals in the United States by targeting specific causes of noncompliance. Citation Text: Chassin MR, Mayer C, Nether K. Improving hand hygiene at eight hospitals in the United States by targeting specific causes …
  12. psnet.ahrq.gov/issue/individual-characteristics-promote-or-prevent-psychological-safety-and-error-reporting
    September 14, 2022 - Review Individual characteristics that promote or prevent psychological safety and error reporting in healthcare: a systematic review. Citation Text: Wawersik DM, Boutin ER, Gore T, et al. Individual characteristics that promote or prevent psychological safety and error reporting in heal…
  13. psnet.ahrq.gov/issue/measurement-patient-safety-systematic-review-reliability-and-validity-adverse-event-detection
    November 16, 2016 - Review Measurement of patient safety: a systematic review of the reliability and validity of adverse event detection with record review. Citation Text: Hanskamp-Sebregts M, Zegers M, Vincent CA, et al. Measurement of patient safety: a systematic review of the reliability and validity of …
  14. psnet.ahrq.gov/issue/medication-safety-neonatal-care-review-medication-errors-among-neonates
    August 15, 2016 - Review Medication safety in neonatal care: a review of medication errors among neonates. Citation Text: Krzyzaniak N, Bajorek B. Medication safety in neonatal care: a review of medication errors among neonates. Ther Adv Drug Saf. 2016;7(3):102-119. doi:10.1177/2042098616642231. Copy Ci…
  15. psnet.ahrq.gov/issue/role-organizational-and-professional-cultures-medication-safety-scoping-review-literature
    February 12, 2020 - Review The role of organizational and professional cultures in medication safety: a scoping review of the literature. Citation Text: Machen S, Jani Y, Turner S, et al. The role of organizational and professional cultures in medication safety: a scoping review of the literature. Int J Hea…
  16. psnet.ahrq.gov/issue/call-action-next-steps-advance-diagnosis-education-health-professions
    November 25, 2020 - Commentary A call to action: next steps to advance diagnosis education in the health professions. Citation Text: Graber ML, Holmboe ES, Stanley J, et al. A call to action: next steps to advance diagnosis education in the health professions. Diagnosis (Berl). 2022;9(2):166-175. doi:10.151…
  17. psnet.ahrq.gov/issue/engaging-patients-vigilant-partners-safety-systematic-review
    February 06, 2019 - Review Classic Engaging patients as vigilant partners in safety: a systematic review. Citation Text: Schwappach DLB. Engaging patients as vigilant partners in safety: a systematic review. Med Care Res Rev. 2010;67(2):119-148. doi:10.1177/1077558709342254. Co…
  18. psnet.ahrq.gov/issue/effectiveness-and-efficiency-root-cause-analysis-medicine
    July 11, 2012 - Commentary Classic Effectiveness and efficiency of root cause analysis in medicine. Citation Text: Wu AW. Effectiveness and Efficiency of Root Cause Analysis in Medicine. JAMA. 2008;299(6):685-687. doi:10.1001/jama.299.6.685. Copy Citation Format: …
  19. psnet.ahrq.gov/issue/pending-studies-hospital-discharge-pre-post-analysis-electronic-medical-record-tool-improve
    September 16, 2020 - Study Pending studies at hospital discharge: a pre-post analysis of an electronic medical record tool to improve communication at hospital discharge. Citation Text: Kantor MA, Evans KH, Shieh L. Pending studies at hospital discharge: a pre-post analysis of an electronic medical record to…
  20. psnet.ahrq.gov/issue/american-college-surgeons-committee-trauma-performance-improvement-and-patient-safety-program
    September 23, 2020 - Study American College of Surgeons' Committee on Trauma performance improvement and patient safety program: maximal impact in a mature trauma center. Citation Text: Sarkar B, Brunsvold ME, Cherry-Bukoweic JR, et al. American College of Surgeons' Committee on Trauma Performance Improvem…

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