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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33739/psn-pdf
    October 01, 2012 - The Physical Environment: An Often Unconsidered Patient Safety Tool October 1, 2012 Joseph A, Malone EB. The Physical Environment: An Often Unconsidered Patient Safety Tool. PSNet [internet]. 2012. https://psnet.ahrq.gov/perspective/physical-environment-often-unconsidered-patient-safety-tool Perspective Now that…
  2. psnet.ahrq.gov/web-mm/wrong-side-bedside-paravertebral-block-preventing-preventable
    August 10, 2019 - Wrong-side Bedside Paravertebral Block: Preventing the Preventable Citation Text: Barrington MJ, Uda Y. Wrong-side Bedside Paravertebral Block: Preventing the Preventable. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017. Copy C…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33751/psn-pdf
    January 01, 2014 - Strengthening the Business Case for Patient Safety May 1, 2013 Lindenauer PK. Strengthening the Business Case for Patient Safety. PSNet [internet]. 2013. https://psnet.ahrq.gov/perspective/strengthening-business-case-patient-safety Perspective After more than a decade in the national spotlight, the problem of pati…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866579/psn-pdf
    August 28, 2024 - There is no evidence that one type of hand antisepsis is better than another in reducing surgical site
  5. psnet.ahrq.gov/web-mm/intraoperative-awareness-during-rhinoplasty
    January 29, 2021 - have occurred even when these monitors were used. 15 Recently, these monitors have been advocated for reducing
  6. psnet.ahrq.gov/web-mm/infection-after-carpal-tunnel-surgery
    May 28, 2014 - There is no evidence that one type of hand antisepsis is better than another in reducing surgical site
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60838/psn-pdf
    January 01, 2021 - Using the ecological systems theory to understand black/white disparities in maternal morbidity and mortality in the United States. August 26, 2020 Noursi S, Saluja B, Richey L. Using the ecological systems theory to understand black/white disparities in maternal morbidity and mortality in the United States. J Rac…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47291/psn-pdf
    October 31, 2018 - Incidence and method of suicide in hospitals in the United States. October 31, 2018 Williams SC, Schmaltz SP, Castro GM, et al. Incidence and Method of Suicide in Hospitals in the United States. Jt Comm J Qual Patient Saf. 2018;44(11):643-650. doi:10.1016/j.jcjq.2018.08.002. https://psnet.ahrq.gov/issue/incidence-…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72792/psn-pdf
    March 03, 2021 - Avoiding a Med-Wreck: a structured medication reconciliation framework and standardized auditing tool utilized to optimize patient safety and reallocate hospital resources. March 3, 2021 Elbeddini A, Almasalkhi S, Prabaharan T, et al. Avoiding a Med-Wreck: a structured medication reconciliation framework and stan…
  10. 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…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47445/psn-pdf
    October 24, 2018 - Diagnostic error in the critically ill: defining the problem and exploring next steps to advance intensive care unit safety. October 24, 2018 Bergl PA, Nanchal RS, Singh H. Diagnostic Error in the Critically III: Defining the Problem and Exploring Next Steps to Advance Intensive Care Unit Safety. Ann Am Thorac Soc…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848359/psn-pdf
    May 03, 2023 - Medical line entanglement: the unspoken patient safety hazard of medical devices. May 3, 2023 Larimer C, Sumner V, Wander D. Medical line entanglement: the unspoken patient safety hazard of medical devices. Nutr Clin Pract. 2023;38(6):1296-1308. doi:10.1002/ncp.11000. https://psnet.ahrq.gov/issue/medical-line-enta…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46672/psn-pdf
    January 30, 2018 - Elevated mortality among weekend hospital admissions is not associated with adoption of seven day clinical standards. January 30, 2018 Meacock R, Sutton M. Elevated mortality among weekend hospital admissions is not associated with adoption of seven day clinical standards. Emerg Med J. 2018;35(2):108-113. doi:10.1…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43292/psn-pdf
    January 07, 2015 - Clinical decision support for atypical orders: detection and warning of atypical medication orders submitted to a computerized provider order entry system. January 7, 2015 Woods AD, Mulherin DP, Flynn AJ, et al. Clinical decision support for atypical orders: detection and warning of atypical medication orders subm…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866156/psn-pdf
    June 20, 2024 - Interventions to prevent falls in older adults: updated evidence report and systematic review for the US Preventive Services Task Force. June 20, 2024 Guirguis-Blake JM, Perdue LA, Coppola EL, et al. Interventions to prevent falls in older adults: updated evidence report and systematic review for the US Preventive…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837969/psn-pdf
    August 31, 2022 - Comparing the variability of ingredient, strength, and dose form information from electronic prescriptions with RxNorm drug product descriptions. August 31, 2022 Lester CA, Flynn AJ, Marshall VD, et al. Comparing the variability of ingredient, strength, and dose form information from electronic prescriptions with …
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38029/psn-pdf
    September 03, 2008 - Minimizing surgical error by incorporating objective assessment into surgical education. September 3, 2008 Champion HR, Meglan DA, Shair EK. Minimizing Surgical Error by Incorporating Objective Assessment into Surgical Education. J Am Coll Surg. 2008;207(2). doi:10.1016/j.jamcollsurg.2008.02.038. https://psnet.ahr…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73131/psn-pdf
    April 14, 2021 - Identification of common themes from never events data published by NHS England. April 14, 2021 Omar I, Graham Y, Singhal R, et al. Identification of common themes from never events data published by NHS England. World J Surg. 2021;45(3):697-704. doi:10.1007/s00268-020-05867-7. https://psnet.ahrq.gov/issue/identif…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37745/psn-pdf
    May 07, 2008 - Clinical outcomes of a home-based medication reconciliation program after discharge from a skilled nursing facility. May 7, 2008 Delate T, Chester EA, Stubbings TW, et al. Clinical outcomes of a home-based medication reconciliation program after discharge from a skilled nursing facility. Pharmacotherapy. 2008;28(4…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848318/psn-pdf
    May 03, 2023 - Teamwork, clinical leadership skills and environmental factors that influence missed nursing care - a qualitative study on hospital wards. May 3, 2023 Beiboer C, Andela R, Hafsteinsdóttir TB, et al. Teamwork, clinical leadership skills and environmental factors that influence missed nursing care – a qualitative st…

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