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9541. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47340/psn-pdf
      February 22, 2019 - Understanding test results follow-up in the ambulatory setting: analysis of multiple perspectives. February 22, 2019 Ai A, Desai S, Shellman A, et al. Understanding Test Results Follow-Up in the Ambulatory Setting: Analysis of Multiple Perspectives. Jt Comm J Qual Patient Saf. 2018;44(11):674-682. doi:10.1016/j.jc…

9542. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44515/psn-pdf
      February 23, 2018 - The Expert Panel Report to Texas Health Resources Leadership on the 2014 Ebola Events. February 23, 2018 Cortese D, Abbott P, Chassin M, Lyon GM III, Riley WJ. Dallas, TX: Texas Health Resources Leadership; 2015. https://psnet.ahrq.gov/issue/expert-panel-report-texas-health-resources-leadership-2014-ebola-events …

9543. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/838249/psn-pdf
      October 05, 2022 - Rooting an error review process in just culture: lessons learned. October 5, 2022 Neiswender K, Figueroa-Altmann A, Granahan K, et al. Rooting an error review process in just culture: lessons learned. Patient Safety. 2022;4(3):34-38. doi:10.33940/culture/2022.9.5. https://psnet.ahrq.gov/issue/rooting-error-review-…

9544. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74834/psn-pdf
      February 16, 2022 - Evaluating incident learning systems and safety culture in two radiation oncology departments. February 16, 2022 Adamson L, Beldham?Collins R, Sykes J, et al. Evaluating incident learning systems and safety culture in two radiation oncology departments. J Med Radiat Sci. 2022;69(2):208-217. doi:10.1002/jmrs.563. h…

9545. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38270/psn-pdf
      December 01, 2010 - Improving America's Hospitals: The Joint Commission's Report on Quality and Safety 2008. December 1, 2010 Oakbrook Terrace, IL: The Joint Commission; November 2008. https://psnet.ahrq.gov/issue/improving-americas-hospitals-joint-commissions-report-quality-and-safety-2008 The quality of care delivered at US hospita…

9546. Structured communication for patient safety in emergency medical services: a legal case report. | PSNet
      psnet.ahrq.gov/issue/structured-communication-patient-safety-emergency-medical-services-legal-case-report
      November 21, 2021 - Commentary Structured communication for patient safety in emergency medical services: a legal case report. Citation Text: Greenwood MJ, Heninger JR. Structured communication for patient safety in emergency medical services: a legal case report. Prehosp Emerg Care. 2010;14(3):345-8. doi…

9547. Managing patients with identical names in the same ward. | PSNet
      psnet.ahrq.gov/issue/managing-patients-identical-names-same-ward
      November 16, 2022 - Study Managing patients with identical names in the same ward. Citation Text: Lee ACW, Leung M, So KT. Managing patients with identical names in the same ward. Int J Health Care Qual Assur Inc Leadersh Health Serv. 2005;18(1):15-23. Copy Citation Format: Google Scholar PubM…

9548. Interrater agreement with a standard scheme for classifying medication errors. | PSNet
      psnet.ahrq.gov/issue/interrater-agreement-standard-scheme-classifying-medication-errors
      September 30, 2020 - Study Interrater agreement with a standard scheme for classifying medication errors. Citation Text: Forrey RA, Pedersen CA, Schneider PJ. Interrater agreement with a standard scheme for classifying medication errors. Am J Health Syst Pharm. 2007;64(2):175-81. Copy Citation Format…

9549. ADVERSE drug events: incidence and risk reduction across the care continuum. | PSNet
      psnet.ahrq.gov/issue/adverse-drug-events-incidence-and-risk-reduction-across-care-continuum
      April 12, 2019 - Image/Poster ADVERSE drug events: incidence and risk reduction across the care continuum. Citation Text: 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. Copy C…

9550. A novel tool for organisational learning and its impact on safety culture in a hospital dispensary. | PSNet
      psnet.ahrq.gov/issue/novel-tool-organisational-learning-and-its-impact-safety-culture-hospital-dispensary
      January 21, 2015 - Study A novel tool for organisational learning and its impact on safety culture in a hospital dispensary. Citation Text: Sujan MA. A novel tool for organisational learning and its impact on safety culture in a hospital dispensary. Reliab Eng Syst Saf. 2012;101:21-34. doi:10.1016/j.ress…

9551. The Nursing Home Expert Panel’s Falls Investigation Guide Toolkit: How-To Guide. | PSNet
      psnet.ahrq.gov/issue/nursing-home-expert-panels-falls-investigation-guide-toolkit-how-guide
      January 09, 2025 - Tools/Toolkit The Nursing Home Expert Panel’s Falls Investigation Guide Toolkit: How-To Guide. Citation Text: The Nursing Home Expert Panel’s Falls Investigation Guide Toolkit: How-To Guide. Portland, OR: Oregon Patient Safety Commission; 2022.  Copy Citation Sav…

9552. Severity of medication administration errors detected by a bar-code medication administration system. | PSNet
      psnet.ahrq.gov/issue/severity-medication-administration-errors-detected-bar-code-medication-administration-system
      June 17, 2010 - Study Severity of medication administration errors detected by a bar-code medication administration system. Citation Text: Sakowski J, Newman JM, Dozier K. Severity of medication administration errors detected by a bar-code medication administration system. Am J Health Syst Pharm. 2008…

9553. Toward safer practice in otology: a report on 15 years of clinical negligence claims. | PSNet
      psnet.ahrq.gov/issue/toward-safer-practice-otology-report-15-years-clinical-negligence-claims
      January 21, 2015 - Study Toward safer practice in otology: a report on 15 years of clinical negligence claims. Citation Text: Mathew R, Asimacopoulos E, Valentine P. Toward safer practice in otology: a report on 15 years of clinical negligence claims. Laryngoscope. 2011;121(10):2214-9. doi:10.1002/lary.2…

9554. Our other prescription drug problem. | PSNet
      psnet.ahrq.gov/issue/our-other-prescription-drug-problem
      May 17, 2017 - Commentary Our other prescription drug problem. Citation Text: Lembke A, Papac J, Humphreys K. Our Other Prescription Drug Problem. N Engl J Med. 2018;378(8):693-695. doi:10.1056/NEJMp1715050. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 X…

9555. Systematic evidence review of rates and burden of harm of intravenous admixture drug preparation errors in healthcare settings. | PSNet
      psnet.ahrq.gov/issue/systematic-evidence-review-rates-and-burden-harm-intravenous-admixture-drug-preparation
      October 22, 2008 - Review Systematic evidence review of rates and burden of harm of intravenous admixture drug preparation errors in healthcare settings. Citation Text: Hedlund N, Beer I, Hoppe-Tichy T, et al. Systematic evidence review of rates and burden of harm of intravenous admixture drug preparation …

9556. Evaluating sample medications in primary care: a practice-based research network study. | PSNet
      psnet.ahrq.gov/issue/evaluating-sample-medications-primary-care-practice-based-research-network-study
      July 12, 2010 - Study Evaluating sample medications in primary care: a practice-based research network study. Citation Text: Hansen LB, Saseen JJ, Westfall JM, et al. Evaluating sample medications in primary care: a practice-based research network study. Jt Comm J Qual Patient Saf. 2006;32(12):688-692…

9557. AHRQ-Funded Patient Safety Project Highlights: Improving Healthcare Safety by Engaging Patients and Families. | PSNet
      psnet.ahrq.gov/issue/ahrq-funded-patient-safety-project-highlights-improving-healthcare-safety-engaging-patients
      March 22, 2024 - Book/Report AHRQ-Funded Patient Safety Project Highlights: Improving Healthcare Safety by Engaging Patients and Families. Citation Text: AHRQ-Funded Patient Safety Project Highlights: Improving Healthcare Safety by Engaging Patients and Families. Rockville, MD: Agency for Healthcare Rese…

9558. Pediatric Diagnostic Safety: State of the Science and Future Directions. | PSNet
      psnet.ahrq.gov/issue/pediatric-diagnostic-safety-state-science-and-future-directions
      August 16, 2023 - Book/Report Pediatric Diagnostic Safety: State of the Science and Future Directions. Citation Text: Pediatric Diagnostic Safety: State of the Science and Future Directions. Grubenhoff JA, Cifra CL, Marshall T, et al. Rockville, MD: Agency for Healthcare Research and Quality; September 20…

9559. Documenting Diagnosis: Exploring the Impact of Electronic Health Records on Diagnostic Safety. | PSNet
      psnet.ahrq.gov/issue/documenting-diagnosis-exploring-impact-electronic-health-records-diagnostic-safety
      August 16, 2023 - Book/Report Documenting Diagnosis: Exploring the Impact of Electronic Health Records on Diagnostic Safety. Citation Text: Miller K, Ratwani R, Hose B-Z, et al. Documenting Diagnosis: Exploring The Impact Of Electronic Health Records On Diagnostic Safety. Rockville, MD: Agency for Healthc…

9560. Advances in the Prevention and Control of HAIs. | PSNet
      psnet.ahrq.gov/issue/advances-prevention-and-control-hais
      August 20, 2018 - Book/Report Advances in the Prevention and Control of HAIs. Citation Text: Advances in the Prevention and Control of HAIs. Battles JB, Cleeman JI, Kahn KL, Weinberg DA, eds. Rockville, MD: Agency for Healthcare Research and Quality; June 2014. AHRQ Publication No. 14-0003. Copy Citatio…