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  1. psnet.ahrq.gov/issue/lack-standard-dosing-methods-contributes-iv-errors
    December 07, 2022 - Newspaper/Magazine Article Lack of standard dosing methods contributes to IV errors. Citation Text: Lack of standard dosing methods contributes to IV errors. ISMP Medication Safety Alert! Acute care edition. August 23, 2007, Copy Citation Save Save to your library…
  2. psnet.ahrq.gov/issue/malpractice-risks-communication-failures-2015-annual-benchmarking-report
    July 18, 2018 - Book/Report Malpractice Risks in Communication Failures: 2015 Annual Benchmarking Report. Citation Text: Malpractice Risks in Communication Failures: 2015 Annual Benchmarking Report. Cambridge, MA: CRICO Strategies; 2016. Copy Citation Save Save to your library …
  3. psnet.ahrq.gov/issue/cultural-issues-related-allegations-bullying-and-harassment-nhs-highland-independent-review
    July 29, 2015 - Government Resource Cultural Issues Related to Allegations of Bullying and Harassment in NHS Highland: Independent Review Report. Citation Text: Cultural Issues Related to Allegations of Bullying and Harassment in NHS Highland: Independent Review Report. Sturrock J. Edinburgh, Scotland: …
  4. psnet.ahrq.gov/issue/proceedings-summit-preventing-patient-harm-and-death-iv-medication-errors
    June 16, 2019 - Meeting/Conference Proceedings Proceedings of a summit on preventing patient harm and death from IV medication errors. Citation Text: Proceedings of a summit on preventing patient harm and death from i.v. medication errors. doi:10.2146/ajhp080406. Copy Citation Format: DO…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44961/psn-pdf
    May 09, 2017 - Parent-reported errors and adverse events in hospitalized children. May 9, 2017 Khan A, Furtak SL, Melvin P, et al. Parent-reported errors and adverse events in hospitalized children. JAMA Pediatr. 2016;170(4):e154608. doi:10.1001/jamapediatrics.2015.4608. https://psnet.ahrq.gov/issue/parent-reported-errors-and-ad…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43566/psn-pdf
    December 19, 2014 - Bedside shift reports: what does the evidence say? December 19, 2014 Gregory S, Tan D, Tilrico M, et al. Bedside shift reports: what does the evidence say? J Nurs Adm. 2014;44(10):541-5. doi:10.1097/NNA.0000000000000115. https://psnet.ahrq.gov/issue/bedside-shift-reports-what-does-evidence-say Bedside shift report…
  7. psnet.ahrq.gov/perspective/conversation-linda-aiken-phd-rn
    March 01, 2018 - saw huge variation in nurses' ratings of their practice environment, with around 40% of all nurses reporting
  8. psnet.ahrq.gov/perspective/missed-nursing-care-key-measure-patient-safety
    March 01, 2018 - saw huge variation in nurses' ratings of their practice environment, with around 40% of all nurses reporting
  9. psnet.ahrq.gov/issue/flow-information-contributing-medication-incidents-home-care-analysis-considering-incident
    May 01, 2024 - Study Flow of information contributing to medication incidents in home care- an analysis considering incident reporters' perspectives. Citation Text: Vellonen M, Härkänen M, Välimäki T. Flow of information contributing to medication incidents in home care— an analysis considering inciden…
  10. psnet.ahrq.gov/issue/2022-updated-results-ahrq-surveys-patient-safety-culture-sops-diagnostic-safety-supplemental
    April 06, 2022 - Book/Report 2022 Updated Results for the AHRQ Surveys on Patient Safety Culture (SOPS) Diagnostic Safety Supplemental Items. Citation Text: 2022 Updated Results for the AHRQ Surveys on Patient Safety Culture (SOPS) Diagnostic Safety Supplemental Items. Famolaro T, Hare R, Tapia A, et al.…
  11. psnet.ahrq.gov/issue/learning-bristol-report-public-inquiry-childrens-heart-surgery-bristol-royal-infirmary-1984
    October 20, 2021 - Book/Report Classic Learning from Bristol: The Report of the Public Inquiry into Children's Heart Surgery at the Bristol Royal Infirmary 1984--1995. Citation Text: Learning from Bristol: The Report of the Public Inquiry into Children's Heart Surgery at the Brist…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867638/psn-pdf
    February 26, 2025 - Artificial intelligence related safety issues associated with FDA medical device reports. February 26, 2025 Handley JL, Krevat SA, Fong A, et al. Artificial intelligence related safety issues associated with FDA medical device reports. NPJ Digit Med. 2024;7(1):351. doi:10.1038/s41746-024-01357-5. https://psnet.ahr…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50775/psn-pdf
    January 01, 2021 - Content analysis of patient safety incident reports for older adult patient transfers, handovers, and discharges: do they serve organizations, staff, or patients? January 8, 2020 Scott J, Dawson P, Heavey E, et al. Content analysis of patient safety incident reports for older adult patient transfers, handovers, an…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39256/psn-pdf
    November 14, 2011 - Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2009. November 14, 2011 Oakbrook Terrace, IL: The Joint Commission; January 2010. https://psnet.ahrq.gov/issue/improving-americas-hospitals-joint-commissions-annual-report-quality-and- safety-2009 America's hospitals continu…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45416/psn-pdf
    August 24, 2016 - A framework to assess patient-reported adverse outcomes arising during hospitalization. August 24, 2016 Okoniewska B, Santana MJ, Holroyd-Leduc J, et al. A framework to assess patient-reported adverse outcomes arising during hospitalization. BMC Health Serv Res. 2016;16(a):357. doi:10.1186/s12913-016- 1526-z. htt…
  16. psnet.ahrq.gov/issue/improving-americas-hospitals-joint-commissions-annual-report-quality-and-safety-2010
    November 23, 2016 - Book/Report Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2010. Citation Text: Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2010. Oakbrook Terrace, IL: The Joint Commission; September 2010. …
  17. psnet.ahrq.gov/issue/assessment-ahrq-patient-safety-initiative-moving-research-practice-evaluation-report-ii-2003
    May 21, 2014 - Book/Report Assessment of the AHRQ Patient Safety Initiative: Moving from Research to Practice Evaluation Report II (2003–2004). Citation Text: Assessment of the AHRQ Patient Safety Initiative: Moving from Research to Practice Evaluation Report II (2003–2004). Farley D, Morton SC, Damber…
  18. psnet.ahrq.gov/issue/nursing-home-survey-patient-safety-culture
    November 23, 2016 - Measurement Tool/Indicator Nursing Home Survey on Patient Safety Culture. Citation Text: Nursing Home Survey on Patient Safety Culture. Rockville, MD: Agency for Healthcare Research and Quality; October 2020. Copy Citation Save Save to your library Print …
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34662/psn-pdf
    December 24, 2008 - User's manual for the IOM's 'Quality Chasm' report. December 24, 2008 Berwick DM. A user's manual for the IOM's 'Quality Chasm' report. Health Aff (Millwood). 2002;21(3):80-90. https://psnet.ahrq.gov/issue/users-manual-ioms-quality-chasm-report Fifteen months after releasing its report on patient safety (To Err Is …
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/857461/psn-pdf
    December 06, 2023 - 'Nobody cared': Women who have reported mistreatment while giving birth say CDC report validates their trauma. Advocates call for systemic change in treatment of pregnant people. December 6, 2023 Dwyer D, See P. ABC News. November 28, 2023. https://psnet.ahrq.gov/issue/nobody-cared-women-who-have-reported-mistrea…

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