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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41580/psn-pdf
    June 10, 2018 - Raising the index of suspicion: red flags that represent credible threats to patient safety. June 10, 2018 ISMP Medication Safety Alert! Acute Care Edition. July 26, 2012;17:1-3. https://psnet.ahrq.gov/issue/raising-index-suspicion-red-flags-represent-credible-threats-patient-safety This newsletter article highlig…
  2. psnet.ahrq.gov/issue/using-pediatric-trigger-tool-estimate-total-harm-burden-hospital-acquired-conditions
    July 03, 2016 - Study Using a pediatric trigger tool to estimate total harm burden hospital-acquired conditions represent. Citation Text: Stockwell DC, Landrigan CP, Schuster MA, et al. Using a Pediatric Trigger Tool to Estimate Total Harm Burden Hospital-acquired Conditions Represent. Pediatr Qual Saf.…
  3. psnet.ahrq.gov/web-mm/medical-devices-wild
    March 27, 2024 - and Quality and the Johns Hopkins University Applied Physics Laboratory, along with input of the 41 representatives
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/842923/psn-pdf
    February 01, 2023 - Such a team should include the unit manager and representatives from units such as Environmental Services
  5. psnet.ahrq.gov/taxonomy/term/3475
    September 15, 2025 - Error An act of commission (doing something wrong) or omission (failing to do the right thing) that leads to an undesirable outcome or significant potential for such an outcome. For instance, ordering a medication for a patient with a documented allergy to that medication would be an act of commission. Failing to pre…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74118/psn-pdf
    January 01, 2022 - From HRO to HERO: making health equity a core system capability. November 24, 2021 Moy E, Hausmann LRM, Clancy CM. From HRO to HERO: making health equity a core system capability. Am J Med Qual. 2022;37(1):81-83. doi:10.1097/jmq.0000000000000020. https://psnet.ahrq.gov/issue/hro-hero-making-health-equity-core-syst…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48046/psn-pdf
    August 21, 2019 - Educational targets to reduce medication errors by general surgery residents. August 21, 2019 Chaitoff A, Strong AT, Bauer SR, et al. Educational Targets to Reduce Medication Errors by General Surgery Residents. J Surg Educ. 2019;76(6):1612-1621. doi:10.1016/j.jsurg.2019.04.009. https://psnet.ahrq.gov/issue/educat…
  8. psnet.ahrq.gov/perspective/conversation-withjennifer-daley-md
    January 01, 2008 - Effectiveness operated as an IHI "system node" and provided coordination between 100,000 Lives Campaign representatives … In 2004, AHS Corporate representatives attended the IHI's Patient Safety Officer training program in
  9. psnet.ahrq.gov/perspective/patient-advocacy-patient-safety-have-things-changed
    June 01, 2014 - Safety Foundation had had in its specialty.( 11 ) The worlds of provider and protester collided when representatives … Subcommittee on Oversight and Investigations of the Committee of Interstate and Foreign Commerce, House of Representatives
  10. psnet.ahrq.gov/perspective/conversation-dave-debronkart
    June 01, 2014 - Safety Foundation had had in its specialty.( 11 ) The worlds of provider and protester collided when representatives … Subcommittee on Oversight and Investigations of the Committee of Interstate and Foreign Commerce, House of Representatives
  11. psnet.ahrq.gov/issue/prospective-study-evaluate-awareness-about-medication-errors-amongst-health-care-personnel
    May 17, 2018 - Study A prospective study to evaluate awareness about medication errors amongst health-care personnel representing North, East, West Regions of India. Citation Text: Sewal RK, Singh PK, Prakash A, et al. A prospective study to evaluate awareness about medication errors amongst health-c…
  12. psnet.ahrq.gov/innovation/patient-and-family-centered-i-pass-family-centered-communication-program-reduce-medical
    February 26, 2025 - For example, a champion could assemble a board of family representatives, nurses, and physicians to begin
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/861880/psn-pdf
    January 31, 2024 - For example, a champion could assemble a board of family representatives, nurses, and physicians to
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37737/psn-pdf
    January 06, 2017 - Can patient safety be measured by surveys of patient experiences? January 6, 2017 Solberg LI, Asche SE, Averbeck BM, et al. Can patient safety be measured by surveys of patient experiences? Jt Comm J Qual Patient Saf. 2008;34(5):266-274. https://psnet.ahrq.gov/issue/can-patient-safety-be-measured-surveys-patient-e…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46118/psn-pdf
    December 20, 2017 - Predictors of in-hospital postoperative opioid overdose after major elective operations: a nationally representative cohort study. December 20, 2017 Cauley CE, Anderson G, Haynes AB, et al. Predictors of In-hospital Postoperative Opioid Overdose After Major Elective Operations: A Nationally Representative Cohort S…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34952/psn-pdf
    November 17, 2011 - Assessing the National Electronic Injury Surveillance System—Cooperative Adverse Drug Event Surveillance Project—six sites, United States, January 1–June 15, 2004. November 17, 2011 Prevention C for DC and. Assessing the National Electronic Injury Surveillance System-Cooperative Adverse Drug Event Surveillance pr…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43085/psn-pdf
    March 26, 2014 - A prospective study to evaluate awareness about medication errors amongst health-care personnel representing North, East, West Regions of India. March 26, 2014 Sewal RK, Singh PK, Prakash A, et al. A prospective study to evaluate awareness about medication errors amongst health-care personnel representing North, E…
  18. psnet.ahrq.gov/web-mm/aspergillus-mediastinitis-endocarditis-pediatric-patient-complicating-cardiac-surgery-and
    November 16, 2022 - Such a team should include the unit manager and representatives from units such as Environmental Services
  19. psnet.ahrq.gov/web-mm/contaminated-or-not-guidelines-interpretation-positive-blood-cultures
    November 16, 2022 - Contaminated or Not? Guidelines for Interpretation of Positive Blood Cultures Citation Text: Weinstein MP. Contaminated or Not? Guidelines for Interpretation of Positive Blood Cultures. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. …
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35742/psn-pdf
    July 15, 2010 - Physician evaluation after medical errors: does having a computer decision aid help or hurt in hindsight? July 15, 2010 Pezzo M, Pezzo SP. Physician evaluation after medical errors: does having a computer decision aid help or hurt in hindsight? Med Decis Making. 2006;26(1):48-56. https://psnet.ahrq.gov/issue/physi…

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