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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41741/psn-pdf
    October 10, 2012 - Improving America's Hospitals—The Joint Commission's Annual Report on Quality and Safety. October 10, 2012 Oakbrook Terrace, IL: Joint Commission. https://psnet.ahrq.gov/issue/improving-americas-hospitals-joint-commissions-annual-report-quality-and- safety The Joint Commission's annual report summarizes hospital …
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46062/psn-pdf
    December 19, 2017 - Frequency and nature of medication errors and adverse drug events in mental health hospitals: a systematic review. December 19, 2017 Alshehri GH, Keers RN, Ashcroft DM. Frequency and nature of medication errors and adverse drug events in mental health hospitals: a systematic review. Drug Saf. 2017;40(10):871-886. …
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44911/psn-pdf
    February 17, 2016 - Improving doctor–patient communication in a digital world. February 17, 2016 Lakshmanan I. The Diane Rehm Show. February 9, 2016. https://psnet.ahrq.gov/issue/improving-doctor-patient-communication-digital-world Digital technologies represent both promise and risks for communication in health care. This radio inte…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35038/psn-pdf
    January 02, 2017 - Using Six Sigma to reduce medication errors in a home- delivery pharmacy service. January 2, 2017 Castle L, Franzblau-Isaac E, Paulsen J. Using Six Sigma to reduce medication errors in a home-delivery pharmacy service. Jt Comm J Qual Patient Saf. 2005;31(6):319-24. https://psnet.ahrq.gov/issue/using-six-sigma-redu…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46261/psn-pdf
    July 18, 2018 - Pilot Testing Fall TIPS (Tailoring Interventions for Patient Safety): a patient-centered fall prevention toolkit. July 18, 2018 Dykes PC, Duckworth M, Cunningham S, et al. Pilot Testing Fall TIPS (Tailoring Interventions for Patient Safety): a Patient-Centered Fall Prevention Toolkit. Jt Comm J Qual Patient Saf. 20…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35635/psn-pdf
    June 24, 2010 - Patient safety problems in adolescent medical care. June 24, 2010 Woods D, Holl JL, Klein JD, et al. Patient safety problems in adolescent medical care. J Adolesc Health. 2006;38(1):5-12. https://psnet.ahrq.gov/issue/patient-safety-problems-adolescent-medical-care Using data from the Colorado and Utah Medical Prac…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35736/psn-pdf
    May 27, 2011 - Video capture of clinical care to enhance patient safety. May 27, 2011 Weinger MB, Gonzales DC, Slagle J, et al. Video capture of clinical care to enhance patient safety. Qual Saf Health Care. 2004;13(2):136-44. https://psnet.ahrq.gov/issue/video-capture-clinical-care-enhance-patient-safety This study describes th…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45934/psn-pdf
    March 01, 2017 - The evolving role of medical scribe: variation and implications for organizational effectiveness and safety. March 1, 2017 Woodcock D, Pranaat R, McGrath K, et al. The Evolving Role of Medical Scribe: Variation and Implications for Organizational Effectiveness and Safety. Stud Health Technol Inform. 2017;234:382-38…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45716/psn-pdf
    September 29, 2017 - Microanalysis of video from the operating room: an underused approach to patient safety research. September 29, 2017 Bezemer J, Cope A, Korkiakangas T, et al. Microanalysis of video from the operating room: an underused approach to patient safety research. BMJ Qual Saf. 2017;26(7):583-587. doi:10.1136/bmjqs-2016-00…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35227/psn-pdf
    June 15, 2011 - Building a Better Delivery System: A New Engineering/Health Care Partnership. June 15, 2011 Reid PP, Compton WD, Grossman JH, Fanjiang G, eds. Institute of Medicine, National Academy of Engineering, Committee on Engineering and the Health Care System. Washington, DC: National Academies Press; 2005. ISBN-10: 030909…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47876/psn-pdf
    March 27, 2019 - Evaluation of medication errors at the transition of care from an ICU to non-ICU location. March 27, 2019 Tully AP, Hammond DA, Li C, et al. Evaluation of Medication Errors at the Transition of Care From an ICU to Non-ICU Location. Crit Care Med. 2019;47(4):543-549. doi:10.1097/CCM.0000000000003633. https://psnet.…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60814/psn-pdf
    August 19, 2020 - Missed acute myocardial infarction in the emergency department-standardizing measurement of misdiagnosis- related harms using the SPADE method. August 19, 2020 Sharp AL, Baecker A, Nassery N, et al. Missed acute myocardial infarction in the emergency department–standardizing measurement of misdiagnosis-related har…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/764396/psn-pdf
    March 02, 2022 - Family Input for Quality and Safety (FIQS): using mobile technology for in-hospital reporting from families and patients. March 2, 2022 Bardach NS, Stotts JR, Fiore DM, et al. Family Input for Quality and Safety (FIQS): Using mobile technology for in?hospital reporting from families and patients. J Hosp Med. 2022;…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73130/psn-pdf
    January 01, 2022 - Improving peripherally inserted central catheter appropriateness and reducing device-related complications: a quasiexperimental study in 52 Michigan hospitals. April 14, 2021 Chopra V, O'Malley M, Horowitz J, et al. Improving peripherally inserted central catheter appropriateness and reducing device-related compl…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45276/psn-pdf
    September 29, 2017 - Clinicians' expectations of the benefits and harms of treatments, screening, and tests: a systematic review. September 29, 2017 Hoffmann TC, Del Mar C. Clinicians' Expectations of the Benefits and Harms of Treatments, Screening, and Tests: A Systematic Review. JAMA Intern Med. 2017;177(3):407-419. doi:10.1001/jama…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43907/psn-pdf
    April 27, 2015 - Association of hospital participation in a surgical outcomes monitoring program with inpatient complications and mortality. April 27, 2015 Etzioni DA, Wasif N, Dueck AC, et al. Association of hospital participation in a surgical outcomes monitoring program with inpatient complications and mortality. JAMA. 2015;313…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38716/psn-pdf
    February 17, 2011 - Ending extra payment for "never events"—stronger incentives for patients' safety. February 17, 2011 Milstein A. Ending extra payment for "never events"--stronger incentives for patients' safety. N Engl J Med. 2009;360(23):2388-90. doi:10.1056/NEJMp0809125. https://psnet.ahrq.gov/issue/ending-extra-payment-never-ev…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45857/psn-pdf
    July 11, 2017 - Assessing the impact of the anesthesia medication template on medication errors during anesthesia: a prospective study. July 11, 2017 Grigg EB, Martin LD, Ross FJ, et al. Assessing the Impact of the Anesthesia Medication Template on Medication Errors During Anesthesia: A Prospective Study. Anesth Analg. 2017;124(5…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45878/psn-pdf
    September 20, 2017 - Development of a trigger tool to identify adverse events and harm in emergency medical services. September 20, 2017 Howard IL, Bowen JM, Shaikh LAHA, et al. Development of a trigger tool to identify adverse events and harm in Emergency Medical Services. Emerg Med J. 2017;34(6):391-397. doi:10.1136/emermed-2016- 20…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34813/psn-pdf
    July 10, 2008 - Hospital admissions due to adverse drug reactions: a report from the Boston Collaborative Drug Surveillance Program. July 10, 2008 Miller RR. Hospital admissions due to adverse drug reactions. A report from the Boston Collaborative Drug Surveillance Program. Arch Intern Med. 1974;134(2):219-23. https://psnet.ahrq…

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