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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34021/psn-pdf
    March 07, 2005 - Focusing on Medical Errors. March 7, 2005 Temple WJ, ed. J Surg Oncol. 2004;88(3):111-199. https://psnet.ahrq.gov/issue/focusing-medical-errors This issue provides a review of medical error from a variety of perspectives, including pediatrics, anesthesiology, pharmacy, pathology, laboratory medicine, and insurers.…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33941/psn-pdf
    October 11, 2016 - BMJ Quality & Safety. October 11, 2016 Franklin BD, Thomas E, eds. BMJ Publishing Group Ltd and the Health Foundation. ISSN: 2044-5415. https://psnet.ahrq.gov/issue/bmj-quality-safety A monthly peer-reviewed journal that reports research, initiatives, and viewpoints in the growing area of safety and quality improv…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36248/psn-pdf
    September 13, 2006 - Regulating compensation for injuries associated with medical error. September 13, 2006 Corbett A. Sydney Law Review. 2006;28(2):259-296. https://psnet.ahrq.gov/issue/regulating-compensation-injuries-associated-medical-error The author discusses developing "no-fault" systems of compensation for victims of medical e…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41998/psn-pdf
    January 30, 2013 - Involving Patients in Improving Safety. January 30, 2013 London, UK: The Health Foundation; January 2013. https://psnet.ahrq.gov/issue/involving-patients-improving-safety This review analyzes research on engaging patients in safety improvement and details which strategies are most effective. https://psnet.ahrq.go…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36071/psn-pdf
    June 16, 2019 - ISMP medication error report analysis. June 16, 2019 Cohen MR. https://psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-6 This monthly selection of medication error reports provides examples of nimodipine administration mishaps, a lithium overdose, and suggested adopted drug names for review. https://ps…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40971/psn-pdf
    June 01, 2012 - Iatrogenic psychological harm. June 1, 2012 Rees C. Iatrogenic psychological harm. Arch Dis Child. 2012;97(5):440-6. doi:10.1136/archdischild-2011- 300362. https://psnet.ahrq.gov/issue/iatrogenic-psychological-harm This review discusses iatrogenic psychological harm, including how it may occur and how to prevent i…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42725/psn-pdf
    November 13, 2013 - Audit of missed or delayed antimicrobial drugs. November 13, 2013 Wright J. https://psnet.ahrq.gov/issue/audit-missed-or-delayed-antimicrobial-drugs This record review study found that omitted doses of antimicrobial medications occur frequently in hospital settings in the United Kingdom. https://psnet.ahrq.gov/is…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38703/psn-pdf
    June 10, 2009 - Reduce medication errors through following metrics. June 10, 2009 Drug Formulary Review. June 1, 2009.  https://psnet.ahrq.gov/issue/reduce-medication-errors-through-following-metrics This news piece discusses how using measurement tools in the pharmacy setting could help reduce medication errors. https://psnet.a…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39681/psn-pdf
    July 14, 2010 - Do no harm: hospital care in Las Vegas. July 14, 2010 Allen M; Richards A. https://psnet.ahrq.gov/issue/do-no-harm-hospital-care-las-vegas This news series reports on an investigation that included hospital record review and interviews with stakeholders to explore the quality and safety of health care in Las Vegas…
  10. psnet.ahrq.gov/innovation/battle-buddies-rapid-deployment-psychological-resilience-intervention-health-care
    September 09, 2020 - EMERGING INNOVATIONS Battle Buddies: rapid deployment of a psychological resilience intervention for health care workers during the COVID-19 pandemic Citation Text: Albott CS, Wozniak JR, McGlinch BP, et al. Battle Buddies: rapid deployment of a psychological resilience intervention for health car…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33575/psn-pdf
    March 15, 2025 - Patient Engagement and Safety March 15, 2025 Patient Engagement and Safety. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/patient-engagement-and-safety PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that they reflect current research and practice in the pati…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42478/psn-pdf
    August 07, 2013 - A guide for HCAs on safe patient transfers. August 7, 2013 Lees L. https://psnet.ahrq.gov/issue/guide-hcas-safe-patient-transfers This commentary offers practical advice for health care assistants to reduce risks during patient transfers. https://psnet.ahrq.gov/issue/guide-hcas-safe-patient-transfers https://psnet…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41014/psn-pdf
    January 01, 2012 - Safety in EMS. December 21, 2011 Brice JH, Patterson PD, eds. Prehosp Emerg Care. 2012;16:1-108.   https://psnet.ahrq.gov/issue/safety-ems This special issue contains articles exploring safety improvement efforts in emergency medical services. https://psnet.ahrq.gov/issue/safety-ems https://psnet.ahrq.gov/iss…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41806/psn-pdf
    October 31, 2012 - Computer viruses are "rampant" on medical devices in hospitals. October 31, 2012 Talbot D. MIT Technology Review. October 17, 2012. https://psnet.ahrq.gov/issue/computer-viruses-are-rampant-medical-devices-hospitals This article highlights risks associated with malicious software on medical equipment and how it ca…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836839/psn-pdf
    March 31, 2022 - Annual Perspective: Psychological Safety of Healthcare Staff March 31, 2022 Kingston MB, Dowell P, Mossburg SE, et al. Annual Perspective: Psychological Safety of Healthcare Staff. PSNet [internet]. 2022. https://psnet.ahrq.gov/perspective/annual-perspective-psychological-safety-healthcare-staff Introduction The…
  16. psnet.ahrq.gov/web-mm/perils-contrast-media
    March 01, 2007 - SPOTLIGHT CASE The Perils of Contrast Media Citation Text: Sadat U, Solomon R. The Perils of Contrast Media. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017. Copy Citation Format: Google Scholar BibTeX En…
  17. psnet.ahrq.gov/web-mm/double-trouble
    August 01, 2012 - SPOTLIGHT CASE Double Trouble Citation Text: Gurwitz JH. Double Trouble. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote t…
  18. psnet.ahrq.gov/web-mm/hazards-distraction-ticking-all-ehr-boxes
    April 09, 2014 - SPOTLIGHT CASE The Hazards of Distraction: Ticking All the EHR Boxes Citation Text: Easty AC. The Hazards of Distraction: Ticking All the EHR Boxes. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017. Copy Citation …
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49633/psn-pdf
    September 01, 2011 - The Safety and Quality of Long Term Care September 1, 2011 Vogelsmeier AA. The Safety and Quality of Long Term Care. PSNet [internet]. 2011. https://psnet.ahrq.gov/web-mm/safety-and-quality-long-term-care Case Objectives Identify commonly reported adverse events in long-term care. Identify two to three challenges…
  20. psnet.ahrq.gov/web-mm/complications-vascular-access-procedures-patients-kidney-disease
    November 15, 2023 - Complications of Vascular Access Procedures in Patients with Kidney Disease Citation Text: Young SR, Chen I. Complications of Vascular Access Procedures in Patients with Kidney Disease. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. …

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