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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41467/psn-pdf
    June 20, 2012 - Errors in medication history at hospital admission: prevalence and predicting factors. June 20, 2012 Hellström LM, Bondesson Å, Höglund P, et al. Errors in medication history at hospital admission: prevalence and predicting factors. BMC Clin Pharmacol. 2012;12(9):9. doi:10.1186/1472-6904-12-9. https://psnet.ahrq.g…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35294/psn-pdf
    May 04, 2015 - What Every Health Care Organization Should Know about Sentinel Events. May 4, 2015 Oakbrook Terrace, IL: Joint Commission on Accreditation of Healthcare Organizations; 2005. ISBN 9780866889117. https://psnet.ahrq.gov/issue/what-every-health-care-organization-should-know-about-sentinel-events This book provides in…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838183/psn-pdf
    September 28, 2022 - Adding automation and independent dual verification to reduce wrong blood in tube (WBIT) events. September 28, 2022 Passwater M, Huggins YM, Delvo Favre ED, et al. Adding automation and independent dual verification to reduce wrong blood in tube (WBIT) events. Am J Clin Pathol. 2022;158(2):212-215. doi:10.1093/ajc…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60955/psn-pdf
    September 30, 2020 - The emergency department trigger tool: a novel approach to screening for quality and safety events. September 30, 2020 Griffey RT, Schneider RM, Todorov AA. The emergency department trigger tool: a novel approach to screening for quality and safety events. Ann Emerg Med. 2020;76(2):230-240. doi:10.1016/j.annemergm…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47858/psn-pdf
    July 10, 2019 - Modification of potentially inappropriate prescribing following fall-related hospitalizations in older adults. July 10, 2019 Walsh ME, Boland F, Moriarty F, et al. Modification of potentially inappropriate prescribing following fall- related hospitalizations in older adults. Drugs Aging. 2019;36(5):461-470. doi:10.…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866901/psn-pdf
    October 09, 2024 - Reader bias in breast cancer screening related to cancer prevalence and artificial intelligence decision support-a reader study. October 9, 2024 Al-Bazzaz H, Janicijevic M, Strand F. Reader bias in breast cancer screening related to cancer prevalence and artificial intelligence decision support—a reader study. Eur…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33665/psn-pdf
    March 01, 2008 - Creation of a Medical Procedure Service to Improve Patient Safety March 1, 2008 Smith CC, CHuang G. Creation of a Medical Procedure Service to Improve Patient Safety. PSNet [internet]. 2008. https://psnet.ahrq.gov/perspective/creation-medical-procedure-service-improve-patient-safety Perspective Introduction and …
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49784/psn-pdf
    February 01, 2017 - Safeguarding Diagnostic Testing at the Point of Care February 1, 2017 Kost GJ, Ehrmeyer SS. Safeguarding Diagnostic Testing at the Point of Care. PSNet [internet]. 2017. https://psnet.ahrq.gov/web-mm/safeguarding-diagnostic-testing-point-care The Case A 23-year-old woman presented to the family medicine clinic for…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35989/psn-pdf
    September 17, 2010 - Using preprinted medication order forms to improve the safety of investigational drug use. September 17, 2010 Tamer H, Shehab N. Using preprinted medication order forms to improve the safety of investigational drug use. Am J Health Syst Pharm. 2006;63(11):1022, 1025-1026, 1028. https://psnet.ahrq.gov/issue/using-p…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43880/psn-pdf
    February 04, 2015 - Healthcare Safety for Nursing Personnel: An Organizational Guide to Achieving Results. February 4, 2015 Tweedy JT. Boca Raton, FL: CRC Press; 2014. ISBN: 9781482230277. https://psnet.ahrq.gov/issue/healthcare-safety-nursing-personnel-organizational-guide-achieving-results This publication provides information abou…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844536/psn-pdf
    February 15, 2023 - Investigating the impact of structural racism on Black birthing people - associations between racialized economic segregation, incarceration inequality, and severe maternal morbidity. February 15, 2023 Jeffers NK, Berger BO, Marea CX, et al. Investigating the impact of structural racism on Black birthing people -…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73883/psn-pdf
    September 29, 2021 - Emergency departments are higher-risk locations for wrong blood in tube errors. September 29, 2021 Dunbar NM, Delaney M, Murphy MF, et al. Emergency departments are higher?risk locations for wrong blood in tube errors. Transfusion (Paris). 2021;61(9):2601-2610. doi:10.1111/trf.16588. https://psnet.ahrq.gov/issue/e…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60757/psn-pdf
    August 05, 2020 - Identifying no-harm incidents in home healthcare: a cohort study using trigger tool methodology. August 5, 2020 Lindblad M, Unbeck M, Nilsson L, et al. Identifying no-harm incidents in home healthcare: a cohort study using trigger tool methodology. BMC Health Serv Res. 2020;20(1):289. doi:10.1186/s12913-020-05139-z…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72529/psn-pdf
    January 01, 2021 - Physician task load and the risk of burnout among US physicians in a national survey. December 2, 2020 Harry EM, Sinsky CA, Dyrbye LN, et al. Physician task load and the risk of burnout among US physicians in a national survey. Jt Comm J Qual Patient Saf. 2021;47(2):76-85. doi:10.1016/j.jcjq.2020.09.011. https://p…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48110/psn-pdf
    August 14, 2019 - The courage to speak out: a study describing nurses' attitudes to report unsafe practices in patient care. August 14, 2019 Cole DA, Bersick E, Skarbek A, et al. The courage to speak out: A study describing nurses' attitudes to report unsafe practices in patient care. J Nurs Manag. 2019;27(6):1176-1181. doi:10.1111/…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73484/psn-pdf
    July 14, 2021 - The influence of COVID-19 visitation restrictions on patient experience and safety outcomes: a critical role for subjective advocates. July 14, 2021 Silvera GA, Wolf JA, Stanowski A, et al. The influence of COVID-19 visitation restrictions on patient experience and safety outcomes: a critical role for subjective a…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34798/psn-pdf
    June 23, 2015 - Costs of medical injuries in Utah and Colorado. June 23, 2015 Thomas EJ; Studdert DM; Newhouse JP; Zbar BI; Howard KM; Williams EJ; Brennan TA https://psnet.ahrq.gov/issue/costs-medical-injuries-utah-and-colorado This study analyzed more than 450 adverse events from a representative hospital sample in order to est…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46762/psn-pdf
    February 14, 2018 - Patient Safety in Surgery. February 14, 2018 Stahel PF, ed. BioMed Central. ISSN: 1754-9493. https://psnet.ahrq.gov/issue/patient-safety-surgery-0 The specialty of surgery draws from both clinical and nontechnical skills for generalists and subspecialists to support safe care delivery. This journal covers a range …
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41356/psn-pdf
    May 29, 2012 - Safety in the home healthcare sector: development of a new household safety checklist. May 29, 2012 Gershon RRM, Dailey M, Magda LA, et al. Safety in the home healthcare sector: development of a new household safety checklist. J Patient Saf. 2012;8(2):51-9. doi:10.1097/PTS.0b013e31824a4ad6. https://psnet.ahrq.gov/…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44296/psn-pdf
    April 08, 2018 - Checklists to prevent diagnostic errors: a pilot randomized controlled trial. April 8, 2018 Ely JW, Graber MA. Checklists to prevent diagnostic errors: a pilot randomized controlled trial. Diagnosis (Berl). 2015;2(3):163-169. doi:10.1515/dx-2015-0008. https://psnet.ahrq.gov/issue/checklists-prevent-diagnostic-erro…

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