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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852798/psn-pdf
    August 23, 2023 - Patient handoffs and multi-specialty trainee perspectives across an institution: informing recommendations for health systems and an expanded conceptual framework for handoffs. August 23, 2023 Williams SR, Sebok-Syer SS, Caretta-Weyer H, et al. Patient handoffs and multi-specialty trainee perspectives across an i…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74162/psn-pdf
    December 08, 2021 - Impact of state nurse practitioner regulations on potentially inappropriate medication prescribing between physicians and nurse practitioners: a national study in the United States. December 8, 2021 Tzeng H-M, Raji MA, Chou L-N, et al. Impact of state nurse practitioner regulations on potentially inappropriate me…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36027/psn-pdf
    March 28, 2011 - Medical injuries among hospitalized children. March 28, 2011 Meurer JR, Yang H, Guse CE, et al. Medical injuries among hospitalized children. Qual Saf Health Care. 2006;15(3):202-7. https://psnet.ahrq.gov/issue/medical-injuries-among-hospitalized-children This AHRQ–funded study applied new screening criteria to ca…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43995/psn-pdf
    August 02, 2015 - Patient access to electronic health records during hospitalization. August 2, 2015 Pell JM, Mancuso M, Limon S, et al. Patient access to electronic health records during hospitalization. JAMA Intern Med. 2015;175(5):856-858. doi:10.1001/jamainternmed.2015.121. https://psnet.ahrq.gov/issue/patient-access-electronic…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40844/psn-pdf
    January 04, 2012 - Intensive care unit readmissions in U.S. hospitals: patient characteristics, risk factors, and outcomes. January 4, 2012 Kramer AA, Higgins TL, Zimmerman JE. Intensive care unit readmissions in U.S. hospitals: patient characteristics, risk factors, and outcomes. Crit Care Med. 2012;40(1):3-10. doi:10.1097/CCM.0b01…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38416/psn-pdf
    February 18, 2009 - Preanalytical errors in primary healthcare: a questionnaire study of information search procedures, test request management and test tube labelling. February 18, 2009 Söderberg J, Brulin C, Grankvist K, et al. Preanalytical errors in primary healthcare: a questionnaire study of information search procedures, test …
  7. 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…
  8. 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 …
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43568/psn-pdf
    April 25, 2016 - Medication safety in the operating room: a survey of preparation methods and drug concentration consistencies in children's hospitals in the United States. April 25, 2016 Shaw RE, Litman RS. Medication Safety in the Operating Room: A Survey of Preparation Methods and Drug Concentration Consistencies in Children's …
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44431/psn-pdf
    October 21, 2015 - Use of a human factors classification framework to identify causal factors for medication and medical device- related adverse clinical incidents. October 21, 2015 Mitchell RJ, Williamson A, Molesworth B. Use of a human factors classification framework to identify causal factors for medication and medical device-re…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47408/psn-pdf
    September 19, 2018 - Ways to Improve Electronic Health Record Safety. September 19, 2018 Philadelphia, PA: Pew Charitable Trusts, American Medical Association, and Medstar Health; 2018. https://psnet.ahrq.gov/issue/ways-improve-electronic-health-record-safety Electronic health records both contribute to and detract from safe care. This…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34061/psn-pdf
    January 04, 2017 - Patient Safety Leadership WalkRounds. January 4, 2017 Frankel A, Graydon-Baker E, Neppl C, et al. Patient Safety Leadership WalkRounds. Jt Comm J Qual Saf. 2003;29(1). doi:10.1016/s1549-3741(03)29003-1. https://psnet.ahrq.gov/issue/patient-safety-leadership-walkrounds This study shares the concept of an interventi…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867379/psn-pdf
    January 01, 2025 - Implementation of electronic triggers to identify diagnostic errors in emergency departments. December 18, 2024 Vaghani V, Gupta A, Mir U, et al. Implementation of electronic triggers to identify diagnostic errors in emergency departments. JAMA Intern Med. 2025;185(2):143-151. doi:10.1001/jamainternmed.2024.6214. …
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60933/psn-pdf
    September 23, 2020 - Seroprevalence of SARS-CoV-2 among frontline health care personnel in a multistate hospital network--13 academic medical centers, April-June 2020. September 23, 2020 Self WH, Tenforde MW, Stubblefield WB, et al. Seroprevalence of SARS-CoV-2 among frontline health care personnel in a multistate hospital network - 1…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838251/psn-pdf
    October 05, 2022 - Serious hazards of transfusion: evaluating the dangers of a wrong patient autologous salvaged blood in cardiac surgery. October 5, 2022 Uramatsu M, Maeda H, Mishima S, et al. Serious hazards of transfusion: evaluating the dangers of a wrong patient autologous salvaged blood in cardiac surgery. J Cardiothorac Surg.…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60278/psn-pdf
    April 29, 2020 - Assessing patient safety in a pediatric telemedicine setting: a multi-methods study. April 29, 2020 Haimi M, Brammli-Greenberg S, Baron-Epel O, et al. Assessing patient safety in a pediatric telemedicine setting: a multi-methods study. BMC Med Inform Decis Mak. 2020;20(1). doi:10.1186/s12911-020-1074-7. https://ps…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44936/psn-pdf
    May 09, 2017 - Potential benefit of electronic pharmacy claims data to prevent medication history errors and resultant inpatient order errors. May 9, 2017 Pevnick JM, Palmer KA, Shane R, et al. Potential benefit of electronic pharmacy claims data to prevent medication history errors and resultant inpatient order errors. J Am Med…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45271/psn-pdf
    August 10, 2016 - Patient identification and tube labelling—a call for harmonisation. August 10, 2016 van Dongen-Lases EC, Cornes MP, Grankvist K, et al. Patient identification and tube labelling – a call for harmonisation. Clinical Chemistry and Laboratory Medicine (CCLM). 2016;54(7). doi:10.1515/cclm-2015- 1089. https://psnet.ah…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44076/psn-pdf
    May 19, 2018 - The trigger tool as a method to measure harmful medication errors in children. May 19, 2018 Maaskant JM, Smeulers M, Bosman D, et al. The Trigger Tool as a Method to Measure Harmful Medication Errors in Children. J Patient Saf. 2018;14(2):95-100. doi:10.1097/PTS.0000000000000177. https://psnet.ahrq.gov/issue/trigg…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47181/psn-pdf
    August 22, 2018 - Critical role of the surgeon–anesthesiologist relationship for patient safety. August 22, 2018 Cooper JB. Critical Role of the Surgeon-Anesthesiologist Relationship for Patient Safety. Anesthesiology. 2018;129(3):402-405. doi:10.1097/ALN.0000000000002324. https://psnet.ahrq.gov/issue/critical-role-surgeon-anesthes…

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