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  1. 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…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44675/psn-pdf
    July 05, 2016 - Why July matters. July 5, 2016 Petrilli CM, Del Valle J, Chopra V. Why July Matters. Acad Med. 2016;91(7):910-912. doi:10.1097/ACM.0000000000001196. https://psnet.ahrq.gov/issue/why-july-matters Studies have reached conflicting conclusions about whether the "July Effect"—the belief that inpatient mortality increa…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34706/psn-pdf
    December 23, 2012 - Analysing potential harm in Australian general practice: an incident-monitoring study. December 23, 2012 Bhasale AL, Miller GC, Reid SE, et al. Analysing potential harm in Australian general practice: an incident- monitoring study. Med J Aust. 1998;169(2):73-6. https://psnet.ahrq.gov/issue/analysing-potential-harm…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43385/psn-pdf
    August 06, 2014 - Medicines management support to older people: understanding the context of systems failure. August 6, 2014 Rogers S, Martin G, Rai G. Medicines management support to older people: understanding the context of systems failure. BMJ Open. 2014;4(7):e005302. doi:10.1136/bmjopen-2014-005302. https://psnet.ahrq.gov/issu…
  5. 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…
  6. 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…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44572/psn-pdf
    January 22, 2016 - Can social media be used as a hospital quality improvement tool? January 22, 2016 Lagu T, Goff SL, Craft B, et al. Can social media be used as a hospital quality improvement tool? J Hosp Med. 2016;11(1):52-5. doi:10.1002/jhm.2486. https://psnet.ahrq.gov/issue/can-social-media-be-used-hospital-quality-improvement-t…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34692/psn-pdf
    February 10, 2011 - The economic consequences of medical injuries: implications for a no-fault insurance plan. February 10, 2011 Johnson WG, Brennan TA, Newhouse JP, et al. The economic consequences of medical injuries. Implications for a no-fault insurance plan. JAMA. 1992;267(18):2487-92. https://psnet.ahrq.gov/issue/economic-conse…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36964/psn-pdf
    March 24, 2011 - Patients use an internet technology to report when things go wrong. March 24, 2011 Wasson JH, MacKenzie TA, Hall M. Patients use an internet technology to report when things go wrong. Qual Saf Health Care. 2007;16(3):213-5. https://psnet.ahrq.gov/issue/patients-use-internet-technology-report-when-things-go-wrong …
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33737/psn-pdf
    September 01, 2012 - Preparing for Health Reform: The Federal Government and the Nursing Workforce September 1, 2012 Buerhaus P. Preparing for Health Reform: The Federal Government and the Nursing Workforce. PSNet [internet]. 2012. https://psnet.ahrq.gov/perspective/preparing-health-reform-federal-government-and-nursing-workforce Per…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35456/psn-pdf
    February 19, 2010 - The working hours of hospital staff nurses and patient safety. February 19, 2010 Rogers AE, Hwang W-T, Scott LD, et al. The working hours of hospital staff nurses and patient safety. Health Aff (Millwood). 2004;23(4):202-212. https://psnet.ahrq.gov/issue/working-hours-hospital-staff-nurses-and-patient-safety This…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45996/psn-pdf
    May 10, 2017 - Evaluation of medication-related clinical decision support alert overrides in the intensive care unit. May 10, 2017 Wong A, Amato MG, Seger DL, et al. Evaluation of medication-related clinical decision support alert overrides in the intensive care unit. J Crit Care. 2017;39:156-161. doi:10.1016/j.jcrc.2017.02.027. …
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47359/psn-pdf
    October 10, 2018 - Is there evidence of a July effect among patients undergoing hysterectomy surgery? October 10, 2018 Varma S, Mehta A, Hutfless S, et al. Is there evidence of a July effect among patients undergoing hysterectomy surgery? Am J Obstet Gynecol. 2018;219(2):176.e1-176.e9. doi:10.1016/j.ajog.2018.05.033. https://psnet.a…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37294/psn-pdf
    May 21, 2013 - Improving Hand-Off Communication. May 21, 2013 Oakbrook Terrace lL: Joint Commission Resources; 2007. ISBN 9781599400907. https://psnet.ahrq.gov/issue/improving-hand-communication The process of transferring primary responsibility for patient care is commonly referred to as a handoff. Handoffs are inherently dange…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47331/psn-pdf
    October 17, 2018 - Description and factors associated with missed nursing care in an acute care community hospital. October 17, 2018 Duffy JR, Culp S, Padrutt T. Description and factors associated with missed nursing care in an acute care community hospital. J Nurs Adm. 2018;48(7-8):361-367. doi:10.1097/NNA.0000000000000630. https:/…
  16. psnet.ahrq.gov/perspective/patient-safety-ambulatory-care-setting
    April 27, 2022 - yield false negatives for a variety of reasons, such as testing too soon after exposure or inadequate sampling
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35300/psn-pdf
    March 04, 2011 - How strong is the evidence for the use of perioperative beta blockers in non-cardiac surgery? Systematic review and meta-analysis of randomised controlled trials. March 4, 2011 Devereaux PJ, Beattie WS, Choi PT-L, et al. How strong is the evidence for the use of perioperative ? blockers in non-cardiac surgery? Sys…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38995/psn-pdf
    March 04, 2011 - Does computerized provider order entry reduce prescribing errors for hospital inpatients? A systematic review. March 4, 2011 Reckmann MH, Westbrook JI, Koh Y, et al. Does computerized provider order entry reduce prescribing errors for hospital inpatients? A systematic review. J Am Med Inform Assoc. 2009;16(5):613-…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47379/psn-pdf
    November 14, 2018 - Analysis of medication therapy discontinuation orders in new electronic prescriptions and opportunities for implementing CancelRx. November 14, 2018 Yang Y, Ward-Charlerie S, Kashyap N, et al. Analysis of medication therapy discontinuation orders in new electronic prescriptions and opportunities for implementing C…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845348/psn-pdf
    February 02, 2012 - Liquid-based Papanicolaou tests in endometrial carcinoma diagnosis: performance, error root cause analysis, and quality improvement. February 2, 2012 Sams SB, Currens HS, Raab SS. Liquid-based Papanicolaou tests in endometrial carcinoma diagnosis: performance, error root cause analysis, and quality improvement. Am…

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