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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36364/psn-pdf
    February 14, 2017 - National surveillance of emergency department visits for outpatient adverse drug events. February 14, 2017 Budnitz DS, Pollock DA, Weidenbach KN, et al. National surveillance of emergency department visits for outpatient adverse drug events. JAMA. 2006;296(15):1858-66. https://psnet.ahrq.gov/issue/national-surveil…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45471/psn-pdf
    September 21, 2016 - Vital signs: epidemiology of sepsis: prevalence of health care factors and opportunities for prevention. September 21, 2016 Novosad SA, Sapiano MRP, Grigg C, et al. Vital Signs: Epidemiology of Sepsis: Prevalence of Health Care Factors and Opportunities for Prevention. MMWR Morb Mortal Wkly Rep. 2016;65(33):864-869…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45509/psn-pdf
    September 28, 2016 - Computerized triggers of big data to detect delays in follow-up of chest imaging results. September 28, 2016 Murphy DR, Meyer AND, Bhise V, et al. Computerized Triggers of Big Data to Detect Delays in Follow-up of Chest Imaging Results. Chest. 2016;150(3):613-20. doi:10.1016/j.chest.2016.05.001. https://psnet.ahrq…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47238/psn-pdf
    October 13, 2018 - Evaluating shared decision making for lung cancer screening. October 13, 2018 Brenner AT, Malo TL, Margolis M, et al. Evaluating Shared Decision Making for Lung Cancer Screening. JAMA Intern Med. 2018;178(10):1311-1316. doi:10.1001/jamainternmed.2018.3054. https://psnet.ahrq.gov/issue/evaluating-shared-decision-ma…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37945/psn-pdf
    July 26, 2010 - A survey of hospital quality improvement activities. July 26, 2010 Cohen AB, Restuccia JD, Shwartz M, et al. A survey of hospital quality improvement activities. Med Care Res Rev. 2008;65(5):571-95. doi:10.1177/1077558708318285. https://psnet.ahrq.gov/issue/survey-hospital-quality-improvement-activities The Instit…
  6. psnet.ahrq.gov/issue/ismp-medication-safety-alertr-nurse-advise-err
    January 26, 2023 - Newsletter/Journal ISMP Medication Safety Alert!® Nurse-Advise ERR. Citation Text: ISMP Medication Safety Alert!® Nurse-Advise ERR. Plymouth Meeting, PA: Institute for Safe Medication Practices. Copy Citation Save Save to your library Print Download PDF …
  7. psnet.ahrq.gov/web-mm/safeguarding-diagnostic-testing-point-care
    September 30, 2011 - Safeguarding Diagnostic Testing at the Point of Care Citation Text: Kost GJ, Ehrmeyer SS. Safeguarding Diagnostic Testing at the Point of Care. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017. Copy Citation Format: …
  8. psnet.ahrq.gov/web-mm/unfamiliar-catheter
    November 01, 2006 - Each lumen of a multi-lumen catheter is used for a different purpose, such as sampling, total parenteral
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47602/psn-pdf
    January 27, 2019 - Association of nurse workload with missed nursing care in the neonatal intensive care unit. January 27, 2019 Tubbs-Cooley HL, Mara CA, Carle AC, et al. Association of Nurse Workload With Missed Nursing Care in the Neonatal Intensive Care Unit. JAMA Pediatr. 2019;173(1):44-51. doi:10.1001/jamapediatrics.2018.3619. …
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39139/psn-pdf
    June 02, 2010 - Assessing resident safety culture in nursing homes: using the nursing home survey on resident safety. June 2, 2010 Castle NG, Wagner LM, Perera S, et al. Assessing Resident Safety Culture in Nursing Homes. J Patient Saf. 2010;64(2):59-67. doi:10.1097/pts.0b013e3181bc05fc. https://psnet.ahrq.gov/issue/assessing-res…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41455/psn-pdf
    June 13, 2012 - Medication errors during medical emergencies in a large, tertiary care, academic medical center. June 13, 2012 Gokhman R, Seybert AL, Phrampus P, et al. Medication errors during medical emergencies in a large, tertiary care, academic medical center. Resuscitation. 2012;83(4):482-7. doi:10.1016/j.resuscitation.2011…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42895/psn-pdf
    December 18, 2014 - National trends in patient safety for four common conditions, 2005–2011. December 18, 2014 Wang Y, Eldridge N, Metersky M, et al. National trends in patient safety for four common conditions, 2005- 2011. N Engl J Med. 2014;370(4):341-51. doi:10.1056/NEJMsa1300991. https://psnet.ahrq.gov/issue/national-trends-patie…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46404/psn-pdf
    December 07, 2017 - Preventable and mitigable adverse events in cancer care: measuring risk and harm across the continuum. December 7, 2017 Lipitz-Snyderman A, Pfister D, Classen D, et al. Preventable and mitigable adverse events in cancer care: measuring risk and harm across the continuum. Cancer. 2017;123(23):4728-4736. doi:10.1002/…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44112/psn-pdf
    November 03, 2015 - Unexpected death within 72 hours of emergency department visit: were those deaths preventable? November 3, 2015 Goulet H, Guerand V, Bloom B, et al. Unexpected death within 72 hours of emergency department visit: were those deaths preventable? Crit Care. 2015;19(1):154. doi:10.1186/s13054-015-0877-x. https://psnet…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44031/psn-pdf
    November 03, 2015 - Diagnostic concordance among pathologists interpreting breast biopsy specimens. November 3, 2015 Elmore JG, Longton GM, Carney PA, et al. Diagnostic concordance among pathologists interpreting breast biopsy specimens. JAMA. 2015;313(11):1122-1132. doi:10.1001/jama.2015.1405. https://psnet.ahrq.gov/issue/diagnostic…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39662/psn-pdf
    April 30, 2014 - Patient record review of the incidence, consequences, and causes of diagnostic adverse events. April 30, 2014 Zwaan L, de Bruijne M, Wagner C, et al. Patient record review of the incidence, consequences, and causes of diagnostic adverse events. Arch Intern Med. 2010;170(12):1015-21. doi:10.1001/archinternmed.2010.…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45097/psn-pdf
    May 09, 2017 - Changes in prescription and over-the-counter medication and dietary supplement use among older adults in the United States, 2005 vs 2011. May 9, 2017 Qato DM, Wilder J, Schumm P, et al. Changes in Prescription and Over-the-Counter Medication and Dietary Supplement Use Among Older Adults in the United States, 2005 …
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47671/psn-pdf
    January 01, 2019 - Racial, ethnic, and socioeconomic disparities in patient safety events for hospitalized children. December 19, 2018 Stockwell DC, Landrigan CP, Toomey SL, et al. Racial, Ethnic, and Socioeconomic Disparities in Patient Safety Events for Hospitalized Children. Hosp Pediatr. 2019;9(1):1-5. doi:10.1542/hpeds.2018-0131…
  19. 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
  20. psnet.ahrq.gov/issue/using-preprinted-medication-order-forms-improve-safety-investigational-drug-use
    April 24, 2024 - Commentary Using preprinted medication order forms to improve the safety of investigational drug use. Citation Text: 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. …

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