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381. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36468/psn-pdf
     September 27, 2010 - Translating patient safety legislation into health care practice. September 27, 2010 Rabinowitz ABK, Clarke JR, Marella WM, et al. Translating patient safety legislation into health care practice. Jt Comm J Qual Patient Saf. 2006;32(12):676-681. https://psnet.ahrq.gov/issue/translating-patient-safety-legislation-h…

382. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36117/psn-pdf
     July 19, 2006 - A Safer Place for Patients: Learning to Improve Patient Safety. July 19, 2006 House of Commons Committee on Public Accounts. London: The Stationery Office Limited; June 2006. https://psnet.ahrq.gov/issue/safer-place-patients-learning-improve-patient-safety-0 Using data from approximately 974,000 patient safety inc…

383. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45027/psn-pdf
     April 06, 2016 - Patient Safety 2030. April 6, 2016 Yu A, Flott K, Chainani N, Fontana G, Darzi A. London, UK: NIHR Imperial Patient Safety Translational Research Centre; 2016. https://psnet.ahrq.gov/issue/patient-safety-2030 Examining emerging trends in patient safety improvement work, this report recommends strategies and tools…

384. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45561/psn-pdf
     January 01, 2021 - Measuring patient safety: the Medicare Patient Safety Monitoring System (past, present, and future). November 2, 2016 Classen D, Munier W, Verzier N, et al. Measuring Patient Safety: The Medicare Patient Safety Monitoring System (Past, Present, and Future). J Patient Saf. 2021;17(3):e234-e240. https://psnet.ahrq.g…

385. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/852802/psn-pdf
     August 23, 2023 - Indian Health Service: Actions Needed to Improve Use of Data on Adverse Events. August 23, 2023 Washington, DC: United States Government Accounting Office; July 10, 2023.  Publication GAO-23- 105722. https://psnet.ahrq.gov/issue/indian-health-service-actions-needed-improve-use-data-adverse-events Health info…

386. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/840152/psn-pdf
     November 16, 2022 - Scientific view of the global literature on medical error reporting and reporting systems from 1977 to 2021: a bibliometric analysis. November 16, 2022 Ünal A, Seren Intepeler ?. Scientific view of the global literature on medical error reporting and reporting systems from 1977 to 2021: a bibliometric analysis. J …

387. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/862604/psn-pdf
     February 14, 2024 - A text mining approach to categorize patient safety event reports by medication error type. February 14, 2024 Boxley C, Fujimoto M, Ratwani RM, et al. A text mining approach to categorize patient safety event reports by medication error type. Sci Rep. 2023;13(1):18354. doi:10.1038/s41598-023-45152-w. https://psnet…

388. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37527/psn-pdf
     August 24, 2015 - MEDMARX Data Report: A Report on the Relationship of Drug Names and Medication Errors in Response to the Institute of Medicine's Call to Action (2003-2006 Findings and Trends 2002-2006). August 24, 2015 Hicks RW, Becker SC, Cousins DD, eds. Rockville, MD: Center for the Advancement of Patient Safety, US Pharmacop…

389. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35697/psn-pdf
     July 12, 2010 - An overview of intravenous-related medication administration errors as reported to MEDMARX(R), a national medication error-reporting program. July 12, 2010 Hicks RW, Becker SC. An overview of intravenous-related medication administration errors as reported to MEDMARX, a national medication error-reporting program.…

390. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43477/psn-pdf
     May 19, 2015 - Adverse events in healthcare: learning from mistakes. May 19, 2015 Rafter N, Hickey A, Condell S, et al. Adverse events in healthcare: learning from mistakes. QJM. 2015;108(4):273-7. doi:10.1093/qjmed/hcu145. https://psnet.ahrq.gov/issue/adverse-events-healthcare-learning-mistakes This review discusses chart revie…

391. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41015/psn-pdf
     December 21, 2011 - Possible net harms of breast cancer screening: updated modelling of Forrest report. December 21, 2011 Raftery J, Chorozoglou M. Possible net harms of breast cancer screening: updated modelling of Forrest report. BMJ. 2011;343(dec08 2):d7627. doi:10.1136/bmj.d7627. https://psnet.ahrq.gov/issue/possible-net-harms-br…

392. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33591/psn-pdf
     March 15, 2025 - Triggers and Trigger Tools March 15, 2025 Triggers and Trigger Tools. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/triggers-and-trigger-tools 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 patient safet…

393. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/61096/psn-pdf
     November 04, 2020 - Wrong drug and wrong dose dispensing errors identified in pharmacist professional liability claims. November 4, 2020 Reiner G, Pierce SL, Flynn J. J Am Pharm Assoc (2003). 2020;60(5):e50-e56. https://psnet.ahrq.gov/issue/wrong-drug-and-wrong-dose-dispensing-errors-identified-pharmacist- professional-liability Des…

394. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46362/psn-pdf
     January 01, 2021 - Making patient safety event data actionable: understanding patient safety analyst needs. October 4, 2017 Puthumana JS, Fong A, Blumenthal J, et al. Making Patient Safety Event Data Actionable: Understanding Patient Safety Analyst Needs. J Patient Saf. 2021;17(6):e509-e514. doi:10.1097/pts.0000000000000400. https:/…

395. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/48122/psn-pdf
     August 21, 2019 - ASHP national survey of pharmacy practice in hospital settings: monitoring and patient education—2018. August 21, 2019 Pedersen CA, Schneider PJ, Ganio MC, et al. ASHP national survey of pharmacy practice in hospital settings: Monitoring and patient education-2018. Am J Health Syst Pharm. 2019;76(14):1038-1058. do…

396. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33764/psn-pdf
     April 01, 2014 - RW: Another trend in the safety field was we began with a huge focus on the hospital and the acute care … RW: Another emerging trend in the field is patient and family engagement, and NPSF has been a leader

397. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42444/psn-pdf
     August 08, 2013 - The evolution of error: error management, cognitive constraints, and adaptive decision-making biases. August 8, 2013 Johnson DDP, Blumstein DT, Fowler JH, et al. The evolution of error: error management, cognitive constraints, and adaptive decision-making biases. Trends Ecol Evol. 2013;28(8):474-81. doi:10.1016/j.…

398. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40459/psn-pdf
     May 18, 2011 - Nursing home safety: does financial performance matter? May 18, 2011 Oetjen RM, Zhao M, Liu D, et al. Nursing home safety: does financial performance matter? J Health Care Finance. 2011;37(3):51-61. https://psnet.ahrq.gov/issue/nursing-home-safety-does-financial-performance-matter This study discovered that nursin…

399. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/836861/psn-pdf
     April 06, 2022 - How health systems decide to use artificial intelligence for clinical decision support. April 6, 2022 Gonzalez-Smith J, Shen H, Singletary E, et al. How health systems decide to use artificial intelligence for clinical decision support. NEJM Catal Innov Care Deliv. 2022;3(4). doi:10.1056/cat.21.0416. https://psnet…

400. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47883/psn-pdf
     May 29, 2019 - Patient Safety in Obstetrics and Gynecology. May 29, 2019 Gluck PA, ed. Obstet Gynecol Clin North Am. 2019;46:H1-H8, 199-398. https://psnet.ahrq.gov/issue/patient-safety-obstetrics-and-gynecology Obstetrics is a high-risk practice that concurrently manages the safety of mothers and newborns. Articles in this speci…