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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46044/psn-pdf
    December 21, 2017 - Addressing the opioid epidemic in the United States: lessons from the Department of Veterans Affairs. December 21, 2017 Gellad WF, Good CB, Shulkin DJ. Addressing the Opioid Epidemic in the United States: Lessons From the Department of Veterans Affairs. AMA Intern Med. 2017;177(5):611-612. doi:10.1001/jamainternme…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72675/psn-pdf
    January 27, 2021 - How does the environment influence consumers' perceptions of safety in acute mental health units? A qualitative study. January 27, 2021 Cutler NA, Halcomb E, Sim J, et al. How does the environment influence consumers' perceptions of safety in acute mental health units? A qualitative study. J Clin Nurs. 2021;30(5-6…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44117/psn-pdf
    December 04, 2016 - The TRANSFORM patient safety project: a microsystem approach to improving outcomes on inpatient units. December 4, 2016 Braddock CH, Szaflarski N, Forsey L, et al. The TRANSFORM Patient Safety Project: a microsystem approach to improving outcomes on inpatient units. J Gen Intern Med. 2015;30(4):425-33. doi:10.1007…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853232/psn-pdf
    September 06, 2023 - Vital signs: maternity care experiences — United States, April 2023. September 6, 2023 Mohamoud YA, Cassidy E, Fuchs E, et al. Vital Signs: Maternity Care Experiences — United States, April 2023. MMWR Morb Mortal Wkly Rep. 2023;72(35):961–967. doi:10.15585/mmwr.mm7235e1. https://psnet.ahrq.gov/issue/vital-signs-ma…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46833/psn-pdf
    December 03, 2018 - The expanding role of antimicrobial stewardship programs in hospitals in the United States: lessons learned from a multisite qualitative study. December 3, 2018 Kapadia SN, Abramson EL, Carter EJ, et al. The Expanding Role of Antimicrobial Stewardship Programs in Hospitals in the United States: Lessons Learned fro…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41958/psn-pdf
    April 17, 2013 - Surgical never events in the United States. April 17, 2013 Mehtsun WT, Ibrahim AM, Diener-West M, et al. Surgical never events in the United States. Surgery. 2013;153(4):465-472. doi:10.1016/j.surg.2012.10.005. https://psnet.ahrq.gov/issue/surgical-never-events-united-states More than a decade ago, stories of wron…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47204/psn-pdf
    July 18, 2018 - The burden of opioid-related mortality in the United States. July 18, 2018 Gomes T, Tadrous M, Mamdani MM, et al. The burden of opioid-related mortality in the United States. JAMA Netw Open. 2018;1(2):e180217. doi:10.1001/jamanetworkopen.2018.0217. https://psnet.ahrq.gov/issue/burden-opioid-related-mortality-unite…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867047/psn-pdf
    October 30, 2024 - Therapeutic errors involving diabetes medications reported to United States poison centers. October 30, 2024 Thurgood Giarman A, Hays HL, Badeti J, et al. Therapeutic errors involving diabetes medications reported to United States poison centers. Inj Epidemiol. 2024;11(1):51. doi:10.1186/s40621-024-00536-y. https:…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60839/psn-pdf
    August 26, 2020 - The impact of the COVID-19 pandemic on Emergency Department visits and patient safety in the United States. August 26, 2020 Boserup B, McKenney M, Elkbuli A. The impact of the COVID-19 pandemic on emergency department visits and patient safety in the United States. Am J Emerg Med. 2020;38(9):1732-1736. doi:10.1016…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46041/psn-pdf
    September 20, 2017 - The economic burden of nurse-sensitive adverse events in 22 medical-surgical units: retrospective and matching analysis. September 20, 2017 Tchouaket E, Dubois C-A, D'Amour D. The economic burden of nurse-sensitive adverse events in 22 medical-surgical units: retrospective and matching analysis. J Adv Nurs. 2017;7…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60052/psn-pdf
    March 18, 2020 - Analysis of pharmacist-identified medication-related problems at two United Kingdom hospitals: a prospective observational study. March 18, 2020 Geeson C, Wei L, Franklin BD. Analysis of pharmacist-identified medication-related problems at two United Kingdom hospitals: a prospective observational study. Int J Phar…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44215/psn-pdf
    November 03, 2015 - Vaccination errors reported to the Vaccine Adverse Event Reporting System (VAERS), United States, 2000–2013. November 3, 2015 Hibbs BF, Moro PL, Lewis P, et al. Vaccination errors reported to the Vaccine Adverse Event Reporting System, (VAERS) United States, 2000-2013. Vaccine. 2015;33(28):3171-3178. doi:10.1016/j…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47676/psn-pdf
    December 19, 2018 - Assessment of attitudes toward deprescribing in older Medicare beneficiaries in the United States. December 19, 2018 Reeve E, Wolff JL, Skehan M, et al. Assessment of Attitudes Toward Deprescribing in Older Medicare Beneficiaries in the United States. JAMA Intern Med. 2018;178(12):1673-1680. doi:10.1001/jamaintern…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43993/psn-pdf
    November 29, 2017 - An evaluation of shared mental models and mutual trust on general medical units: implications for collaboration, teamwork, and patient safety. November 29, 2017 McComb SA, Lemaster M, Henneman EA, et al. An Evaluation of Shared Mental Models and Mutual Trust on General Medical Units: Implications for Collaboration…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60982/psn-pdf
    October 07, 2020 - Delay or avoidance of medical care because of COVID-19- related concerns--United States, June 2020. October 7, 2020 Czeisler MÉ, Marynak K, Clarke KEN, et al. Delay or avoidance of medical care because of COVID-19- related concerns - United States, June 2020. MMWR Morb Mortal Wkly Rep. 2020;69(36):1250-1257. doi:1…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46869/psn-pdf
    April 11, 2018 - Opioid prescribing practices from 2010 through 2015 among dentists in the United States: what do claims data tell us? April 11, 2018 Gupta N, Vujicic M, Blatz A. Opioid prescribing practices from 2010 through 2015 among dentists in the United States: What do claims data tell us? J Am Dent Assoc. 2018;149(4):237-24…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841473/psn-pdf
    December 14, 2022 - Examination of maternal near-miss experiences in the hospital setting among Black women in the United States. December 14, 2022 Byrd TE, Ingram LA, Okpara N. Examination of maternal near-miss experiences in the hospital setting among Black women in the United States. Womens Health (Lond). 2022;18:174550572211338. …
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47465/psn-pdf
    October 17, 2018 - Mix-ups between epidural analgesia and IV antibiotics in labor and delivery units continue to cause harm. October 17, 2018 ISMP Medication Safety Alert! Acute Care Edition. October 4, 2018;23:1-4. https://psnet.ahrq.gov/issue/mix-ups-between-epidural-analgesia-and-iv-antibiotics-labor-and-delivery- units-continue-…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836778/psn-pdf
    March 23, 2022 - Medication errors and processes to reduce them in care homes in the United Kingdom: a scoping review. March 23, 2022 Irons MW, Auta A, Portlock JC, et al. Medication errors and processes to reduce them in care homes in the United Kingdom: a scoping review. Home Health Care Serv Q. 2022;41(2):91-123. doi:10.1080/01…
  20. digital.ahrq.gov/sites/default/files/docs/citation/r01hs024090-turchin-final-report-2019.pdf
    January 01, 2019 - unique patient-year, starting on January 1st and ending on December 31st of a given year served as the unit … a given year (the index date) and ended on December 31st of the same year therefore served as the unit