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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40841/psn-pdf
    October 16, 2012 - How dangerous is a day in hospital?: A model of adverse events and length of stay for medical inpatients. October 16, 2012 Hauck K, Zhao X. How dangerous is a day in hospital? A model of adverse events and length of stay for medical inpatients. Med Care. 2011;49(12):1068-75. doi:10.1097/MLR.0b013e31822efb09. https…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35407/psn-pdf
    September 11, 2009 - Liability reform should make patients safer: "Avoidable classes of events" are a key improvement. September 11, 2009 Bovbjerg RR, Tancredi LR. Liability reform should make patients safer: "avoidable classes of events" are a key improvement. J Law Med Ethics. 2005;33(3):478-500. https://psnet.ahrq.gov/issue/liabili…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47893/psn-pdf
    April 08, 2019 - Challenges with implementing the Centers for Disease Control and Prevention opioid guideline: a consensus panel report. April 8, 2019 Kroenke K, Alford DP, Argoff C, et al. Challenges with Implementing the Centers for Disease Control and Prevention Opioid Guideline: A Consensus Panel Report. Pain Med. 2019;20(4):7…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38722/psn-pdf
    June 24, 2009 - Why do people sue doctors? A study of patients and relatives taking legal action. June 24, 2009 Vincent C, Young M, Phillips A. Why do people sue doctors? A study of patients and relatives taking legal action. Lancet. 1994;343(8913):1609-1613. https://psnet.ahrq.gov/issue/why-do-people-sue-doctors-study-patients-a…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34949/psn-pdf
    June 23, 2009 - A randomized, controlled trial evaluating the impact of a computerized rounding and sign-out system on continuity of care and resident work hours. June 23, 2009 Van Eaton EG, Horvath KD, Lober WB, et al. A randomized, controlled trial evaluating the impact of a computerized rounding and sign-out system on continui…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35467/psn-pdf
    March 11, 2011 - The impact of electronic health records on time efficiency of physicians and nurses: a systematic review. March 11, 2011 Poissant L, Pereira J, Tamblyn R, et al. The impact of electronic health records on time efficiency of physicians and nurses: a systematic review. J Am Med Inform Assoc. 2005;12(5):505-16. https…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46627/psn-pdf
    January 30, 2018 - The lost art of doctoring: reflections of a pediatric resident. January 30, 2018 Mitchell SM. The Lost Art of Doctoring: Reflections of a Pediatric Resident. JAMA Pediatr. 2018;172(1):10. doi:10.1001/jamapediatrics.2017.3247. https://psnet.ahrq.gov/issue/lost-art-doctoring-reflections-pediatric-resident There are…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44237/psn-pdf
    November 03, 2015 - Surgical never events and contributing human factors. November 3, 2015 Thiels CA, Lal TM, Nienow JM, et al. Surgical never events and contributing human factors. Surgery. 2015;158(2):515-21. doi:10.1016/j.surg.2015.03.053. https://psnet.ahrq.gov/issue/surgical-never-events-and-contributing-human-factors Never even…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38470/psn-pdf
    March 11, 2009 - Quality and strength of patient safety climate on medical–surgical units. March 11, 2009 Hughes LC, Chang YK, Mark BA. Quality and strength of patient safety climate on medical-surgical units. Health Care Manag Rev. 2009;34(1):19-28. doi:10.1097/01.HMR.0000342976.07179.3a. https://psnet.ahrq.gov/issue/quality-and-…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44158/psn-pdf
    September 30, 2015 - Meaningful Use stage 2 e-prescribing threshold and adverse drug events in the Medicare Part D population with diabetes. September 30, 2015 Powers C, Gabriel MH, Encinosa W, et al. Meaningful use stage 2 e-prescribing threshold and adverse drug events in the Medicare Part D population with diabetes. J Am Med Inform…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865971/psn-pdf
    May 29, 2024 - Lessons learned from a national hospital antibiotic stewardship implementation project. May 29, 2024 Cosgrove SE, Ahn R, Dullabh P, et al. Lessons learned from a national hospital antibiotic stewardship implementation project. Jt Comm J Qual Patient Saf. 2024;50(6):435-441. doi:10.1016/j.jcjq.2024.04.002. https://…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73537/psn-pdf
    July 28, 2021 - Health literacy-related safety events: a qualitative study of health literacy failures in patient safety events. July 28, 2021 Morrison AK, Gibson C, Higgins C, et al. Health literacy-related safety events: a qualitative study of health literacy failures in patient safety events. Pediatr Qual Saf. 2021;6(4):e425. …
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37590/psn-pdf
    April 13, 2018 - Just Culture: Restoring Trust and Accountability in Your Organization, Third Edition. April 13, 2018 Dekker S. Boca Raton, FL: CRC Press; 2017. ISBN: 9781472475756. https://psnet.ahrq.gov/issue/just-culture-restoring-trust-and-accountability-your-organization-third-edition Although early efforts in the patient saf…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41556/psn-pdf
    January 03, 2017 - Patient safety reporting systems: sustained quality improvement using a multidisciplinary team and "Good Catch" awards. January 3, 2017 Herzer KR, Mirrer M, Xie Y, et al. Patient Safety Reporting Systems: Sustained Quality Improvement Using a Multidisciplinary Team and “Good Catch” Awards. Jt Comm J Qual Patient S…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45602/psn-pdf
    February 20, 2017 - Ethical considerations in the development of the Flexibility in Duty Hour Requirements for Surgical Trainees trial. February 20, 2017 Minami CA, Odell DD, Bilimoria KY. Ethical Considerations in the Development of the Flexibility in Duty Hour Requirements for Surgical Trainees Trial. JAMA Surg. 2017;152(1):7-8. d…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46756/psn-pdf
    May 09, 2018 - Using a modified A3 lean framework to identify ways to increase students' reporting of mistreatment behaviors. May 9, 2018 Ross PT, Abdoler E, Flygt LA, et al. Using a Modified A3 Lean Framework to Identify Ways to Increase Students' Reporting of Mistreatment Behaviors. Acad Med. 2018;93(4):606-611. doi:10.1097/AC…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74691/psn-pdf
    January 01, 2021 - U.S. Department of Veterans Affairs Medical Center, Houston, TX, and Baylor College of Medicine Revised Safer Diagnosis (Safer Dx) Instrument January 26, 2022 https://psnet.ahrq.gov/innovation/us-department-veterans-affairs-medical-center-houston-tx-and-baylor- college-medicine Summary The Revised Safer Dx Instr…
  18. psnet.ahrq.gov/innovation/verification-screen-includes-prominent-patient-photograph-significantly-reduces-errors
    October 30, 2024 - Verification Screen That Includes Prominent Patient Photograph Significantly Reduces Errors Caused by Orders Placed in Wrong Chart Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL June 12, 2020 …
  19. psnet.ahrq.gov/web-mm/hemorrhagic-shock-after-elective-spine-surgery-failure-rescue-after-limited-response-nursing
    October 31, 2023 - SPOTLIGHT CASE Hemorrhagic Shock after Elective Spine Surgery: Failure to Rescue after Limited Response to Nursing Concerns. Citation Text: Zakaluzny S. Hemorrhagic Shock after Elective Spine Surgery: Failure to Rescue after Limited Response to Nursing Concerns.. PSNet [internet]. Rockville (MD):…
  20. psnet.ahrq.gov/innovation/us-department-veterans-affairs-medical-center-houston-tx-and-baylor-college-medicine
    February 26, 2025 - U.S. Department of Veterans Affairs Medical Center, Houston, TX, and Baylor College of Medicine Revised Safer Diagnosis (Safer Dx) Instrument Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL January …

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