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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46565/psn-pdf
    January 23, 2019 - Closing the Loop: A Guide to Safer Ambulatory Referrals in the EHR Era. January 23, 2019 Institute for Healthcare Improvement, National Patient Safety Foundation. Cambridge, MA: Institute for Healthcare Improvement; 2017. https://psnet.ahrq.gov/issue/closing-loop-guide-safer-ambulatory-referrals-ehr-era Missed an…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73282/psn-pdf
    January 01, 2022 - Effects of a refined evidence-based toolkit and mentored implementation on medication reconciliation at 18 hospitals: results of the MARQUIS2 study. May 19, 2021 Schnipper JL, Reyes Nieva H, Mallouk M, et al. Effects of a refined evidence-based toolkit and mentored implementation on medication reconciliation at 18…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34889/psn-pdf
    March 04, 2011 - Effect of electronic health records in ambulatory care: retrospective, serial, cross sectional study. March 4, 2011 Garrido T, Jamieson L, Zhou Y, et al. Effect of electronic health records in ambulatory care: retrospective, serial, cross sectional study. BMJ. 2005;330(7491):581. https://psnet.ahrq.gov/issue/effec…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44948/psn-pdf
    February 14, 2017 - Safer Healthcare: Strategies for the Real World. February 14, 2017 Vincent C, Amalberti R. New York, NY: SpringerOpen; 2016 https://psnet.ahrq.gov/issue/safer-healthcare-strategies-real-world Written by two leaders in the patient safety field, Charles Vincent and Rene Amalberti, this book is available for free dow…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34886/psn-pdf
    February 03, 2011 - Potentially inappropriate medication use among elderly home care patients in Europe. February 3, 2011 Fialová D, Topinková E, Gambassi G, et al. Potentially inappropriate medication use among elderly home care patients in Europe. JAMA. 2005;293(11):1348-58. https://psnet.ahrq.gov/issue/potentially-inappropriate-me…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44804/psn-pdf
    November 18, 2016 - The Safer Delivery of Surgical Services Program (S3): explaining its differential effectiveness and exploring implications for improving quality in complex systems. November 18, 2016 Flynn LC, McCulloch P, Morgan LJ, et al. The Safer Delivery of Surgical Services Program (S3): Explaining Its Differential Effective…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867438/psn-pdf
    January 08, 2025 - Safety management within the scope of teaching practical clinical skills: framing errors for cardiopulmonary resuscitation training - a multi-arm randomized controlled equivalence trial. January 8, 2025 Schmidt M, Schauwinhold MT, Loeffler LAK, et al. Safety management within the scope of teaching practical clini…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866191/psn-pdf
    June 26, 2024 - Quality improvement lessons learned from National Implementation of the "Patient Safety Events in Community Care: Reporting, Investigation, and Improvement Guidebook". June 26, 2024 Sullivan JL, Shin MH, Chan J, et al. Quality improvement lessons learned from National Implementation of the “Patient Safety Events …
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47727/psn-pdf
    January 23, 2019 - Improving resident and fellow engagement in patient safety through a graduate medical education incentive program. January 23, 2019 Turner DA, Bae J, Cheely G, et al. Improving Resident and Fellow Engagement in Patient Safety Through a Graduate Medical Education Incentive Program. J Gen Intern Care. 2018;10(6):671…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/840141/psn-pdf
    November 16, 2022 - Toward zero harm: Mackenzie Health's journey toward becoming a high reliability organization and eliminating avoidable harm. November 16, 2022 Wilson M-A, Sinno M, Hacker Teper M, et al. Toward zero harm: Mackenzie Health's journey toward becoming a high reliability organization and eliminating avoidable harm. J P…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46560/psn-pdf
    January 24, 2019 - The hidden cost of regulation: the administrative cost of reporting serious reportable events. January 24, 2019 Blanchfield BB, Acharya B, Mort E. The Hidden Cost of Regulation: The Administrative Cost of Reporting Serious Reportable Events. Jt Comm J Qual Patient Saf. 2018;44(4):212-218. doi:10.1016/j.jcjq.2017.0…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60178/psn-pdf
    April 01, 2020 - Rate of preventable mortality in hospitalized patients: a systematic review and meta-analysis. April 1, 2020 Rodwin BA, Bilan VP, Merchant NB, et al. Rate of preventable mortality in hospitalized patients: a systematic review and meta-analysis. J Gen Intern Med. 2020;35(7):2099-2106. doi:10.1007/s11606-019- 05592-…
  13. psnet.ahrq.gov/issue/improving-pain-management-hospitalized-medical-patients
    May 01, 2023 - Toolkit Improving Pain Management for Hospitalized Medical Patients. Citation Text: Society of Hospital Medicine. Improving Pain Management for Hospitalized Medical Patients. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RI…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41725/psn-pdf
    January 01, 2013 - Improving patient handovers from hospital to primary care: a systematic review. October 3, 2012 Hesselink G, Schoonhoven L, Barach P, et al. Improving patient handovers from hospital to primary care: a systematic review. Ann Intern Med. 2013;157(6):417. doi:10.7326/0003-4819-157-6-201209180-00006. https://psnet.ah…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42351/psn-pdf
    June 19, 2013 - Integrating patient safety and clinical pharmacy services into the care of a high-risk, ambulatory population: a collaborative approach. June 19, 2013 Robbins CM, Stillwell T, Johnson D, et al. Integrating Patient Safety and Clinical Pharmacy Services Into the Care of a High-Risk, Ambulatory Population. J Patient …
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34792/psn-pdf
    January 01, 2011 - Physician knowledge, attitudes, and behavior related to reporting adverse drug events. July 10, 2008 Rogers AS, Israel E, Smith CR, et al. Physician Knowledge, Attitudes, and Behavior Related to Reporting Adverse Drug Events. Arch Intern Med. 2011;148(7):1596-1600. doi:10.1001/archinte.1988.00380070090021. https:…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45137/psn-pdf
    May 18, 2016 - Less is more: a project to reduce the number of PIMs (potentially inappropriate medications) on an elderly care ward. May 18, 2016 Aung TH, Beck AJ, Siese T, et al. Less is more: a project to reduce the number of PIMs (potentially inappropriate medications) on an elderly care ward. BMJ Qual Improv Rep. 2016;5(1). …
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44822/psn-pdf
    September 04, 2016 - A cluster randomized trial of interventions to improve work conditions and clinician burnout in primary care: results from the Healthy Work Place (HWP) study. September 4, 2016 Linzer M, Poplau S, Grossman E, et al. A Cluster Randomized Trial of Interventions to Improve Work Conditions and Clinician Burnout in Pri…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35436/psn-pdf
    September 15, 2009 - Hospital nurse staffing and patient mortality, emotional exhaustion, and job dissatisfaction. September 15, 2009 Halm M, Peterson M, Kandels M, et al. Hospital nurse staffing and patient mortality, emotional exhaustion, and job dissatisfaction. Clin Nurse Spec. 2005;19(5):241-254. https://psnet.ahrq.gov/issue/hosp…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845357/psn-pdf
    March 29, 2023 - Reducing hospital harm: establishing a command centre to foster situational awareness. March 29, 2023 Collins B. Reducing hospital harm: establishing a command centre to foster situational awareness. Healthc Q. 2022;25(2):75-81. doi:10.12927/hcq.2022.26885. https://psnet.ahrq.gov/innovation/reducing-hospital-harm-…

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