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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33847/psn-pdf
    August 01, 2017 - In Conversation With… Karl Bilimoria, MD, MS August 1, 2017 In Conversation With… Karl Bilimoria, MD, MS. PSNet [internet]. 2017. https://psnet.ahrq.gov/perspective/conversation-karl-bilimoria-md-ms-0 Editor's note: Dr. Bilimoria is the Director of the Surgical Outcomes and Quality Improvement Center of Northwest…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60633/psn-pdf
    July 01, 2020 - Frequency and types of patient-reported errors in electronic health record ambulatory care notes. July 1, 2020 Bell SK, Delbanco T, Elmore JG, et al. Frequency and types of patient-reported errors in electronic health record ambulatory care notes. JAMA Netw Open. 2020;3(6):e205867. doi:10.1001/jamanetworkopen.2020…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/840139/psn-pdf
    November 16, 2022 - CDC Clinical Practice Guideline for Prescribing Opioids for Pain - United States, 2022. November 16, 2022 Dowell D, Ragan KR, Jones CM, et al. CDC Clinical Practice Guideline for Prescribing Opioids for Pain — United States, 2022. MMWR Recomm Rep. 2022;71(3):1-95. doi:10.15585/mmwr.rr7103a1. https://psnet.ahrq.gov…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45117/psn-pdf
    August 03, 2016 - Using computerized prescriber order entry to limit overrides from automated dispensing cabinets. August 3, 2016 Drake E, Srinivas P, Trujillo T. Using computerized prescriber order entry to limit overrides from automated dispensing cabinets. Am J Health-Syst Pharm. 2016;73(14):1033-1035. doi:10.2146/ajhp150564. ht…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34684/psn-pdf
    May 27, 2011 - Effect of computerized physician order entry and a team intervention on prevention of serious medication errors. May 27, 2011 Bates DW, Leape L, Cullen DJ, et al. Effect of computerized physician order entry and a team intervention on prevention of serious medication errors. JAMA. 1998;280(15):1311-6. https://psne…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44687/psn-pdf
    June 21, 2016 - Free From Harm: Accelerating Patient Safety Improvement Fifteen Years After To Err Is Human. June 21, 2016 Boston, MA: National Patient Safety Foundation; 2015. https://psnet.ahrq.gov/issue/free-harm-accelerating-patient-safety-improvement-fifteen-years-after-err- human This report provides an objective assessmen…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73978/psn-pdf
    October 20, 2021 - Preventing pregnancy-related mental health deaths: insights from 14 US maternal mortality review committees, 2008-17. October 20, 2021 Trost SL, Beauregard JL, Smoots AN, et al. Preventing pregnancy-related mental health deaths: insights from 14 US maternal mortality review committees, 2008-17. Health Aff (Millwoo…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41066/psn-pdf
    October 16, 2012 - Hospital Incident Reporting Systems Do Not Capture Most Patient Harm. October 16, 2012 Levinson DR. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; January 2012. Report No. OEI-06-09-00091. https://psnet.ahrq.gov/issue/hospital-incident-reporting-systems-do-not-capture-…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34804/psn-pdf
    January 05, 2017 - Incident reporting system does not detect adverse drug events: a problem for quality improvement. January 5, 2017 Cullen DJ, Bates DW, Small SD, et al. The incident reporting system does not detect adverse drug events: a problem for quality improvement. Jt Comm J Qual Improv. 1995;21(10):541-8. https://psnet.ahrq.…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851360/psn-pdf
    July 12, 2023 - How does work environment relate to diagnostic quality? A prospective, mixed methods study in primary care. July 12, 2023 Khazen M, Sullivan EE, Arabadjis S, et al. How does work environment relate to diagnostic quality? A prospective, mixed methods study in primary care. BMJ Open. 2023;13(5):e071241. doi:10.1136/b…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47661/psn-pdf
    January 23, 2019 - Safety enhancements every hospital must consider in wake of another tragic neuromuscular blocker event. January 23, 2019 ISMP Medication Safety Alert! Acute Care Edition. January 17, 2019;24:1-6. https://psnet.ahrq.gov/issue/safety-enhancements-every-hospital-must-consider-wake-another-tragic- neuromuscular-blocke…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50890/psn-pdf
    February 12, 2020 - Impact of pharmacist-led multidisciplinary medication review on the safety and medication cost of the elderly people living in a nursing home: a before-after study. February 12, 2020 Leguelinel-Blache G, Castelli C, Rolain J, et al. Impact of pharmacist-led multidisciplinary medication review on the safety and med…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/862128/psn-pdf
    February 07, 2024 - Embracing the future-is artificial intelligence already better? A comparative study of artificial intelligence performance in diagnostic accuracy and decision-making. February 7, 2024 Fonseca Â, Ferreira A, Ribeiro L, et al. Embracing the future—is artificial intelligence already better? A comparative study of art…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38696/psn-pdf
    April 11, 2012 - Hospital Survey on Patient Safety Culture: 2009 Comparative Database Report. April 11, 2012 Sorra J, Famloaro T, Dyer N, Nelson D, Khanna K. Rockville, MD: Agency for Healthcare Research and Quality; 2009. AHRQ Publication No. 09-0030. https://psnet.ahrq.gov/issue/hospital-survey-patient-safety-culture-2009-compar…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60347/psn-pdf
    January 01, 2021 - Patient safety education 20 years after the Institute of Medicine report: results from a cross-sectional national survey. May 20, 2020 Arora S, Tsang F, Kekecs Z, et al. Patient safety education 20 years after the Institute of Medicine report: results from a cross-sectional national survey. J Patient Saf. 2021;17(…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39570/psn-pdf
    September 20, 2011 - Effect of a 19-item surgical safety checklist during urgent operations in a global patient population. September 20, 2011 Weiser TG, Haynes AB, Dziekan G, et al. Effect of A 19-Item Surgical Safety Checklist During Urgent Operations in A Global Patient Population. Ann Surg. 2010;251(5). doi:10.1097/sla.0b013e3181d9…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43193/psn-pdf
    June 17, 2014 - Risks in the implementation and use of smart pumps in a pediatric intensive care unit: application of the failure mode and effects analysis. June 17, 2014 Manrique-Rodríguez S, Sánchez-Galindo AC, López-Herce J, et al. Risks in the implementation and use of smart pumps in a pediatric intensive care unit: applicati…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42692/psn-pdf
    April 21, 2015 - Surgical skill and complication rates after bariatric surgery. April 21, 2015 Birkmeyer JD, Finks JF, O'Reilly A, et al. Surgical skill and complication rates after bariatric surgery. N Engl J Med. 2013;369(15):1434-1442. doi:10.1056/NEJMsa1300625. https://psnet.ahrq.gov/issue/surgical-skill-and-complication-rates…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35572/psn-pdf
    February 03, 2011 - The long road to patient safety: a status report on patient safety systems. February 3, 2011 Longo DR, Hewett JE, Ge B, et al. The long road to patient safety: a status report on patient safety systems. JAMA. 2005;294(22):2858-65. https://psnet.ahrq.gov/issue/long-road-patient-safety-status-report-patient-safety-s…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73177/psn-pdf
    April 28, 2021 - The association of nursing home characteristics and quality with adverse events after a hospitalization. April 28, 2021 Field TS, Fouayzi H, Crawford S, et al. The association of nursing home characteristics and quality with adverse events after a hospitalization. J Am Med Dir Assoc. 2021;22(10):2196-2200. doi:10.…
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