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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42748/psn-pdf
    November 20, 2013 - Effectiveness of written hospitalist sign-outs in answering overnight inquiries. November 20, 2013 Fogerty RL, Schoenfeld A, Al-Damluji MS, et al. Effectiveness of written hospitalist sign-outs in answering overnight inquiries. J Hosp Med. 2013;8(11):609-14. doi:10.1002/jhm.2090. https://psnet.ahrq.gov/issue/effec…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43969/psn-pdf
    November 17, 2017 - Transparency when things go wrong: physician attitudes about reporting medical errors to patients, peers, and institutions. November 17, 2017 Bell SK, White AA, Yi JC, et al. Transparency When Things Go Wrong. J Patient Saf. 2015;13(4):243-248. doi:10.1097/pts.0000000000000153. https://psnet.ahrq.gov/issue/transp…
  3. psnet.ahrq.gov/perspective/conversation-mark-l-graber-md
    January 01, 2016 - Those are all higher levels of cognition that need to be and I think could easily be assessed.
  4. psnet.ahrq.gov/primer/fatigue-sleep-deprivation-and-patient-safety
    September 15, 2024 - Fatigue, Sleep Deprivation, and Patient Safety Citation Text: Fatigue, Sleep Deprivation, and Patient Safety. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 X…
  5. psnet.ahrq.gov/primer/missed-nursing-care
    September 15, 2024 - Missed Nursing Care Citation Text: Missed Nursing Care. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …
  6. psnet.ahrq.gov/sites/default/files/2020-05/webmm.ahrq_.gov_.392_slideshow.pptx
    January 01, 2020 - Spotlight Spotlight Suicidal Ideation in the Family Medicine Clinic 1 Source and Credits This presentation is based on the December 2016 AHRQ WebM&M Spotlight Case See the full article at https://psnet.ahrq.gov/webmm CME credit is available Commentary by: Christine Moutier, MD, Chief Medical Officer, American …
  7. psnet.ahrq.gov/web-mm/charcoal-lavage-lungs
    January 01, 2016 - Charcoal Lavage of the Lungs Citation Text: Wigton RS. Charcoal Lavage of the Lungs. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote …
  8. psnet.ahrq.gov/glossary/handoffs-and-handovers
    September 13, 2021 - Handoffs and Handovers September 13, 2021 Anonymous (not verified) See Primer . The process when one health care professional updates another on the status of one or more patients for the purpose of taking over their care. Typical examples involve a physician who has been on call overnight telling an incoming …
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42855/psn-pdf
    February 06, 2014 - Responding to clinicians who fail to follow patient safety practices: perceptions of physicians, nurses, trainees, and patients. February 6, 2014 Driver TH, Katz PP, Trupin L, et al. Responding to clinicians who fail to follow patient safety practices: perceptions of physicians, nurses, trainees, and patients. J H…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46956/psn-pdf
    January 23, 2019 - Impact of a national QI programme on reducing electronic health record notifications to clinicians. January 23, 2019 Shah T, Patel-Teague S, Kroupa L, et al. Impact of a national QI programme on reducing electronic health record notifications to clinicians. BMJ Qual Saf. 2018;28(1):10-14. doi:10.1136/bmjqs-2017-007…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42091/psn-pdf
    December 31, 2014 - Reduction in medication errors in hospitals due to adoption of computerized provider order entry systems. December 31, 2014 Radley DC, Wasserman MR, Olsho LE, et al. Reduction in medication errors in hospitals due to adoption of computerized provider order entry systems. J Am Med Info Asso. 2013;20(3):470-476. doi:…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40618/psn-pdf
    August 27, 2012 - Predictors of likelihood of speaking up about safety concerns in labour and delivery. August 27, 2012 Lyndon A, Sexton B, Simpson KR, et al. Correction. BMJ Qual Saf. 2011;22(2):791-799. doi:10.1136/bmjqs.2010.050211. https://psnet.ahrq.gov/issue/predictors-likelihood-speaking-about-safety-concerns-labour-and-deli…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46902/psn-pdf
    August 20, 2018 - Making soft intelligence hard: a multi-site qualitative study of challenges relating to voice about safety concerns. August 20, 2018 Martin G, Aveling E-L, Campbell A, et al. Making soft intelligence hard: a multi-site qualitative study of challenges relating to voice about safety concerns. BMJ Qual Saf. 2018;27(9…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45167/psn-pdf
    May 25, 2016 - AHRQ Communication and Optimal Resolution (CANDOR) Toolkit. May 25, 2016 Rockville, MD: Agency for Healthcare Research and Quality; May 2016. https://psnet.ahrq.gov/issue/ahrq-communication-and-optimal-resolution-candor-toolkit Traditionally, health systems have disclosed adverse events to patients only through a …
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41446/psn-pdf
    June 13, 2012 - Concept and development of a discharge alert filter for abnormal laboratory values coupled with computerized provider order entry: a tool for quality improvement and hospital risk management. June 13, 2012 Mathew G, Kho A, Dexter P, et al. Concept and development of a discharge alert filter for abnormal laborator…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41212/psn-pdf
    March 14, 2012 - A comprehensive overview of medical error in hospitals using incident-reporting systems, patient complaints and chart review of inpatient deaths. March 14, 2012 de Feijter JM, de Grave WS, Muijtjens AM, et al. A comprehensive overview of medical error in hospitals using incident-reporting systems, patient complain…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46493/psn-pdf
    January 24, 2019 - Four states with robust prescription drug monitoring programs reduced opioid dosages. January 24, 2019 Haffajee RL, Mello MM, Zhang F, et al. Four States With Robust Prescription Drug Monitoring Programs Reduced Opioid Dosages. Health Aff (Millwood). 2018;37(6):964-974. doi:10.1377/hlthaff.2017.1321. https://psnet…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47471/psn-pdf
    January 27, 2019 - Association of cataract surgical outcomes with late surgeon career stages: a population-based cohort study. January 27, 2019 Campbell RJ, El-Defrawy SR, Gill SS, et al. Association of Cataract Surgical Outcomes With Late Surgeon Career Stages: A Population-Based Cohort Study. JAMA Ophthalmol. 2019;137(1):58-64. do…
  19. psnet.ahrq.gov/issue/core-elements-hospital-diagnostic-excellence-dxex
    April 26, 2023 - Multi-use Website Core Elements of Hospital Diagnostic Excellence (DxEx). Citation Text: Core Elements of Hospital Diagnostic Excellence (DxEx). Centers for Disease Control and Prevention. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagg…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46975/psn-pdf
    November 16, 2018 - Electronic health record usability issues and potential contribution to patient harm. November 16, 2018 Howe JL, Adams KT, Hettinger Z, et al. Electronic Health Record Usability Issues and Potential Contribution to Patient Harm. JAMA. 2018;319(12):1276-1278. doi:10.1001/jama.2018.1171. https://psnet.ahrq.gov/issue…

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