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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36255/psn-pdf
    February 02, 2011 - Interns' compliance with Accreditation Council for Graduate Medical Education work-hour limits. February 2, 2011 Landrigan CP, Barger LK, Cade BE, et al. Interns' compliance with accreditation council for graduate medical education work-hour limits. JAMA. 2006;296(9):1063-70. https://psnet.ahrq.gov/issue/interns-c…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37572/psn-pdf
    June 16, 2011 - Organizational factors associated with high performance in quality and safety in academic medical centers. June 16, 2011 Keroack MA, Youngberg BJ, Cerese JL, et al. Organizational factors associated with high performance in quality and safety in academic medical centers. Acad Med. 2007;82(12):1178-86. https://psne…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844040/psn-pdf
    February 08, 2023 - A customized triggers program: a children's hospital's experience in improving trigger usability. February 8, 2023 Reinhart RM, Safari-Ferra P, Badh R, et al. A customized triggers program: a children's hospital's experience in improving trigger usability. Pediatrics. 2023;151(2):e2022056452. doi:10.1542/peds.2022-…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43349/psn-pdf
    July 16, 2014 - Multifaceted interventions improve adherence to the surgical checklist. July 16, 2014 Putnam LR, Levy SM, Sajid M, et al. Multifaceted interventions improve adherence to the surgical checklist. Surgery. 2014;156(2):336-344. doi:10.1016/j.surg.2014.03.032. https://psnet.ahrq.gov/issue/multifaceted-interventions-imp…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38949/psn-pdf
    January 28, 2010 - Implementing a pre-operative checklist to increase patient safety: a 1-year follow-up of personnel attitudes. January 28, 2010 Nilsson L, Lindberget O, Gupta A, et al. Implementing a pre-operative checklist to increase patient safety: a 1-year follow-up of personnel attitudes. Acta Anaesthesiol Scand. 2010;54(2):17…
  6. 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…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/849125/psn-pdf
    May 17, 2023 - Vestibular syndromes, diagnosis and diagnostic errors in patients with dizziness presenting to the emergency department: a cross-sectional study. May 17, 2023 Comolli L, Korda A, Zamaro E, et al. Vestibular syndromes, diagnosis and diagnostic errors in patients with dizziness presenting to the emergency department…
  8. 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…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47322/psn-pdf
    September 12, 2018 - Crossing the Global Quality Chasm: Improving Health Care Worldwide. September 12, 2018 Committee on Improving the Quality of Health Care Globally. National Academies of Sciences, Engineering, and Medicine. Washington DC: National Academies Press; August 2018. ISBN: 9780309483087. https://psnet.ahrq.gov/issue/cros…
  10. 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…
  11. 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…
  12. 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…
  13. 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…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73214/psn-pdf
    May 05, 2021 - Patient and physician perspectives of deprescribing potentially inappropriate medications in older adults with a history of falls: a qualitative study. May 5, 2021 Hahn EE, Munoz-Plaza CE, Lee EA, et al. Patient and physician perspectives of deprescribing potentially inappropriate medications in older adults with …
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37510/psn-pdf
    March 04, 2011 - Rare adverse medical events in VA inpatient care: reliability limits to using patient safety indicators as performance measures. March 4, 2011 West AN, Weeks WB, Bagian JP. Rare adverse medical events in VA inpatient care: reliability limits to using patient safety indicators as performance measures. Health Serv R…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40891/psn-pdf
    January 19, 2012 - Electronic health record-based surveillance of diagnostic errors in primary care. January 19, 2012 Singh H, Giardina TD, Forjuoh SN, et al. Electronic health record-based surveillance of diagnostic errors in primary care. BMJ Qual Saf. 2012;21(2):93-100. doi:10.1136/bmjqs-2011-000304. https://psnet.ahrq.gov/issue/…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42232/psn-pdf
    May 08, 2013 - The Measurement and Monitoring of Safety. May 8, 2013 Vincent C, Burnett S, Carthey J. London, UK: Health Foundation; April 2013. ISBN: 9781906461447. https://psnet.ahrq.gov/issue/measurement-and-monitoring-safety Despite great effort, health care organizations are still learning how to identify safety problems, es…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36089/psn-pdf
    March 03, 2011 - The impact of the 80-hour resident workweek on surgical residents and attending surgeons. March 3, 2011 Hutter MM, Kellogg KC, Ferguson CM, et al. The impact of the 80-hour resident workweek on surgical residents and attending surgeons. Ann Surg. 2006;243(6):864-71; discussion 871-5. https://psnet.ahrq.gov/issue/i…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61098/psn-pdf
    November 04, 2020 - Nursing home staff turnover and perceived patient safety culture: results from a national survey. November 4, 2020 Temkin-Greener H, Cen X, Li Y. Nursing home staff turnover and perceived patient safety culture: results from a national survey. Gerontologist. 2020;60(7):1303-1311. doi:10.1093/geront/gnaa015. https:…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837136/psn-pdf
    May 18, 2022 - What can we learn from in-depth analysis of human errors resulting in diagnostic errors in the emergency department: an analysis of serious adverse event reports. May 18, 2022 Baartmans MC, Hooftman J, Zwaan L, et al. What can we learn from in-depth analysis of human errors resulting in diagnostic errors in the em…

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