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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43409/psn-pdf
    February 25, 2015 - Evaluating iatrogenic prescribing: development of an oncology-focused trigger tool. February 25, 2015 Hébert G, Netzer F, Ferrua M, et al. Evaluating iatrogenic prescribing: development of an oncology-focused trigger tool. Eur J Cancer. 2015;51(3):427-35. doi:10.1016/j.ejca.2014.12.002. https://psnet.ahrq.gov/issu…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36671/psn-pdf
    January 18, 2011 - Increasing vigilance on the medical/surgical floor to improve patient safety. January 18, 2011 Jacobs JL, Apatov N, Glei M. Increasing vigilance on the medical/surgical floor to improve patient safety. J Adv Nurs. 2007;57(5). doi:10.1111/j.1365-2648.2006.04161.x. https://psnet.ahrq.gov/issue/increasing-vigilance-m…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35704/psn-pdf
    March 28, 2011 - Relationship between patient complaints and surgical complications. March 28, 2011 Murff HJ, France DJ, Blackford J, et al. Relationship between patient complaints and surgical complications. Qual Saf Health Care. 2006;15(1):13-6. https://psnet.ahrq.gov/issue/relationship-between-patient-complaints-and-surgical-co…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836853/psn-pdf
    April 06, 2022 - Use of e-triggers to identify diagnostic errors in the paediatric ED. April 6, 2022 Lam D, Dominguez F, Leonard J, et al. Use of e-triggers to identify diagnostic errors in the paediatric ED. BMJ Qual Saf. 2022;31(10):735-743. doi:10.1136/bmjqs-2021-013683. https://psnet.ahrq.gov/issue/use-e-triggers-identify-diag…
  5. psnet.ahrq.gov/glossary/hindsight-bias
    September 13, 2021 - Hindsight Bias September 13, 2021 Anonymous (not verified) In a very general sense, hindsight bias relates to the common expression "hindsight is 20/20." This expression captures the tendency for people to regard past events as expected or obvious, even when, in real time, the events perplexed those involved. M…
  6. psnet.ahrq.gov/primer/opioid-safety
    December 15, 2024 - of emergency department visits and hospitalizations due to adverse drug events, but these data only captured
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866161/psn-pdf
    June 19, 2024 - Patient Safety Indicators at an academic veterans affairs hospital: addressing dual goals of clinical care and validity. June 19, 2024 Allaudeen N, Schalch E, Neff M, et al. Patient Safety Indicators at an Academic Veterans Affairs Hospital: Addressing Dual Goals of Clinical Care and Validity. Jt Comm J Qual Patie…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865339/psn-pdf
    March 27, 2024 - Organisational conditions for safety management practice in homecare and nursing homes, pre-pandemic and in pandemic. March 27, 2024 Dellve L, Skagert K. Organisational conditions for safety management practice in homecare and nursing homes, pre-pandemic and in pandemic. Safety Sci. 2024;174:106488. doi:10.1016/j.…
  9. psnet.ahrq.gov/primer/patient-safety-indicators
    June 15, 2024 - value-based payment programs to include new metrics focused on diagnostic accuracy and hospital harms, captured
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45496/psn-pdf
    May 09, 2017 - The application of the Global Trigger Tool: a systematic review. May 9, 2017 Hibbert PD, Molloy CJ, Hooper TD, et al. The application of the Global Trigger Tool: a systematic review. Int J Qual Health Care. 2016;28(6):640-649. doi:10.1093/intqhc/mzw115. https://psnet.ahrq.gov/issue/application-global-trigger-tool-…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45970/psn-pdf
    March 22, 2017 - A learning health care system using computer-aided diagnosis. March 22, 2017 Cahan A, Cimino JJ. A Learning Health Care System Using Computer-Aided Diagnosis. J Med Internet Res. 2017;19(3):e54. doi:10.2196/jmir.6663. https://psnet.ahrq.gov/issue/learning-health-care-system-using-computer-aided-diagnosis Although…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36027/psn-pdf
    March 28, 2011 - Medical injuries among hospitalized children. March 28, 2011 Meurer JR, Yang H, Guse CE, et al. Medical injuries among hospitalized children. Qual Saf Health Care. 2006;15(3):202-7. https://psnet.ahrq.gov/issue/medical-injuries-among-hospitalized-children This AHRQ–funded study applied new screening criteria to ca…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42913/psn-pdf
    January 29, 2014 - What to do with healthcare incident reporting systems. January 29, 2014 Pham JC, Girard T, Pronovost PJ. What to do with healthcare Incident Reporting Systems. J Public Health Res. 2013;2(3). doi:10.4081/jphr.2013.e27. https://psnet.ahrq.gov/issue/what-do-healthcare-incident-reporting-systems Incident reporting sy…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44401/psn-pdf
    November 20, 2015 - Medication reconciliation at admission and discharge: an analysis of prevalence and associated risk factors. November 20, 2015 Belda-Rustarazo S, Cantero-Hinojosa J, Salmeron-García A, et al. Medication reconciliation at admission and discharge: an analysis of prevalence and associated risk factors. Int J Clin Prac…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847728/psn-pdf
    April 19, 2023 - Development and interrater agreement of a novel classification system combining medical and surgical adverse event reporting. April 19, 2023 Stone A, Jiang ST, Stahl MC, et al. Development and interrater agreement of a novel classification system combining medical and surgical adverse event reporting. JAMA Otolary…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848042/psn-pdf
    April 26, 2023 - Clinicians' perspectives on proactive patient safety behaviors in the perioperative environment. April 26, 2023 Duffy C, Menon N, Horak D, et al. Clinicians' perspectives on proactive patient safety behaviors in the perioperative environment. JAMA Netw Open. 2023;6(4):e237621. doi:10.1001/jamanetworkopen.2023.7621…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50655/psn-pdf
    January 01, 2020 - Reflections on implementing a hospital-wide provider- based electronic inpatient mortality review system: lessons learnt. November 13, 2019 Mendu ML, Lu Y, Petersen A, et al. Reflections on implementing a hospital-wide provider-based electronic inpatient mortality review system: lessons learnt. BMJ Qual Saf. 2020;…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74141/psn-pdf
    December 01, 2021 - Incident reporting systems: what will it take to make them less frustrating and achieve anything useful? December 1, 2021 Shojania KG. Incident reporting systems: what will it take to make them less frustrating and achieve anything useful? Jt Comm J Qual Patient Saf. 2021;47(12):755-758. doi:10.1016/j.jcjq.2021.10.…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60743/psn-pdf
    July 29, 2020 - The confused and bewildered hospital: adverse event discovery, pay-for-performance, and big data tools as halfway technologies. July 29, 2020 Furrow BR. The confused and bewildered hospital: adverse event discovery, pay-for-performance, and big data tools as halfway technologies. Am J Law Med. 2020;46(2-3):219-235…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72724/psn-pdf
    February 10, 2021 - How satisfied are patients and surgeons with telemedicine in orthopaedic care during the COVID-19 pandemic? A systematic review and meta-analysis. February 10, 2021 Chaudhry H, Nadeem S, Mundi R. How Satisfied Are Patients and Surgeons with Telemedicine in Orthopaedic Care During the COVID-19 Pandemic? A Systemati…

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