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  1. Exhibit 5.12 Most Emergency Department Visits for MH and SA Conditions

    hcup-us.ahrq.gov/reports/factsandfigures/2008/figures/2008_5_12b.jsp
    January 01, 2008 - Exhibit 5.12 Most Emergency Department Visits for MH and SA Conditions Distribution of Most Frequent Emergency Department (ED) All-listed MHSA Visits by Discharge Status, 2007 MHSA CONDITION PERCENT DISTRIBUTION BY DISCHARGE STATUS Inpatient Admission Transfer to Other Facility Other Treat…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40394/psn-pdf
    January 01, 2019 - Partnership for Patients. October 6, 2016 Washington, DC: US Department of Health and Human Services. https://psnet.ahrq.gov/issue/partnership-patients Launched in 2011, the Partnership for Patients plans to invest approximately $1 billion total in an effort to decrease preventable harm in United States hospitals.…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47199/psn-pdf
    October 03, 2018 - Patient safety in palliative care: a mixed-methods study of reports to a national database of serious incidents. October 3, 2018 Yardley I, Yardley S, Williams H, et al. Patient safety in palliative care: A mixed-methods study of reports to a national database of serious incidents. Palliat Med. 2018;32(8):1353-1362…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74179/psn-pdf
    January 01, 2022 - Establishing a multidisciplinary taskforce to improve anticoagulation safety at a large health system. December 12, 2021 Attia E, Fuentes A, Vassallo M, et al. Establishing a multidisciplinary taskforce to improve anticoagulation safety at a large health system. Am J Health Syst Pharm. 2022;79(4):297-305. doi:10.10…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46419/psn-pdf
    April 12, 2019 - Medical malpractice lawsuits involving surgical residents. April 12, 2019 Thiels CA, Choudhry AJ, Ray-Zack MD, et al. Medical Malpractice Lawsuits Involving Surgical Residents. JAMA Surg. 2017;153(1). doi:10.1001/jamasurg.2017.2979. https://psnet.ahrq.gov/issue/medical-malpractice-lawsuits-involving-surgical-reside…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42114/psn-pdf
    March 20, 2013 - Hospital-initiated transitional care interventions as a patient safety strategy: a systematic review. March 20, 2013 Rennke S, Nguyen OK, Shoeb MH, et al. Hospital-initiated transitional care interventions as a patient safety strategy: a systematic review. Ann Intern Med. 2013;158(5 Pt 2):433-40. doi:10.7326/0003-4…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845651/psn-pdf
    November 17, 2016 - Variability in diagnostic error rates of 10 MRI centers performing lumbar spine MRI examinations on the same patient within a 3-week period. November 17, 2016 Herzog R, Elgort DR, Flanders AE, et al. Variability in diagnostic error rates of 10 MRI centers performing lumbar spine MRI examinations on the same patien…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73289/psn-pdf
    May 19, 2021 - Clinical characteristics and short-term outcomes of acute kidney injury missed diagnosis in older patients with severe COVID-19 in intensive care unit. May 19, 2021 Li Q, Hu P, Kang H, et al. Clinical characteristics and short-term outcomes of acute kidney injury missed diagnosis in older patients with severe COVI…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61040/psn-pdf
    January 01, 2021 - Cancer diagnostic delay in Northern and Central Italy during the 2020 lockdown due to the coronavirus disease 2019 pandemic. October 21, 2020 Ferrara G, De Vincentiis L, Ambrosini-Spaltro A, et al. Cancer diagnostic delay in Northern and Central Italy during the 2020 lockdown due to the coronavirus disease 2019 pa…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866692/psn-pdf
    September 11, 2024 - Relationships between medications used in a mental health hospital and types of medication errors: a cross- sectional study over an 8-year period. September 11, 2024 Lebas R, Calvet B, Schadler L, et al. Relationships between medications used in a mental health hospital and types of medication errors: a cross-sect…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60618/psn-pdf
    June 24, 2020 - Differences between methods of detecting medication errors: a secondary analysis of medication administration errors using incident reports, the Global Trigger Tool method, and observations. June 24, 2020 Härkänen M, Turunen H, Vehviläinen-Julkunen K. Differences between methods of detecting medication errors: a …

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47382/psn-pdf
    August 29, 2018 - Parenteral opioid shortage—treating pain during the opioid-overdose epidemic. August 29, 2018 Bruera E. Parenteral Opioid Shortage - Treating Pain during the Opioid-Overdose Epidemic. N Engl J Med. 2018;379(7):601-603. doi:10.1056/NEJMp1807117. https://psnet.ahrq.gov/issue/parenteral-opioid-shortage-treating-pain-…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73120/psn-pdf
    April 07, 2021 - Medication reconciliation during hospitalization and in hospital-home interface: an observational retrospective study. April 7, 2021 Volpi E, Giannelli A, Toccafondi G, et al. Medication reconciliation during hospitalization and in hospital- home interface: an observational retrospective study. J Patient Saf. 2021…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47044/psn-pdf
    April 18, 2018 - Bedside computer vision—moving artificial intelligence from driver assistance to patient safety. April 18, 2018 Yeung S, Downing L, Fei-Fei L, et al. Bedside Computer Vision - Moving Artificial Intelligence from Driver Assistance to Patient Safety. New Engl J Med. 2018;378(14):1271-1273. doi:10.1056/NEJMp1716891. …

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44680/psn-pdf
    February 24, 2018 - Measurement is essential for improving diagnosis and reducing diagnostic error: a report from the Institute of Medicine. February 24, 2018 McGlynn EA, McDonald KM, Cassel C. Measurement Is Essential for Improving Diagnosis and Reducing Diagnostic Error: A Report From the Institute of Medicine. JAMA. 2015;314(23):2…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50750/psn-pdf
    January 01, 2020 - Patterns in medication incidents: a 10-yr experience of a cross-national anaesthesia incident reporting system. December 18, 2019 Sanduende-Otero Y, Villalón-Coca J, Romero-García E, et al. Patterns in medication incidents: A 10-yr experience of a cross-national anaesthesia incident reporting system. Br J Anaesth. …

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72579/psn-pdf
    January 01, 2021 - Registration errors among patients receiving blood transfusions: a national analysis from 2008 to 2017. December 16, 2020 Vijenthira S, Armali C, Downie H, et al. Registration errors among patients receiving blood transfusions: a national analysis from 2008 to 2017. Vox Sang. 2021;116(2):225-233. doi:10.1111/vox.13…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/860726/psn-pdf
    January 17, 2024 - Sustained decrease in latent safety threats through regular interprofessional in situ simulation training of neonatal emergencies. January 17, 2024 Mileder LP, Schwaberger B, Baik-Schneditz N, et al. Sustained decrease in latent safety threats through regular interprofessional in situ simulation training of neonat…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44508/psn-pdf
    November 20, 2015 - Outcomes associated with the nationwide introduction of rapid response systems in the Netherlands. November 20, 2015 Ludikhuize J, Brunsveld-Reinders AH, Dijkgraaf MGW, et al. Outcomes Associated With the Nationwide Introduction of Rapid Response Systems in The Netherlands. Crit Care Med. 2015;43(12):2544-51. doi:…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45252/psn-pdf
    September 04, 2016 - Pediatric airway management and prehospital patient safety: results of a national Delphi survey by the Children's Safety Initiative-Emergency Medical Services for Children. September 4, 2016 Hansen M, Meckler G, O?Brien K, et al. Pediatric Airway Management and Prehospital Patient Safety: Results of a National De…
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