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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47760/psn-pdfFebruary 06, 2019 - AHRQ National Scorecard on Hospital-Acquired Conditions Updated Baseline Rates and Preliminary Results 2014–2017. February 6, 2019 Rockville, MD: Agency for Healthcare Research and Quality; January 2019. https://psnet.ahrq.gov/issue/ahrq-national-scorecard-hospital-acquired-conditions-updated-baseline-rates- and-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/867522/psn-pdfJanuary 15, 2025 - What are the unintended patient safety consequences of healthcare technologies? A qualitative study among patients, carers and healthcare providers. January 15, 2025 Abdelaziz S, Garfield S, Neves AL, et al. What are the unintended patient safety consequences of healthcare technologies? A qualitative study among p… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/867526/psn-pdfJanuary 15, 2025 - Older adult misuse of over-the-counter medications: effectiveness of a novel pharmacy-based intervention to improve patient safety. January 15, 2025 Gilson AM, Chladek JS, Stone JA, et al. Older adult misuse of over-the-counter medications: effectiveness of a novel pharmacy-based intervention to improve patient sa… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/849595/psn-pdfMay 31, 2023 - Effect of an emergency department process improvement package on suicide prevention: the ED-SAFE 2 cluster randomized clinical trial. May 31, 2023 Boudreaux ED, Larkin C, Vallejo Sefair A, et al. Effect of an emergency department process improvement package on suicide prevention: the ED-SAFE 2 cluster randomized c… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39523/psn-pdfSeptember 26, 2016 - Association of interruptions with an increased risk and severity of medication administration errors. September 26, 2016 Westbrook JI, Woods A, Rob MI, et al. Association of interruptions with an increased risk and severity of medication administration errors. Arch Intern Med. 2010;170(8):683-690. doi:10.1001/arch… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47705/psn-pdfJune 19, 2019 - Decisions and repercussions of second victim experiences for mothers in medicine (SAVE DR MoM). June 19, 2019 Gupta K, Lisker S, Rivadeneira NA, et al. Decisions and repercussions of second victim experiences for mothers in medicine (SAVE DR MoM). BMJ Qual Saf. 2019;28(7):564-573. doi:10.1136/bmjqs-2018- 008372. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47547/psn-pdfFebruary 13, 2019 - Prevention of prescription opioid misuse and projected overdose deaths in the United States. February 13, 2019 Chen Q, Larochelle MR, Weaver DT, et al. Prevention of Prescription Opioid Misuse and Projected Overdose Deaths in the United States. JAMA Netw Open. 2019;2(2):e187621. doi:10.1001/jamanetworkopen.2018.76… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45959/psn-pdfJune 29, 2017 - Impact of the Opioid Safety Initiative on opioid-related prescribing in veterans. June 29, 2017 Lin LA, Bohnert ASB, Kerns RD, et al. Impact of the Opioid Safety Initiative on opioid-related prescribing in veterans. Pain. 2017;158(5):833-839. doi:10.1097/j.pain.0000000000000837. https://psnet.ahrq.gov/issue/impact… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38621/psn-pdfFebruary 18, 2011 - Process of care failures in breast cancer diagnosis. February 18, 2011 Weingart SN, Saadeh MG, Simchowitz B, et al. Process of care failures in breast cancer diagnosis. J Gen Intern Med. 2009;24(6):702-709. doi:10.1007/s11606-009-0982-0. https://psnet.ahrq.gov/issue/process-care-failures-breast-cancer-diagnosis Di… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47063/psn-pdfNovember 19, 2018 - I-PASS handoff program: use of a campaign to effect transformational change. November 19, 2018 Rosenbluth G, Destino LA, Starmer AJ, et al. I-PASS Handoff Program: Use of a Campaign to Effect Transformational Change. Ped Qual Saf. 2018;3(4):e088. doi:10.1097/pq9.0000000000000088. https://psnet.ahrq.gov/issue/i-pas… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45610/psn-pdfNovember 01, 2017 - Economic value of pharmacist-led medication reconciliation for reducing medication errors after hospital discharge. November 1, 2017 Najafzadeh M, Schnipper JL, Shrank WH, et al. Economic value of pharmacist-led medication reconciliation for reducing medication errors after hospital discharge. Am J Manag Care. 201… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44542/psn-pdfDecember 22, 2018 - The prevalence of medical error related to end-of-life communication in Canadian hospitals: results of a multicentre observational study. December 22, 2018 Heyland DK, Ilan R, Jiang X, et al. The prevalence of medical error related to end-of-life communication in Canadian hospitals: results of a multicentre observ… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42787/psn-pdfJanuary 19, 2014 - The effects of electronic prescribing by community-based providers on ambulatory medication safety. January 19, 2014 Abramson EL, Pfoh ER, Barrón Y, et al. The effects of electronic prescribing by community-based providers on ambulatory medication safety. Jt Comm J Qual Patient Saf. 2013;39(12):545-552. https://ps… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837028/psn-pdfMay 04, 2022 - What is needed to sustain improvements in hospital practices post-COVID-19? A qualitative study of interprofessional dissonance in hospital infection prevention and control. May 4, 2022 Gilbert GL, Kerridge I. What is needed to sustain improvements in hospital practices post-COVID-19? a qualitative study of inter… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36013/psn-pdfSeptember 22, 2010 - A new safety event reporting system improves physician reporting in the surgical intensive care unit. September 22, 2010 Schuerer DJE, Nast PA, Harris CB, et al. A new safety event reporting system improves physician reporting in the surgical intensive care unit. J Am Coll Surg. 2006;202(6):881-887. https://psnet.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43081/psn-pdfJuly 28, 2014 - Providers' perceptions of communication breakdowns in cancer care. July 28, 2014 Prouty CD, Mazor KM, Greene SM, et al. Providers' perceptions of communication breakdowns in cancer care. J Gen Intern Med. 2014;29(8):1122-30. doi:10.1007/s11606-014-2769-1. https://psnet.ahrq.gov/issue/providers-perceptions-communic… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42068/psn-pdfApril 09, 2013 - Wisdom through adversity: learning and growing in the wake of an error. April 9, 2013 Plews-Ogan M, Owens JE, May NB. Wisdom through adversity: learning and growing in the wake of an error. Patient Educ Couns. 2013;91(2):236-42. doi:10.1016/j.pec.2012.12.006. https://psnet.ahrq.gov/issue/wisdom-through-adversity-l… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41706/psn-pdfNovember 08, 2012 - Improving medication safety with accurate preadmission medication lists and postdischarge education. November 8, 2012 Gardella JE, Cardwell TB, Nnadi M. Improving medication safety with accurate preadmission medication lists and postdischarge education. Jt Comm J Qual Patient Saf. 2012;38(10):452-458. https://psne… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73130/psn-pdfJanuary 01, 2022 - Improving peripherally inserted central catheter appropriateness and reducing device-related complications: a quasiexperimental study in 52 Michigan hospitals. April 14, 2021 Chopra V, O'Malley M, Horowitz J, et al. Improving peripherally inserted central catheter appropriateness and reducing device-related compl… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45870/psn-pdfMarch 25, 2017 - Improving communication with primary care physicians at the time of hospital discharge. March 25, 2017 Destino LA, Dixit A, Pantaleoni JL, et al. Improving Communication with Primary Care Physicians at the Time of Hospital Discharge. Jt Comm J Qual Patient Saf. 2017;43(2):80-88. doi:10.1016/j.jcjq.2016.11.005. htt…
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