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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852271/psn-pdf
    August 09, 2023 - Redesign of health care systems to reduce diagnostic errors: leveraging human experience and artificial intelligence. August 9, 2023 Abid MH. Redesign of health care systems to reduce diagnostic errors: leveraging human experience and artificial intelligence. J Clin Outcomes Manag. 2023;30(3):67-70. doi:10.12788/j…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73217/psn-pdf
    May 05, 2021 - Assessing patients 2019 experiences with medical injury reconciliation processes: item generation for a novel survey questionnaire. May 5, 2021 Schulz-Moore JS, Bismark M, Jenkinson C, et al. Assessing patients 2019 experiences with medical injury reconciliation processes: item generation for a novel survey questi…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47027/psn-pdf
    June 19, 2018 - Overdiagnosis and overtreatment as a quality problem: insights from healthcare improvement research. June 19, 2018 Armstrong N. Overdiagnosis and overtreatment as a quality problem: insights from healthcare improvement research. BMJ Qual Saf. 2018;27(7):571-575. doi:10.1136/bmjqs-2017-007571. https://psnet.ahrq.go…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36743/psn-pdf
    June 16, 2011 - Measuring safety culture in the ambulatory setting: The Safety Attitudes Questionnaire—Ambulatory Version. June 16, 2011 Modak I, Sexton B, Lux TR, et al. Measuring safety culture in the ambulatory setting: the safety attitudes questionnaire--ambulatory version. J Gen Intern Med. 2007;22(1):1-5. https://psnet.ahrq…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73183/psn-pdf
    April 28, 2021 - Hearing impairment and the amelioration of avoidable medical error: a cross-sectional survey. April 28, 2021 Henn P, O’Tuathaigh C, Keegan D, et al. Hearing impairment and the amelioration of avoidable medical error: a cross-sectional survey. J Patient Saf. 2021;17(3):e155-e160. doi:10.1097/pts.0000000000000298. h…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38334/psn-pdf
    January 14, 2009 - Adverse Events in Hospitals: State Reporting Systems. January 14, 2009 Levinson DR. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; December 2008. Report No. OEI-06-07-00471. https://psnet.ahrq.gov/issue/adverse-events-hospitals-state-reporting-systems The Tax Relief an…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35451/psn-pdf
    January 05, 2017 - Closing the loop: follow-up and feedback in a patient safety program. January 5, 2017 Gandhi TK, Graydon-Baker E, Huber CN, et al. Closing the loop: follow-up and feedback in a patient safety program. Jt Comm J Qual Patient Saf. 2005;31(11):614-21. https://psnet.ahrq.gov/issue/closing-loop-follow-and-feedback-pati…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44865/psn-pdf
    July 11, 2017 - Changes in efficiency and safety culture after integration of an I-PASS-supported handoff process. July 11, 2017 Sheth S, McCarthy E, Kipps AK, et al. Changes in Efficiency and Safety Culture After Integration of an I- PASS-Supported Handoff Process. PEDIATRICS. 2016;137(2). doi:10.1542/peds.2015-0166. https://psn…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836778/psn-pdf
    March 23, 2022 - Medication errors and processes to reduce them in care homes in the United Kingdom: a scoping review. March 23, 2022 Irons MW, Auta A, Portlock JC, et al. Medication errors and processes to reduce them in care homes in the United Kingdom: a scoping review. Home Health Care Serv Q. 2022;41(2):91-123. doi:10.1080/01…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846760/psn-pdf
    March 29, 2023 - Electronic health record-based prediction models for in- hospital adverse drug event diagnosis or prognosis: a systematic review. March 29, 2023 Yasrebi-de Kom IAR, Dongelmans DA, de Keizer NF, et al. Electronic health record-based prediction models for in-hospital adverse drug event diagnosis or prognosis: a syst…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836807/psn-pdf
    March 30, 2022 - Preventing delayed and missed care by applying artificial intelligence to trigger radiology imaging follow-up. March 30, 2022 Domingo J, Galal G, Huang J. Preventing delayed and missed care by applying artificial intelligence to trigger radiology imaging follow-up. NEJM Catal Innov Care Deliv. 2022;3(4). https://p…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38566/psn-pdf
    April 15, 2009 - Contributions by the Agency for Healthcare Research and Quality and Grantees. April 15, 2009 Health Serv Res. 2009 Apr;44(2 Pt 2):623-776. https://psnet.ahrq.gov/issue/contributions-agency-healthcare-research-and-quality-and-grantees This special series of articles highlights the progress and current state of pati…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837148/psn-pdf
    May 18, 2022 - Assessing quality of older persons' emergency transitions between long-term and acute care settings: a proof-of-concept study. May 18, 2022 Tate K, McLane P, Reid C, et al. Assessing quality of older persons’ emergency transitions between long- term and acute care settings: a proof-of-concept study. BMJ Open Qual.…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34845/psn-pdf
    June 30, 2011 - The JCAHO patient safety event taxonomy: a standardized terminology and classification schema for near misses and adverse events. June 30, 2011 Chang A, Schyve PM, Croteau RJ, et al. The JCAHO patient safety event taxonomy: a standardized terminology and classification schema for near misses and adverse events. In…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44971/psn-pdf
    June 01, 2016 - Chemotherapy errors: a call for a standardized approach to measurement and reporting. June 1, 2016 Lennes IT, Bohlen N, Park ER, et al. Chemotherapy Errors: A Call for a Standardized Approach to Measurement and Reporting. J Oncol Pract. 2016;12(4):e495-501. doi:10.1200/JOP.2015.008995. https://psnet.ahrq.gov/issue…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47911/psn-pdf
    April 03, 2019 - Second victims need emotional support after adverse events: even in a just safety culture. April 3, 2019 Schrøder K, Lamont RF, Jørgensen JS, et al. Second victims need emotional support after adverse events: even in a just safety culture. BJOG. 2019;126(4):440-442. doi:10.1111/1471-0528.15529. https://psnet.ahrq.…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38309/psn-pdf
    December 23, 2016 - Safely implementing health information and converging technologies. December 23, 2016 Safely implementing health information and converging technologies. Sentinel event alert. 2008;(42):1-4. https://psnet.ahrq.gov/issue/safely-implementing-health-information-and-converging-technologies As health information techno…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38054/psn-pdf
    July 05, 2013 - Ticket to ride: reducing handoff risk during hospital patient transport. July 5, 2013 Pesanka DA, Greenhouse PK, Rack LL, et al. Ticket to ride: reducing handoff risk during hospital patient transport. J Nurs Care Qual. 2009;24(2):109-15. doi:10.1097/01.NCQ.0000347446.98299.b5. https://psnet.ahrq.gov/issue/ticket-…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44228/psn-pdf
    September 04, 2016 - Bridging the gap: a framework and strategies for integrating the quality and safety mission of teaching hospitals and graduate medical education. September 4, 2016 Tess A, Vidyarthi A, Yang J, et al. Bridging the Gap: A Framework and Strategies for Integrating the Quality and Safety Mission of Teaching Hospitals a…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74027/psn-pdf
    November 03, 2021 - Staffing levels and nursing-sensitive patient outcomes: umbrella review and qualitative study. November 3, 2021 Blume KS, Dietermann K, Kirchner?Heklau U, et al. Staffing levels and nursing?sensitive patient outcomes: umbrella review and qualitative study. Health Serv Res. 2021;56(5):885-907. doi:10.1111/1475- 677…

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