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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42498/psn-pdf
    December 30, 2014 - Electronic health record-based triggers to detect potential delays in cancer diagnosis. December 30, 2014 Murphy DR, Laxmisan A, Reis BA, et al. Electronic health record-based triggers to detect potential delays in cancer diagnosis. BMJ Qual Saf. 2014;23(1):8-16. doi:10.1136/bmjqs-2013-001874. https://psnet.ahrq.g…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43857/psn-pdf
    August 02, 2015 - A checklist-based intervention to improve surgical outcomes in Michigan: evaluation of the Keystone Surgery program. August 2, 2015 Reames BN, Krell RW, Campbell D, et al. A checklist-based intervention to improve surgical outcomes in Michigan: evaluation of the Keystone Surgery program. JAMA Surg. 2015;150(3):208…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46424/psn-pdf
    March 20, 2018 - Electronic triggers to identify delays in follow-up of mammography: harnessing the power of big data in health care. March 20, 2018 Murphy DR, Meyer AND, Vaghani V, et al. Electronic Triggers to Identify Delays in Follow-Up of Mammography: Harnessing the Power of Big Data in Health Care. J Am Coll Radiol. 2018;15(…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43264/psn-pdf
    June 18, 2014 - CDC central-line bloodstream infection prevention efforts produced net benefits of at least $640 million during 1990–2008. June 18, 2014 Scott D, Sinkowitz-Cochran R, Wise ME, et al. CDC central-line bloodstream infection prevention efforts produced net benefits of at least $640 Million during 1990-2008. Health Af…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43539/psn-pdf
    March 26, 2015 - Challenges and remediation for Patient Safety Indicators in the transition to ICD-10-CM. March 26, 2015 Boyd AD, Yang YM, Li J, et al. Challenges and remediation for Patient Safety Indicators in the transition to ICD-10-CM. J Am Med Inform Assoc. 2015;22(1):19-28. doi:10.1136/amiajnl-2013-002491. https://psnet.ahr…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73258/psn-pdf
    May 12, 2021 - Rate of sepsis hospitalizations after misdiagnosis in adult emergency department patients: a look-forward analysis with administrative claims data using Symptom-Disease Pair Analysis of Diagnostic Error methodology in an integrated health system. May 12, 2021 Horberg MA, Nassery N, Rubenstein KB, et al. Rate of s…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61037/psn-pdf
    January 01, 2021 - What safety events are reported for ambulatory care? Analysis of incident reports from a patient safety organization. October 21, 2020 Sharma AE, Yang J, Del Rosario JB, et al. What safety events are reported for ambulatory care? Analysis of incident reports from a patient safety organization. Jt Comm J Qual Patie…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39355/psn-pdf
    June 27, 2011 - Adverse events experienced by homecare patients: a scoping review of the literature. June 27, 2011 Masotti P, McColl MA, Green M. Adverse events experienced by homecare patients: a scoping review of the literature. Int J Health Care Qual. 2010;22(2):115-125. doi:10.1093/intqhc/mzq003. https://psnet.ahrq.gov/issue/…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43589/psn-pdf
    November 17, 2014 - Exploring new avenues to assess the sharp end of patient safety: an analysis of nationally aggregated peer review data. November 17, 2014 Meeks DW, Meyer AND, Rose B, et al. Exploring new avenues to assess the sharp end of patient safety: an analysis of nationally aggregated peer review data. BMJ Qual Saf. 2014;23…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845360/psn-pdf
    March 29, 2023 - Demonstrating the value of a standardized cognitive assessment tool through the use of interprofessional rapid safety rounds. March 29, 2023 Hayes M, Wheeling D, Kaul-Connolly S. Demonstrating the value of a standardized cognitive assessment tool through the use of interprofessional rapid safety rounds. J Nurs Car…
  11. psnet.ahrq.gov/perspective/improving-diagnostic-safety-and-quality
    January 31, 2024 - Annual Perspective Improving Diagnostic Safety and Quality Jawad Al-Khafaji, MD, MHSA, Merton Lee, PhD, PharmD, Sarah Mossburg, RN, PhD | April 26, 2023  View more articles from the same authors. Citation Text: Al-Khafaji J, Lee M, Mossburg S. Improving Di…
  12. psnet.ahrq.gov/web-mm/hospital-acquired-diabetic-ketoacidosis
    October 28, 2020 - Hospital-Acquired Diabetic Ketoacidosis. Citation Text: Zuidema D, Bagley B, Tan CL. Hospital-Acquired Diabetic Ketoacidosis.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023. Copy Citation Format: Google Scholar Bi…
  13. psnet.ahrq.gov/web-mm/delay-treatment-failure-contact-patient-leads-significant-complications
    February 01, 2004 - SPOTLIGHT CASE Delay in Treatment: Failure to Contact Patient Leads to Significant Complications Citation Text: Shapiro DS. Delay in Treatment: Failure to Contact Patient Leads to Significant Complications. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Departmen…
  14. psnet.ahrq.gov/curated-library/patient-team-member-clinical-care
    March 15, 2025 - Breadcrumb Home The PSNet Collection Curated Libraries Subscribed Patient as a Team Member in Clinical Care  Download  Share Facebook Twitter Linkedin Copy URL Subscribe Created By: Lorri Zipperer, Cybraria…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49591/psn-pdf
    October 01, 2009 - Difficult Encounters: A CMO and CNO Respond October 1, 2009 Ring EJ, Hirsch JE. Difficult Encounters: A CMO and CNO Respond. PSNet [internet]. 2009. https://psnet.ahrq.gov/web-mm/difficult-encounters-cmo-and-cno-respond Case Objectives Appreciate the risk of disruptive behavior and understand institutional respons…
  16. psnet.ahrq.gov/web-mm/ca-mrsa-skin-infections-ounce-prevention-worth-pound-cure
    March 01, 2005 - SPOTLIGHT CASE CA-MRSA Skin Infections: An Ounce of Prevention is Worth a Pound of Cure Citation Text: Liu C. CA-MRSA Skin Infections: An Ounce of Prevention is Worth a Pound of Cure. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human S…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49813/psn-pdf
    January 01, 2018 - Dying in the Hospital With Advanced Dementia December 1, 2017 Umscheid CA, McGreevey JD, Greysen RS. Dying in the Hospital With Advanced Dementia. PSNet [internet]. 2017. https://psnet.ahrq.gov/web-mm/dying-hospital-advanced-dementia Case Objectives Recognize the importance of eliciting patient preferences and go…
  18. psnet.ahrq.gov/sites/default/files/2022-02/final_cme_reviewed_spotlight_loss_of_trust_and_a_missed_diagnosis_02.14.20221_-_clean_-_revised.pdf
    January 01, 2022 - Microsoft PowerPoint - FINAL CME Reviewed Spotlight_Loss of Trust and a Missed Diagnosis_02.14.20221 - clean - REVISED.pptx Spotlight A Loss of Trust and a Missed Diagnosis Source and Credits • This presentation is based on the February 2022 AHRQ WebM&M Spotlight Case o See the full article at https://psnet.ahrq.…
  19. psnet.ahrq.gov/perspective/conversation-mark-l-graber-md
    January 01, 2016 - The conferences were outstanding in developing the passion, energy, and shared vision that we needed … Additionally, institutional leaders should consider using electronic triggers ( 10,11 ) and developing
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72624/psn-pdf
    January 05, 2021 - The LifePoint National Quality Program Provides Structured Framework for Reducing Inpatient Harm January 5, 2021 https://psnet.ahrq.gov/innovation/lifepoint-national-quality-program-provides-structured-framework- reducing-inpatient-harm Summary Building on the company’s experience as a Hospital Engagement Network…

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