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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73156/psn-pdf
    April 21, 2021 - Increasing naloxone prescribing in the emergency department through education and electronic medical record work-aids. April 21, 2021 Funke M, Kaplan MC, Glover H, et al. Increasing naloxone prescribing in the emergency department through education and electronic medical record work-aids. Jt Comm J Qual Patient Sa…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38743/psn-pdf
    January 03, 2017 - Refocusing the lens: patient safety in ambulatory chronic disease care. January 3, 2017 Sarkar U, Wachter R, Schroeder SA, et al. Refocusing the lens: patient safety in ambulatory chronic disease care. Jt Comm J Qual Patient Saf. 2009;35(7):377-83, 341. https://psnet.ahrq.gov/issue/refocusing-lens-patient-safety-a…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50458/psn-pdf
    October 09, 2019 - Success of a resident-led safety council: a model for satisfying CLER Pathways to Excellence patient safety goals. October 9, 2019 Cohen SP, Pelletier JH, Ladd JM, et al. Success of a resident-led safety council: a model for satisfying CLER Pathways to Excellence patient safety goals. J Gen Intern Med. 2019;11(2):…
  4. www.ahrq.gov/hai/tools/abate/training/videos.html
    March 01, 2022 - Staff Training Videos As part of this toolkit, videos provide background information about the A ctive Bat hing to E liminate (ABATE) Infection Trial, commonly encountered patient scenarios, and instructions on the proper techniques for cleaning central and midline catheters and lumbar drains with chlorhexid…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47092/psn-pdf
    October 13, 2018 - Organizational response to known medical errors: does peer review protection impede improvement? October 13, 2018 Wenner WJ, Choi SW. Organizational Response to Known Medical Errors: Does Peer Review Protection Impede Improvement? Am J Med Qual. 2018;33(5):552-553. doi:10.1177/1062860618769429. https://psnet.ahrq.…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37257/psn-pdf
    April 19, 2011 - Validation of a diagnostic reminder system in emergency medicine: a multi-centre study. April 19, 2011 Ramnarayan P, Cronje N, Brown R, et al. Validation of a diagnostic reminder system in emergency medicine: a multi-centre study. Emerg Med J. 2007;24(9):619-24. https://psnet.ahrq.gov/issue/validation-diagnostic-r…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37290/psn-pdf
    February 15, 2011 - Medical errors involving trainees: a study of closed malpractice claims from 5 insurers. February 15, 2011 Singh H, Thomas EJ, Petersen L, et al. Medical errors involving trainees: a study of closed malpractice claims from 5 insurers. Arch Intern Med. 2007;167(19):2030-6. https://psnet.ahrq.gov/issue/medical-error…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36836/psn-pdf
    January 29, 2015 - Learning from Bristol: The Report of the Public Inquiry into Children's Heart Surgery at the Bristol Royal Infirmary 1984--1995. January 29, 2015 Bristol Royal Infirmary Inquiry; The Stationery Office. London, England: Crown Copyright; 2002. https://psnet.ahrq.gov/issue/learning-bristol-report-public-inquiry-child…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36979/psn-pdf
    February 28, 2011 - Changes in outcomes for internal medicine inpatients after work-hour regulations. February 28, 2011 Horwitz LI, Kosiborod M, Lin Z, et al. Changes in outcomes for internal medicine inpatients after work-hour regulations. Ann Intern Med. 2007;147(2):97-103. https://psnet.ahrq.gov/issue/changes-outcomes-internal-med…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39396/psn-pdf
    November 02, 2014 - Unmet Needs: Teaching Physicians to Provide Safe Patient Care. November 2, 2014 Boston, MA: Lucian Leape Institute at the National Patient Safety Foundation; March 2010. https://psnet.ahrq.gov/issue/unmet-needs-teaching-physicians-provide-safe-patient-care Medical schools face an urgent need to transform their cur…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40473/psn-pdf
    July 02, 2011 - A systematic review of failures in handoff communication during intrahospital transfers. July 2, 2011 Ong M-S, Coiera E. A systematic review of failures in handoff communication during intrahospital transfers. Jt Comm J Qual Patient Saf. 2011;37(6):274-284. https://psnet.ahrq.gov/issue/systematic-review-failures-h…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43346/psn-pdf
    August 02, 2015 - Diffusion of surgical innovations, patient safety, and minimally invasive radical prostatectomy. August 2, 2015 Parsons K, Messer K, Palazzi K, et al. Diffusion of surgical innovations, patient safety, and minimally invasive radical prostatectomy. JAMA Surg. 2014;149(8):845-51. doi:10.1001/jamasurg.2014.31. https:…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39896/psn-pdf
    July 03, 2014 - Effect of availability bias and reflective reasoning on diagnostic accuracy among internal medicine residents. July 3, 2014 Mamede S, Van Gog T, Van den Berge K, et al. Effect of availability bias and reflective reasoning on diagnostic accuracy among internal medicine residents. JAMA. 2010;304(11):1198-1203. doi:1…
  14. www.ahrq.gov/antibiotic-use/long-term-care/safety/index.html
    January 01, 2024 - Create a Culture of Safety Around Antibiotic Prescribing For information on how the materials below can be integrated into institutional efforts to improve antibiotic use, read the Implementation Guide for Long-Term Care Antibiotic Stewardship Programs (PDF, 402 KB). Presentations Improving antibi…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38621/psn-pdf
    February 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…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43401/psn-pdf
    August 02, 2015 - Morning handover of on-call issues: opportunities for improvement. August 2, 2015 Devlin MK, Kozij NK, Kiss A, et al. Morning handover of on-call issues: opportunities for improvement. JAMA Intern Med. 2014;174(9):1479-85. doi:10.1001/jamainternmed.2014.3033. https://psnet.ahrq.gov/issue/morning-handover-call-issu…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39063/psn-pdf
    December 17, 2009 - Safety and risk management interventions in hospitals: a systematic review of the literature. December 17, 2009 Dückers M, Faber M, Cruijsberg J, et al. Safety and risk management interventions in hospitals: a systematic review of the literature. Med Care Res Rev. 2009;66(6 Suppl):90S-119S. doi:10.1177/10775587093…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44683/psn-pdf
    June 21, 2016 - Physician spending and subsequent risk of malpractice claims: observational study. June 21, 2016 Jena AB, Schoemaker L, Bhattacharya J, et al. Physician spending and subsequent risk of malpractice claims: observational study. BMJ. 2015;351:h5516. doi:10.1136/bmj.h5516. https://psnet.ahrq.gov/issue/physician-spendi…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43176/psn-pdf
    July 03, 2014 - Patient safety in the era of the 80-hour workweek. July 3, 2014 Shelton J, Kummerow K, Phillips S, et al. Patient safety in the era of the 80-hour workweek. J Surg Educ. 2014;71(4):551-9. doi:10.1016/j.jsurg.2013.12.011. https://psnet.ahrq.gov/issue/patient-safety-era-80-hour-workweek Regulations intended to reduc…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43174/psn-pdf
    December 12, 2014 - Adverse drug event detection in pediatric oncology and hematology patients: using medication triggers to identify patient harm in a specialized pediatric patient population. December 12, 2014 Call RJ, Burlison JD, Robertson JJ, et al. Adverse drug event detection in pediatric oncology and hematology patients: usin…