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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45681/psn-pdf
    January 25, 2017 - Economic evaluation of quality improvement interventions for bloodstream infections related to central catheters: a systematic review. January 25, 2017 Nuckols TK, Keeler E, Morton SC, et al. Economic Evaluation of Quality Improvement Interventions for Bloodstream Infections Related to Central Catheters: A Systema…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46112/psn-pdf
    December 21, 2017 - Analysis of variations in the display of drug names in computerized prescriber-order-entry systems. December 21, 2017 Quist AJL, Hickman T-TT, Amato MG, et al. Analysis of variations in the display of drug names in computerized prescriber-order-entry systems. American Journal of Health-System Pharmacy. 2017;74(7). …
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44476/psn-pdf
    September 26, 2016 - The impact of interruptions on the duration of nursing interventions: a direct observation study in an academic emergency department. September 26, 2016 Cole G, Stefanus D, Gardner H, et al. The impact of interruptions on the duration of nursing interventions: a direct observation study in an academic emergency de…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46015/psn-pdf
    August 15, 2018 - Patient mortality during unannounced accreditation surveys at US hospitals. August 15, 2018 Barnett ML, Olenski AR, Jena AB. Patient Mortality During Unannounced Accreditation Surveys at US Hospitals. JAMA Intern Med. 2017;177(5):693-700. doi:10.1001/jamainternmed.2016.9685. https://psnet.ahrq.gov/issue/patient-mo…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38628/psn-pdf
    May 13, 2009 - Fast forward rounds: an effective method for teaching medical students to transition patients safely across care settings. May 13, 2009 Ouchida K, LoFaso VM, Capello CF, et al. Fast forward rounds: an effective method for teaching medical students to transition patients safely across care settings. J Am Geriatr So…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47716/psn-pdf
    June 26, 2019 - Magnitude and modifiers of the weekend effect in hospital admissions: a systematic review and meta-analysis. June 26, 2019 Chen Y-F, Armoiry X, Higenbottam C, et al. Magnitude and modifiers of the weekend effect in hospital admissions: a systematic review and meta-analysis. BMJ Open. 2019;9(6):e025764. doi:10.1136/…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44346/psn-pdf
    March 18, 2016 - Developing a primary care patient measure of safety (PC PMOS): a modified Delphi process and face validity testing. March 18, 2016 Hernan AL, Giles SJ, O'Hara JK, et al. Developing a primary care patient measure of safety (PC PMOS): a modified Delphi process and face validity testing. BMJ Qual Saf. 2016;25(4):273-…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46599/psn-pdf
    August 20, 2018 - Effect of standardized handoff curriculum on improved clinician preparedness in the intensive care unit: a stepped-wedge cluster randomized clinical trial. August 20, 2018 Parent B, LaGrone LN, Albirair MT, et al. Effect of Standardized Handoff Curriculum on Improved Clinician Preparedness in the Intensive Care Un…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41283/psn-pdf
    April 11, 2012 - Clinical diagnoses and autopsy findings: discrepancies in critically ill patients. April 11, 2012 Tejerina E, Esteban A, Fernández-Segoviano P, et al. Clinical diagnoses and autopsy findings: discrepancies in critically ill patients*. Crit Care Med. 2012;40(3):842-6. doi:10.1097/CCM.0b013e318236f64f. https://psne…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40941/psn-pdf
    April 13, 2016 - Medication administration quality and health information technology: a national study of US hospitals. April 13, 2016 Appari A, Carian EK, Johnson E, et al. Medication administration quality and health information technology: a national study of US hospitals. J Am Med Inform Assoc. 2012;19(3):360-7. doi:10.1136/ami…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47058/psn-pdf
    August 20, 2018 - The first U.S. study on nurses' evidence-based practice competencies indicates major deficits that threaten healthcare quality, safety, and patient outcomes. August 20, 2018 Melnyk BM, Gallagher-Ford L, Zellefrow C, et al. The First U.S. Study on Nurses' Evidence-Based Practice Competencies Indicates Major Deficit…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39071/psn-pdf
    November 04, 2009 - Identification of patient information corruption in the intensive care unit: using a scoring tool to direct quality improvements in handover. November 4, 2009 Pickering BW, Hurley K, Marsh B. Identification of patient information corruption in the intensive care unit: using a scoring tool to direct quality improve…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48176/psn-pdf
    July 31, 2019 - Duration of second victim symptoms in the aftermath of a patient safety incident and association with the level of patient harm: a cross-sectional study in the Netherlands. July 31, 2019 Vanhaecht K, Seys D, Schouten L, et al. Duration of second victim symptoms in the aftermath of a patient safety incident and ass…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47735/psn-pdf
    June 24, 2019 - The Financial and Human Cost of Medical Error... and How Massachusetts Can Lead the Way on Patient Safety. June 24, 2019 Boston, MA: Betsy Lehman Center for Patient Safety; June 2019. https://psnet.ahrq.gov/issue/financial-and-human-cost-medical-error-and-how-massachusetts-can-lead- way-patient-safety The Betsy L…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38741/psn-pdf
    June 24, 2009 - Frequency of failure to inform patients of clinically significant outpatient test results. June 24, 2009 Casalino LP, Dunham D, Chin MH, et al. Frequency of failure to inform patients of clinically significant outpatient test results. Arch Intern Med. 2009;169(12):1123-9. doi:10.1001/archinternmed.2009.130. https:…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45556/psn-pdf
    June 29, 2017 - Readmission rates after passage of the Hospital Readmissions Reduction Program: a pre–post analysis. June 29, 2017 Wasfy JH, Zigler CM, Choirat C, et al. Readmission Rates After Passage of the Hospital Readmissions Reduction Program: A Pre-Post Analysis. Ann Intern Med. 2017;166(5):324-331. doi:10.7326/M16-0185. h…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47812/psn-pdf
    April 17, 2019 - Are more experienced clinicians better able to tolerate uncertainty and manage risks? A vignette study of doctors in three NHS emergency departments in England. April 17, 2019 Lawton R, Robinson O, Harrison R, et al. Are more experienced clinicians better able to tolerate uncertainty and manage risks? A vignette s…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44545/psn-pdf
    December 20, 2017 - Work conditions, mental workload and patient care quality: a multisource study in the emergency department. December 20, 2017 Weigl M, Müller A, Holland S, et al. Work conditions, mental workload and patient care quality: a multisource study in the emergency department. BMJ Qual Saf. 2016;25(7):499-508. doi:10.113…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45118/psn-pdf
    January 23, 2017 - Cluster randomized trial to evaluate the impact of team training on surgical outcomes. January 23, 2017 Duclos A, Peix JL, Piriou V, et al. Cluster randomized trial to evaluate the impact of team training on surgical outcomes. Br J Surg. 2016;103(13):1804-1814. doi:10.1002/bjs.10295. https://psnet.ahrq.gov/issue/c…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38145/psn-pdf
    March 04, 2011 - Validity of selected AHRQ Patient Safety Indicators based on VA National Surgical Quality Improvement program data. March 4, 2011 Romano PS, Mull HJ, Rivard PE, et al. Validity of selected AHRQ patient safety indicators based on VA National Surgical Quality Improvement Program data. Health Serv Res. 2009;44(1):182…