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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40565/psn-pdfJune 29, 2011 - National study on the frequency, types, causes, and consequences of voluntarily reported emergency department medication errors. June 29, 2011 Pham JC, Story JL, Hicks RW, et al. National study on the frequency, types, causes, and consequences of voluntarily reported emergency department medication errors. J Emerg… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46491/psn-pdfAugust 20, 2018 - A qualitative study of speaking out about patient safety concerns in intensive care units. August 20, 2018 Tarrant C, Leslie M, Bion J, et al. A qualitative study of speaking out about patient safety concerns in intensive care units. Soc Sci Med. 2017;193:8-15. doi:10.1016/j.socscimed.2017.09.036. https://psnet.ah… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47666/psn-pdfJanuary 01, 2020 - A partially structured postoperative handoff protocol improves communication in 2 mixed surgical intensive care units: findings from the Handoffs and Transitions in Critical Care (HATRICC) prospective cohort study. February 6, 2019 Lane-Fall MB, Pascual JL, Peifer HG, et al. A Partially Structured Postoperative Ha… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/48030/psn-pdfMay 22, 2019 - A culture of openness is associated with lower mortality rates among 137 English National Health Service acute trusts. May 22, 2019 Toffolutti V, Stuckler D. A Culture Of Openness Is Associated With Lower Mortality Rates Among 137 English National Health Service Acute Trusts. Health Aff (Millwood). 2019;38(5):844-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46829/psn-pdfJuly 23, 2018 - Quality and variability of patient directions in electronic prescriptions in the ambulatory care setting. July 23, 2018 Yang Y, Ward-Charlerie S, Dhavle AA, et al. Quality and Variability of Patient Directions in Electronic Prescriptions in the Ambulatory Care Setting. J Manag Care Spec Pharm. 2018;24(7):691-699. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38816/psn-pdfJuly 29, 2009 - Uncovering system errors using a rapid response team: cross-coverage caught in the crossfire. July 29, 2009 Kaplan LJ, Maerz LL, Schuster KM, et al. Uncovering System Errors Using a Rapid Response Team: Cross-Coverage Caught in the Crossfire. The Journal of Trauma: Injury, Infection, and Critical Care. 2009;67(1).… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45671/psn-pdfNovember 23, 2016 - America's Hospitals: Improving Quality and Safety—The Joint Commission's Annual Report 2016. November 23, 2016 Oakbrook Terrace, IL: The Joint Commission; November 2016. https://psnet.ahrq.gov/issue/americas-hospitals-improving-quality-and-safety-joint-commissions-annual- report-2016 This Joint Commission annual … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39031/psn-pdfMarch 23, 2011 - Care homes' use of medicines study: prevalence, causes and potential harm of medication errors in care homes for older people. March 23, 2011 Barber ND, Alldred DP, Raynor DK, et al. Care homes' use of medicines study: prevalence, causes and potential harm of medication errors in care homes for older people. Qual … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45352/psn-pdfSeptember 01, 2018 - Predictors of gaps in patient safety and quality in U.S. hospitals. September 1, 2018 Unruh L, Hofler R. Predictors of Gaps in Patient Safety and Quality in U.S. Hospitals. Health Serv Res. 2016;51(6):2258-2281. doi:10.1111/1475-6773.12468. https://psnet.ahrq.gov/issue/predictors-gaps-patient-safety-and-quality-us… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46012/psn-pdfDecember 21, 2017 - Mortality risks associated with emergency admissions during weekends and public holidays: an analysis of electronic health records. December 21, 2017 Walker S, Mason A, Quan P, et al. Mortality risks associated with emergency admissions during weekends and public holidays: an analysis of electronic health records.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47497/psn-pdfDecember 18, 2018 - Association between patient outcomes and accreditation in US hospitals: observational study. December 18, 2018 Lam MB, Figueroa JF, Feyman Y, et al. Association between patient outcomes and accreditation in US hospitals: observational study. BMJ. 2018;363:k4011. doi:10.1136/bmj.k4011. https://psnet.ahrq.gov/issue/… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43400/psn-pdfAugust 13, 2014 - Readmission after delayed diagnosis of surgical site infection: a focus on prevention using the American College of Surgeons National Surgical Quality Improvement Program. August 13, 2014 Gibson A, Tevis S, Kennedy G. Readmission after delayed diagnosis of surgical site infection: a focus on prevention using the … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45279/psn-pdfSeptember 27, 2016 - Does clinical supervision of health professionals improve patient safety? A systematic review and meta-analysis. September 27, 2016 Snowdon DA, Hau R, Leggat SG, et al. Does clinical supervision of health professionals improve patient safety? A systematic review and meta-analysis. Int J Qual Health Care. 2016;28(4)… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43695/psn-pdfAugust 02, 2015 - The medical liability climate and prospects for reform. August 2, 2015 Mello MM, Studdert DM, Kachalia A. The medical liability climate and prospects for reform. JAMA. 2014;312(20):2146-55. doi:10.1001/jama.2014.10705. https://psnet.ahrq.gov/issue/medical-liability-climate-and-prospects-reform This review of natio… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46342/psn-pdfOctober 04, 2017 - Improving reconciliation following medical injury: a qualitative study of responses to patient safety incidents in New Zealand. October 4, 2017 Moore J, Mello MM. Improving reconciliation following medical injury: a qualitative study of responses to patient safety incidents in New Zealand. BMJ Qual Saf. 2017;26(10… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44715/psn-pdfMay 19, 2019 - Electronic health record–related events in medical malpractice claims. May 19, 2019 Graber ML, Siegal D, Riah H, et al. Electronic Health Record-Related Events in Medical Malpractice Claims. J Patient Saf. 2019;15(2):77-85. doi:10.1097/PTS.0000000000000240. https://psnet.ahrq.gov/issue/electronic-health-record-rel… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42423/psn-pdfJuly 17, 2013 - National trends in hospital-acquired preventable adverse events after major cancer surgery in the USA. July 17, 2013 Sukumar S, Roghmann F, Trinh VQ, et al. National trends in hospital-acquired preventable adverse events after major cancer surgery in the USA. BMJ Open. 2013;3(6). doi:10.1136/bmjopen-2013-002843. h… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38399/psn-pdfFebruary 11, 2009 - Effect of computerized provider order entry with clinical decision support on adverse drug events in the long-term care setting. February 11, 2009 Gurwitz JH, Field T, Rochon P, et al. Effect of computerized provider order entry with clinical decision support on adverse drug events in the long-term care setting. J… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45553/psn-pdfOctober 13, 2018 - Computerized prescriber order entry–related patient safety reports: analysis of 2522 medication errors. October 13, 2018 Amato MG, Salazar A, Hickman T-TT, et al. Computerized prescriber order entry-related patient safety reports: analysis of 2522 medication errors. J Am Med Inform Assoc. 2017;24(2):316-322. doi:1… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37166/psn-pdfFebruary 03, 2011 - Mortality among hospitalized Medicare beneficiaries in the first 2 years following ACGME resident duty hour reform. February 3, 2011 Meltzer DO, Arora VM. Evaluating Resident Duty Hour Reforms. JAMA. 2007;298(9). doi:10.1001/jama.298.9.1055. https://psnet.ahrq.gov/issue/mortality-among-hospitalized-medicare-benef…
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