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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46732/psn-pdf
    June 07, 2018 - The SAGES Fundamental Use of Surgical Energy program (FUSE): history, development, and purpose. June 7, 2018 Fuchshuber P, Schwaitzberg S, Jones D, et al. The SAGES Fundamental Use of Surgical Energy program (FUSE): history, development, and purpose. Surg Endosc. 2018;32(6):2583-2602. doi:10.1007/s00464- 017-5933-…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45651/psn-pdf
    November 16, 2016 - Improving patient safety through the involvement of patients: development and evaluation of novel interventions to engage patients in preventing patient safety incidents and protecting them against unintended harm. November 16, 2016 Wright J, Lawton R, O’Hara J, et al. Improving Patient Safety Through The Involve…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867342/psn-pdf
    December 11, 2024 - Does one size fit all? Developing an evaluation strategy to assess large language models for patient safety event report analysis. December 11, 2024 Fong A, Adams KT, Boxley C, et al. Does one size fit all? Developing an evaluation strategy to assess large language models for patient safety event report analysis. …
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35969/psn-pdf
    August 10, 2010 - Systematic review: impact of health information technology on quality, efficiency, and costs of medical care. August 10, 2010 Chaudhry B, Wang J, Wu S, et al. Systematic review: impact of health information technology on quality, efficiency, and costs of medical care. Ann Intern Med. 2006;144(10):742-52. https://…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47537/psn-pdf
    November 14, 2018 - Developing a learning health system: insights from a qualitative process evaluation of a pharmacist-led electronic audit and feedback intervention to improve medication safety in primary care. November 14, 2018 Jeffries M, Keers RN, Phipps D, et al. Developing a learning health system: Insights from a qualitative …
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44774/psn-pdf
    June 21, 2016 - Association of safety culture with surgical site infection outcomes. June 21, 2016 Fan CJ, Pawlik TM, Daniels T, et al. Association of safety culture with surgical site infection outcomes. J Am Coll Surg. 2016;222(2):122-128. doi:10.1016/j.jamcollsurg.2015.11.008. https://psnet.ahrq.gov/issue/association-safety-cu…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45091/psn-pdf
    February 14, 2017 - The interplay between teamwork, clinicians' emotional exhaustion, and clinician-rated patient safety: a longitudinal study. February 14, 2017 Welp A, Meier LL, Manser T. The interplay between teamwork, clinicians' emotional exhaustion, and clinician-rated patient safety: a longitudinal study. Crit Care. 2016;20(1)…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844764/psn-pdf
    September 11, 2019 - IV Push Gap Analysis Tool (GAT) helps uncover national priorities for safe injection practices. September 11, 2019 ISMP Medication Safety Alert! Acute Care Edition. August 29, 2019;24. https://psnet.ahrq.gov/issue/iv-push-gap-analysis-tool-gat-helps-uncover-national-priorities-safe-injection- practices Mistakes i…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72671/psn-pdf
    January 27, 2021 - Will the COVID-19 pandemic transform infection prevention and control in surgery? Seeking leverage points for organizational learning. January 27, 2021 Toccafondi G, Di Marzo F, Sartelli M, et al. Int J Qual Health Care. 2021;33(Supp 1):51-55.    https://psnet.ahrq.gov/issue/will-covid-19-pandemic-…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42980/psn-pdf
    February 17, 2017 - Disclosing adverse events to patients: international norms and trends. February 17, 2017 Wu AW, McCay L, Levinson W, et al. Disclosing Adverse Events to Patients: International Norms and Trends. J Patient Saf. 2017;13(1):43-49. doi:10.1097/PTS.0000000000000107. https://psnet.ahrq.gov/issue/disclosing-adverse-event…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43205/psn-pdf
    April 04, 2018 - Placing Diagnosis Errors on the Policy Agenda. April 4, 2018 Berenson RA, Upadhyay D, Kaye DR. Washington, DC: Urban Institute. Princeton, NJ: Robert Wood Johnson Foundation; 2014. https://psnet.ahrq.gov/issue/placing-diagnosis-errors-policy-agenda This comprehensive policy brief emphasizes the importance of addre…
  12. psnet.ahrq.gov/perspective/incident-reporting-more-attention-safety-action-feedback-loop-please
    September 01, 2011 - Hospitals could turn incident reports into modern tools for enhancing patient safety by, in order of … Clinical Risk Management: Enhancing Patient Safety. 2nd ed. London: BMJ Books; 2001:419-438. … In: Enhancing Patient Safety and Reducing Errors in Health Care, Chicago; 1999. 15.
  13. psnet.ahrq.gov/perspective/conversation-withkaveh-g-shojania-md
    September 01, 2011 - Hospitals could turn incident reports into modern tools for enhancing patient safety by, in order of … Clinical Risk Management: Enhancing Patient Safety. 2nd ed. London: BMJ Books; 2001:419-438. … In: Enhancing Patient Safety and Reducing Errors in Health Care, Chicago; 1999. 15.
  14. psnet.ahrq.gov/perspective/role-graduate-medical-education-gme-improving-patient-safety
    February 01, 2010 - recommended reducing fatigue through limiting the length of extended shifts to less than 16 hours, enhancing … Resident Duty Hours: Enhancing Sleep, Supervision, and Safety. … Nasca, MD February 1, 2010 Resident Duty Hours: Enhancing Sleep, Supervision
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44114/psn-pdf
    September 27, 2016 - Advancing the future of patient safety in oncology: implications of patient safety education on cancer care delivery. September 27, 2016 James TA, Goedde M, Bertsch T, et al. Advancing the Future of Patient Safety in Oncology: Implications of Patient Safety Education on Cancer Care Delivery. J Cancer Educ. 2016;31…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45950/psn-pdf
    July 18, 2017 - Developing and evaluating an automated all-cause harm trigger system. July 18, 2017 Sammer C, Miller S, Jones C, et al. Developing and Evaluating an Automated All-Cause Harm Trigger System. Jt Comm J Qual Patient Saf. 2017;43(4):155-165. doi:10.1016/j.jcjq.2017.01.004. https://psnet.ahrq.gov/issue/developing-and-e…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865922/psn-pdf
    May 22, 2024 - Pharmacy-driven performance improvement initiative to increase compliance with intravenous smart pump drug error reduction systems at a large urban academic medical center. May 22, 2024 Abboudi E, Baron SW, Goriacko P, et al. Pharmacy-driven performance improvement initiative to increase compliance with intraveno…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47207/psn-pdf
    July 19, 2018 - National quality program achieves improvements in safety culture and reduction in preventable harms in community hospitals. July 19, 2018 Frush K, Chamness C, Olson B, et al. National Quality Program Achieves Improvements in Safety Culture and Reduction in Preventable Harms in Community Hospitals. Jt Comm J Qual P…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72468/psn-pdf
    November 18, 2020 - Development of rapid response capabilities in a large COVID-19 alternate care site using Failure Modes and Effect Analysis with in situ simulation. November 18, 2020 Levy N, Zucco L, Ehrlichman RJ, et al. Development of rapid response capabilities in a large COVID-19 alternate care site using Failure Modes and Eff…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43190/psn-pdf
    September 04, 2015 - Pediatric obesity and safety in inpatient settings: a systematic literature review. September 4, 2015 Halvorson EE, Irby MB, Skelton JA. Pediatric obesity and safety in inpatient settings: a systematic literature review. Clin Pediatr (Phila). 2014;53(10):975-87. doi:10.1177/0009922814533406. https://psnet.ahrq.gov…

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