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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45365/psn-pdf
    August 03, 2016 - Workarounds and test results follow-up in electronic health record–based primary care. August 3, 2016 Menon S, Murphy DR, Singh H, et al. Workarounds and Test Results Follow-up in Electronic Health Record-Based Primary Care. Appl Clin Inform. 2016;7(2):543-559. doi:10.4338/ACI-2015-10-RA-0135. https://psnet.ahrq.g…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44596/psn-pdf
    December 04, 2016 - Health literacy in transitions of care: an innovative objective structured clinical examination for fourth-year medical students in an internship preparation course. December 4, 2016 Bloom-Feshbach K, Casey D, Schulson L, et al. Health Literacy in Transitions of Care: An Innovative Objective Structured Clinical Ex…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47508/psn-pdf
    October 24, 2018 - Root cause analysis of reported patient falls in ORs in the Veterans Health Administration. October 24, 2018 Soncrant CM, Warner LJ, Neily J, et al. Root Cause Analysis of Reported Patient Falls in ORs in the Veterans Health Administration. AORN J. 2018;108(4):386-397. doi:10.1002/aorn.12372. https://psnet.ahrq.go…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45484/psn-pdf
    December 04, 2016 - High prevalence of medication discrepancies between home health referrals and Centers for Medicare and Medicaid Services home health certification and plan of care and their potential to affect safety of vulnerable elderly adults. December 4, 2016 Brody AA, Gibson B, Tresner-Kirsch D, et al. High Prevalence of Me…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44038/psn-pdf
    May 06, 2015 - Engineering Patient Safety in Radiation Oncology: University of North Carolina's Pursuit for High Reliability and Value Creation. May 6, 2015 Marks L, Mazur L, Chera B, Adams R. Boca Raton, FL: Productivity Press; 2015. ISBN: 9781482233643. https://psnet.ahrq.gov/issue/engineering-patient-safety-radiation-oncology…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36348/psn-pdf
    March 09, 2009 - Reducing medical error in the Military Health System: how can team training help? March 9, 2009 Alonso A, Baker DP, Holtzman A, et al. Reducing medical error in the Military Health System: How can team training help? Human Resource Management Review. 2006;16(3). doi:10.1016/j.hrmr.2006.05.006. https://psnet.ahrq.g…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47001/psn-pdf
    August 17, 2018 - Realist synthesis of intentional rounding in hospital wards: exploring the evidence of what works, for whom, in what circumstances and why. August 17, 2018 Sims S, Leamy M, Davies N, et al. Realist synthesis of intentional rounding in hospital wards: exploring the evidence of what works, for whom, in what circumst…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46065/psn-pdf
    January 01, 2021 - Measurement as a performance driver: the case for a national measurement system to improve patient safety. April 26, 2017 Krause TR, Bell KJ, Pronovost P, et al. Measurement as a Performance Driver: The Case for a National Measurement System to Improve Patient Safety. J Patient Saf. 2021;17(3):e128-e134. doi:10.10…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46133/psn-pdf
    May 24, 2017 - Implementing smart infusion pumps with dose-error reduction software: real-world experiences. May 24, 2017 Heron C. Implementing smart infusion pumps with dose-error reduction software: real-world experiences. Br J Nurs. 2017;26(8):S13-S16. doi:10.12968/bjon.2017.26.8.S13. https://psnet.ahrq.gov/issue/implementing…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45013/psn-pdf
    April 13, 2016 - Good Practice Guides on Medication Errors: Part 1 and Part 2. April 13, 2016 Goedecke T, Ord K, Newbould V, et al. Medication Errors: New Eu Good Practice Guide On Risk Minimisation And Error Prevention. Springer Science and Business Media LLC; 2016. doi:10.1007/s40264- 016-0410-4. https://psnet.ahrq.gov/issue/go…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47523/psn-pdf
    December 05, 2018 - Developing standardized "receiver-driven" handoffs between referring providers and the emergency department: results of a multidisciplinary needs assessment. December 5, 2018 Huth K, Stack AM, Chi G, et al. Developing Standardized "Receiver-Driven" Handoffs Between Referring Providers and the Emergency Department…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34694/psn-pdf
    February 10, 2011 - Computerized surveillance of adverse drug events in hospital patients. February 10, 2011 Classen DC, Pestotnik SL, Evans RS, et al. Computerized surveillance of adverse drug events in hospital patients. JAMA. 1991;266(20):2847-51. https://psnet.ahrq.gov/issue/computerized-surveillance-adverse-drug-events-hospital-…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43141/psn-pdf
    April 30, 2014 - Engaging residents and fellows to improve institution- wide quality: the first six years of a novel financial incentive program. April 30, 2014 Vidyarthi A, Green AL, Rosenbluth G, et al. Engaging residents and fellows to improve institution-wide quality: the first six years of a novel financial incentive program.…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45594/psn-pdf
    December 19, 2017 - Teaching quality improvement and patient safety in residency education: strategies for meaningful resident quality and safety initiatives. December 19, 2017 Morrison RJ, Bowe SN, Brenner MJ. Teaching Quality Improvement and Patient Safety in Residency Education: Strategies for Meaningful Resident Quality and Safet…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47083/psn-pdf
    June 21, 2018 - Accuracy of skin cancer diagnosis by physician assistants compared with dermatologists in a large health care system. June 21, 2018 Anderson AM, Matsumoto M, Saul MI, et al. Accuracy of Skin Cancer Diagnosis by Physician Assistants Compared With Dermatologists in a Large Health Care System. JAMA Dermatol. 2018;154…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45340/psn-pdf
    August 17, 2016 - To the point: integrating patient safety education Into the obstetrics and gynecology undergraduate curriculum. August 17, 2016 Abbott JF, Pradhan A, Buery-Joyner S, et al. To the Point: Integrating Patient Safety Education Into the Obstetrics and Gynecology Undergraduate Curriculum. J Patient Saf. 2016;16(1):e39-e…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46631/psn-pdf
    March 20, 2018 - Simulation-based education to ensure provider competency within the healthcare system. March 20, 2018 Griswold S, Fralliccardi A, Boulet J, et al. Simulation-based Education to Ensure Provider Competency Within the Health Care System. Acad Emerg Med. 2018;25(2):168-176. doi:10.1111/acem.13322. https://psnet.ahrq.g…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46835/psn-pdf
    February 28, 2018 - Errors detected in pediatric oral liquid medication doses prepared in an automated workflow management system. February 28, 2018 Bledsoe S, Van Buskirk A, Falconer J, et al. Errors detected in pediatric oral liquid medication doses prepared in an automated workflow management system. Am J Health Syst Pharm. 2018;75…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46905/psn-pdf
    October 13, 2018 - Association of hospital participation in a regional trauma quality improvement collaborative with patient outcomes. October 13, 2018 Hemmila MR, Cain-Nielsen AH, Jakubus JL, et al. Association of Hospital Participation in a Regional Trauma Quality Improvement Collaborative With Patient Outcomes. JAMA Surg. 2018;153…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60522/psn-pdf
    May 27, 2020 - Nursing turbulence in critical care: relationships with nursing workload and patient safety. May 27, 2020 Browne J, Braden CJ. Nursing turbulence in critical care: relationships with nursing workload and patient safety. Am J Crit Care. 2020;29(3):182-191. doi:10.4037/ajcc2020180. https://psnet.ahrq.gov/issue/nursi…