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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44881/psn-pdf
    August 16, 2017 - A comparative effectiveness analysis of the implementation of surgical safety checklists in a tertiary care hospital. August 16, 2017 Bock M, Fanolla A, Segur-Cabanac I, et al. A Comparative Effectiveness Analysis of the Implementation of Surgical Safety Checklists in a Tertiary Care Hospital. JAMA Surg. 2016;151(…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47531/psn-pdf
    June 19, 2019 - Patient Safety. June 19, 2019 Health Aff (Millwood). 2018;37(11):1723-1908. https://psnet.ahrq.gov/issue/patient-safety-14 The Institute of Medicine report, To Err Is Human, marked the founding of the patient safety field. This special issue of Health Affairs, published 20 years after that report, highlights achie…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45121/psn-pdf
    September 27, 2016 - Factors influencing a nurse's decision to question medication administration in a neonatal clinical care unit. September 27, 2016 Aydon L, Hauck Y, Zimmer M, et al. Factors influencing a nurse's decision to question medication administration in a neonatal clinical care unit. J Clin Nurs. 2016;25(17-18):2468-77. do…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40946/psn-pdf
    January 19, 2012 - Effects of a multicentre teamwork and communication programme on patient outcomes: results from the Triad for Optimal Patient Safety (TOPS) project. January 19, 2012 Auerbach AD, Sehgal NL, Blegen MA, et al. Effects of a multicentre teamwork and communication programme on patient outcomes: results from the Triad f…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845361/psn-pdf
    March 29, 2023 - A standardized marking procedure for ENT operations to prevent wrong-site surgery: development, establishment and subsequent evaluation among patients and medical personnel. March 29, 2023 Rohrmeier C, Abudan Al-Masry N, Keerl R, et al. A standardized marking procedure for ENT operations to prevent wrong-site sur…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46747/psn-pdf
    June 06, 2018 - Tackling ambulatory safety risks through patient engagement: what 10,000 patients and families say about safety-related knowledge, behaviors, and attitudes after reading visit notes. June 6, 2018 Bell SK, Folcarelli P, Fossa A, et al. Tackling Ambulatory Safety Risks Through Patient Engagement: What 10,000 Patien…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45511/psn-pdf
    July 21, 2017 - Can patient involvement improve patient safety? A cluster randomised control trial of the Patient Reporting and Action for a Safe Environment (PRASE) intervention. July 21, 2017 Lawton R, O'Hara JK, Sheard L, et al. Can patient involvement improve patient safety? A cluster randomised control trial of the Patient R…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44715/psn-pdf
    May 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…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46797/psn-pdf
    March 14, 2018 - Empowering informal caregivers with health information: OpenNotes as a safety strategy. March 14, 2018 Chimowitz H, Gerard M, Fossa A, et al. Empowering Informal Caregivers with Health Information: OpenNotes as a Safety Strategy. Jt Comm J Qual Saf. 2018;44(3):130-136. doi:10.1016/j.jcjq.2017.09.004. https://psnet…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46299/psn-pdf
    September 13, 2017 - Simulation-based assessment of the management of critical events by board-certified anesthesiologists. September 13, 2017 Weinger MB, Banerjee A, Burden AR, et al. Simulation-based assessment of the management of critical events by board-certified anesthesiologists. Anesthesiology. 2017;127(3):475-489. doi:10.1097…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44369/psn-pdf
    July 16, 2018 - The impact of a computerized physician order entry system on medical errors with antineoplastic drugs 5 years after its implementation. July 16, 2018 Cuervo S, Sanchis R, Lopez P, et al. The impact of a computerized physician order entry system on medical errors with antineoplastic drugs 5 years after its implemen…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43400/psn-pdf
    August 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 …
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42007/psn-pdf
    May 23, 2013 - Leaders' and followers' individual experiences during the early phase of simulation-based team training: an exploratory study. May 23, 2013 Meurling L, Hedman L, Felländer-Tsai L, et al. Leaders' and followers' individual experiences during the early phase of simulation-based team training: an exploratory study. B…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42969/psn-pdf
    October 31, 2014 - Reducing the burden of surgical harm: a systematic review of the interventions used to reduce adverse events in surgery. October 31, 2014 Howell A-M, Panesar S, Burns EM, et al. Reducing the burden of surgical harm: a systematic review of the interventions used to reduce adverse events in surgery. Ann Surg. 2014;2…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42938/psn-pdf
    February 12, 2014 - Successful implementation of a unit-based quality nurse to reduce central line-associated bloodstream infections. February 12, 2014 Thom KA, Li S, Custer M, et al. Successful implementation of a unit-based quality nurse to reduce central line-associated bloodstream infections. Am J Infect Control. 2014;42(2):139-43…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43956/psn-pdf
    January 01, 2016 - Monitoring the harm associated with use of anticoagulants in pediatric populations through trigger- based automated adverse-event detection. June 21, 2015 Patregnani JT, Spaeder MC, Lemon V, et al. Monitoring the harm associated with use of anticoagulants in pediatric populations through trigger-based automated ad…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44522/psn-pdf
    June 21, 2016 - Impact of an electronic alert notification system embedded in radiologists' workflow on closed-loop communication of critical results: a time series analysis. June 21, 2016 Lacson R, O'Connor SD, Sahni A, et al. Impact of an electronic alert notification system embedded in radiologists' workflow on closed-loop com…
  18. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-113-fullreport.pdf
    May 01, 2018 - Rate of Emergency Department Visit Use for Children Managed for Identifiable Asthma 1 Rate of Emergency Department Visit Use for Children Managed for Identifiable Asthma Section 1. Basic Measure Information 1.A. Measure Name CAPQuaM PQMP Asthma I: Rate of Emergency Department Visit Use for Children Managed for…
  19. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-134-fullreport.pdf
    November 01, 2019 - Availability of Multidisciplinary Outpatient Care for Women with High-Risk Pregnancies Availability of Multidisciplinary Outpatient Care for Women with High-Risk Pregnancies Section 1. Basic Measure Information 1.A. Measure Name Availability of Multidisciplinary Outpatient Care for Women with High-Risk Pregnancie…
  20. digital.ahrq.gov/sites/default/files/docs/citation/cds-connect-year1-final-report.pdf
    October 01, 2017 - CDS Connect - Year 1 Final Report CDS Connect Contract Year 1 CDS Connect Final Report Final Contract Report CDS Connect Prepared for: Agency for Healthcare Research and Quality 5600 Fishers Lane Rockville, MD 20857 www.ahrq.gov Contract No. HHSA290201600001U Prepared by: CMS Alliance to Moder…