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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48014/psn-pdf
    July 10, 2019 - Patient safety morning report: innovation in teaching core patient safety principles to third-year medical students. July 10, 2019 Beekman M, Emani VK, Wolford R, et al. Patient Safety Morning Report: Innovation in Teaching Core Patient Safety Principles to Third-Year Medical Students. J Med Educ Curric Dev. 2019;…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72530/psn-pdf
    January 01, 2021 - A realist synthesis of pharmacist-conducted medication reviews in primary care after leaving hospital: what works for whom and why? December 2, 2020 Luetsch K, Rowett D, Twigg MJ. A realist synthesis of pharmacist-conducted medication reviews in primary care after leaving hospital: what works for whom and why? BMJ…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61004/psn-pdf
    October 07, 2020 - National Nursing Home COVID Action Network. October 7, 2020 Rockville, MD: Agency for Healthcare Research and Quality; September 2020. https://psnet.ahrq.gov/issue/national-nursing-home-covid-action-network Nursing home residents are especially vulnerable to COVID-19 due to their age, and communal living condition…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36634/psn-pdf
    March 03, 2011 - Surgeon information transfer and communication: factors affecting quality and efficiency of inpatient care. March 3, 2011 Williams RG, Silverman R, Schwind C, et al. Surgeon information transfer and communication: factors affecting quality and efficiency of inpatient care. Ann Surg. 2007;245(2):159-69. https://psn…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45500/psn-pdf
    September 28, 2016 - PIPc study: development of indicators of potentially inappropriate prescribing in children (PIPc) in primary care using a modified Delphi technique. September 28, 2016 Barry E, O'Brien K, Moriarty F, et al. PIPc study: development of indicators of potentially inappropriate prescribing in children (PIPc) in primary…
  6. 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…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46031/psn-pdf
    April 12, 2017 - Chief of Residents for Quality Improvement and Patient Safety: a recipe for a new role in graduate medical education. April 12, 2017 Ferraro K, Zernzach R, Maturo S, et al. Chief of Residents for Quality Improvement and Patient Safety: A Recipe for a New Role in Graduate Medical Education. Mil Med. 2017;182(3):e17…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34939/psn-pdf
    June 16, 2011 - The effect of executive walk rounds on nurse safety climate attitudes: a randomized trial of clinical units. June 16, 2011 Thomas EJ, Sexton B, Neilands TB, et al. The effect of executive walk rounds on nurse safety climate attitudes: a randomized trial of clinical units[ISRCTN85147255] [corrected]. BMC Health Serv…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866636/psn-pdf
    January 01, 2025 - Hospital commitments to address diagnostic errors: an assessment of 95 US hospitals. September 4, 2024 Campione Russo A, Tilly J?L, Kaufman L, et al. Hospital commitments to address diagnostic errors: an assessment of 95 US hospitals. J Hosp Med. 2025;20(2):120-134. doi:10.1002/jhm.13485. https://psnet.ahrq.gov/is…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45967/psn-pdf
    July 05, 2017 - Root-cause analysis: swatting at mosquitoes versus draining the swamp. July 5, 2017 Trbovich PL, Shojania KG. Root-cause analysis: swatting at mosquitoes versus draining the swamp. BMJ Qual Saf. 2017;26(5):350-353. doi:10.1136/bmjqs-2016-006229. https://psnet.ahrq.gov/issue/root-cause-analysis-swatting-mosquitoes-…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38485/psn-pdf
    June 23, 2017 - Impact of a comprehensive patient safety strategy on obstetric adverse events. June 23, 2017 Pettker CM, Thung SF, Norwitz ER, et al. Impact of a comprehensive patient safety strategy on obstetric adverse events. Am J Obstet Gynecol. 2009;200(5):492.e1-8. doi:10.1016/j.ajog.2009.01.022. https://psnet.ahrq.gov/issu…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867631/psn-pdf
    February 26, 2025 - Implicit bias in the patient descriptor "homeless" and its association with emergency department opioid administration and disposition. February 26, 2025 Lauricella M, Nene RV, Coyne CJ, et al. Implicit bias in the patient descriptor “homeless” and its association with emergency department opioid administration an…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49838/psn-pdf
    August 01, 2018 - An Untimely End Despite End-of-Life Care Planning August 1, 2018 Elia G, Barbour S, Anderson WG. An Untimely End Despite End-of-Life Care Planning. PSNet [internet]. 2018. https://psnet.ahrq.gov/web-mm/untimely-end-despite-end-life-care-planning The Case A 76-year-old man was admitted to the intensive care unit (…
  14. psnet.ahrq.gov/web-mm/discharged-iv-antibiotics-when-issues-arise-who-manages-complications
    October 10, 2017 - SPOTLIGHT CASE Discharged with IV antibiotics: When issues arise, who manages the complications? Citation Text: Donnelley M, Gintjee TJ, Go J. Discharged with IV antibiotics: When issues arise, who manages the complications?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Qu…
  15. psnet.ahrq.gov/web-mm/safety-challenges-supervision-and-night-coverage-academic-residency
    February 21, 2024 - The Safety Challenges of Supervision and Night Coverage in Academic Residency Citation Text: Raffel K. The Safety Challenges of Supervision and Night Coverage in Academic Residency. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/863650/psn-pdf
    February 28, 2024 - respiratory therapists, physical therapists, social workers, case management staff, and pharmacy staff) Establishing
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836841/psn-pdf
    June 01, 2020 - facility efforts should focus on Ensuring necessary staffing to schedule and complete home visits, Establishing
  18. psnet.ahrq.gov/innovation/nudge-unit-supports-physician-patient-behavioral-changes-towards-medical-decisions
    July 23, 2024 - Canada attended. a To-date, approximately 30 organizations have engaged Penn Medicine with interest in establishing
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60363/psn-pdf
    March 01, 2021 - Transition Coaches® Reduce Readmissions for Medicare Patients With Complex Postdischarge Needs Originally published on June 12, 2020 Last updated on January 11, 2021 https://psnet.ahrq.gov/innovation/transition-coachesr-reduce-readmissions-medicare-patients-complex- postdischarge-needs Summary Under a program kn…
  20. psnet.ahrq.gov/perspective/role-national-quality-forum-nqf-quest-transparency-us-hospitals-patient-safety
    April 01, 2010 - The Role of the National Quality Forum (NQF) in the Quest for Transparency in U.S. Hospitals' Patient Safety Performance Lance L. Roberts, MS; Marcia M. Ward, PhD; Thomas C. Evans, MD | April 1, 2010  Also Read a Conversation View more articles from the same authors. …

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