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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39819/psn-pdf
    April 04, 2011 - Performance characteristics of a methodology to quantify adverse events over time in hospitalized patients. April 4, 2011 Sharek PJ, Parry G, Goldmann DA, et al. Performance characteristics of a methodology to quantify adverse events over time in hospitalized patients. Health Serv Res. 2011;46(2):654-78. doi:10.111…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44538/psn-pdf
    October 21, 2015 - Timing of the diagnosis of attention-deficit/hyperactivity disorder and autism spectrum disorder. October 21, 2015 Miodovnik A, Harstad E, Sideridis G, et al. Timing of the Diagnosis of Attention-Deficit/Hyperactivity Disorder and Autism Spectrum Disorder. Pediatrics. 2015;136(4):e830-7. doi:10.1542/peds.2015-1502.…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34089/psn-pdf
    December 23, 2008 - A national profile of patient safety in U.S. hospitals. December 23, 2008 Romano PS, Geppert JJ, Davies SM, et al. A national profile of patient safety in U.S. hospitals. Health Aff (Millwood). 2003;22(2):154-66. https://psnet.ahrq.gov/issue/national-profile-patient-safety-us-hospitals This AHRQ-supported study us…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44231/psn-pdf
    January 22, 2016 - Just-in-time training for high-risk low-volume therapies: an approach to ensure patient safety. January 22, 2016 Helman S, Lisanti AJ, Adams A, et al. Just-in-Time Training for High-Risk Low-Volume Therapies: An Approach to Ensure Patient Safety. J Nurs Care Qual. 2016;31(1):33-9. doi:10.1097/NCQ.0000000000000131.…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38027/psn-pdf
    October 15, 2008 - Assessing the Evidence Base for Context-Sensitive Effectiveness and Safety of Patient Safety Practices: Developing Criteria. October 15, 2008 US Department of Health and Human Services; HHS; Agency for Healthcare Research and Quality; AHRQ. https://psnet.ahrq.gov/issue/assessing-evidence-base-context-sensitive-eff…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45566/psn-pdf
    October 19, 2016 - Partnership for Patients (PfP) Hospital Engagement Network (HEN) 2.0 Final Report. October 19, 2016 Chicago, IL: American Hospital Association and Health Research & Educational Trust; September 2016. https://psnet.ahrq.gov/issue/partnership-patients-pfp-hospital-engagement-network-hen-20-final-report The Partnersh…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854383/psn-pdf
    January 01, 2024 - What can safety cases offer for patient safety? A multisite case study. October 11, 2023 Liberati EG, Martin GP, Lamé G, et al. What can Safety Cases offer for patient safety? A multisite case study. BMJ Qual Saf. 2024;33(3):156-165. doi:10.1136/bmjqs-2023-016042. https://psnet.ahrq.gov/issue/what-can-safety-cases…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45212/psn-pdf
    November 23, 2016 - The impact of implementation of family-initiated escalation of care for the deteriorating patient in hospital: a systematic review. November 23, 2016 Gill FJ, Leslie GD, Marshall AP. The Impact of Implementation of Family-Initiated Escalation of Care for the Deteriorating Patient in Hospital: A Systematic Review. …
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/860391/psn-pdf
    January 10, 2024 - Neonatal near-miss audits: a systematic review and a call to action. January 10, 2024 Medeiros PB, Bailey C, Pollock D, et al. Neonatal near-miss audits: a systematic review and a call to action. BMC Pediatr. 2023;23(1):573. doi:10.1186/s12887-023-04383-6. https://psnet.ahrq.gov/issue/neonatal-near-miss-audits-sys…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43849/psn-pdf
    January 28, 2015 - Advancing the science of measurement of diagnostic errors in healthcare: the Safer Dx framework. January 28, 2015 Singh H, Sittig DF. Advancing the science of measurement of diagnostic errors in healthcare: the Safer Dx framework. BMJ Qual Saf. 2015;24(2):103-110. doi:10.1136/bmjqs-2014-003675. https://psnet.ahrq.…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41393/psn-pdf
    June 06, 2012 - Prescribers' interactions with medication alerts at the point of prescribing: a multi-method, in situ investigation of the human–computer interaction. June 6, 2012 Russ AL, Zillich AJ, McManus S, et al. Prescribers' interactions with medication alerts at the point of prescribing: A multi-method, in situ investigat…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46062/psn-pdf
    December 19, 2017 - Frequency and nature of medication errors and adverse drug events in mental health hospitals: a systematic review. December 19, 2017 Alshehri GH, Keers RN, Ashcroft DM. Frequency and nature of medication errors and adverse drug events in mental health hospitals: a systematic review. Drug Saf. 2017;40(10):871-886. …
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72735/psn-pdf
    February 10, 2021 - Deficiencies in Inpatient Mental Health Care Coordination and Processes Prior to a Patient's Death by Suicide, Harry S. Truman Memorial Veterans' Hospital in Columbia, Missouri. February 10, 2021 Washington, DC: Department of Veterans Affairs, Office of Inspector General. January 5, 2021. Report No. 20-01521-48. …
  14. psnet.ahrq.gov/issue/missed-lesions-abdominal-oncologic-ct-lessons-learned-quality-assurance
    April 21, 2011 - October 4, 2011 Why Current Breast Pathology Practices Must Be Evaluated.
  15. psnet.ahrq.gov/issue/evaluation-12-strategies-obtaining-second-opinions-improve-interpretation-breast
    November 03, 2015 - April 9, 2013 Why Current Breast Pathology Practices Must Be Evaluated.
  16. psnet.ahrq.gov/issue/characteristics-and-predictors-missed-opportunities-lung-cancer-diagnosis-electronic-health
    January 19, 2012 - October 31, 2014 Why Current Breast Pathology Practices Must Be Evaluated.
  17. psnet.ahrq.gov/issue/diagnostic-errors-musculoskeletal-oncology-and-possible-mitigation-strategies
    May 01, 2013 - December 27, 2014 Why Current Breast Pathology Practices Must Be Evaluated.
  18. psnet.ahrq.gov/issue/big-dog-effect-variability-assessing-causes-error-diagnoses-patients-lung-cancer
    March 28, 2012 - April 9, 2013 Why Current Breast Pathology Practices Must Be Evaluated.
  19. psnet.ahrq.gov/issue/delayed-or-missed-diagnosis-cervical-spine-injuries
    May 05, 2010 - October 31, 2014 Why Current Breast Pathology Practices Must Be Evaluated.
  20. psnet.ahrq.gov/issue/patient-safety-leadership-academy-university-pennsylvania-first-cohorts-learning-experience
    October 04, 2011 - June 18, 2013 Why Current Breast Pathology Practices Must Be Evaluated.

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