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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37453/psn-pdf
    March 03, 2011 - Managing the prevention of retained surgical instruments: what is the value of counting? March 3, 2011 Egorova NN, Moskowitz A, Gelijns A, et al. Managing the prevention of retained surgical instruments: what is the value of counting? Ann Surg. 2008;247(1):13-8. https://psnet.ahrq.gov/issue/managing-prevention-ret…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39670/psn-pdf
    July 07, 2010 - The Power of Safety: State Reporting Provides Lessons in Reducing Harm, Improving Care. July 7, 2010 Washington DC: National Quality Forum; 2010. https://psnet.ahrq.gov/issue/power-safety-state-reporting-provides-lessons-reducing-harm-improving-care The landmark Institute of Medicine (IOM) report, To Err Is Human,…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37803/psn-pdf
    January 06, 2017 - Paying the piper: investing in infrastructure for patient safety.  January 6, 2017 Pronovost P, Rosenstein BJ, Paine LA, et al. Paying the piper: investing in infrastructure for patient safety. Jt Comm J Qual Patient Saf. 2008;34(6):342-8. https://psnet.ahrq.gov/issue/paying-piper-investing-infrastructure-patient-…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38260/psn-pdf
    April 22, 2011 - Information exchange among physicians caring for the same patient in the community. April 22, 2011 van Walraven C, Taljaard M, Bell CM, et al. Information exchange among physicians caring for the same patient in the community. CMAJ. 2008;179(10):1013-8. doi:10.1503/cmaj.080430. https://psnet.ahrq.gov/issue/informa…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37260/psn-pdf
    January 02, 2017 - A visual medication schedule to improve anticoagulation control: a randomized, controlled trial. January 2, 2017 Machtinger EL, Wang F, Chen L-L, et al. A visual medication schedule to improve anticoagulation control: a randomized, controlled trial. Jt Comm J Qual Patient Saf. 2007;33(10):625-35. https://psnet.ahr…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38964/psn-pdf
    November 27, 2009 - Development of a measure of patient safety event learning responses. November 27, 2009 Ginsburg LR, Chuang Y-T, Norton PG, et al. Development of a measure of patient safety event learning responses. Health Serv Res. 2009;44(6):2123-47. doi:10.1111/j.1475-6773.2009.01021.x. https://psnet.ahrq.gov/issue/development-…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37510/psn-pdf
    March 04, 2011 - Rare adverse medical events in VA inpatient care: reliability limits to using patient safety indicators as performance measures. March 4, 2011 West AN, Weeks WB, Bagian JP. Rare adverse medical events in VA inpatient care: reliability limits to using patient safety indicators as performance measures. Health Serv R…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41777/psn-pdf
    April 05, 2013 - Effect of nonpayment for preventable infections in U.S. hospitals. April 5, 2013 Lee GM, Kleinman K, Soumerai SB, et al. Effect of nonpayment for preventable infections in U.S. hospitals. N Engl J Med. 2012;367(15):1428-37. doi:10.1056/NEJMsa1202419. https://psnet.ahrq.gov/issue/effect-nonpayment-preventable-infec…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38759/psn-pdf
    April 05, 2010 - Perceptions of the impact of a large-scale collaborative improvement programme: experience in the UK Safer Patients Initiative. April 5, 2010 Benn J, Burnett S, Parand A, et al. Perceptions of the impact of a large-scale collaborative improvement programme: experience in the UK Safer Patients Initiative. J Eval Cl…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837141/psn-pdf
    May 18, 2022 - The effects of leadership curricula with and without implicit bias training on graduate medical education: a multicenter randomized trial. May 18, 2022 Hansen M, Harrod T, Bahr N, et al. The effects of leadership curricula with and without implicit bias training on graduate medical education: a multicenter randomi…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867082/psn-pdf
    November 06, 2024 - Learning in radiation oncology: 12-month experience with a new incident learning system. November 6, 2024 Crouch K, Adamson L, Beldham?Collins R, et al. Learning in radiation oncology: 12?month experience with a new incident learning system. J Med Radiat Sci. 2024;Epub Sep 15. doi:10.1002/jmrs.823. https://psnet.a…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60012/psn-pdf
    March 03, 2020 - Algorithm based smartphone apps to assess risk of skin cancer in adults: systematic review of diagnostic accuracy studies. March 3, 2020 Freeman K, Dinnes J, Chuchu N, et al. Algorithm based smartphone apps to assess risk of skin cancer in adults: systematic review of diagnostic accuracy studies. BMJ. 2020;368:m12…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837763/psn-pdf
    August 03, 2022 - Implementation of hand hygiene in health-care facilities: results from the WHO Hand Hygiene Self-Assessment Framework global survey 2019. August 3, 2022 de Kraker MEA, Tartari E, Tomczyk S, et al. Implementation of hand hygiene in health-care facilities: results from the WHO Hand Hygiene Self-Assessment Framework …

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60934/psn-pdf
    September 23, 2020 - Hospital ward adaptation during the COVID-19 pandemic: a national survey of academic medical centers. September 23, 2020 Auerbach AD, O'Leary KJ, Greysen SR, et al. Hospital ward adaptation during the COVID-19 pandemic: a national survey of academic medical centers. J Hosp Med. 2020;15(8):483-488. doi:10.12788/jhm.…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/839314/psn-pdf
    November 02, 2022 - Correlation between the number of patient-reported adverse events, adverse drug events, and quality of life in older patients: an observational study. November 2, 2022 Beerlage-Davids CJ, Ponjee GHM, Vanhommerig JW, et al. Correlation between the number of patient- reported adverse events, adverse drug events, and…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/764402/psn-pdf
    March 02, 2022 - A systematic review of methods for medical record analysis to detect adverse events in hospitalized patients. March 2, 2022 Klein DO, Rennenberg RJMW, Koopmans RP, et al. A systematic review of methods for medical record analysis to detect adverse events in hospitalized patients. J Patient Saf. 2021;17(8):e1234-e12…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866954/psn-pdf
    October 16, 2024 - Patient and public involvement in healthcare: a systematic mapping review of systematic reviews - identification of current research and possible directions for future research. October 16, 2024 Bergholtz J, Wolf A, Crine V, et al. Patient and public involvement in healthcare: a systematic mapping review of syste…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38660/psn-pdf
    November 13, 2009 - Improving medication error reporting in hospice care. November 13, 2009 Boyer R, McPherson ML, Deshpande G, et al. Improving medication error reporting in hospice care. Am J Hosp Palliat Care. 2009;26(5):361-7. doi:10.1177/1049909109335145. https://psnet.ahrq.gov/issue/improving-medication-error-reporting-hospice-c…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73197/psn-pdf
    April 28, 2021 - Medical Office Survey: 2020 User Database Report. April 28, 2021 Famolaro T, Hare R, Thornton S, et al. Surveys on Patient Safety CultureTM (SOPSTM). Rockville, MD: Agency for Healthcare Research and Quality; March 2020. AHRQ Publication No. 20-0034. https://psnet.ahrq.gov/issue/medical-office-survey-2020-user…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73282/psn-pdf
    January 01, 2022 - Effects of a refined evidence-based toolkit and mentored implementation on medication reconciliation at 18 hospitals: results of the MARQUIS2 study. May 19, 2021 Schnipper JL, Reyes Nieva H, Mallouk M, et al. Effects of a refined evidence-based toolkit and mentored implementation on medication reconciliation at 18…
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