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4841. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46531/psn-pdf
      January 24, 2019 - Tracking progress in improving diagnosis: a framework for defining undesirable diagnostic events. January 24, 2019 Olson A, Graber ML, Singh H. Tracking Progress in Improving Diagnosis: A Framework for Defining Undesirable Diagnostic Events. J Gen Intern Med. 2018;33(7):1187-1191. doi:10.1007/s11606-018-4304-2. ht…

4842. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41935/psn-pdf
      December 19, 2012 - Results of an effort to integrate quality and safety into medical and nursing school curricula and foster joint learning. December 19, 2012 Headrick LA, Barton AJ, Ogrinc G, et al. Results of an effort to integrate quality and safety into medical and nursing school curricula and foster joint learning. Health Aff (…

4843. The Final Check: Say it Out Loud. | PSNet
      psnet.ahrq.gov/issue/final-check-say-it-out-loud
      July 31, 2023 - Multi-use Website The Final Check: Say it Out Loud. Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL August 1, 2012 This Web site provides resources to help reduce incidence of …

4844. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36807/psn-pdf
      October 25, 2013 - HealthGrades Quality Study: Fourth Annual Patient Safety in American Hospitals Study. October 25, 2013 Denver, CO; Health Grades Inc; 2007. https://psnet.ahrq.gov/issue/healthgrades-quality-study-fourth-annual-patient-safety-american-hospitals- study This fourth annual report on the safety of hospitalized Medicar…

4845. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40450/psn-pdf
      December 21, 2014 - Unit-based care teams and the frequency and quality of physician–nurse communications. December 21, 2014 Gordon M, Melvin P, Graham DA, et al. Unit-based care teams and the frequency and quality of physician- nurse communications. Arch Pediatr Adolesc Med. 2011;165(5):424-8. doi:10.1001/archpediatrics.2011.54. htt…

4846. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37096/psn-pdf
      June 24, 2010 - Impact of diagnosis-timing indicators on measures of safety, comorbidity, and case mix groupings from administrative data sources. June 24, 2010 Naessens JM, Campbell CR, Berg B, et al. Impact of diagnosis-timing indicators on measures of safety, comorbidity, and case mix groupings from administrative data sources…

4847. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41884/psn-pdf
      December 21, 2014 - Supratherapeutic dosing of acetaminophen among hospitalized patients. December 21, 2014 Zhou L, Maviglia SM, Mahoney LM, et al. Supratherapeutic dosing of acetaminophen among hospitalized patients. Arch Intern Med. 2012;172(22):1721-8. https://psnet.ahrq.gov/issue/supratherapeutic-dosing-acetaminophen-among-hospit…

4848. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41192/psn-pdf
      November 26, 2014 - Effect of patient- and medication-related factors on inpatient medication reconciliation errors. November 26, 2014 Salanitro AH, Osborn CY, Schnipper JL, et al. Effect of patient- and medication-related factors on inpatient medication reconciliation errors. J Gen Intern Med. 2012;27(8):924-932. doi:10.1007/s11606-0…

4849. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43140/psn-pdf
      October 31, 2014 - The frequency of diagnostic errors in outpatient care: estimations from three large observational studies involving US adult populations. October 31, 2014 Singh H, Meyer AND, Thomas EJ. The frequency of diagnostic errors in outpatient care: estimations from three large observational studies involving US adult popu…

4850. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47425/psn-pdf
      October 10, 2018 - Patient-mediated interventions to improve professional practice. October 10, 2018 Fønhus MS, Dalsbø TK, Johansen M, et al. Patient-mediated interventions to improve professional practice. Cochrane Database Syst Rev. 2018;9:CD012472. doi:10.1002/14651858.CD012472.pub2. https://psnet.ahrq.gov/issue/patient-mediated-…

4851. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42566/psn-pdf
      September 11, 2013 - Using a patient internet portal to prevent adverse drug events: a randomized, controlled trial. September 11, 2013 Weingart SN, Carbo AR, Tess A, et al. Using a Patient Internet Portal to Prevent Adverse Drug Events. J Patient Saf. 2013;9(3). doi:10.1097/pts.0b013e31829e4b95. https://psnet.ahrq.gov/issue/using-pat…

4852. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867143/psn-pdf
      November 13, 2024 - A virtual breakthrough series collaborative for missed test results: a stepped-wedge cluster-randomized clinical trial. November 13, 2024 Zubkoff L, Zimolzak AJ, Meyer AND, et al. A virtual breakthrough series collaborative for missed test results: a stepped-wedge cluster-randomized clinical trial. JAMA Netw Open.…

4853. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72824/psn-pdf
      March 10, 2021 - Association of a Safety Program for Improving Antibiotic Use with antibiotic use and hospital-onset Clostridioides difficile infection rates among US hospitals March 10, 2021 Tamma PD, Miller MA, Dullabh P, et al. Association of a safety program for improving antibiotic use with antibiotic use and hospital-onset C…

4854. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39396/psn-pdf
      November 02, 2014 - Unmet Needs: Teaching Physicians to Provide Safe Patient Care. November 2, 2014 Boston, MA: Lucian Leape Institute at the National Patient Safety Foundation; March 2010. https://psnet.ahrq.gov/issue/unmet-needs-teaching-physicians-provide-safe-patient-care Medical schools face an urgent need to transform their cur…

4855. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37961/psn-pdf
      May 05, 2010 - Does the Leapfrog program help identify high-quality hospitals? May 5, 2010 Jha AK, Orav J, Ridgway AB, et al. Does the Leapfrog program help identify high-quality hospitals? Jt Comm J Qual Patient Saf. 2008;34(6):318-325. https://psnet.ahrq.gov/issue/does-leapfrog-program-help-identify-high-quality-hospitals The…

4856. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43367/psn-pdf
      May 01, 2015 - Promoting Patient Safety Through Effective Health Information Technology Risk Management. May 1, 2015 Schneider EC, Ridgely MS, Meeker D, Hunter LE, Khodyakov D, Rudin R. RAND Health. Washington, DC: Office of the National Coordinator for Health Information Technology; May 2014. RR-654-DHHSNCH. https://psnet.ahrq.…

4857. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40200/psn-pdf
      July 02, 2014 - Checklists to reduce diagnostic errors. July 2, 2014 Ely JW, Graber ML, Croskerry P. Checklists to reduce diagnostic errors. Acad Med. 2011;86(3):307-313. doi:10.1097/ACM.0b013e31820824cd. https://psnet.ahrq.gov/issue/checklists-reduce-diagnostic-errors Diagnostic errors are rapidly gaining attention as the next f…

4858. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/844996/psn-pdf
      February 22, 2023 - In situ simulation as a tool to longitudinally identify and track latent safety threats in a structured quality improvement initiative for SARS-CoV-2 airway management: a single-center study. February 22, 2023 Jafri FN, Yang CJ, Kumar A, et al. In situ simulation as a tool to longitudinally identify and track late…

4859. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44151/psn-pdf
      July 03, 2016 - Safety incidents in the primary care office setting. July 3, 2016 Rees P, Edwards A, Panesar S, et al. Safety incidents in the primary care office setting. Pediatrics. 2015;135(6):1027-35. doi:10.1542/peds.2014-3259. https://psnet.ahrq.gov/issue/safety-incidents-primary-care-office-setting Patient safety in outpat…

4860. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46578/psn-pdf
      April 29, 2018 - Clinical decision support alert malfunctions: analysis and empirically derived taxonomy. April 29, 2018 Wright A, Ai A, Ash JS, et al. Clinical decision support alert malfunctions: analysis and empirically derived taxonomy. J Am Med Inform Assoc. 2018;25(5):496-506. doi:10.1093/jamia/ocx106. https://psnet.ahrq.gov…