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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847718/psn-pdf
    April 19, 2023 - Effect of a Veterans Health Administration mandate to case review patients with opioid prescriptions on mortality among patients with opioid use disorder: a secondary analysis of the STORM randomized control trial. April 19, 2023 Auty SG, Barr KD, Frakt AB, et al. Effect of a Veterans Health Administration mandat…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45405/psn-pdf
    November 18, 2016 - Relationship between operating room teamwork, contextual factors, and safety checklist performance. November 18, 2016 Singer SJ, Molina G, Li Z, et al. Relationship Between Operating Room Teamwork, Contextual Factors, and Safety Checklist Performance. J Am Coll Surg. 2016;223(4):568-580.e2. doi:10.1016/j.jamcollsu…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47088/psn-pdf
    May 02, 2018 - Medical Office Survey on Patient Safety Culture: 2018 User Database Report. May 2, 2018 Famolaro T, Yount N, Hare R, et al. Rockville, MD: Agency for Healthcare Research and Quality; April 2018. AHRQ Publication No. 18-0030-EF. https://psnet.ahrq.gov/issue/medical-office-survey-patient-safety-culture-2018-user-dat…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847717/psn-pdf
    April 19, 2023 - Quality improvement initiative to decrease central line- associated bloodstream infections during the COVID-19 pandemic: a "zero harm" approach. April 19, 2023 Redstone CS, Zadeh M, Wilson M-A, et al. Quality improvement initiative to decrease central line- associated bloodstream infections during the COVID-19 pan…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45356/psn-pdf
    May 09, 2017 - Screening for medication errors using an outlier detection system. May 9, 2017 Schiff G, Volk LA, Volodarskaya M, et al. Screening for medication errors using an outlier detection system. J Am Med Inform Assoc. 2017;24(2):281-287. doi:10.1093/jamia/ocw171. https://psnet.ahrq.gov/issue/screening-medication-errors-u…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38120/psn-pdf
    June 16, 2011 - Organizational culture, team climate and diabetes care in small office-based practices. June 16, 2011 Bosch M, Dijkstra R, Wensing M, et al. Organizational culture, team climate and diabetes care in small office-based practices. BMC Health Serv Res. 2008;8:180. doi:10.1186/1472-6963-8-180. https://psnet.ahrq.gov/i…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37908/psn-pdf
    June 10, 2010 - Incidence and characteristics of potential and actual retained foreign object events in surgical patients. June 10, 2010 Cima RR, Kollengode A, Garnatz J, et al. Incidence and characteristics of potential and actual retained foreign object events in surgical patients. J Am Coll Surg. 2008;207(1):80-7. doi:10.1016/…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38076/psn-pdf
    February 15, 2011 - Consequences of inadequate sign-out for patient care. February 15, 2011 Horwitz LI, Moin T, Krumholz HM, et al. Consequences of inadequate sign-out for patient care. Arch Intern Med. 2008;168(16):1755-60. doi:10.1001/archinte.168.16.1755. https://psnet.ahrq.gov/issue/consequences-inadequate-sign-out-patient-care W…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844801/psn-pdf
    January 01, 2021 - A mixed-methods study of challenges experienced by clinical teams in measuring improvement. September 11, 2019 Woodcock T, Liberati EG, Dixon-Woods M. A mixed-methods study of challenges experienced by clinical teams in measuring improvement. BMJ Qual Saf. 2021;30(2):106-115. doi:10.1136/bmjqs-2018-009048. https:/…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42653/psn-pdf
    January 07, 2015 - Exploring the sociotechnical intersection of patient safety and electronic health record implementation. January 7, 2015 Meeks DW, Takian A, Sittig DF, et al. Exploring the sociotechnical intersection of patient safety and electronic health record implementation. J Am Med Inform Assoc. 2014;21(e1):e28-e34. doi:10.…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45323/psn-pdf
    June 28, 2017 - Effects of health information technology on patient outcomes: a systematic review. June 28, 2017 Brenner SK, Kaushal R, Grinspan Z, et al. Effects of health information technology on patient outcomes: a systematic review. J Am Med Inform Assoc. 2016;23(5):1016-36. doi:10.1093/jamia/ocv138. https://psnet.ahrq.gov/i…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46856/psn-pdf
    June 20, 2018 - Visual acuity, literacy, and unintentional misuse of nonprescription medications. June 20, 2018 Mullen RJ, Curtis LM, O'Conor R, et al. Visual acuity, literacy, and unintentional misuse of nonprescription medications. Am J Health-Syst Pharm. 2018;75(9):e213-e220. doi:10.2146/ajhp170303. https://psnet.ahrq.gov/issu…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37254/psn-pdf
    January 02, 2017 - Creating a fair and just culture: one institution's path toward organizational change. January 2, 2017 Connor M, Duncombe D, Barclay E, et al. Creating a fair and just culture: one institution's pat toward organizational change. Jt Comm J Qual Patient Saf. 2007;33(10):617-24. https://psnet.ahrq.gov/issue/creating-…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38449/psn-pdf
    March 04, 2009 - A model for increasing patient safety in the intensive care unit: increasing the implementation rates of proven safety measures. March 4, 2009 Krimsky WS, Mroz IB, McIlwaine JK, et al. A model for increasing patient safety in the intensive care unit: increasing the implementation rates of proven safety measures. Q…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40562/psn-pdf
    July 03, 2014 - Paid malpractice claims for adverse events in inpatient and outpatient settings. July 3, 2014 Bishop TF, Ryan AM, Ryan AK, et al. Paid malpractice claims for adverse events in inpatient and outpatient settings. JAMA. 2011;305(23):2427-31. doi:10.1001/jama.2011.813. https://psnet.ahrq.gov/issue/paid-malpractice-cla…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39951/psn-pdf
    October 27, 2010 - Making inpatient medication reconciliation patient centered, clinically relevant and implementable: a consensus statement on key principles and necessary first steps. October 27, 2010 Greenwald JL, Halasyamani L, Greene J, et al. Making inpatient medication reconciliation patient centered, clinically relevant and…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44034/psn-pdf
    January 19, 2016 - Surgical checklist implementation project: the impact of variable WHO checklist compliance on risk-adjusted clinical outcomes after national implementation: a longitudinal study. January 19, 2016 Mayer EK, Sevdalis N, Rout S, et al. Surgical Checklist Implementation Project: The Impact of Variable WHO Checklist C…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42396/psn-pdf
    July 31, 2013 - Developing and implementing a standardized process for Global Trigger Tool application across a large health system. July 31, 2013 Garrett PR, Sammer C, Nelson A, et al. Developing and implementing a standardized process for global trigger tool application across a large health system. Jt Comm J Qual Saf. 2013;39(…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38077/psn-pdf
    January 31, 2011 - Building physician work hour regulations from first principles and best evidence. January 31, 2011 Volpp KG, Landrigan CP. Building physician work hour regulations from first principles and best evidence. JAMA. 2008;300(10):1197-9. doi:10.1001/jama.300.10.1197. https://psnet.ahrq.gov/issue/building-physician-work-…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38616/psn-pdf
    June 08, 2009 - Cost and workforce implications of subjecting all physicians to aviation industry work-hour restrictions.   June 8, 2009 Payette M, Chatterjee A, Weeks WB. Cost and workforce implications of subjecting all physicians to aviation industry work-hour restrictions. Am J Surg. 2009;197(6):820-5; discussion 826-7. doi:1…

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