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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41458/psn-pdf
    June 19, 2012 - What stops hospital clinical staff from following protocols? An analysis of the incidence and factors behind the failure of bedside clinical staff to activate the rapid response system in a multi-campus Australian metropolitan healthcare service. June 19, 2012 Shearer B, Marshall S, Buist MD, et al. What stops ho…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39463/psn-pdf
    February 10, 2015 - Mixed results in the safety performance of computerized physician order entry. February 10, 2015 Metzger J, Welebob E, Bates DW, et al. Mixed results in the safety performance of computerized physician order entry. Health Aff (Millwood). 2010;29(4):655-663. doi:10.1377/hlthaff.2010.0160. https://psnet.ahrq.gov/iss…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47307/psn-pdf
    December 12, 2018 - Are teaching hospitals treated fairly in the Hospital- Acquired Condition Reduction Program? December 12, 2018 Mohajer MA, Joiner KA, Nix DE. Are Teaching Hospitals Treated Fairly in the Hospital-Acquired Condition Reduction Program? Acad Med. 2018;93(12):1827-1832. doi:10.1097/ACM.0000000000002399. https://psnet.…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46704/psn-pdf
    December 04, 2018 - Surveying care teams after in-hospital deaths to identify preventable harm and opportunities to improve advance care planning. December 4, 2018 Lucier D, Folcarelli P, Totte C, et al. Surveying Care Teams after in-Hospital Deaths to Identify Preventable Harm and Opportunities to Improve Advance Care Planning. Jt C…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44976/psn-pdf
    February 14, 2017 - Do patients' disruptive behaviours influence the accuracy of a doctor's diagnosis? A randomised experiment. February 14, 2017 Schmidt HG, Van Gog T, Schuit SC, et al. Do patients' disruptive behaviours influence the accuracy of a doctor's diagnosis? A randomised experiment. BMJ Qual Saf. 2017;26(1):19-23. doi:10.11…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44643/psn-pdf
    July 21, 2016 - Differing perceptions of safety culture across job roles in the ambulatory setting: analysis of the AHRQ Medical Office Survey on Patient Safety Culture. July 21, 2016 Hickner J, Smith SA, Yount N, et al. Differing perceptions of safety culture across job roles in the ambulatory setting: analysis of the AHRQ Medic…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39604/psn-pdf
    November 23, 2016 - Improving the patient, family, and clinician experience after harmful events: the "When Things Go Wrong" curriculum. November 23, 2016 Bell SK, Moorman D, Delbanco T. Improving the patient, family, and clinician experience after harmful events: the "when things go wrong" curriculum. Acad Med. 2010;85(6):1010-1017.…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37167/psn-pdf
    February 03, 2011 - Mortality among patients in VA hospitals in the first 2 years following ACGME resident duty hour reform. February 3, 2011 Volpp KG, Rosen AK, Rosenbaum PR, et al. Mortality among patients in VA hospitals in the first 2 years following ACGME resident duty hour reform. JAMA. 2007;298(9):984-92. https://psnet.ahrq.go…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44721/psn-pdf
    August 20, 2016 - Tall Man lettering and potential prescription errors: a time series analysis of 42 children's hospitals in the USA over 9 years. August 20, 2016 Zhong W, Feinstein JA, Patel NS, et al. Tall Man lettering and potential prescription errors: a time series analysis of 42 children's hospitals in the USA over 9 years. B…
  10. psnet.ahrq.gov/issue/lessons-event-reports
    January 16, 2025 - Multi-use Website Lessons from Event Reports. Citation Text: Lessons from Event Reports. Patient Safety Authority. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation Save Sav…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45220/psn-pdf
    June 08, 2016 - Medical Office Survey on Patient Safety Culture: 2016 User Comparative Database Report. June 8, 2016 Famolaro T, Yount ND, Hare R, Thornton S, Sorra J. Rockville, MD: Agency for Healthcare Research and Quality; May 2016. AHRQ Publication No. 16-0028-EF. https://psnet.ahrq.gov/issue/medical-office-survey-patient-sa…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43865/psn-pdf
    May 01, 2015 - Computerised physician order entry-related medication errors: analysis of reported errors and vulnerability testing of current systems. May 1, 2015 Schiff GD, Amato MG, Eguale T, et al. Computerised physician order entry-related medication errors: analysis of reported errors and vulnerability testing of current sy…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42510/psn-pdf
    August 21, 2013 - Root cause analysis reports help identify common factors in delayed diagnosis and treatment of outpatients. August 21, 2013 Giardina TD, King BJ, Ignaczak AP, et al. Root cause analysis reports help identify common factors in delayed diagnosis and treatment of outpatients. Health Aff (Millwood). 2013;32(8):1368-75.…
  14. psnet.ahrq.gov/primer/rapid-response-systems
    July 18, 2024 - Rapid Response Systems Citation Text: Rapid Response Systems. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33569/psn-pdf
    June 15, 2024 - Readmissions and Adverse Events After Discharge June 15, 2024 Readmissions and Adverse Events After Discharge. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/readmissions-and-adverse-events-after-discharge PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that t…
  16. psnet.ahrq.gov/perspective/conversation-libby-hoy-and-stephen-hoy
    March 10, 2021 - In Conversation With... Libby Hoy and Stephen Hoy March 10, 2021  Also Read the Essay Citation Text: In Conversation With.. Libby Hoy and Stephen Hoy. PSNet [internet]. 2021.In Conversation With... Libby Hoy and Stephen Hoy. PSNet [internet]. Rockville (MD): Agenc…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39116/psn-pdf
    April 30, 2014 - Diagnostic error in medicine: analysis of 583 physician- reported errors. April 30, 2014 Schiff G, Hasan O, Kim S, et al. Diagnostic error in medicine: analysis of 583 physician-reported errors. Arch Intern Med. 2009;169(20):1881-1887. doi:10.1001/archinternmed.2009.333. https://psnet.ahrq.gov/issue/diagnostic-err…
  18. psnet.ahrq.gov/issue/spread-remains-challenge-patient-safety-improvement
    January 23, 2019 - Newspaper/Magazine Article 'Spread' remains challenge in patient safety improvement. Citation Text: 'Spread' remains challenge in patient safety improvement. Healthcare benchmarks and quality improvement. 2011;18(5):49-52. Copy Citation Format: Google Scholar PubMed BibTe…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/840172/psn-pdf
    November 16, 2022 - The Stoplight Mobility Alert System for safety and prevention of falls in children with physical and cognitive impairments. November 16, 2022 Mullen JB, Wirt SZ, Moser A, et al. J Patient Saf. 2022;18(6):e947-e952 https://psnet.ahrq.gov/innovation/stoplight-mobility-alert-system-safety-and-prevention-fal…
  20. psnet.ahrq.gov/issue/why-physicians-err-diagnosis
    March 27, 2024 - Commentary Why physicians err in diagnosis. Citation Text: Why physicians err in diagnosis. JAMA. 2015;313(12):1273. doi:10.1001/jama.2014.11660. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Downlo…

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