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  1. digital.ahrq.gov/principal-investigator/kmetik-karen
    January 01, 2023 - Kmetik, Karen Exceptions to outpatient quality measures for coronary artery disease in electronic health records. Citation Kmetik, KS, MF O'Toole, et al. Exceptions to outpatient quality measures for coronary artery disease in electronic health records. Ann Intern Med 2011; 15…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38026/psn-pdf
    March 21, 2017 - Does error and adverse event reporting by physicians and nurses differ? March 21, 2017 Rowin EJ, Lucier D, Pauker SG, et al. Does error and adverse event reporting by physicians and nurses differ? Jt Comm J Qual Patient Saf. 2008;34(9):537-545. https://psnet.ahrq.gov/issue/does-error-and-adverse-event-reporting-ph…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866321/psn-pdf
    July 17, 2024 - Impact of pharmacist-led discharge medication reconciliation on error and patient harm prevention at a large academic medical center. July 17, 2024 Zheng L, Pon T, Bajorek SA, et al. Impact of pharmacist?led discharge medication reconciliation on error and patient harm prevention at a large academic medical center…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47680/psn-pdf
    January 16, 2019 - Perioperative medication errors: uncovering risk from behind the drapes. January 16, 2019 Cierniak KH, Gaunt MJ, Grissinger M. PA-PSRS Patient Saf Advis. 2018;15(4):1-17. https://psnet.ahrq.gov/issue/perioperative-medication-errors-uncovering-risk-behind-drapes The operating room environment harbors particular pat…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851458/psn-pdf
    July 19, 2023 - Improving handoffs in the perioperative environment: a conceptual framework of key theories, system factors, methods, and core interventions to ensure success. July 19, 2023 Starmer AJ, Michael MM, Spector ND, et al. Improving handoffs in the perioperative environment: a conceptual framework of key theories, syste…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73317/psn-pdf
    May 26, 2021 - Clinical and economic impacts of explicit tools detecting prescribing errors: a systematic review. May 26, 2021 Farhat A, Al?Hajje A, Csajka C, et al. Clinical and economic impacts of explicit tools detecting prescribing errors: A systematic review. J Clin Pharm Ther. 2021;46(4):877-886. doi:10.1111/jcpt.13408. ht…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60873/psn-pdf
    September 02, 2020 - What has been the impact of Covid-19 on safety culture? A case study from a large metropolitan healthcare trust. September 2, 2020 Denning M, Goh ET, Scott A, et al. What has been the impact of Covid-19 on safety culture? A case study from a large metropolitan healthcare trust. Int J Environ Res Public Health. 2020…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61059/psn-pdf
    October 28, 2020 - Long-term effects of teamwork training on communication and teamwork climate in ambulatory reproductive health care. October 28, 2020 Dodge LE, Nippita S, Hacker MR, et al. Long?term effects of teamwork training on communication and teamwork climate in ambulatory reproductive health care. J Healthc Risk Manag. 202…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60899/psn-pdf
    September 09, 2020 - Improving transfusion safety in the operating room with a barcode scanning system designed specifically for the surgical environment and existing electronic medical record systems: an interrupted time series analysis. September 9, 2020 Vanneman MW, Balakrishna A, Lang AL, et al. Improving Transfusion Safety in the…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47250/psn-pdf
    September 26, 2018 - Hospital-acquired infections under pay-for-performance systems: an administrative perspective on management and change. September 26, 2018 Vokes RA, Bearman G, Bazzoli GJ. Hospital-Acquired Infections Under Pay-for-Performance Systems: an Administrative Perspective on Management and Change. Curr Infect Dis Rep. 20…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73074/psn-pdf
    March 24, 2021 - In U.S. nursing homes, where Covid-19 killed scores, even reports of maggots and rape don’t dock five-star ratings. March 24, 2021 Silver-Greenberg J, Gebeloff R. New York Times. March 13, 2021. https://psnet.ahrq.gov/issue/us-nursing-homes-where-covid-19-killed-scores-even-reports-maggots-and- rape-dont-dock-five…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867040/psn-pdf
    October 30, 2024 - Preoperative multidisciplinary team huddle improves communication and safety for unscheduled cesarean deliveries: a system redesign using improvement science. October 30, 2024 Girnius A, Snyder C, Czarny H, et al. Preoperative multidisciplinary team huddle improves communication and safety for unscheduled cesarean…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40079/psn-pdf
    December 18, 2014 - Adverse events from cough and cold medications after a market withdrawal of products labeled for infants. December 18, 2014 Shehab N, Schaefer MK, Kegler SR, et al. Adverse events from cough and cold medications after a market withdrawal of products labeled for infants. Pediatrics. 2010;126(6):1100-7. doi:10.1542/p…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34829/psn-pdf
    April 06, 2011 - Use of medical emergency team responses to reduce hospital cardiopulmonary arrests. April 6, 2011 Devita MA, Braithwaite RS, Mahidhara R, et al. Use of medical emergency team responses to reduce hospital cardiopulmonary arrests. Qual Saf Health Care. 2004;13(4):251-4. https://psnet.ahrq.gov/issue/use-medical-emerg…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73081/psn-pdf
    March 31, 2021 - Health professionals' perspectives of safety issues in mental health services: a qualitative study. March 31, 2021 Albutt AK, Berzins K, Louch G, et al. Health professionals’ perspectives of safety issues in mental health services: A qualitative study. nt J Ment Health Nurs. 2021;30(3):798-810. doi:10.1111/inm.1283…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45493/psn-pdf
    December 07, 2016 - The rising frequency of IT blackouts indicates the increasing relevance of IT emergency concepts to ensure patient safety. December 7, 2016 Sax U, Lipprandt M, Röhrig R. The Rising Frequency of IT Blackouts Indicates the Increasing Relevance of IT Emergency Concepts to Ensure Patient Safety. Yearb Med Inform. 2016…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837031/psn-pdf
    May 04, 2022 - Indicators for implementation outcome monitoring of reporting and learning systems in hospitals: an underestimated need for patient safety. May 4, 2022 Kuske S, Willmeroth T, Schneider J, et al. Indicators for implementation outcome monitoring of reporting and learning systems in hospitals: an underestimated need …
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39462/psn-pdf
    April 21, 2010 - Comparing safety climate in naval aviation and hospitals: implications for improving patient safety. April 21, 2010 Singer SJ, Rosen AK, Zhao S, et al. Comparing safety climate in naval aviation and hospitals: implications for improving patient safety. Health Care Manag Rev. 2010;35(2):134-146. doi:10.1097/HMR.0b0…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865925/psn-pdf
    May 22, 2024 - Effect of interventions to improve safety culture on healthcare workers in hospital settings: a systematic review of the international literature. May 22, 2024 Finn M, Walsh A, Rafter N, et al. Effect of interventions to improve safety culture on healthcare workers in hospital settings: a systematic review of the …
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36348/psn-pdf
    March 09, 2009 - Reducing medical error in the Military Health System: how can team training help? March 9, 2009 Alonso A, Baker DP, Holtzman A, et al. Reducing medical error in the Military Health System: How can team training help? Human Resource Management Review. 2006;16(3). doi:10.1016/j.hrmr.2006.05.006. https://psnet.ahrq.g…