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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49720/psn-pdf
    December 01, 2014 - A Stroke of Error December 1, 2014 Barrett KM. A Stroke of Error. PSNet [internet]. 2014. https://psnet.ahrq.gov/web-mm/stroke-error Case Objectives State the key clinical factors to assess in a patient with suspected stroke. Appreciate the relationship between elevated blood pressure and stroke in the acute sett…
  2. psnet.ahrq.gov/web-mm/endometriosis-common-and-commonly-missed-and-delayed-diagnosis
    May 26, 2021 - Endometriosis: A Common and Commonly Missed and Delayed Diagnosis Citation Text: Mackenzie M, Royce C. Endometriosis: A Common and Commonly Missed and Delayed Diagnosis. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020. Copy Cit…
  3. psnet.ahrq.gov/issue/patient-doctor-continuity-and-diagnosis-cancer-electronic-medical-records-study-general
    September 11, 2019 - Study Patient–doctor continuity and diagnosis of cancer: electronic medical records study in general practice. Citation Text: Ridd MJ, Ferreira DLS, Montgomery AA, et al. Patient-doctor continuity and diagnosis of cancer: electronic medical records study in general practice. Br J Gen Pra…
  4. psnet.ahrq.gov/issue/using-stakeholder-intervention-refinement-teams-develop-approaches-real-time-integration
    January 21, 2019 - Commentary Using stakeholder intervention refinement teams to develop approaches for real-time integration of patient-reported safety information during older adults’ hospital-to-home-health care transitions. Citation Text: Arbaje AI, Greyson S, Keita Fakeye M, et al. Using stakeholder i…
  5. psnet.ahrq.gov/issue/effect-computerized-provider-order-entry-clinical-decision-support-adverse-drug-events-long
    February 26, 2009 - Study Effect of computerized provider order entry with clinical decision support on adverse drug events in the long-term care setting. Citation Text: Gurwitz JH, Field T, Rochon P, et al. Effect of computerized provider order entry with clinical decision support on adverse drug events …
  6. psnet.ahrq.gov/issue/costs-intravenous-adverse-drug-events-academic-and-nonacademic-intensive-care-units
    August 11, 2021 - Study Costs of intravenous adverse drug events in academic and nonacademic intensive care units. Citation Text: Nuckols TK, Paddock SM, Bower AG, et al. Costs of intravenous adverse drug events in academic and nonacademic intensive care units. Med Care. 2009;46(1):17-24. doi:10.1097/m…
  7. psnet.ahrq.gov/issue/can-staff-and-patient-perspectives-hospital-safety-predict-harm-free-care-analysis-staff-and
    July 21, 2017 - Study Classic Can staff and patient perspectives on hospital safety predict harm-free care? An analysis of staff and patient survey data and routinely collected outcomes. Citation Text: Lawton R, O'Hara JK, Sheard L, et al. Can staff and patient perspectives on …
  8. psnet.ahrq.gov/issue/barriers-and-facilitators-healthcare-workers-adherence-infection-prevention-and-control-ipc
    March 02, 2011 - Review Classic Barriers and facilitators to healthcare workers' adherence with infection prevention and control (IPC) guidelines for respiratory infectious diseases: a rapid qualitative evidence synthesis. Citation Text: Houghton C, Meskell P, Delaney H, et al. …
  9. psnet.ahrq.gov/issue/association-icu-or-hospital-admission-unintentional-discontinuation-medications-chronic
    November 06, 2015 - Study Classic Association of ICU or hospital admission with unintentional discontinuation of medications for chronic diseases. Citation Text: Bell CM, Brener SS, Gunraj N, et al. Association of ICU or hospital admission with unintentional discontinuation of me…
  10. psnet.ahrq.gov/issue/characteristics-initial-prescription-episodes-and-likelihood-long-term-opioid-use-united
    April 24, 2018 - Study Classic Characteristics of initial prescription episodes and likelihood of long-term opioid use—United States, 2006–2015. Citation Text: Shah A, Hayes CJ, Martin BC. Characteristics of Initial Prescription Episodes and Likelihood of Long-Term Opioid Use - …
  11. psnet.ahrq.gov/issue/comparative-effectiveness-analysis-implementation-surgical-safety-checklists-tertiary-care
    December 20, 2023 - Study A comparative effectiveness analysis of the implementation of surgical safety checklists in a tertiary care hospital. Citation Text: Bock M, Fanolla A, Segur-Cabanac I, et al. A Comparative Effectiveness Analysis of the Implementation of Surgical Safety Checklists in a Tertiary Car…
  12. psnet.ahrq.gov/issue/what-has-been-impact-covid-19-safety-culture-case-study-large-metropolitan-teaching-hospital
    May 05, 2021 - Study What has been the impact of Covid-19 on safety culture? A case study from a large metropolitan healthcare trust. Citation Text: 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 …
  13. psnet.ahrq.gov/issue/inpatient-telemedicine-and-new-models-care-during-covid-19-hospital-design-strategies-enhance
    August 18, 2021 - Study Inpatient telemedicine and new models of care during COVID-19: hospital design strategies to enhance patient and staff safety. Citation Text: Pilosof NP, Barrett M, Oborn E, et al. Inpatient telemedicine and new models of care during COVID-19: hospital design strategies to enhance …
  14. psnet.ahrq.gov/issue/effect-postdischarge-virtual-ward-readmission-or-death-high-risk-patients-randomized-clinical
    October 31, 2011 - Study Classic Effect of a postdischarge virtual ward on readmission or death for high-risk patients: a randomized clinical trial. Citation Text: Dhalla IA, O'Brien T, Morra D, et al. Effect of a postdischarge virtual ward on readmission or death for high-risk pa…
  15. psnet.ahrq.gov/issue/swarming-improve-patient-care-novel-approach-root-cause-analysis
    September 23, 2020 - Study "SWARMing" to improve patient care: a novel approach to root cause analysis. Citation Text: Li J, Boulanger B, Norton J, et al. "SWARMing" to Improve Patient Care: A Novel Approach to Root Cause Analysis. Jt Comm J Qual Patient Saf. 2015;41(11):494-501. Copy Citation Format: …
  16. psnet.ahrq.gov/issue/how-intervention-studies-measure-effectiveness-medication-safety-related-clinical-decision
    December 14, 2022 - Review How intervention studies measure the effectiveness of medication safety-related clinical decision support systems in primary and long-term care: a systematic review. Citation Text: Lampe D, Grosser J, Grothe D, et al. How intervention studies measure the effectiveness of medicatio…
  17. psnet.ahrq.gov/issue/improving-healthcare-systems-disclosures-large-scale-adverse-events-department-veterans
    August 18, 2021 - Study Improving healthcare systems' disclosures of large-scale adverse events: a Department of Veterans Affairs leadership, policymaker, research and stakeholder partnership. Citation Text: Elwy R, Bokhour BG, Maguire EM, et al. Improving healthcare systems' disclosures of large-scale ad…
  18. psnet.ahrq.gov/issue/development-and-applications-veterans-health-administrations-stratification-tool-opioid-risk
    April 01, 2020 - Study Development and applications of the Veterans Health Administration's Stratification Tool for Opioid Risk Mitigation (STORM) to improve opioid safety and prevent overdose and suicide. Citation Text: Oliva EM, Bowe T, Tavakoli S, et al. Development and applications of the Veterans He…
  19. psnet.ahrq.gov/issue/effect-increased-inpatient-attending-physician-supervision-medical-errors-patient-safety-and
    December 07, 2011 - Study Emerging Classic Effect of increased inpatient attending physician supervision on medical errors, patient safety, and resident education: a randomized clinical trial. Citation Text: Finn KM, Metlay JP, Chang Y, et al. Effect of Increased Inpatient Attendin…
  20. psnet.ahrq.gov/issue/changes-medication-safety-indicators-england-throughout-covid-19-pandemic-using-opensafely
    October 19, 2022 - Study Changes in medication safety indicators in England throughout the covid-19 pandemic using OpenSAFELY: population based, retrospective cohort study of 57 million patients using federated analytics. Citation Text: Fisher L, Hopcroft LEM, Rodgers S, et al. Changes in medication safety…

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