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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47027/psn-pdf
    June 19, 2018 - Overdiagnosis and overtreatment as a quality problem: insights from healthcare improvement research. June 19, 2018 Armstrong N. Overdiagnosis and overtreatment as a quality problem: insights from healthcare improvement research. BMJ Qual Saf. 2018;27(7):571-575. doi:10.1136/bmjqs-2017-007571. https://psnet.ahrq.go…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60640/psn-pdf
    July 01, 2020 - Standardizing opioid prescriptions to patients after ambulatory oncologic surgery reduces overprescription. July 1, 2020 Fearon NJ, Benfante N, Assel M, et al. Standardizing Opioid Prescriptions to Patients After Ambulatory Oncologic Surgery Reduces Overprescription. Jt Comm J Qual Patient Saf. 2020;46(7):410-416. …
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46357/psn-pdf
    May 17, 2018 - Safe labeling practices to minimize medication errors in anesthesia: 5 case reports and review of the literature. May 17, 2018 Prakash S, Mullick P, Kumar A, et al. Safe Labeling Practices to Minimize Medication Errors in Anesthesia. A & A Practice. 2017;10(10). doi:10.1213/xaa.0000000000000680. https://psnet.ahrq…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34952/psn-pdf
    November 17, 2011 - Assessing the National Electronic Injury Surveillance System—Cooperative Adverse Drug Event Surveillance Project—six sites, United States, January 1–June 15, 2004. November 17, 2011 Prevention C for DC and. Assessing the National Electronic Injury Surveillance System-Cooperative Adverse Drug Event Surveillance pr…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38054/psn-pdf
    July 05, 2013 - Ticket to ride: reducing handoff risk during hospital patient transport. July 5, 2013 Pesanka DA, Greenhouse PK, Rack LL, et al. Ticket to ride: reducing handoff risk during hospital patient transport. J Nurs Care Qual. 2009;24(2):109-15. doi:10.1097/01.NCQ.0000347446.98299.b5. https://psnet.ahrq.gov/issue/ticket-…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36262/psn-pdf
    August 04, 2009 - Safety in the academic medical center: transforming challenges into ingredients for improvement. August 4, 2009 Blumenthal D, Ferris T. Safety in the academic medical center: transforming challenges into ingredients for improvement. Acad Med. 2006;81(9):817-22. https://psnet.ahrq.gov/issue/safety-academic-medical-…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45830/psn-pdf
    June 27, 2018 - Performance of vascular exposure and fasciotomy among surgical residents before and after training compared with experts. June 27, 2018 Mackenzie CF, Garofalo E, Puche A, et al. Performance of Vascular Exposure and Fasciotomy Among Surgical Residents Before and After Training Compared With Experts. JAMA Surg. 2017…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73067/psn-pdf
    March 24, 2021 - Changes in error patterns in unanticipated trauma deaths during 20 years: in pursuit of zero preventable deaths. March 24, 2021 LaGrone LN, McIntyre LK, Riggle A, et al. Changes in error patterns in unanticipated trauma deaths during 20 years: In pursuit of zero preventable deaths. J Trauma Acute Care Surg. 2020;89…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35577/psn-pdf
    April 06, 2011 - Safety culture assessment in community pharmacy: development, face validity, and feasibility of the Manchester Patient Safety Assessment Framework. April 6, 2011 Ashcroft DM, Morecroft C, Parker D, et al. Safety culture assessment in community pharmacy: development, face validity, and feasibility of the Manchester…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838307/psn-pdf
    October 12, 2022 - Misdiagnosis of thoracic aortic emergencies occurs frequently among transfers to aortic referral centers: an analysis of over 3700 patients. October 12, 2022 Arnaoutakis GJ, Ogami T, Aranda?Michel E, et al. Misdiagnosis of thoracic aortic emergencies occurs frequently among transfers to aortic referral centers: an…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46182/psn-pdf
    June 28, 2017 - What we know about designing an effective improvement intervention (but too often fail to put into practice). June 28, 2017 Marshall M, de Silva D, Cruickshank L, et al. What we know about designing an effective improvement intervention (but too often fail to put into practice). BMJ Qual Saf. 2016;26(7). doi:10.113…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42918/psn-pdf
    February 05, 2014 - Ascension Health's demonstration of full disclosure protocol for unexpected events during labor and delivery shows promise. February 5, 2014 Hendrich A, McCoy CK, Gale J, et al. Ascension health's demonstration of full disclosure protocol for unexpected events during labor and delivery shows promise. Health Aff (M…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/856585/psn-pdf
    November 29, 2023 - Overnight stay in the emergency department and mortality in older patients. November 29, 2023 Roussel M, Teissandier D, Yordanov Y, et al. Overnight stay in the emergency department and mortality in older patients. JAMA Intern Med. 2023;183(12):1378-1385. doi:10.1001/jamainternmed.2023.5961. https://psnet.ahrq.gov…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866816/psn-pdf
    September 25, 2024 - Patient harm events and associated cost outcomes reported to a patient safety organization. September 25, 2024 Miller S, Stockwell DC. Patient harm events and associated cost outcomes reported to a patient safety organization. J Patient Saf. 2024;20(7):e92-e96. doi:10.1097/pts.0000000000001254. https://psnet.ahrq.…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846760/psn-pdf
    March 29, 2023 - Electronic health record-based prediction models for in- hospital adverse drug event diagnosis or prognosis: a systematic review. March 29, 2023 Yasrebi-de Kom IAR, Dongelmans DA, de Keizer NF, et al. Electronic health record-based prediction models for in-hospital adverse drug event diagnosis or prognosis: a syst…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46656/psn-pdf
    February 07, 2018 - Autopsy interrogation of emergency medicine dispute cases: how often are clinical diagnoses incorrect? February 7, 2018 Liu D, Gan R, Zhang W, et al. Autopsy interrogation of emergency medicine dispute cases: how often are clinical diagnoses incorrect? J Clin Pathol. 2018;71(1):67-71. doi:10.1136/jclinpath-2017-204…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34889/psn-pdf
    March 04, 2011 - Effect of electronic health records in ambulatory care: retrospective, serial, cross sectional study. March 4, 2011 Garrido T, Jamieson L, Zhou Y, et al. Effect of electronic health records in ambulatory care: retrospective, serial, cross sectional study. BMJ. 2005;330(7491):581. https://psnet.ahrq.gov/issue/effec…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45836/psn-pdf
    July 02, 2017 - Improving patient safety: avoiding unread imaging exams in the National VA enterprise electronic health record. July 2, 2017 Bastawrous S, Carney B. Improving Patient Safety: Avoiding Unread Imaging Exams in the National VA Enterprise Electronic Health Record. J Digit Imaging. 2017;30(3):309-313. doi:10.1007/s10278…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/843324/psn-pdf
    February 01, 2023 - Cost of inpatient falls and cost-benefit analysis of implementation of an evidence-based fall prevention program. February 1, 2023 Dykes PC, Curtin-Bowen M, Lipsitz S, et al. Cost of inpatient falls and cost-benefit analysis of implementation of an evidence-based fall prevention program. JAMA Health Forum. 2023;4(…
  20. 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…

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