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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44982/psn-pdf
    April 06, 2016 - Use of maternal early warning trigger tool reduces maternal morbidity. April 6, 2016 Shields LE, Wiesner S, Klein C, et al. Use of Maternal Early Warning Trigger tool reduces maternal morbidity. Am J Obstet Gynecol. 2016;214(4):527.e1-527.e6. doi:10.1016/j.ajog.2016.01.154. https://psnet.ahrq.gov/issue/use-materna…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851360/psn-pdf
    July 12, 2023 - How does work environment relate to diagnostic quality? A prospective, mixed methods study in primary care. July 12, 2023 Khazen M, Sullivan EE, Arabadjis S, et al. How does work environment relate to diagnostic quality? A prospective, mixed methods study in primary care. BMJ Open. 2023;13(5):e071241. doi:10.1136/b…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39422/psn-pdf
    March 23, 2011 - Organisational readiness: exploring the preconditions for success in organisation-wide patient safety improvement programmes. March 23, 2011 Burnett S, Benn J, Pinto A, et al. Organisational readiness: exploring the preconditions for success in organisation-wide patient safety improvement programmes. Qual Saf Heal…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838010/psn-pdf
    September 07, 2022 - Effect of different interventions to help primary care clinicians avoid unsafe opioid prescribing in opioid-naive patients with acute noncancer pain: a cluster randomized clinical trial. September 7, 2022 Kraemer KL, Althouse AD, Salay M, et al. Effect of different interventions to help primary care clinicians av…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38428/psn-pdf
    February 18, 2009 - Adverse Events in Hospitals: Care Study of Incidence Among Medicare Beneficiaries in Two Selected Counties. February 18, 2009 Levinson DR. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; December 2008. Report No. OEI-06-08-00220. https://psnet.ahrq.gov/issue/adverse-eve…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837628/psn-pdf
    July 06, 2022 - Multilevel factors associated with time to biopsy after abnormal screening mammography results by race and ethnicity. July 6, 2022 Lawson MB, Bissell MCS, Miglioretti DL, et al. Multilevel factors associated with time to biopsy after abnormal screening mammography results by race and ethnicity. JAMA Oncol. 2022;8(…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48123/psn-pdf
    August 28, 2019 - Hidden health IT hazards: a qualitative analysis of clinically meaningful documentation discrepancies at transfer out of the pediatric intensive care unit. August 28, 2019 Orenstein EW, Ferro DF, Bonafide CP, et al. JAMIA Open. 2019;2(3):392-398. https://psnet.ahrq.gov/issue/hidden-health-it-hazards-qualitative-an…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841484/psn-pdf
    December 14, 2022 - Performance of 3 sets of criteria for potentially inappropriate prescribing in older people to identify inadequate drug treatment. December 14, 2022 Wallerstedt SM, Svensson SA, Lönnbro J, et al. Performance of 3 sets of criteria for potentially inappropriate prescribing in older people to identify inadequate drug…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44646/psn-pdf
    November 11, 2015 - The hidden costs of reconciling surgical sponge counts. November 11, 2015 Steelman VM, Schaapveld AG, Perkhounkova Y, et al. The Hidden Costs of Reconciling Surgical Sponge Counts. AORN J. 2015;102(5):498-506. doi:10.1016/j.aorn.2015.09.002. https://psnet.ahrq.gov/issue/hidden-costs-reconciling-surgical-sponge-coun…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45120/psn-pdf
    September 11, 2016 - Saving lives: a meta-analysis of team training in healthcare. September 11, 2016 Hughes A, Gregory ME, Joseph DL, et al. Saving lives: A meta-analysis of team training in healthcare. J Appl Psychol. 2016;101(9):1266-304. doi:10.1037/apl0000120. https://psnet.ahrq.gov/issue/saving-lives-meta-analysis-team-training-…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/842430/psn-pdf
    September 05, 2018 - The Safety of Intravenous Drug Delivery Systems: Update on Current Issues Since the 2009 Consensus Development Conference. September 5, 2018 Rodriguez R. The Safety of Intravenous Drug Delivery Systems: Update on Current Issues Since the 2009 Consensus Development Conference. Hosp Pharm. 2018;53(6):408-414. doi:10…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35572/psn-pdf
    February 03, 2011 - The long road to patient safety: a status report on patient safety systems. February 3, 2011 Longo DR, Hewett JE, Ge B, et al. The long road to patient safety: a status report on patient safety systems. JAMA. 2005;294(22):2858-65. https://psnet.ahrq.gov/issue/long-road-patient-safety-status-report-patient-safety-s…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37453/psn-pdf
    March 03, 2011 - Managing the prevention of retained surgical instruments: what is the value of counting? March 3, 2011 Egorova NN, Moskowitz A, Gelijns A, et al. Managing the prevention of retained surgical instruments: what is the value of counting? Ann Surg. 2008;247(1):13-8. https://psnet.ahrq.gov/issue/managing-prevention-ret…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39670/psn-pdf
    July 07, 2010 - The Power of Safety: State Reporting Provides Lessons in Reducing Harm, Improving Care. July 7, 2010 Washington DC: National Quality Forum; 2010. https://psnet.ahrq.gov/issue/power-safety-state-reporting-provides-lessons-reducing-harm-improving-care The landmark Institute of Medicine (IOM) report, To Err Is Human,…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37803/psn-pdf
    January 06, 2017 - Paying the piper: investing in infrastructure for patient safety.  January 6, 2017 Pronovost P, Rosenstein BJ, Paine LA, et al. Paying the piper: investing in infrastructure for patient safety. Jt Comm J Qual Patient Saf. 2008;34(6):342-8. https://psnet.ahrq.gov/issue/paying-piper-investing-infrastructure-patient-…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38260/psn-pdf
    April 22, 2011 - Information exchange among physicians caring for the same patient in the community. April 22, 2011 van Walraven C, Taljaard M, Bell CM, et al. Information exchange among physicians caring for the same patient in the community. CMAJ. 2008;179(10):1013-8. doi:10.1503/cmaj.080430. https://psnet.ahrq.gov/issue/informa…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37260/psn-pdf
    January 02, 2017 - A visual medication schedule to improve anticoagulation control: a randomized, controlled trial. January 2, 2017 Machtinger EL, Wang F, Chen L-L, et al. A visual medication schedule to improve anticoagulation control: a randomized, controlled trial. Jt Comm J Qual Patient Saf. 2007;33(10):625-35. https://psnet.ahr…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38964/psn-pdf
    November 27, 2009 - Development of a measure of patient safety event learning responses. November 27, 2009 Ginsburg LR, Chuang Y-T, Norton PG, et al. Development of a measure of patient safety event learning responses. Health Serv Res. 2009;44(6):2123-47. doi:10.1111/j.1475-6773.2009.01021.x. https://psnet.ahrq.gov/issue/development-…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41777/psn-pdf
    April 05, 2013 - Effect of nonpayment for preventable infections in U.S. hospitals. April 5, 2013 Lee GM, Kleinman K, Soumerai SB, et al. Effect of nonpayment for preventable infections in U.S. hospitals. N Engl J Med. 2012;367(15):1428-37. doi:10.1056/NEJMsa1202419. https://psnet.ahrq.gov/issue/effect-nonpayment-preventable-infec…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74159/psn-pdf
    December 08, 2021 - Disparities after discharge: the association of limited English proficiency and postdischarge patient-reported issues. December 8, 2021 Malevanchik L, Wheeler M, Gagliardi K, et al. Disparities after discharge: the association of limited English proficiency and postdischarge patient-reported issues. . Jt Comm J Qu…

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