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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38308/psn-pdf
    April 21, 2010 - Adverse-event-reporting practices by US hospitals: results of a national survey. April 21, 2010 Farley DO, Haviland A, Champagne S, et al. Adverse-event-reporting practices by US hospitals: results of a national survey. Qual Saf Health Care. 2008;17(6):416-23. doi:10.1136/qshc.2007.024638. https://psnet.ahrq.gov/i…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41355/psn-pdf
    April 05, 2013 - Comparative economic analyses of patient safety improvement strategies in acute care: a systematic review. April 5, 2013 Etchells E, Koo M, Daneman N, et al. Comparative economic analyses of patient safety improvement strategies in acute care: a systematic review. BMJ Qual Saf. 2012;21(6):448-56. doi:10.1136/bmjqs…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/849595/psn-pdf
    May 31, 2023 - Effect of an emergency department process improvement package on suicide prevention: the ED-SAFE 2 cluster randomized clinical trial. May 31, 2023 Boudreaux ED, Larkin C, Vallejo Sefair A, et al. Effect of an emergency department process improvement package on suicide prevention: the ED-SAFE 2 cluster randomized c…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60229/psn-pdf
    April 15, 2020 - Factors associated with mental health outcomes among health care workers exposed to coronavirus disease 2019. April 15, 2020 Lai J, Ma S, Wang Y, et al. Factors associated with mental health outcomes among health care workers exposed to coronavirus disease 2019. JAMA Netw Open. 2020;3(3):e203976. doi:10.1001/jaman…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46904/psn-pdf
    August 20, 2018 - Effect of a pediatric early warning system on all-cause mortality in hospitalized pediatric patients. August 20, 2018 Parshuram CS, Dryden-Palmer K, Farrell C, et al. Effect of a Pediatric Early Warning System on All-Cause Mortality in Hospitalized Pediatric Patients: The EPOCH Randomized Clinical Trial. JAMA. 201…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42816/psn-pdf
    October 31, 2014 - Rates of medical errors and preventable adverse events among hospitalized children following implementation of a resident handoff bundle. October 31, 2014 Starmer AJ, Sectish TC, Simon DW, et al. Rates of medical errors and preventable adverse events among hospitalized children following implementation of a reside…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866686/psn-pdf
    September 11, 2024 - Impact of automated alerts on discharge opioid overprescribing after general surgery. September 11, 2024 Rizk E, Kaur N, Duong PY, et al. Impact of automated alerts on discharge opioid overprescribing after general surgery. Am J Health Syst Pharm. 2024;81(24):1288-1296. doi:10.1093/ajhp/zxae185. https://psnet.ahrq…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846160/psn-pdf
    March 15, 2023 - Critical care teamwork in the future: the role of TeamSTEPPS in the COVID-19 pandemic and implications for the future. March 15, 2023 Terregino CA, Jagpal S, Parikh P, et al. Critical Care Teamwork in the Future: The Role of Critical care teamwork in the future: the role of TeamSTEPPS in the COVID-19 pandemic and …
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46531/psn-pdf
    January 24, 2019 - Tracking progress in improving diagnosis: a framework for defining undesirable diagnostic events. January 24, 2019 Olson A, Graber ML, Singh H. Tracking Progress in Improving Diagnosis: A Framework for Defining Undesirable Diagnostic Events. J Gen Intern Med. 2018;33(7):1187-1191. doi:10.1007/s11606-018-4304-2. ht…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43711/psn-pdf
    November 26, 2014 - The impact of hospital-acquired conditions on Medicare program payments. November 26, 2014 Kandilov AMG, Coomer NM, Dalton K. The impact of hospital-acquired conditions on Medicare program payments. Medicare Medicaid Res Rev. 2014;4(4). doi:10.5600/mmrr.004.04.a01. https://psnet.ahrq.gov/issue/impact-hospital-acqu…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36927/psn-pdf
    April 14, 2011 - The frequency of missed test results and associated treatment delays in a highly computerized health system. April 14, 2011 Wahls TL, Cram PM. The frequency of missed test results and associated treatment delays in a highly computerized health system. BMC Fam Pract. 2007;8:32. https://psnet.ahrq.gov/issue/frequenc…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36807/psn-pdf
    October 25, 2013 - HealthGrades Quality Study: Fourth Annual Patient Safety in American Hospitals Study. October 25, 2013 Denver, CO; Health Grades Inc; 2007. https://psnet.ahrq.gov/issue/healthgrades-quality-study-fourth-annual-patient-safety-american-hospitals- study This fourth annual report on the safety of hospitalized Medicar…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40450/psn-pdf
    December 21, 2014 - Unit-based care teams and the frequency and quality of physician–nurse communications. December 21, 2014 Gordon M, Melvin P, Graham DA, et al. Unit-based care teams and the frequency and quality of physician- nurse communications. Arch Pediatr Adolesc Med. 2011;165(5):424-8. doi:10.1001/archpediatrics.2011.54. htt…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844044/psn-pdf
    January 01, 2024 - Effect of contextual factors on the prevalence of diagnostic errors among patients managed by physicians of the same specialty: a single-centre retrospective observational study. February 8, 2023 Harada Y, Otaka Y, Katsukura S, et al. Effect of contextual factors on the prevalence of diagnostic errors among patie…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41884/psn-pdf
    December 21, 2014 - Supratherapeutic dosing of acetaminophen among hospitalized patients. December 21, 2014 Zhou L, Maviglia SM, Mahoney LM, et al. Supratherapeutic dosing of acetaminophen among hospitalized patients. Arch Intern Med. 2012;172(22):1721-8. https://psnet.ahrq.gov/issue/supratherapeutic-dosing-acetaminophen-among-hospit…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41369/psn-pdf
    May 29, 2015 - Cognitive interventions to reduce diagnostic error: a narrative review. May 29, 2015 Graber ML, Kissam S, Payne VL, et al. Cognitive interventions to reduce diagnostic error: a narrative review. BMJ Qual Saf. 2012;21(7):535-557. doi:10.1136/bmjqs-2011-000149. https://psnet.ahrq.gov/issue/cognitive-interventions-re…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35868/psn-pdf
    July 10, 2008 - Incidence, patterns, and prevention of wrong-site surgery. July 10, 2008 Kwaan MR, Studdert DM, Zinner MJ, et al. Incidence, patterns, and prevention of wrong-site surgery. Arch Surg. 2006;141(4):353-358. https://psnet.ahrq.gov/issue/incidence-patterns-and-prevention-wrong-site-surgery This AHRQ-supported study an…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43140/psn-pdf
    October 31, 2014 - The frequency of diagnostic errors in outpatient care: estimations from three large observational studies involving US adult populations. October 31, 2014 Singh H, Meyer AND, Thomas EJ. The frequency of diagnostic errors in outpatient care: estimations from three large observational studies involving US adult popu…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47425/psn-pdf
    October 10, 2018 - Patient-mediated interventions to improve professional practice. October 10, 2018 Fønhus MS, Dalsbø TK, Johansen M, et al. Patient-mediated interventions to improve professional practice. Cochrane Database Syst Rev. 2018;9:CD012472. doi:10.1002/14651858.CD012472.pub2. https://psnet.ahrq.gov/issue/patient-mediated-…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42566/psn-pdf
    September 11, 2013 - Using a patient internet portal to prevent adverse drug events: a randomized, controlled trial. September 11, 2013 Weingart SN, Carbo AR, Tess A, et al. Using a Patient Internet Portal to Prevent Adverse Drug Events. J Patient Saf. 2013;9(3). doi:10.1097/pts.0b013e31829e4b95. https://psnet.ahrq.gov/issue/using-pat…

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