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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43301/psn-pdf
    May 01, 2015 - Walkrounds in practice: corrupting or enhancing a quality improvement intervention? A qualitative study. May 1, 2015 Martin G, Ozieranski P, Willars J, et al. Walkrounds in practice: corrupting or enhancing a quality improvement intervention? A qualitative study. Jt Comm J Qual Patient Saf. 2014;40(7):303-310. htt…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37945/psn-pdf
    July 26, 2010 - A survey of hospital quality improvement activities. July 26, 2010 Cohen AB, Restuccia JD, Shwartz M, et al. A survey of hospital quality improvement activities. Med Care Res Rev. 2008;65(5):571-95. doi:10.1177/1077558708318285. https://psnet.ahrq.gov/issue/survey-hospital-quality-improvement-activities The Instit…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36105/psn-pdf
    May 27, 2011 - Computerized provider order entry implementation: no association with increased mortality rates in an intensive care unit. May 27, 2011 Del Beccaro MA, Jeffries HE, Eisenberg MA, et al. Computerized provider order entry implementation: no association with increased mortality rates in an intensive care unit. Pediat…

  4. 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…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852746/psn-pdf
    August 23, 2023 - Common contributing factors of diagnostic error: a retrospective analysis of 109 serious adverse event reports from Dutch hospitals. August 23, 2023 Hooftman J, Dijkstra AC, Suurmeijer I, et al. Common contributing factors of diagnostic error: a retrospective analysis of 109 serious adverse event reports from Dutc…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37042/psn-pdf
    March 04, 2011 - Do hospitals provide lower quality care on weekends? March 4, 2011 Becker DJ. Do hospitals provide lower quality care on weekends? Health Serv Res. 2007;42(4):1589-612. https://psnet.ahrq.gov/issue/do-hospitals-provide-lower-quality-care-weekends Prior research has demonstrated that patients admitted to the hospita…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44081/psn-pdf
    April 22, 2015 - Accuracy of harm scores entered into an event reporting system. April 22, 2015 Abbasi T, Adornetto-Garcia D, Johnston PA, et al. Accuracy of harm scores entered into an event reporting system. J Nurs Adm. 2015;45(4):218-225. doi:10.1097/NNA.0000000000000188. https://psnet.ahrq.gov/issue/accuracy-harm-scores-entere…

  8. 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…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40692/psn-pdf
    October 04, 2011 - Patient safety incidents associated with obesity: a review of reports to the National Patient Safety Agency and recommendations for hospital practice. October 4, 2011 Booth CMA, Moore CE, Eddleston J, et al. Patient safety incidents associated with obesity: a review of reports to the National Patient Safety Agency…

  10. 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…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43851/psn-pdf
    March 13, 2015 - Systematic review of the effectiveness of strategies to encourage patients to remind healthcare professionals about their hand hygiene. March 13, 2015 Davis R, Parand A, Pinto A, et al. Systematic review of the effectiveness of strategies to encourage patients to remind healthcare professionals about their hand hy…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50384/psn-pdf
    September 25, 2019 - Safety and communication in the operating room: a safety questionnaire after the implementation of a blood-borne pathogen exposure checkpoint in the surgical safety checklist preprocedure time-out. September 25, 2019 Kane P, Marley R, Daney B, et al. Safety and Communication in the Operating Room: A Safety Questi…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37063/psn-pdf
    January 02, 2017 - Housestaff and medical student attitudes toward medical errors and adverse events. January 2, 2017 Vohra PD, Johnson J, Daugherty CK, et al. Housestaff and medical student attitudes toward medical errors and adverse events. Jt Comm J Qual Patient Saf. 2007;33(8):493-501. https://psnet.ahrq.gov/issue/housestaff-and…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36909/psn-pdf
    January 05, 2017 - Medical team training: applying crew resource management in the Veterans Health Administration. January 5, 2017 Dunn EJ, Mills PD, Neily J, et al. Medical team training: applying crew resource management in the Veterans Health Administration. Jt Comm J Qual Patient Saf. 2007;33(6):317-325. https://psnet.ahrq.gov/i…

  15. 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 …

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72824/psn-pdf
    March 10, 2021 - Association of a Safety Program for Improving Antibiotic Use with antibiotic use and hospital-onset Clostridioides difficile infection rates among US hospitals March 10, 2021 Tamma PD, Miller MA, Dullabh P, et al. Association of a safety program for improving antibiotic use with antibiotic use and hospital-onset C…

  17. 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…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50458/psn-pdf
    October 09, 2019 - Success of a resident-led safety council: a model for satisfying CLER Pathways to Excellence patient safety goals. October 9, 2019 Cohen SP, Pelletier JH, Ladd JM, et al. Success of a resident-led safety council: a model for satisfying CLER Pathways to Excellence patient safety goals. J Gen Intern Med. 2019;11(2):…

  19. 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…

  20. 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-…
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