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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44599/psn-pdf
    December 09, 2015 - Association between day of delivery and obstetric outcomes: observational study. December 9, 2015 Palmer WL, Bottle A, Aylin P. Association between day of delivery and obstetric outcomes: observational study. BMJ. 2015;351:h5774. doi:10.1136/bmj.h5774. https://psnet.ahrq.gov/issue/association-between-day-delivery-…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50866/psn-pdf
    February 05, 2020 - Effectiveness of acute care remote triage systems: a systematic review. February 5, 2020 Boggan JC, Shoup JP, Whited JD, et al. Effectiveness of acute care remote triage systems: a systematic review. J Gen Intern Med. 2020;35(7):2136-2145. doi:10.1007/s11606-019-05585-4. https://psnet.ahrq.gov/issue/effectiveness-…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837677/psn-pdf
    July 13, 2022 - Multiple Failures in Test Results Follow-up for a Patient Diagnosed with Prostate Cancer at the Hampton VA Medical Center in Virginia. July 13, 2022 Washington, DC: VA Office of the Inspector General; June 28, 2022. Report No 21-03349-186. https://psnet.ahrq.gov/issue/multiple-failures-test-results-follow-patient-…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73438/psn-pdf
    June 30, 2021 - Implementation of patient safety structures and processes in the patient-centered medical home. June 30, 2021 Oberlander T, Scholle SH, Marsteller JA, et al. Implementation of patient safety structures and processes in the patient-centered medical home. J Healthc Qual. 2021;43(6):324-339. doi:10.1097/jhq.000000000…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845630/psn-pdf
    March 08, 2023 - The effect of transitions intervention to ensure patient safety and satisfaction when transferred from hospital to home health care-a systematic review. March 8, 2023 Oksholm T, Gissum KR, Hunskår I, et al. The effect of transitions intervention to ensure patient safety and satisfaction when transferred from hospi…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34829/psn-pdf
    April 06, 2011 - Use of medical emergency team responses to reduce hospital cardiopulmonary arrests. April 6, 2011 Devita MA, Braithwaite RS, Mahidhara R, et al. Use of medical emergency team responses to reduce hospital cardiopulmonary arrests. Qual Saf Health Care. 2004;13(4):251-4. https://psnet.ahrq.gov/issue/use-medical-emerg…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836966/psn-pdf
    April 20, 2022 - Performance variability in perioperative sentinel events: report on a nationwide data set. April 20, 2022 Reijmerink IM, Bos K, Leistikow IP, et al. Performance variability in perioperative sentinel events: report on a nationwide data set. Br J Surg. 2022;109(7):573-575. doi:10.1093/bjs/znac067. https://psnet.ahrq…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47250/psn-pdf
    September 26, 2018 - Hospital-acquired infections under pay-for-performance systems: an administrative perspective on management and change. September 26, 2018 Vokes RA, Bearman G, Bazzoli GJ. Hospital-Acquired Infections Under Pay-for-Performance Systems: an Administrative Perspective on Management and Change. Curr Infect Dis Rep. 20…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/855422/psn-pdf
    November 15, 2023 - An exploratory analysis of the association between hospital quality measures and financial performance. November 15, 2023 Beauvais B, Dolezel D, Ramamonjiarivelo Z. An exploratory analysis of the association between hospital quality measures and financial performance. Healthcare (Basel). 2023;11(20):2758. doi:10.3…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74695/psn-pdf
    January 26, 2022 - Impact of teamwork and communication training interventions on safety culture and patient safety in emergency departments: a systematic review. January 26, 2022 Alsabri M, Boudi Z, Lauque D, et al. Impact of teamwork and communication training interventions on safety culture and patient safety in emergency departm…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47489/psn-pdf
    November 21, 2018 - Impact of the Care Quality Commission on Provider Performance: Room for Improvement? November 21, 2018 Smithson R, Richardson E, Roberts J, et al. The King's Fund, Alliance Manchester Business School; September 2018. ISBN: 9781909029880. https://psnet.ahrq.gov/issue/impact-care-quality-commission-provider-performa…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47251/psn-pdf
    July 25, 2018 - Fail-safe patient ID matching remains just out of reach. July 25, 2018 Arndt RZ. Mod Healthc. July 14, 2018. https://psnet.ahrq.gov/issue/fail-safe-patient-id-matching-remains-just-out-reach Similarities in patient names and clinical situations can result in medical errors. Discussing how digital technologies can …
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60232/psn-pdf
    April 15, 2020 - Sustaining innovations in complex health care environments: a multiple-case study of rapid response teams. April 15, 2020 Stolldorf DP, Havens DS, Jones CB. Sustaining innovations in complex health care environments: a multiple-case study of rapid response teams. J Patient Saf. 2020;16(1). doi:10.1097/pts.0000000…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60662/psn-pdf
    January 01, 2022 - Medication order errors at hospital admission among children with medical complexity July 8, 2020 Blaine K, Wright J, Pinkham A, et al. Medication Order Errors at Hospital Admission Among Children With Medical Complexity. J Patient Saf. 2022;18(1):e156-e162. doi:10.1097/pts.0000000000000719. https://psnet.ahrq.gov…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72664/psn-pdf
    January 20, 2021 - Delayed flow is a risk to patient safety: a mixed method analysis of emergency department patient flow. January 20, 2021 Pryce A, Unwin M, Kinsman L, et al. Delayed flow is a risk to patient safety: A mixed method analysis of emergency department patient flow. Int Emerg Nurs. 2020;54:100956. doi:10.1016/j.ienj.2020…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60991/psn-pdf
    October 07, 2020 - Nonfatal opioid overdoses at an urban emergency department during the COVID-19 pandemic. October 7, 2020 Ochalek TA, Cumpston KL, Wills BK, et al. Nonfatal opioid overdoses at an urban emergency department during the COVID-19 pandemic. JAMA. 2020;324(16):1673-1674. doi:10.1001/jama.2020.17477. https://psnet.ahrq.g…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47952/psn-pdf
    January 01, 2020 - Overlooked guide wire: a multicomplicated Swiss Cheese Model example. Analysis of a case and review of the literature. May 15, 2019 Thonon H, Espeel F, Frederic F, et al. Overlooked guide wire: a multicomplicated Swiss Cheese Model example. Analysis of a case and review of the literature. Acta Clin Belg. 2020;75(3…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34795/psn-pdf
    December 23, 2008 - Preventable adverse drug events in hospitalized patients: a comparative study of intensive care and general care units. December 23, 2008 Cullen DJ, Sweitzer BJ, Bates DW, et al. Preventable adverse drug events in hospitalized patients. Crit Care Med. 1997;25(8):1289-1297. doi:10.1097/00003246-199708000-00014. ht…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36700/psn-pdf
    July 20, 2011 - Adverse drug events resulting from patient errors in older adults. July 20, 2011 Field TS, Mazor KM, Briesacher BA, et al. Adverse Drug Events Resulting from Patient Errors in Older Adults. J Am Geriatr Soc. 2007;55(2):271-276. doi:10.1111/j.1532-5415.2007.01047.x. https://psnet.ahrq.gov/issue/adverse-drug-events-…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34067/psn-pdf
    January 04, 2017 - Does full disclosure of medical errors affect malpractice liability? The jury is still out. January 4, 2017 Kachalia A, Shojania KG, Hofer TP, et al. Does full disclosure of medical errors affect malpractice liability? The jury is still out. Jt Comm J Qual Saf. 2003;29(10):503-11. https://psnet.ahrq.gov/issue/does…

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