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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73637/psn-pdfAugust 25, 2021 - Failures in Care Coordination and Reviewing a Patient's Death at the VA Salt Lake City Healthcare System in Utah. August 25, 2021 Washington, DC: Department of Veterans Affairs, Office of Inspector General. July 29, 2021. Report No. 21-00657-197. https://psnet.ahrq.gov/issue/failures-care-coordination-and-re… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41359/psn-pdfNovember 21, 2016 - The relationship between organizational culture and family satisfaction in critical care. November 21, 2016 Dodek P, Wong H, Heyland DK, et al. The relationship between organizational culture and family satisfaction in critical care. Crit Care Med. 2012;40(5):1506-12. doi:10.1097/CCM.0b013e318241e368. https://psne… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43054/psn-pdfJune 16, 2014 - We need to talk: an observational study of the impact of electronic medical record implementation on hospital communication. June 16, 2014 Taylor SP, Ledford R, Palmer V, et al. We need to talk: an observational study of the impact of electronic medical record implementation on hospital communication. BMJ Qual Saf… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44047/psn-pdfSeptember 09, 2015 - Linking acknowledgement to action: closing the loop on non-urgent, clinically significant test results in the electronic health record. September 9, 2015 Dalal A, Pesterev BM, Eibensteiner K, et al. Linking acknowledgement to action: closing the loop on non- urgent, clinically significant test results in the elect… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45529/psn-pdfOctober 11, 2017 - Increasing compliance with the World Health Organization surgical safety checklist—a regional health system's experience. October 11, 2017 Gitelis ME, Kaczynski A, Shear T, et al. Increasing compliance with the World Health Organization Surgical Safety Checklist-A regional health system's experience. Am J Surg. 20… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44818/psn-pdfFebruary 24, 2018 - Economic evaluation of interventions for prevention of hospital acquired infections: a systematic review. February 24, 2018 Arefian H, Vogel M, Kwetkat A, et al. Economic Evaluation of Interventions for Prevention of Hospital Acquired Infections: A Systematic Review. PLoS One. 2016;11(1):e0146381. doi:10.1371/jour… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47489/psn-pdfNovember 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… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47251/psn-pdfJuly 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 … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866582/psn-pdfAugust 28, 2024 - The relationship between hospital patient safety culture and performance on Centers for Medicare & Medicaid Services value-based purchasing metrics. August 28, 2024 Noghrehchi P, Hefner JL, Walker DM. The relationship between hospital patient safety culture and performance on Centers for Medicare & Medicaid Servic… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50882/psn-pdfFebruary 12, 2020 - Association of default electronic medical record settings with health care professional patterns of opioid prescribing in emergency departments: A randomized quality improvement study February 12, 2020 Montoy JCC, Coralic Z, Herring AA, et al. Association of Default Electronic Medical Record Settings With Health … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60991/psn-pdfOctober 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… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837742/psn-pdfJuly 27, 2022 - Room of hazards: a comparison of differences in safety hazard recognition among various hospital-based healthcare professionals and trainees in a simulated patient room. July 27, 2022 Wang M, Banda B, Rodwin BA, et al. Room of hazards: a comparison of differences in safety hazard recognition among various hospita… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47250/psn-pdfSeptember 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… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36262/psn-pdfAugust 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-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46346/psn-pdfOctober 29, 2017 - Root cause analysis of ICU adverse events in the Veterans Health Administration. October 29, 2017 Corwin GS, Mills PD, Shanawani H, et al. Root Cause Analysis of ICU Adverse Events in the Veterans Health Administration. Jt Comm J Qual Patient Saf. 2017;43(11):580-590. doi:10.1016/j.jcjq.2017.04.009. https://psnet.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60743/psn-pdfJuly 29, 2020 - The confused and bewildered hospital: adverse event discovery, pay-for-performance, and big data tools as halfway technologies. July 29, 2020 Furrow BR. The confused and bewildered hospital: adverse event discovery, pay-for-performance, and big data tools as halfway technologies. Am J Law Med. 2020;46(2-3):219-235… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47293/psn-pdfOctober 10, 2018 - Specifications of computerized provider order entry and clinical decision support systems for cancer patients undergoing chemotherapy: a systematic review. October 10, 2018 Rahimi R, Kazemi A, Moghaddasi H, et al. Specifications of Computerized Provider Order Entry and Clinical Decision Support Systems for Cancer … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45399/psn-pdfNovember 01, 2017 - A reduced duty hours model for senior internal medicine residents: a qualitative analysis of residents' experiences and perceptions. November 1, 2017 Mathew R, Gundy S, Ulic D, et al. A Reduced Duty Hours Model for Senior Internal Medicine Residents: A Qualitative Analysis of Residents' Experiences and Perceptions… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837677/psn-pdfJuly 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-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46065/psn-pdfJanuary 01, 2021 - Measurement as a performance driver: the case for a national measurement system to improve patient safety. April 26, 2017 Krause TR, Bell KJ, Pronovost P, et al. Measurement as a Performance Driver: The Case for a National Measurement System to Improve Patient Safety. J Patient Saf. 2021;17(3):e128-e134. doi:10.10…
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