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  1. 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…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37400/psn-pdf
    June 30, 2011 - Errors in cancer diagnosis: current understanding and future directions. June 30, 2011 Singh H, Sethi S, Raber M, et al. Errors in cancer diagnosis: current understanding and future directions. J Clin Oncol. 2007;25(31):5009-18. https://psnet.ahrq.gov/issue/errors-cancer-diagnosis-current-understanding-and-future-…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60900/psn-pdf
    September 09, 2020 - State policies for prescription drug monitoring programs and adverse opioid-related hospital events. September 9, 2020 Wen K, Johnson P, Jeng PJ, et al. State policies for prescription drug monitoring programs and adverse opioid-related hospital events. Med Care. 2020;58(7):610-616. doi:http://doi.org/10.1097/mlr.…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47284/psn-pdf
    December 05, 2018 - Preventable anesthesia-related adverse events at a large tertiary care center: a nine-year retrospective analysis. December 5, 2018 Curatolo CJ, McCormick PJ, Hyman JB, et al. Preventable Anesthesia-Related Adverse Events at a Large Tertiary Care Center: A Nine-Year Retrospective Analysis. Jt Comm J Qual Patient Sa…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867228/psn-pdf
    December 04, 2024 - Risk factors for wrong-patient medication orders in the emergency department. December 4, 2024 Krummrey G, Sauter TC, Hautz WE, et al. Risk factors for wrong-patient medication orders in the emergency department. JAMIA Open. 2024;7(4):ooae103. doi:10.1093/jamiaopen/ooae103. https://psnet.ahrq.gov/issue/risk-factor…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74200/psn-pdf
    January 01, 2022 - Association of surgeon-patient sex concordance with postoperative outcomes. December 22, 2021 Wallis CJD, Jerath A, Coburn N, et al. Association of surgeon-patient sex concordance with postoperative outcomes. JAMA Surg. 2022;157(2):146-156. doi:10.1001/jamasurg.2021.6339. https://psnet.ahrq.gov/issue/association-s…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46653/psn-pdf
    July 02, 2019 - Evaluating a mobile application for improving clinical laboratory test ordering and diagnosis. July 2, 2019 Meyer AND, Thompson PJ, Khanna A, et al. Evaluating a mobile application for improving clinical laboratory test ordering and diagnosis. J Am Med Inform Assoc. 2018;25(7):841-847. doi:10.1093/jamia/ocy026. h…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47947/psn-pdf
    May 29, 2019 - Transcription errors of blood glucose values and insulin errors in an intensive care unit: secondary data analysis toward electronic medical record–glucometer interoperability. May 29, 2019 Sowan AK, Vera A, Malshe A, et al. Transcription Errors of Blood Glucose Values and Insulin Errors in an Intensive Care Unit…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48096/psn-pdf
    June 19, 2019 - When order sets do not align with clinician workflow: assessing practice patterns in the electronic health record. June 19, 2019 Li RC, Wang JK, Sharp C, et al. When order sets do not align with clinician workflow: assessing practice patterns in the electronic health record. BMJ Qual Saf. 2019;28(12):987-996. doi:…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73506/psn-pdf
    July 21, 2021 - Patient-safety incidents during COVID-19 health crisis in France: An exploratory sequential multi-method study in primary care. July 21, 2021 Fournier JP, Amélineau JB, Hild S, et al. Eur J Gen Pract. 2021;27(1):142-151. https://psnet.ahrq.gov/issue/patient-safety-incidents-during-covid-19-health-crisis-france-exp…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47195/psn-pdf
    September 12, 2018 - Diagnostic discordance, health information exchange, and inter-hospital transfer outcomes: a population study. September 12, 2018 Usher M, Sahni N, Herrigel D, et al. Diagnostic discordance, health information exchange, and inter- hospital transfer outcomes: a population study. J Gen Intern Med. 2018;33(9):1447-145…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/849602/psn-pdf
    May 31, 2023 - Psychosocial processes in healthcare workers: how individuals' perceptions of interpersonal communication is related to patient safety threats and higher-quality care. May 31, 2023 Dietl JE, Derksen C, Keller FM, et al. Psychosocial processes in healthcare workers: how individuals' perceptions of interpersonal com…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/850159/psn-pdf
    June 07, 2023 - Underreporting of quality measures and associated facility characteristics and racial disparities in US nursing home ratings. June 7, 2023 Sanghavi P, Chen Z. Underreporting of quality measures and associated facility characteristics and racial disparities in US nursing home ratings. JAMA Netw Open. 2023;6(5):e231…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48064/psn-pdf
    June 12, 2019 - Lives Lost, Lives Saved: An Updated Comparative Analysis of Avoidable Deaths at Hospitals Graded by The Leapfrog Group. June 12, 2019 Austin M, Derk J. Baltimore, MD: Armstrong Institute for Patient Safety and Quality, and Johns Hopkins Medicine; May 2019. https://psnet.ahrq.gov/issue/lives-lost-lives-saved-updat…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47618/psn-pdf
    January 30, 2019 - Making care better in the pediatric intensive care unit. January 30, 2019 Wolfe HA, Mack EH. Making care better in the pediatric intensive care unit. Transl Pediatr. 2018;7(4):267- 274. doi:10.21037/tp.2018.09.10. https://psnet.ahrq.gov/issue/making-care-better-pediatric-intensive-care-unit Pediatric critical care…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848812/psn-pdf
    May 10, 2023 - Perceived discrimination in the community pharmacy: a cross-sectional, national survey of adults. May 10, 2023 Baffoe JO, Moczygemba LR, Brown CM. Perceived discrimination in the community pharmacy: a cross- sectional, national survey of adults. J Am Pharm Assoc (2003). 2023;63(2):518-528. doi:10.1016/j.japh.2022.…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44117/psn-pdf
    December 04, 2016 - The TRANSFORM patient safety project: a microsystem approach to improving outcomes on inpatient units. December 4, 2016 Braddock CH, Szaflarski N, Forsey L, et al. The TRANSFORM Patient Safety Project: a microsystem approach to improving outcomes on inpatient units. J Gen Intern Med. 2015;30(4):425-33. doi:10.1007…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44246/psn-pdf
    November 15, 2016 - RCA2: Improving Root Cause Analyses and Actions to Prevent Harm. November 15, 2016 Boston, MA: National Patient Safety Foundation; 2015. https://psnet.ahrq.gov/issue/rca2-improving-root-cause-analyses-and-actions-prevent-harm The National Patient Safety Foundation issued these guidelines for improving root cause a…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847531/psn-pdf
    April 12, 2023 - Strengthening open disclosure after incidents in maternity care: a realist synthesis of international research evidence. April 12, 2023 Adams M, Hartley J, Sanford N, et al. Strengthening open disclosure after incidents in maternity care: a realist synthesis of international research evidence. BMC Health Serv Res.…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46000/psn-pdf
    April 26, 2017 - Diagnostic error in the emergency department: follow up of patients with minor trauma in the outpatient clinic. April 26, 2017 Moonen P-J, Mercelina L, Boer W, et al. Diagnostic error in the Emergency Department: follow up of patients with minor trauma in the outpatient clinic. Scand J Trauma Resusc Emerg Med. 2017…

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