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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44189/psn-pdf
    September 09, 2015 - Variation in printed handoff documents: results and recommendations from a multicenter needs assessment. September 9, 2015 Rosenbluth G, Bale JF, Starmer AJ, et al. Variation in printed handoff documents: Results and recommendations from a multicenter needs assessment. J Hosp Med. 2015;10(8):517-24. doi:10.1002/jh…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44558/psn-pdf
    April 25, 2016 - Using voluntary reports from physicians to learn from diagnostic errors in emergency medicine. April 25, 2016 Okafor N, Payne VL, Chathampally Y, et al. Using voluntary reports from physicians to learn from diagnostic errors in emergency medicine. Emerg Med J. 2016;33(4):245-252. doi:10.1136/emermed-2014- 204604. …
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44648/psn-pdf
    February 14, 2017 - Rising drug allergy alert overrides in electronic health records: an observational retrospective study of a decade of experience. February 14, 2017 Topaz M, Seger DL, Slight SP, et al. Rising drug allergy alert overrides in electronic health records: an observational retrospective study of a decade of experience. …
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/849318/psn-pdf
    May 24, 2023 - The impact of a nursing-led intervention bundle with a bedside checklist to reduce mortality during the initial COVID-19 pandemic and implications for future emergencies. May 24, 2023 Pugh S, Chan F, Han S, et al. The impact of a nursing-led intervention bundle with a bedside checklist to reduce mortality during …
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45731/psn-pdf
    September 29, 2017 - Breast cancer screening in Denmark: a cohort study of tumor size and overdiagnosis. September 29, 2017 Jørgensen KJ, Gøtzsche PC, Kalager M, et al. Breast Cancer Screening in Denmark: A Cohort Study of Tumor Size and Overdiagnosis. Ann Intern Med. 2017;166(5):313-323. doi:10.7326/M16-0270. https://psnet.ahrq.gov/i…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45475/psn-pdf
    October 11, 2017 - Perceptions of quality and safety and experience of adverse events in 27 European Union healthcare systems, 2009–2013. October 11, 2017 Filippidis FT, Mian SS, Millett C. Perceptions of quality and safety and experience of adverse events in 27 European Union healthcare systems, 2009-2013. Int J Qual Health Care. 2…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45055/psn-pdf
    December 04, 2016 - Analysis of clinical decision support system malfunctions: a case series and survey. December 4, 2016 Wright A, Hickman T-TT, McEvoy D, et al. Analysis of clinical decision support system malfunctions: a case series and survey. J Am Med Inform Assoc. 2016;23(6):1068-1076. doi:10.1093/jamia/ocw005. https://psnet.ah…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/861290/psn-pdf
    January 24, 2024 - Potentially inappropriate prescribing in long-term care and its relationship with probable delirium. January 24, 2024 Webber C, Milani C, Bjerre LM, et al. Potentially inappropriate prescribing in long-term care and its relationship with probable delirium. J Am Med Dir Assoc. 2024;25(1):130-137.e4. doi:10.1016/j.j…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42038/psn-pdf
    June 03, 2013 - A systematic review of simulation for multidisciplinary team training in operating rooms. June 3, 2013 Cumin D, Boyd MJ, Webster CS, et al. A systematic review of simulation for multidisciplinary team training in operating rooms. Simul Healthc. 2013;8(3):171-179. doi:10.1097/SIH.0b013e31827e2f4c. https://psnet.ahr…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37572/psn-pdf
    June 16, 2011 - Organizational factors associated with high performance in quality and safety in academic medical centers. June 16, 2011 Keroack MA, Youngberg BJ, Cerese JL, et al. Organizational factors associated with high performance in quality and safety in academic medical centers. Acad Med. 2007;82(12):1178-86. https://psne…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837136/psn-pdf
    May 18, 2022 - What can we learn from in-depth analysis of human errors resulting in diagnostic errors in the emergency department: an analysis of serious adverse event reports. May 18, 2022 Baartmans MC, Hooftman J, Zwaan L, et al. What can we learn from in-depth analysis of human errors resulting in diagnostic errors in the em…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73140/psn-pdf
    April 14, 2021 - Association between primary care physician diagnostic knowledge and death, hospitalisation and emergency department visits following an outpatient visit at risk for diagnostic error: a retrospective cohort study using medicare claims. April 14, 2021 Gray BM, Vandergrift JL, McCoy RG, et al. Association between pr…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37453/psn-pdf
    March 03, 2011 - Managing the prevention of retained surgical instruments: what is the value of counting? March 3, 2011 Egorova NN, Moskowitz A, Gelijns A, et al. Managing the prevention of retained surgical instruments: what is the value of counting? Ann Surg. 2008;247(1):13-8. https://psnet.ahrq.gov/issue/managing-prevention-ret…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44248/psn-pdf
    May 26, 2016 - Wrong-site surgery, retained surgical items, and surgical fires: a systematic review of surgical never events. May 26, 2016 Hempel S, Maggard-Gibbons M, Nguyen DK, et al. Wrong-Site Surgery, Retained Surgical Items, and Surgical Fires : A Systematic Review of Surgical Never Events. JAMA Surg. 2015;150(8):796-805. …
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44304/psn-pdf
    September 09, 2015 - Association of the 2011 ACGME resident duty hour reform with postoperative patient outcomes in surgical specialties. September 9, 2015 Rajaram R, Chung JW, Cohen ME, et al. Association of the 2011 ACGME Resident Duty Hour Reform with Postoperative Patient Outcomes in Surgical Specialties. J Am Coll Surg. 2015;221(…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45216/psn-pdf
    June 08, 2016 - Ambulatory computerized prescribing and preventable adverse drug events. June 8, 2016 Overhage JM, Gandhi TK, Hope C, et al. Ambulatory Computerized Prescribing and Preventable Adverse Drug Events. J Patient Saf. 2016;12(2):69-74. doi:10.1097/PTS.0000000000000194. https://psnet.ahrq.gov/issue/ambulatory-computeriz…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/849596/psn-pdf
    May 31, 2023 - Patients admitted on weekends have higher in-hospital mortality than those admitted on weekdays: analysis of national inpatient sample. May 31, 2023 Manadan A, Arora S, Whittier M, et al. Patients admitted on weekends have higher in-hospital mortality than those admitted on weekdays: analysis of national inpatient…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37546/psn-pdf
    June 14, 2011 - Effective interventions and implementation strategies to reduce adverse drug events in the Veterans Affairs (VA) system. June 14, 2011 Mills PD, Neily J, Kinney LM, et al. Effective interventions and implementation strategies to reduce adverse drug events in the Veterans Affairs (VA) system. Qual Saf Health Care. …
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45891/psn-pdf
    October 11, 2017 - Extent of diagnostic agreement among medical referrals. October 11, 2017 Van Such M, Lohr R, Beckman T, et al. Extent of diagnostic agreement among medical referrals. J Eval Clin Pract. 2017;23(4):870-874. doi:10.1111/jep.12747. https://psnet.ahrq.gov/issue/extent-diagnostic-agreement-among-medical-referrals Diagn…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848315/psn-pdf
    May 03, 2023 - Nurse staffing and inpatient mortality in the English National Health Service: a retrospective longitudinal study. May 3, 2023 Zaranko B, Sanford NJ, Kelly E, et al. Nurse staffing and inpatient mortality in the English National Health Service: a retrospective longitudinal study. BMJ Qual Saf. 2023;32(5):254-263. …

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