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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46203/psn-pdf
    June 14, 2017 - Prescription errors related to the use of computerized provider order-entry system for pediatric patients. June 14, 2017 Alhanout K, Bun S-S, Retornaz K, et al. Prescription errors related to the use of computerized provider order-entry system for pediatric patients. Int J Med Inform. 2017;103:15-19. doi:10.1016/j…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38331/psn-pdf
    October 20, 2010 - Assessment of the implementation of a national patient safety alert to reduce wrong site surgery. October 20, 2010 Rhodes P, Giles SJ, Cook GA, et al. Assessment of the implementation of a national patient safety alert to reduce wrong site surgery. Qual Saf Health Care. 2008;17(6):409-15. doi:10.1136/qshc.2007.0230…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45210/psn-pdf
    September 27, 2016 - Increased risk of burnout for physicians and nurses involved in a patient safety incident. September 27, 2016 Van Gerven E, Elst TV, Vandenbroeck S, et al. Increased Risk of Burnout for Physicians and Nurses Involved in a Patient Safety Incident. Med Care. 2016;54(10):937-943. doi:10.1097/MLR.0000000000000582. ht…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44544/psn-pdf
    October 07, 2015 - Systematic review on the prevalence, frequency and comparative value of adverse events data in social media. October 7, 2015 Golder S, Norman G, Loke YK. Systematic review on the prevalence, frequency and comparative value of adverse events data in social media. Br J Clin Pharmacol. 2015;80(4):878-88. doi:10.1111/b…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48176/psn-pdf
    July 31, 2019 - Duration of second victim symptoms in the aftermath of a patient safety incident and association with the level of patient harm: a cross-sectional study in the Netherlands. July 31, 2019 Vanhaecht K, Seys D, Schouten L, et al. Duration of second victim symptoms in the aftermath of a patient safety incident and ass…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45556/psn-pdf
    June 29, 2017 - Readmission rates after passage of the Hospital Readmissions Reduction Program: a pre–post analysis. June 29, 2017 Wasfy JH, Zigler CM, Choirat C, et al. Readmission Rates After Passage of the Hospital Readmissions Reduction Program: A Pre-Post Analysis. Ann Intern Med. 2017;166(5):324-331. doi:10.7326/M16-0185. h…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45118/psn-pdf
    January 23, 2017 - Cluster randomized trial to evaluate the impact of team training on surgical outcomes. January 23, 2017 Duclos A, Peix JL, Piriou V, et al. Cluster randomized trial to evaluate the impact of team training on surgical outcomes. Br J Surg. 2016;103(13):1804-1814. doi:10.1002/bjs.10295. https://psnet.ahrq.gov/issue/c…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42548/psn-pdf
    December 29, 2014 - What is known about adverse events in older medical hospital inpatients? A systematic review of the literature. December 29, 2014 Long SJ, Brown KF, Ames D, et al. What is known about adverse events in older medical hospital inpatients? A systematic review of the literature. Int J Health Care Qual. 2013;25(5):542-5…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43037/psn-pdf
    October 31, 2014 - Adverse Events in Skilled Nursing Facilities: National Incidence Among Medicare Beneficiaries. October 31, 2014 Levinson DR. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; February 2014. Report No. OEI-06-11-00370. https://psnet.ahrq.gov/issue/adverse-events-skilled-nu…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46839/psn-pdf
    December 03, 2018 - Trends in survival after in-hospital cardiac arrest during nights and weekends. December 3, 2018 Ofoma UR, Basnet S, Berger A, et al. Trends in Survival After In-Hospital Cardiac Arrest During Nights and Weekends. J Am Coll Cardiol. 2018;71(4):402-411. doi:10.1016/j.jacc.2017.11.043. https://psnet.ahrq.gov/issue/t…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46173/psn-pdf
    August 20, 2018 - Advances in Patient Safety and Medical Liability. August 20, 2018 Battles J, Azam I, Grady M, Reback K, eds. Rockville, MD: Agency for Healthcare Research and Quality; 2017. AHRQ Publication No. 17-0017-EF. https://psnet.ahrq.gov/issue/advances-patient-safety-and-medical-liability This publication describes the re…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45305/psn-pdf
    February 14, 2017 - Sustaining reductions in central line-associated bloodstream infections in Michigan intensive care units: a 10-year analysis. February 14, 2017 Pronovost P, Watson S, Goeschel CA, et al. Sustaining Reductions in Central Line-Associated Bloodstream Infections in Michigan Intensive Care Units: A 10-Year Analysis. Am…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46338/psn-pdf
    December 21, 2017 - Malpractice claims related to diagnostic errors in the hospital. December 21, 2017 Gupta A, Snyder A, Kachalia A, et al. Malpractice claims related to diagnostic errors in the hospital. BMJ Qual Saf. 2017;27(1):53-60. doi:10.1136/bmjqs-2017-006774. https://psnet.ahrq.gov/issue/malpractice-claims-related-diagnostic…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43869/psn-pdf
    November 03, 2015 - Clinical safety of England's national programme for IT: a retrospective analysis of all reported safety events 2005 to 2011. November 3, 2015 Magrabi F, Baker M, Sinha I, et al. Clinical safety of England's national programme for IT: a retrospective analysis of all reported safety events 2005 to 2011. Int J Med In…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39082/psn-pdf
    January 04, 2010 - Communication practices on 4 Harvard surgical services: a surgical safety collaborative. January 4, 2010 Elbardissi AW, Regenbogen SE, Greenberg CC, et al. Communication practices on 4 Harvard surgical services: a surgical safety collaborative. Ann Surg. 2009;250(6):861-5. doi:10.1097/SLA.0b013e3181afe0db. https:…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43629/psn-pdf
    May 01, 2015 - Exposing physicians to reduced residency work hours did not adversely affect patient outcomes after residency. May 1, 2015 Jena AB, Schoemaker L, Bhattacharya J. Exposing physicians to reduced residency work hours did not adversely affect patient outcomes after residency. Health Aff (Millwood). 2014;33(10):1832-40.…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48009/psn-pdf
    May 15, 2019 - Associations between in-hospital mortality, health care utilization, and inpatient costs with the 2011 resident duty hour revision. May 15, 2019 Eid SM, Ponor L, Reed DA, et al. Associations Between In-Hospital Mortality, Health Care Utilization, and Inpatient Costs With the 2011 Resident Duty Hour Revision. J Gra…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852445/psn-pdf
    August 16, 2023 - Systematic review of the impact of physician work schedules on patient safety with meta-analyses of mortality risk. August 16, 2023 Weaver MD, Sullivan JP, Landrigan CP, et al. Systematic review of the impact of physician work schedules on patient safety with meta-analyses of mortality risk. Jt Comm J Qual Patient…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43956/psn-pdf
    January 01, 2016 - Monitoring the harm associated with use of anticoagulants in pediatric populations through trigger- based automated adverse-event detection. June 21, 2015 Patregnani JT, Spaeder MC, Lemon V, et al. Monitoring the harm associated with use of anticoagulants in pediatric populations through trigger-based automated ad…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47134/psn-pdf
    March 04, 2019 - Association of hydrocodone schedule change with opioid prescriptions following surgery. March 4, 2019 Habbouche J, Lee JS, Steiger R, et al. Association of Hydrocodone Schedule Change With Opioid Prescriptions Following Surgery. JAMA Surg. 2018;153(12):1111-1119. doi:10.1001/jamasurg.2018.2651. https://psnet.ahrq.…

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