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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47333/psn-pdf
    October 10, 2018 - Changing dynamics of the drug overdose epidemic in the United States from 1979 through 2016. October 10, 2018 Jalal H, Buchanich JM, Roberts MS, et al. Changing dynamics of the drug overdose epidemic in the United States from 1979 through 2016. Science (1979). 2018;361(6408). doi:10.1126/science.aau1184. https://p…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45279/psn-pdf
    September 27, 2016 - Does clinical supervision of health professionals improve patient safety? A systematic review and meta-analysis. September 27, 2016 Snowdon DA, Hau R, Leggat SG, et al. Does clinical supervision of health professionals improve patient safety? A systematic review and meta-analysis. Int J Qual Health Care. 2016;28(4)…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44176/psn-pdf
    August 21, 2015 - Patient and carer identified factors which contribute to safety incidents in primary care: a qualitative study. August 21, 2015 Hernan AL, Giles SJ, Fuller J, et al. Patient and carer identified factors which contribute to safety incidents in primary care: a qualitative study. BMJ Qual Saf. 2015;24(9):583-93. doi:1…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44388/psn-pdf
    October 14, 2015 - Implementation of the Centers for Medicare & Medicaid Services' nonpayment policy for preventable hospital- acquired conditions in rural and nonrural US hospitals. October 14, 2015 Bae S-H, Yoder LH. Implementation of the Centers for Medicare & Medicaid Services' Nonpayment Policy for Preventable Hospital-Acquired…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47946/psn-pdf
    May 22, 2019 - Vital signs: pregnancy-related deaths, United States, 2011-2015, and strategies for prevention, 13 states, 2013- 2017. May 22, 2019 Petersen EE, Davis NL, Goodman D, et al. Vital Signs: Pregnancy-Related Deaths, United States, 2011- 2015, and Strategies for Prevention, 13 States, 2013-2017. MMWR Morb Mortal Wkly R…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48030/psn-pdf
    May 22, 2019 - A culture of openness is associated with lower mortality rates among 137 English National Health Service acute trusts. May 22, 2019 Toffolutti V, Stuckler D. A Culture Of Openness Is Associated With Lower Mortality Rates Among 137 English National Health Service Acute Trusts. Health Aff (Millwood). 2019;38(5):844-…
  7. 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.…
  8. 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…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44094/psn-pdf
    November 03, 2015 - Intended and unintended effects of large-scale adverse event disclosure: a controlled before-after analysis of five large-scale notifications. November 3, 2015 Wagner TH, Taylor T, Cowgill E, et al. Intended and unintended effects of large-scale adverse event disclosure: a controlled before-after analysis of five …
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45385/psn-pdf
    January 03, 2017 - Viewing prevention of catheter-associated urinary tract infection as a system: using systems engineering and human factors engineering in a quality improvement project in an academic medical center. January 3, 2017 Rhee C, Phelps E, Meyer B, et al. Viewing Prevention of Catheter-Associated Urinary Tract Infection …
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40024/psn-pdf
    December 21, 2014 - Risk factors and outcomes for foreign body left during a procedure: analysis of 413 incidents after 1,946,831 operations in children. December 21, 2014 Camp M, Chang DC, Zhang Y, et al. Risk factors and outcomes for foreign body left during a procedure: analysis of 413 incidents after 1 946 831 operations in child…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43652/psn-pdf
    August 04, 2015 - Do clinicians know which of their patients have central venous catheters?: A multicenter observational study. August 4, 2015 Chopra V, Govindan S, Kuhn L, et al. Do clinicians know which of their patients have central venous catheters?: a multicenter observational study. Ann Intern Med. 2014;161(8):562-7. doi:10.73…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44709/psn-pdf
    November 18, 2016 - Lost information during the handover of critically injured trauma patients: a mixed-methods study. November 18, 2016 Zakrison TL, Rosenbloom B, McFarlan A, et al. Lost information during the handover of critically injured trauma patients: a mixed-methods study. BMJ Qual Saf. 2016;25(12):929-936. doi:10.1136/bmjqs-2…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47407/psn-pdf
    January 01, 2020 - Resource-based view on safety culture's influence on hospital performance: the moderating role of electronic health record implementation. September 19, 2018 Upadhyay S, Weech-Maldonado R, Lemak CH, et al. Resource-based view on safety culture’s influence on hospital performance: The moderating role of electronic …
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45911/psn-pdf
    June 27, 2018 - Use of unsolicited patient observations to identify surgeons with increased risk for postoperative complications. June 27, 2018 Cooper WO, Guillamondegui O, Hines J, et al. Use of Unsolicited Patient Observations to Identify Surgeons With Increased Risk for Postoperative Complications. JAMA Surg. 2017;152(6):522-5…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44522/psn-pdf
    June 21, 2016 - Impact of an electronic alert notification system embedded in radiologists' workflow on closed-loop communication of critical results: a time series analysis. June 21, 2016 Lacson R, O'Connor SD, Sahni A, et al. Impact of an electronic alert notification system embedded in radiologists' workflow on closed-loop com…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42039/psn-pdf
    December 31, 2014 - Enhancing patient safety and quality of care by improving the usability of electronic health record systems: recommendations from AMIA. December 31, 2014 Middleton B, Bloomrosen M, Dente MA, et al. Enhancing patient safety and quality of care by improving the usability of electronic health record systems: recommen…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46277/psn-pdf
    August 15, 2017 - Randomized trial of reducing ambulatory malpractice and safety risk: results of the Massachusetts PROMISES Project. August 15, 2017 Schiff G, Nieva HR, Griswold P, et al. Randomized Trial of Reducing Ambulatory Malpractice and Safety Risk: Results of the Massachusetts PROMISES Project. Med Care. 2017;55(8):797-805…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38642/psn-pdf
    April 30, 2012 - ASHP national survey of pharmacy practice in hospital settings: dispensing and administration—2008. April 30, 2012 Pedersen CA, Schneider PJ, Scheckelhoff DJ. ASHP national survey of pharmacy practice in hospital settings: dispensing and administration--2008. Am J Health Syst Pharm. 2009;66(10):926-46. doi:10.2146…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42361/psn-pdf
    September 19, 2013 - Involvement of patients with cancer in patient safety: a qualitative study of current practices, potentials and barriers. September 19, 2013 Martin HM, Navne LE, Lipczak H. Involvement of patients with cancer in patient safety: a qualitative study of current practices, potentials and barriers. BMJ Qual Saf. 2013;2…

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