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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844802/psn-pdf
    September 18, 2019 - Using proactive risk assessment (HFMEA) to improve patient safety and quality associated with intraocular lens selection and implantation in cataract surgery. September 18, 2019 DeRosier JM, Hansemann BK, Smith-Wheelock MW, et al. Using Proactive Risk Assessment (HFMEA) to Improve Patient Safety and Quality Associ…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853074/psn-pdf
    February 06, 2024 - Patient Experience, Patient Safety, and Provider Well- Being: Associations and Paths for Quality Improvement. February 6, 2024 Rockville, MD: Agency for Healthcare Research and Quality; January 2024. AHRQ Publication no. 24-0030. https://psnet.ahrq.gov/issue/patient-experience-patient-safety-and-provider-well…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72478/psn-pdf
    November 18, 2020 - The impact of the use of employee functional flexibility on patient safety. November 18, 2020 Salvador RO, Gnanlet A, McDermott C. The impact of the use of employee functional flexibility on patient safety. Personnel Rev. 2020;50(3):971-984. doi:10.1108/pr-10-2019-0562. https://psnet.ahrq.gov/issue/impact-use-empl…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838930/psn-pdf
    October 26, 2022 - Artificial Intelligence in Health Care: Benefits and Challenges of Machine Learning Technologies for Medical Diagnostics. October 26, 2022 Washington DC: United States Government Accountability Office and National Academy of Medicine;  September 2022. Report no. GAO-22-104629. https://psnet.ahrq.gov/issue/ar…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47626/psn-pdf
    February 13, 2019 - The effect of a clinical decision support for pending laboratory results at emergency department discharge. February 13, 2019 Driver BE, Scharber SK, Fagerstrom ET, et al. The Effect of a Clinical Decision Support for Pending Laboratory Results at Emergency Department Discharge. J Emerg Med. 2019;56(1):109-113. do…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852802/psn-pdf
    August 23, 2023 - Indian Health Service: Actions Needed to Improve Use of Data on Adverse Events. August 23, 2023 Washington, DC: United States Government Accounting Office; July 10, 2023.  Publication GAO-23- 105722. https://psnet.ahrq.gov/issue/indian-health-service-actions-needed-improve-use-data-adverse-events Health info…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47574/psn-pdf
    November 21, 2018 - The architecture of safety: an emerging priority for improving patient safety. November 21, 2018 Joseph A, Henriksen K, Malone E. The Architecture Of Safety: An Emerging Priority For Improving Patient Safety. Health Aff (Millwood). 2018;37(11):1884-1891. doi:10.1377/hlthaff.2018.0643. https://psnet.ahrq.gov/issue/…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36964/psn-pdf
    March 24, 2011 - Patients use an internet technology to report when things go wrong. March 24, 2011 Wasson JH, MacKenzie TA, Hall M. Patients use an internet technology to report when things go wrong. Qual Saf Health Care. 2007;16(3):213-5. https://psnet.ahrq.gov/issue/patients-use-internet-technology-report-when-things-go-wrong …

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/855106/psn-pdf
    November 08, 2023 - Home Health Agencies Failed To Report Over Half of Falls With Major Injury and Hospitalization Among Their Medicare Patients. November 8, 2023 Maxwell A. Washington DC: Office of Inspector General; September 2023. Report no. OEI-05-22-00290. https://psnet.ahrq.gov/issue/home-health-agencies-failed-report-over-half…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73403/psn-pdf
    June 16, 2021 - Pathology Oversight Failures at the Veterans Health Care System of the Ozarks in Fayetteville, Arkansas VA. June 16, 2021 Office of Inspector General. June 2, 2021. Report No. 18-02496-157. https://psnet.ahrq.gov/issue/pathology-oversight-failures-veterans-health-care-system-ozarks-fayetteville- arkansas-va …

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45669/psn-pdf
    January 23, 2017 - Overdiagnosis of coronary artery disease detected by coronary computed tomography angiography: a teachable moment. January 23, 2017 Schmidt T, Maag R, Foy AJ. Overdiagnosis of Coronary Artery Disease Detected by Coronary Computed Tomography Angiography: A Teachable Moment. JAMA Intern Med. 2016;176(12):1747-1748. …

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44769/psn-pdf
    January 20, 2016 - Behaving safely under pressure: the effects of job demands, resources, and safety climate on employee physical and psychosocial safety behavior. January 20, 2016 Bronkhorst B. Behaving safely under pressure: The effects of job demands, resources, and safety climate on employee physical and psychosocial safety beha…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48124/psn-pdf
    July 31, 2019 - Medication safety alert fatigue may be reduced via interaction design and clinical role tailoring: a systematic review. July 31, 2019 Hussain MI, Reynolds TL, Zheng K. Medication safety alert fatigue may be reduced via interaction design and clinical role tailoring: a systematic review. J Am Med Inform Assoc. 2019…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/861292/psn-pdf
    January 24, 2024 - Deficiencies in the Community Care Network Credentialing Process of a Former VA Surgeon and Veterans Health Administration Oversight Failures. January 24, 2024 Washington DC: VA Office of the Inspector General; January 4, 2024; Report no. 22-02294-42. https://psnet.ahrq.gov/issue/deficiencies-community-care-n…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46707/psn-pdf
    October 13, 2018 - Medication errors involving nursing students: a systematic review. October 13, 2018 Asensi-Vicente J, Jiménez-Ruiz I, Vizcaya-Moreno F. Medication Errors Involving Nursing Students: A Systematic Review. Nurse Educ. 2018;43(5):E1-E5. doi:10.1097/NNE.0000000000000481. https://psnet.ahrq.gov/issue/medication-errors-i…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46887/psn-pdf
    May 03, 2018 - Financial incentives to reduce hospital-acquired infections under alternative payment arrangements. May 3, 2018 Cohen CC, Liu J, Cohen B, et al. Financial Incentives to Reduce Hospital-Acquired Infections Under Alternative Payment Arrangements. Infect Control Hosp Epidemiol. 2018;39(5):509-515. doi:10.1017/ice.201…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45740/psn-pdf
    January 23, 2017 - Patient perspectives on delays in diagnosis and treatment of cancer: a qualitative analysis of free-text data. January 23, 2017 Parsonage RK, Hiscock J, Law R-J, et al. Patient perspectives on delays in diagnosis and treatment of cancer: a qualitative analysis of free-text data. Br J Gen Pract. 2017;67(654):e49-e56…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43257/psn-pdf
    August 14, 2014 - Barriers and success factors to the implementation of a multi-site prospective adverse event surveillance system. August 14, 2014 Backman C, Forster AJ, Vanderloo S. Barriers and success factors to the implementation of a multi-site prospective adverse event surveillance system. Int J Qual Health Care. 2014;26(4):4…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/849612/psn-pdf
    May 31, 2023 - Why do so many Black women die in pregnancy? One reason: doctors don't take them seriously. May 31, 2023 Stafford K. AP News. May 23, 2023. https://psnet.ahrq.gov/issue/why-do-so-many-black-women-die-pregnancy-one-reason-doctors-dont-take- them-seriously Racial inequities and implicit bias undermine safe maternal…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44663/psn-pdf
    September 27, 2016 - Impact of regionalized care on concordance of plan and preventable adverse events on general medicine services. September 27, 2016 Mueller SK, Schnipper JL, Giannelli K, et al. Impact of regionalized care on concordance of plan and preventable adverse events on general medicine services. J Hosp Med. 2016;11(9):620-…
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