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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866115/psn-pdf
    June 12, 2024 - Defining, identifying and addressing problematic polypharmacy within multimorbidity in primary care: a scoping review. June 12, 2024 Tsang JY, Sperrin M, Blakeman T, et al. Defining, identifying and addressing problematic polypharmacy within multimorbidity in primary care: a scoping review. BMJ Open. 2024;14(5):e0…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74192/psn-pdf
    January 01, 2022 - Safer prescribing and care for the elderly (SPACE): cluster randomised controlled trial in general practice. December 15, 2021 Wallis KA, Elley CR, Moyes SA, et al. Safer prescribing and care for the elderly (SPACE): cluster randomised controlled trial in general practice. BJGP Open. 2022;6(1):BJGPO.2021.0129. doi…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46207/psn-pdf
    July 19, 2017 - Burnout Among Health Care Professionals. A Call to Explore and Address This Underrecognized Threat to Safe, High-Quality Care. July 19, 2017 Dyrbye LN, Shanafelt TD, Sinsky CA, et al. Washington, DC: National Academy of Medicine; July 5, 2017. https://psnet.ahrq.gov/issue/burnout-among-health-care-professionals-ca…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44148/psn-pdf
    November 06, 2015 - Role of cognition in generating and mitigating clinical errors. November 6, 2015 Patel VL, Kannampallil TG, Shortliffe EH. Role of cognition in generating and mitigating clinical errors. BMJ Qual Saf. 2015;24(7):468-474. doi:10.1136/bmjqs-2014-003482. https://psnet.ahrq.gov/issue/role-cognition-generating-and-miti…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47941/psn-pdf
    January 01, 2020 - Usability and feasibility of consumer-facing technology to reduce unsafe medication use by older adults. May 22, 2019 Holden RJ, Campbell NL, Abebe E, et al. Usability and feasibility of consumer-facing technology to reduce unsafe medication use by older adults. Res Social Adm Pharm. 2020;16(1):54-61. doi:10.1016/…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45308/psn-pdf
    September 28, 2016 - Measurement of patient safety: a systematic review of the reliability and validity of adverse event detection with record review. September 28, 2016 Hanskamp-Sebregts M, Zegers M, Vincent CA, et al. Measurement of patient safety: a systematic review of the reliability and validity of adverse event detection with r…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60198/psn-pdf
    April 08, 2020 - Hierarchy and medical error: speaking up when witnessing an error. April 8, 2020 Peadon R (R), Hurley J, Hutchinson M. Hierarchy and medical error: speaking up when witnessing an error. Safety Sci. 2020;125:104648. doi:10.1016/j.ssci.2020.104648. https://psnet.ahrq.gov/issue/hierarchy-and-medical-error-speaking-wh…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33923/psn-pdf
    June 12, 2018 - The collapse of sensemaking in organizations: the Mann Gulch disaster. June 12, 2018 Weick KE. The Collapse of Sensemaking in Organizations: The Mann Gulch Disaster. Admin Sci Q. 2006;38(4):628-652. doi:10.2307/2393339. https://psnet.ahrq.gov/issue/collapse-sensemaking-organizations-mann-gulch-disaster This artic…
  9. digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/young-dw-1981-improving
    January 01, 2023 - Young DW 1981 "Improving the consistency with which investigations are requested." Reference Young DW. Improving the consistency with which investigations are requested. Med Inform (Lond) 1981;6(1):13-17. Abstract "The study shows how a computer-based prompt system improved the frequency with …
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866252/psn-pdf
    January 01, 2025 - Understanding the enablers and barriers to implementing a patient-led escalation system: a qualitative study. July 10, 2024 Sutton E, Ibrahim M, Plath W, et al. Understanding the enablers and barriers to implementing a patient-led escalation system: a qualitative study. BMJ Qual Saf. 2025;34(1):18-27. doi:10.1136/b…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845652/psn-pdf
    March 14, 2023 - Controlled substance drug diversion by healthcare workers as a threat to patient safety. March 14, 2023 ISMP Medication Safety Alert! Acute care edition. February 23, 2023;28(4):1-4; March 9, 2023:28(5):1-4. https://psnet.ahrq.gov/issue/controlled-substance-drug-diversion-healthcare-workers-threat-patient-safety D…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34874/psn-pdf
    February 25, 2009 - Intensive care unit nurse staffing and the risk for complications after abdominal aortic surgery. February 25, 2009 Pronovost PJ, Dang D, Dorman T, et al. Intensive care unit nurse staffing and the risk for complications after abdominal aortic surgery. Eff Clin Pract. 2001;4(5):199-206. https://psnet.ahrq.gov/issu…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44778/psn-pdf
    July 18, 2016 - How safe is primary care? A systematic review. July 18, 2016 Panesar SS, deSilva D, Carson-Stevens A, et al. How safe is primary care? A systematic review. BMJ Qual Saf. 2016;25(7):544-53. doi:10.1136/bmjqs-2015-004178. https://psnet.ahrq.gov/issue/how-safe-primary-care-systematic-review Patient safety in ambulato…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44134/psn-pdf
    November 06, 2015 - Understanding missed opportunities for more timely diagnosis of cancer in symptomatic patients after presentation. November 6, 2015 Lyratzopoulos G, Vedsted P, Singh H. Understanding missed opportunities for more timely diagnosis of cancer in symptomatic patients after presentation. Br J Cancer. 2015;112 Suppl 1:S…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44592/psn-pdf
    December 02, 2015 - Power and conflict: the effect of a superior's interpersonal behaviour on trainees' ability to challenge authority during a simulated airway emergency. December 2, 2015 Friedman Z, Hayter MA, Everett TC, et al. Power and conflict: the effect of a superior's interpersonal behaviour on trainees' ability to challenge…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34673/psn-pdf
    December 23, 2008 - Relationship between medication errors and adverse drug events. December 23, 2008 Bates DW, Boyle DL, Vliet MBV, et al. Relationship between medication errors and adverse drug events. J Gen Intern Med. 1995;10(4):199-205. https://psnet.ahrq.gov/issue/relationship-between-medication-errors-and-adverse-drug-events …
  17. www.ahrq.gov/sites/default/files/2024-02/wei-report.pdf
    January 01, 2024 - Final Progress Report: Prescription Opioid Use Trajectories and Risk Factors Associated with Opioid-Related Hospitalizations in Older Adults AHRQ Grant Final Progress Report Prescription Opioid Use Trajectories and Risk Factors Associated with Opioid- Related Hospitalizations in Older Adults Principal Investigat…
  18. www.ahrq.gov/sites/default/files/2024-03/tzeng-report.pdf
    January 01, 2024 - Final Progress Report: Call Light Responsiveness and Effect on Inpatient Falls and Patient Perceptions 1 Final report-2011/11/29 (limited to 20 pages) AHRQ R03 Project Title: Call Light Responsiveness and Effect on Inpatient Falls and Patient Perceptions Principal Investigator (PI): Huey-Ming Tzeng, PhD, RN, FAAN,…
  19. www.uspreventiveservicestaskforce.org/uspstf/recommendation/diabetes-mellitus-type-2-in-adults-screening-2003
    February 04, 2003 - Share to Facebook Share to X Share to WhatsApp Share to Email Print archived Final Recommendation Statement Diabetes Mellitus (Type 2) in Adults: Screening, 2003 February 04, 2003 Recommendations made by the USPSTF are independent of the…
  20. hcup-us.ahrq.gov/reports/statbriefs/sb290-COVID-19-AllHospital.pdf
    December 01, 2020 - Changes in Hospitalizations and In-Hospital Deaths in the Initial Period of the COVID-19 Pandemic (April–December 2020), 29 States 1 HEALTHCARE COST AND UTILIZATION PROJECT Agency for Healthcare Research and Quality Changes in Hospitalizations and In-Hospital Deaths in the Initial Period of the COVID-19 Pa…