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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61113/psn-pdf
    January 01, 2021 - Do falls and other safety issues occur more often during handovers when nurses are away from patients? Findings from a retrospective study design. November 11, 2020 Demaria J, Valent F, Danielis M, et al. Do falls and other safety issues occur more often during handovers when nurses are away from patients? Finding…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45277/psn-pdf
    July 01, 2017 - Cultural transformation after implementation of crew resource management: is it really possible? July 1, 2017 Hefner JL, Hilligoss B, Knupp A, et al. Cultural Transformation After Implementation of Crew Resource Management: Is It Really Possible? Am J Med Qual. 2017;32(4):384-390. doi:10.1177/1062860616655424. htt…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47014/psn-pdf
    July 02, 2019 - Multisource evaluation of surgeon behavior is associated with malpractice claims. July 2, 2019 Lagoo J, Berry WR, Miller K, et al. Multisource Evaluation of Surgeon Behavior Is Associated With Malpractice Claims. Ann Surg. 2019;270(1):84-90. doi:10.1097/SLA.0000000000002742. https://psnet.ahrq.gov/issue/multisourc…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47769/psn-pdf
    May 11, 2019 - Avoiding chemotherapy prescribing errors: analysis and innovative strategies. May 11, 2019 Reinhardt H, Otte P, Eggleton AG, et al. Avoiding chemotherapy prescribing errors: Analysis and innovative strategies. Cancer. 2019;125(9):1547-1557. doi:10.1002/cncr.31950. https://psnet.ahrq.gov/issue/avoiding-chemotherapy…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44244/psn-pdf
    November 03, 2015 - Evaluation of outcomes from a national patient-initiated second-opinion program. November 3, 2015 Meyer AND, Singh H, Graber ML. Evaluation of Outcomes From a National Patient-initiated Second- opinion Program. Am J Med. 2015;128(10). doi:10.1016/j.amjmed.2015.04.020. https://psnet.ahrq.gov/issue/evaluation-outcom…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854831/psn-pdf
    January 01, 2024 - Medication safety events after acute myocardial infarction among veterans treated at VA versus non-VA hospitals. October 25, 2023 Weeda ER, Ward R, Gebregziabher M, et al. Medication safety events after acute myocardial infarction among veterans treated at VA versus non-VA hospitals. Med Care. 2024;62(2):72-78. do…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60687/psn-pdf
    July 15, 2020 - Cumulative effect of flexible duty-hour policies on resident outcomes: long-term follow-up results from the FIRST trial. July 15, 2020 Landrigan CP, Rahman SA, Sullivan JP, et al. Cumulative effect of flexible duty-hour policies on resident outcomes: long-term follow-up results from the FIRST trial. N Engl J Med. …

  8. 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…

  9. 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. …

  10. 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. …

  11. 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 …

  12. 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…

  13. 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…

  14. 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…

  15. 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…

  16. 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…

  17. 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…

  18. 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…

  19. 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…

  20. 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…
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