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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42118/psn-pdf
    March 20, 2013 - Simulation exercises as a patient safety strategy: a systematic review. March 20, 2013 Schmidt E, Goldhaber-Fiebert SN, Ho LA, et al. Simulation exercises as a patient safety strategy: a systematic review. Ann Intern Med. 2013;158(5 Pt 2):426-32. doi:10.7326/0003-4819-158-5-201303051- 00010. https://psnet.ahrq.go…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47609/psn-pdf
    December 19, 2018 - Nurse Staffing Levels, Missed Vital Signs and Mortality in Hospitals: Retrospective Longitudinal Observational Study. December 19, 2018 Griffiths P, Ball JE, Bloor K, et al. Nurse Staffing Levels, Missed Vital Signs And Mortality In Hospitals: Retrospective Longitudinal Observational Study. Southampton, UK: NIHR J…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46842/psn-pdf
    June 22, 2018 - Do EPs change their clinical behaviour in the hallway or when a companion is present? A cross-sectional survey. June 22, 2018 Stoklosa H, Scannell M, Ma Z, et al. Do EPs change their clinical behaviour in the hallway or when a companion is present? A cross-sectional survey. Emerg Med J. 2018;35(7):406-411. doi:10.…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46471/psn-pdf
    March 20, 2018 - Diagnostic errors in primary care pediatrics: Project RedDE. March 20, 2018 Rinke ML, Singh H, Heo M, et al. Diagnostic Errors in Primary Care Pediatrics: Project RedDE. Acad Peds. 2018;18(2):220-227. doi:10.1016/j.acap.2017.08.005. https://psnet.ahrq.gov/issue/diagnostic-errors-primary-care-pediatrics-project-red…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45065/psn-pdf
    June 01, 2016 - Variation in quality of urgent health care provided during commercial virtual visits. June 1, 2016 Schoenfeld AJ, Davies JM, Marafino BJ, et al. Variation in Quality of Urgent Health Care Provided During Commercial Virtual Visits. JAMA Intern Med. 2016;176(5):635-42. doi:10.1001/jamainternmed.2015.8248. https://ps…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39337/psn-pdf
    May 07, 2014 - Clinical and economic outcomes attributable to health care–associated sepsis and pneumonia. May 7, 2014 Eber MR, Laxminarayan R, Perencevich E, et al. Clinical and economic outcomes attributable to health care-associated sepsis and pneumonia. Arch Intern Med. 2010;170(4):347-53. doi:10.1001/archinternmed.2009.509.…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44208/psn-pdf
    July 16, 2015 - Preventability of voluntarily reported or trigger tool–identified medication errors in a pediatric institution by information technology: a retrospective cohort study. July 16, 2015 Stultz JS, Nahata MC. Preventability of Voluntarily Reported or Trigger Tool-Identified Medication Errors in a Pediatric Institution …
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46774/psn-pdf
    April 12, 2019 - Association between handover of anesthesia care and adverse postoperative outcomes among patients undergoing major surgery. April 12, 2019 Jones PM, Cherry RA, Allen BN, et al. Association Between Handover of Anesthesia Care and Adverse Postoperative Outcomes Among Patients Undergoing Major Surgery. JAMA. 2018;319…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45323/psn-pdf
    June 28, 2017 - Effects of health information technology on patient outcomes: a systematic review. June 28, 2017 Brenner SK, Kaushal R, Grinspan Z, et al. Effects of health information technology on patient outcomes: a systematic review. J Am Med Inform Assoc. 2016;23(5):1016-36. doi:10.1093/jamia/ocv138. https://psnet.ahrq.gov/i…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43617/psn-pdf
    September 24, 2016 - Do telephone call interruptions have an impact on radiology resident diagnostic accuracy? September 24, 2016 Balint BJ, Steenburg SD, Lin H, et al. Do telephone call interruptions have an impact on radiology resident diagnostic accuracy? Acad Radiol. 2014;21(12):1623-8. doi:10.1016/j.acra.2014.08.001. https://psne…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43341/psn-pdf
    July 23, 2014 - Effectiveness of different nursing handover styles for ensuring continuity of information in hospitalised patients. July 23, 2014 Smeulers M, Lucas C, Vermeulen H. Effectiveness of different nursing handover styles for ensuring continuity of information in hospitalised patients. Cochrane Database of Syst Rev. 2014…
  12. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-213-section-1-tables-1-3.pdf
    June 02, 2025 - CHIPRA 123: Section 1, Tables 1 to 3 Table 1: Codes to Identify Sickle Cell Anemia Condition Name Hemoglobin Screening Result ICD‐9 Code(s) Hb beta zero‐thalassemia Hb F only 282.49 Hb SS‐disease (sickle cell anemia) Hb F,S 282.6, 282.61, 282.62 Table 2: Codes to Identify Outpatient Care Description …
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41339/psn-pdf
    January 03, 2017 - Relationship between nursing home safety culture and Joint Commission accreditation. January 3, 2017 Wagner LM, McDonald SM, Castle NG. Relationship between nursing home safety culture and Joint Commission accreditation. Jt Comm J Qual Patient Saf. 2012;38(5):207-15. https://psnet.ahrq.gov/issue/relationship-betwe…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44064/psn-pdf
    November 03, 2015 - The July effect: an analysis of never events in the nationwide inpatient sample. November 3, 2015 Wen T, Attenello FJ, Wu B, et al. The July effect: an analysis of never events in the nationwide inpatient sample. J Hosp Med. 2015;10(7):432-438. doi:10.1002/jhm.2352. https://psnet.ahrq.gov/issue/july-effect-analysi…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844790/psn-pdf
    January 01, 2020 - Effectiveness of double checking to reduce medication administration errors: a systematic review. September 18, 2019 Koyama AK, Maddox C-SS, Li L, et al. Effectiveness of double checking to reduce medication administration errors: a systematic review. BMJ Qual Saf. 2020;29(7):595-603. doi:10.1136/bmjqs-2019- 00955…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45719/psn-pdf
    June 29, 2017 - Systematic review of the prevalence of medication errors resulting in hospitalization and death of nursing home residents. June 29, 2017 Ferrah N, Lovell JJ, Ibrahim JE. Systematic Review of the Prevalence of Medication Errors Resulting in Hospitalization and Death of Nursing Home Residents. J Am Geriatr Soc. 2017…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40893/psn-pdf
    November 02, 2011 - Systematic review of safety checklists for use by medical care teams in acute hospital settings—limited evidence of effectiveness. November 2, 2011 Ko HCH, Turner TJ, Finnigan MA. Systematic review of safety checklists for use by medical care teams in acute hospital settings--limited evidence of effectiveness. BMC…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46856/psn-pdf
    June 20, 2018 - Visual acuity, literacy, and unintentional misuse of nonprescription medications. June 20, 2018 Mullen RJ, Curtis LM, O'Conor R, et al. Visual acuity, literacy, and unintentional misuse of nonprescription medications. Am J Health-Syst Pharm. 2018;75(9):e213-e220. doi:10.2146/ajhp170303. https://psnet.ahrq.gov/issu…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47102/psn-pdf
    June 26, 2018 - Transition to a new electronic health record and pediatric medication safety: lessons learned in pediatrics within a large academic health system. June 26, 2018 Whalen K, Lynch E, Moawad I, et al. Transition to a new electronic health record and pediatric medication safety: lessons learned in pediatrics within a l…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43785/psn-pdf
    May 01, 2015 - Evaluation of the effectiveness of a surgical checklist in Medicare patients. May 1, 2015 Reames BN, Scally CP, Thumma JR, et al. Evaluation of the Effectiveness of a Surgical Checklist in Medicare Patients. Med Care. 2015;53(1):87-94. doi:10.1097/MLR.0000000000000277. https://psnet.ahrq.gov/issue/evaluation-effec…