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  1. 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…
  2. 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…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44447/psn-pdf
    September 02, 2015 - Community-, healthcare-, and hospital-acquired severe sepsis hospitalizations in the University HealthSystem Consortium. September 2, 2015 Page DB, Donnelly JP, Wang HE. Community-, Healthcare-, and Hospital-Acquired Severe Sepsis Hospitalizations in the University HealthSystem Consortium. Crit Care Med. 2015;43(9…
  4. 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…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45419/psn-pdf
    June 29, 2017 - Risk-adjusted survival for adults following in-hospital cardiac arrest by day of week and time of day: observational cohort study. June 29, 2017 Robinson EJ, Smith GB, Power GS, et al. Risk-adjusted survival for adults following in-hospital cardiac arrest by day of week and time of day: observational cohort study.…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44427/psn-pdf
    October 13, 2015 - Problem list completeness in electronic health records: a multi-site study and assessment of success factors. October 13, 2015 Wright A, McCoy AB, Hickman T-TT, et al. Problem list completeness in electronic health records: A multi- site study and assessment of success factors. Int J Med Inform. 2015;84(10):784-90.…
  7. 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 …
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44571/psn-pdf
    June 21, 2016 - One size fits all? Mixed methods evaluation of the impact of 100% single-room accommodation on staff and patient experience, safety and costs. June 21, 2016 Maben J, Griffiths P, Penfold C, et al. One size fits all? Mixed methods evaluation of the impact of 100% single-room accommodation on staff and patient exper…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47666/psn-pdf
    January 01, 2020 - A partially structured postoperative handoff protocol improves communication in 2 mixed surgical intensive care units: findings from the Handoffs and Transitions in Critical Care (HATRICC) prospective cohort study. February 6, 2019 Lane-Fall MB, Pascual JL, Peifer HG, et al. A Partially Structured Postoperative Ha…
  10. 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-…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46829/psn-pdf
    July 23, 2018 - Quality and variability of patient directions in electronic prescriptions in the ambulatory care setting. July 23, 2018 Yang Y, Ward-Charlerie S, Dhavle AA, et al. Quality and Variability of Patient Directions in Electronic Prescriptions in the Ambulatory Care Setting. J Manag Care Spec Pharm. 2018;24(7):691-699. …
  12. www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/2-unc-webcast-ginsberg.pdf
    June 02, 2025 - Implementation of an Event Reporting and Learning System Leads to Improvements in Patient Safety Culture at UNC Medical Center-Ginsberg AHRQ’s Surveys on Patient Safety Culture™ (SOPS™) Program Caren Ginsberg, PhD Center for Quality Improvement and Patient Safety, AHRQ 6 AHRQ’s Core Competencies AHRQ is a rese…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43590/psn-pdf
    October 08, 2014 - Disentangling quality and safety indicator data: a longitudinal, comparative study of hand hygiene compliance and accreditation outcomes in 96 Australian hospitals. October 8, 2014 Mumford V, Greenfield D, Hogden A, et al. Disentangling quality and safety indicator data: a longitudinal, comparative study of hand …
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46012/psn-pdf
    December 21, 2017 - Mortality risks associated with emergency admissions during weekends and public holidays: an analysis of electronic health records. December 21, 2017 Walker S, Mason A, Quan P, et al. Mortality risks associated with emergency admissions during weekends and public holidays: an analysis of electronic health records.…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47752/psn-pdf
    May 29, 2019 - How do nurses use early warning scoring systems to detect and act on patient deterioration to ensure patient safety? A scoping review. May 29, 2019 Wood C, Chaboyer W, Carr P. How do nurses use early warning scoring systems to detect and act on patient deterioration to ensure patient safety? A scoping review. Int …
  16. 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)…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42454/psn-pdf
    September 09, 2013 - A perinatal care quality and safety initiative: are there financial rewards for improved quality? September 9, 2013 Kozhimannil KB, Sommerness SA, Rauk P, et al. A perinatal care quality and safety initiative: are there financial rewards for improved quality? Jt Comm J Qual Patient Saf. 2013;39(8):339-48. https://…
  18. 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 …
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47875/psn-pdf
    July 19, 2019 - Observer-based tools for non-technical skills assessment in simulated and real clinical environments in healthcare: a systematic review. July 19, 2019 Higham H, Greig PR, Rutherford J, et al. Observer-based tools for non-technical skills assessment in simulated and real clinical environments in healthcare: a syste…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44369/psn-pdf
    July 16, 2018 - The impact of a computerized physician order entry system on medical errors with antineoplastic drugs 5 years after its implementation. July 16, 2018 Cuervo S, Sanchis R, Lopez P, et al. The impact of a computerized physician order entry system on medical errors with antineoplastic drugs 5 years after its implemen…