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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852751/psn-pdf
    August 23, 2023 - Automated search methods for identifying wrong patient order entry-a scoping review. August 23, 2023 Garrod M, Fox A, Rutter P. Automated search methods for identifying wrong patient order entry—a scoping review. JAMIA Open. 2023;6(3):ooad057. doi:10.1093/jamiaopen/ooad057. https://psnet.ahrq.gov/issue/automated-s…
  2. psnet.ahrq.gov/perspective/conversation-libby-hoy-and-stephen-hoy
    March 10, 2021 - In Conversation With... Libby Hoy and Stephen Hoy March 10, 2021  Also Read the Essay Citation Text: In Conversation With.. Libby Hoy and Stephen Hoy. PSNet [internet]. 2021.In Conversation With... Libby Hoy and Stephen Hoy. PSNet [internet]. Rockville (MD): Agenc…
  3. psnet.ahrq.gov/perspective/conversation-michelle-mello-mphil-jd-phd
    July 01, 2017 - In Conversation With… Michelle Mello, MPhil, JD, PhD July 1, 2017  Also Read an Essay Citation Text: In Conversation With… Michelle Mello, MPhil, JD, PhD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Hum…
  4. psnet.ahrq.gov/web-mm/surprise-wire
    July 15, 2020 - Surprise Wire Citation Text: Pearl JM, Donaldson NE. Surprise Wire. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId R…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49632/psn-pdf
    July 01, 2011 - A Seasonal Care Transition Failure July 1, 2011 Young JQ. A Seasonal Care Transition Failure. PSNet [internet]. 2011. https://psnet.ahrq.gov/web-mm/seasonal-care-transition-failure The Case A 70-year-old healthy man presented to his primary care doctor—a third-year internal medicine resident—for routine follow-up…
  6. psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.272_slideshow.ppt
    July 01, 2012 - Spotlight Case July 2008 Spotlight Case Not-So-Therapeutic Tap * * Source and Credits This presentation is based on the July 2012 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Jeffrey H. Barsuk, MD, MS; Northwestern University Feinberg Scho…
  7. psnet.ahrq.gov/perspective/implementing-patient-safety-program-large-national-health-system
    January 01, 2008 - In addition, individual hospitals have presented their experiences and outcomes from their work in a … it in the hope that others, particularly those in large, multisite systems, might benefit from the experiences … I do think that there are some recent experiences here at both the Brigham and the Mass General where
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867638/psn-pdf
    February 26, 2025 - Artificial intelligence related safety issues associated with FDA medical device reports. February 26, 2025 Handley JL, Krevat SA, Fong A, et al. Artificial intelligence related safety issues associated with FDA medical device reports. NPJ Digit Med. 2024;7(1):351. doi:10.1038/s41746-024-01357-5. https://psnet.ahr…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36697/psn-pdf
    February 03, 2011 - Deficits in communication and information transfer between hospital-based and primary care physicians: implications for patient safety and continuity of care. February 3, 2011 Kripalani S, LeFevre F, Phillips CO, et al. Deficits in communication and information transfer between hospital-based and primary care phys…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73445/psn-pdf
    June 30, 2021 - Moving beyond the weekend effect: how can we best target interventions to improve patient care? June 30, 2021 Marang-van de Mheen PJ, Vincent CA. Moving beyond the weekend effect: how can we best target interventions to improve patient care? BMJ Qual Saf. 2021;30(7):525-528. doi:10.1136/bmjqs-2020- 012620. https:…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50793/psn-pdf
    January 15, 2020 - Association between mobile telephone interruptions and medication administration errors in a pediatric intensive care unit. January 15, 2020 Bonafide CP, Miller JM, Localio AR, et al. Association between mobile telephone interruptions and medication administration errors in a pediatric intensive care unit. JAMA Pe…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46267/psn-pdf
    December 21, 2017 - Pictograms, units and dosing tools, and parent medication errors: a randomized study. December 21, 2017 Yin S, Parker RM, Sanders LM, et al. Pictograms, Units and Dosing Tools, and Parent Medication Errors: A Randomized Study. Pediatrics. 2017;140(1):e20163237. doi:10.1542/peds.2016-3237. https://psnet.ahrq.gov/is…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48172/psn-pdf
    July 31, 2019 - Prevalence, severity, and nature of preventable patient harm across medical care settings: systematic review and meta-analysis. July 31, 2019 Panagioti M, Khan K, Keers RN, et al. Prevalence, severity, and nature of preventable patient harm across medical care settings: systematic review and meta-analysis. BMJ. 20…
  14. psnet.ahrq.gov/issue/patient-safety-group
    March 27, 2024 - Multi-use Website The Patient Safety Group. Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL August 9, 2006 Development of The Patient Safety Group was motivated by the death of…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39422/psn-pdf
    March 23, 2011 - Organisational readiness: exploring the preconditions for success in organisation-wide patient safety improvement programmes. March 23, 2011 Burnett S, Benn J, Pinto A, et al. Organisational readiness: exploring the preconditions for success in organisation-wide patient safety improvement programmes. Qual Saf Heal…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60347/psn-pdf
    January 01, 2021 - Patient safety education 20 years after the Institute of Medicine report: results from a cross-sectional national survey. May 20, 2020 Arora S, Tsang F, Kekecs Z, et al. Patient safety education 20 years after the Institute of Medicine report: results from a cross-sectional national survey. J Patient Saf. 2021;17(…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72719/psn-pdf
    February 10, 2021 - The Diagnostic Error Index: a quality improvement initiative to identify and measure diagnostic errors. February 10, 2021 Perry MF, Melvin JE, Kasick RT, et al. The Diagnostic Error Index: a quality improvement initiative to identify and measure diagnostic errors. J Pediatr. 2021;232:257-263. doi:10.1016/j.jpeds.20…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72468/psn-pdf
    November 18, 2020 - Development of rapid response capabilities in a large COVID-19 alternate care site using Failure Modes and Effect Analysis with in situ simulation. November 18, 2020 Levy N, Zucco L, Ehrlichman RJ, et al. Development of rapid response capabilities in a large COVID-19 alternate care site using Failure Modes and Eff…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837628/psn-pdf
    July 06, 2022 - Multilevel factors associated with time to biopsy after abnormal screening mammography results by race and ethnicity. July 6, 2022 Lawson MB, Bissell MCS, Miglioretti DL, et al. Multilevel factors associated with time to biopsy after abnormal screening mammography results by race and ethnicity. JAMA Oncol. 2022;8(…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45554/psn-pdf
    October 19, 2016 - Injuries before and after diagnosis of cancer: nationwide register based study. October 19, 2016 Shen Q, Lu D, Schelin MEC, et al. Injuries before and after diagnosis of cancer: nationwide register based study. BMJ. 2016;354:i4218. doi:10.1136/bmj.i4218. https://psnet.ahrq.gov/issue/injuries-and-after-diagnosis-ca…

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