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  1. www.ahrq.gov/patient-safety/settings/hospital/resetguide.html
    July 01, 2020 - Redesigning Systems To Improve Teamwork and Quality for Hospitalized Patients (RESET Project) A number of challenges impede hospitals’ ability to provide high-quality care to patients on medical services. Teams are large, membership changes over time, and members are often physically scattered, working across m…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60202/psn-pdf
    April 08, 2020 - Use of an electronic clinical decision support system in primary care to assess inappropriate polypharmacy in young seniors with multimorbidity: observational, descriptive, cross-sectional study April 8, 2020 Rogero-Blanco E, Lopez-Rodriguez JA, Sanz-Cuesta T, et al. Use of an electronic clinical decision support …
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40618/psn-pdf
    August 27, 2012 - Predictors of likelihood of speaking up about safety concerns in labour and delivery. August 27, 2012 Lyndon A, Sexton B, Simpson KR, et al. Correction. BMJ Qual Saf. 2011;22(2):791-799. doi:10.1136/bmjqs.2010.050211. https://psnet.ahrq.gov/issue/predictors-likelihood-speaking-about-safety-concerns-labour-and-deli…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46890/psn-pdf
    December 21, 2018 - Physician burnout, well-being, and work unit safety grades in relationship to reported medical errors. December 21, 2018 Tawfik DS, Profit J, Morgenthaler TI, et al. Physician Burnout, Well-being, and Work Unit Safety Grades in Relationship to Reported Medical Errors. Mayo Clin Proc. 2018;93(11):1571-1580. doi:10.…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36342/psn-pdf
    March 02, 2011 - Missed and delayed diagnoses in the ambulatory setting: a study of closed malpractice claims. March 2, 2011 Gandhi TK, Kachalia A, Thomas EJ, et al. Missed and delayed diagnoses in the ambulatory setting: a study of closed malpractice claims. Ann Intern Med. 2006;145(7):488-496. https://psnet.ahrq.gov/issue/missed…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47531/psn-pdf
    June 19, 2019 - Patient Safety. June 19, 2019 Health Aff (Millwood). 2018;37(11):1723-1908. https://psnet.ahrq.gov/issue/patient-safety-14 The Institute of Medicine report, To Err Is Human, marked the founding of the patient safety field. This special issue of Health Affairs, published 20 years after that report, highlights achie…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47333/psn-pdf
    October 10, 2018 - Changing dynamics of the drug overdose epidemic in the United States from 1979 through 2016. October 10, 2018 Jalal H, Buchanich JM, Roberts MS, et al. Changing dynamics of the drug overdose epidemic in the United States from 1979 through 2016. Science (1979). 2018;361(6408). doi:10.1126/science.aau1184. https://p…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43323/psn-pdf
    January 07, 2015 - Unrealized potential and residual consequences of electronic prescribing on pharmacy workflow in the outpatient pharmacy. January 7, 2015 Nanji KC, Rothschild JM, Boehne JJ, et al. Unrealized potential and residual consequences of electronic prescribing on pharmacy workflow in the outpatient pharmacy. J Am Med Inf…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40289/psn-pdf
    March 16, 2011 - Unintentional therapeutic errors involving insulin in the ambulatory setting reported to poison centers. March 16, 2011 Spiller HA, Borys DJ, Ryan ML, et al. Unintentional therapeutic errors involving insulin in the ambulatory setting reported to poison centers. Ann Pharmacother. 2011;45(1):17-22. doi:10.1345/aph.1…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45407/psn-pdf
    September 27, 2016 - Safety of the Manchester Triage System to detect critically ill children at the emergency department. September 27, 2016 Zachariasse JM, Kuiper JW, de Hoog M, et al. Safety of the Manchester Triage System to Detect Critically Ill Children at the Emergency Department. J Pediatr. 2016;177:232-237.e1. doi:10.1016/j.j…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46975/psn-pdf
    November 16, 2018 - Electronic health record usability issues and potential contribution to patient harm. November 16, 2018 Howe JL, Adams KT, Hettinger Z, et al. Electronic Health Record Usability Issues and Potential Contribution to Patient Harm. JAMA. 2018;319(12):1276-1278. doi:10.1001/jama.2018.1171. https://psnet.ahrq.gov/issue…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39548/psn-pdf
    November 02, 2010 - Patient-specific electronic decision support reduces prescription of excessive doses. November 2, 2010 Seidling HM, Schmitt SPW, Bruckner T, et al. Patient-specific electronic decision support reduces prescription of excessive doses. Qual Saf Health Care. 2010;19(5):e15. doi:10.1136/qshc.2009.033175. https://psnet…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41446/psn-pdf
    June 13, 2012 - Concept and development of a discharge alert filter for abnormal laboratory values coupled with computerized provider order entry: a tool for quality improvement and hospital risk management. June 13, 2012 Mathew G, Kho A, Dexter P, et al. Concept and development of a discharge alert filter for abnormal laborator…
  14. 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-…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45901/psn-pdf
    April 12, 2017 - Development and applications of the Veterans Health Administration's Stratification Tool for Opioid Risk Mitigation (STORM) to improve opioid safety and prevent overdose and suicide. April 12, 2017 Oliva EM, Bowe T, Tavakoli S, et al. Development and applications of the Veterans Health Administration's Stratifica…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39031/psn-pdf
    March 23, 2011 - Care homes' use of medicines study: prevalence, causes and potential harm of medication errors in care homes for older people. March 23, 2011 Barber ND, Alldred DP, Raynor DK, et al. Care homes' use of medicines study: prevalence, causes and potential harm of medication errors in care homes for older people. Qual …
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39171/psn-pdf
    February 10, 2015 - Patient safety at ten: unmistakable progress, troubling gaps. February 10, 2015 Wachter R. Patient safety at ten: unmistakable progress, troubling gaps. Health Aff (Millwood). 2010;29(1):165-173. doi:10.1377/hlthaff.2009.0785. https://psnet.ahrq.gov/issue/patient-safety-ten-unmistakable-progress-troubling-gaps Th…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43917/psn-pdf
    November 03, 2015 - Underlying reasons associated with hospital readmission following surgery in the United States. November 3, 2015 Merkow RP, Ju MH, Chung JW, et al. Underlying reasons associated with hospital readmission following surgery in the United States. JAMA. 2015;313(5):483-495. doi:10.1001/jama.2014.18614. https://psnet.a…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37838/psn-pdf
    June 11, 2008 - Mitigation of patient harm from testing errors in family medicine offices: a report from the American Academy of Family Physicians National Research Network. June 11, 2008 Graham DG, Harris DM, Elder NC, et al. Mitigation of patient harm from testing errors in family medicine offices: a report from the American Ac…
  20. www.uspreventiveservicestaskforce.org/home/getfilebytoken/oXCNxbeXh-ZSDuEUzz6UQ8
    Clinical Summary: Behavioral Weight Loss Interventions to Prevent Obesity-Related Morbidity and Mortality in Adults Clinical Summary: Behavioral Weight Loss Interventions to Prevent Obesity-Related Morbidity and Mortality in Adults Population Adults w ith a BMI ≥30a Recommendation Offer or refer to i…