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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39215/psn-pdf
    January 03, 2017 - Adverse drug events among hospitalized Medicare patients: epidemiology and national estimates from a new approach to surveillance. January 3, 2017 Classen D, Jaser L, Budnitz DS. Adverse drug events among hospitalized Medicare patients: epidemiology and national estimates from a new approach to surveillance. Jt Co…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42883/psn-pdf
    September 01, 2016 - Are we heeding the warning signs? Examining providers' overrides of computerized drug–drug interaction alerts in primary care. September 1, 2016 Slight SP, Seger DL, Nanji KC, et al. Are we heeding the warning signs? Examining providers' overrides of computerized drug-drug interaction alerts in primary care. PLoS …
  3. www.ahrq.gov/es/patient-safety/settings/hospital/match/appendix/app-8.html
    July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Appendix, Sample Letter to Discipline-Specific Leaders on Meeting Regarding Training and Implementation Strategy for Medication Reconciliation Previous Page Next Page Table of Contents Medications at Trans…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45553/psn-pdf
    October 13, 2018 - Computerized prescriber order entry–related patient safety reports: analysis of 2522 medication errors. October 13, 2018 Amato MG, Salazar A, Hickman T-TT, et al. Computerized prescriber order entry-related patient safety reports: analysis of 2522 medication errors. J Am Med Inform Assoc. 2017;24(2):316-322. doi:1…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37166/psn-pdf
    February 03, 2011 - Mortality among hospitalized Medicare beneficiaries in the first 2 years following ACGME resident duty hour reform. February 3, 2011 Meltzer DO, Arora VM. Evaluating Resident Duty Hour Reforms. JAMA. 2007;298(9). doi:10.1001/jama.298.9.1055. https://psnet.ahrq.gov/issue/mortality-among-hospitalized-medicare-benef…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43253/psn-pdf
    May 01, 2015 - Interim Report: Review of VHA's Patient Wait Times, Scheduling Practices, and Alleged Patient Deaths at the Phoenix Health Care System. May 1, 2015 Washington, DC: VA Office of the Inspector General; May 28, 2014. Report No. 14-02603-178. https://psnet.ahrq.gov/issue/interim-report-review-vhas-patient-wait-times-s…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45113/psn-pdf
    May 11, 2016 - Medical error—the third leading cause of death in the US. May 11, 2016 Makary MA, Daniel M. Medical error-the third leading cause of death in the US. BMJ. 2016;353:i2139. doi:10.1136/bmj.i2139. https://psnet.ahrq.gov/issue/medical-error-third-leading-cause-death-us How many patients die each year due to preventabl…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45769/psn-pdf
    December 21, 2016 - National Scorecard on Rates of Hospital-Acquired Conditions 2010 to 2015: Interim Data From National Efforts to Make Health Care Safer. December 21, 2016 Rockville, MD: Agency for Healthcare Research and Quality; December 2016. https://psnet.ahrq.gov/issue/national-scorecard-rates-hospital-acquired-conditions-2010…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46245/psn-pdf
    June 28, 2017 - Associations between patient factors and adverse events in the home care setting: a secondary data analysis of two Canadian adverse event studies. June 28, 2017 Sears NA, Blais R, Spinks M, et al. Associations between patient factors and adverse events in the home care setting: a secondary data analysis of two can…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41535/psn-pdf
    December 31, 2014 - Understanding and preventing wrong-patient electronic orders: a randomized controlled trial. December 31, 2014 Adelman JS, Kalkut GE, Schechter CB, et al. Understanding and preventing wrong-patient electronic orders: a randomized controlled trial. J Am Med Inform Assoc. 2013;20(2):305-310. doi:10.1136/amiajnl- 201…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45167/psn-pdf
    May 25, 2016 - AHRQ Communication and Optimal Resolution (CANDOR) Toolkit. May 25, 2016 Rockville, MD: Agency for Healthcare Research and Quality; May 2016. https://psnet.ahrq.gov/issue/ahrq-communication-and-optimal-resolution-candor-toolkit Traditionally, health systems have disclosed adverse events to patients only through a …
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40483/psn-pdf
    September 20, 2011 - Advancing the science of patient safety. September 20, 2011 Shekelle PG, Pronovost P, Wachter R, et al. Advancing the science of patient safety. Ann Intern Med. 2011;154(10):693-6. doi:10.7326/0003-4819-154-10-201105170-00011. https://psnet.ahrq.gov/issue/advancing-science-patient-safety Research on patient safety…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40904/psn-pdf
    January 04, 2012 - Effect of illness severity and comorbidity on patient safety and adverse events. January 4, 2012 Naessens JM, Campbell CR, Shah ND, et al. Effect of illness severity and comorbidity on patient safety and adverse events. Am J Med Qual. 2012;27(1):48-57. doi:10.1177/1062860611413456. https://psnet.ahrq.gov/issue/eff…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45911/psn-pdf
    June 27, 2018 - Use of unsolicited patient observations to identify surgeons with increased risk for postoperative complications. June 27, 2018 Cooper WO, Guillamondegui O, Hines J, et al. Use of Unsolicited Patient Observations to Identify Surgeons With Increased Risk for Postoperative Complications. JAMA Surg. 2017;152(6):522-5…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50794/psn-pdf
    January 15, 2020 - Severe illness getting noticed sooner - SIGNS-for-Kids: developing an illness recognition tool to connect home and hospital. January 15, 2020 Gilleland J, Bayfield D, Bayliss A, et al. Severe illness getting noticed sooner – SIGNS-for-Kids: developing an illness recognition tool to connect home and hospital. BMJ O…
  16. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/nurse-role-dxsafety1.html
    September 01, 2022 - Reinforcing the Value and Roles of Nurses in Diagnostic Safety: Pragmatic Recommendations for Nurse Leaders and Educators Introduction Previous Page Next Page Table of Contents Reinforcing the Value and Roles of Nurses in Diagnostic Safety: Pragmatic Recommendations for Nurse Leaders and Educators …
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44671/psn-pdf
    September 20, 2016 - Primary care physicians' willingness to disclose oncology errors involving multiple providers to patients. September 20, 2016 Mazor KM, Roblin DW, Greene SM, et al. Primary care physicians' willingness to disclose oncology errors involving multiple providers to patients. BMJ Qual Saf. 2016;25(10):787-95. doi:10.113…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47203/psn-pdf
    October 25, 2018 - Speaking up about care concerns in the ICU: patient and family experiences, attitudes and perceived barriers. October 25, 2018 Bell SK, Roche S, Mueller A, et al. Speaking up about care concerns in the ICU: patient and family experiences, attitudes and perceived barriers. BMJ Qual Saf. 2018;27(11):928-936. doi:10.1…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47149/psn-pdf
    June 06, 2018 - Reducing serious safety events and priority hospital- acquired conditions in a pediatric hospital with the implementation of a patient safety program. June 6, 2018 Phipps AR, Paradis M, Peterson KA, et al. Reducing Serious Safety Events and Priority Hospital-Acquired Conditions in a Pediatric Hospital with the Imp…
  20. www.ahrq.gov/patient-safety/settings/hospital/match/appendix/app-8.html
    July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Appendix, Sample Letter to Discipline-Specific Leaders on Meeting Regarding Training and Implementation Strategy for Medication Reconciliation Previous Page Next Page Table of Contents Medications at Trans…