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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/856584/psn-pdf
    January 01, 2024 - Patient safety incidents in endoscopy: a human factors analysis of non-procedural significant harm incidents from the National Reporting and Learning System (NRLS). November 29, 2023 Ravindran S, Matharoo M, Rutter MD, et al. Patient safety incidents in endoscopy: a human factors analysis of nonprocedural signific…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43378/psn-pdf
    August 14, 2014 - Interventions to reduce pediatric medication errors: a systematic review. August 14, 2014 Rinke ML, Bundy DG, Velasquez CA, et al. Interventions to reduce pediatric medication errors: a systematic review. Pediatrics. 2014;134(2):338-360. doi:10.1542/peds.2013-3531. https://psnet.ahrq.gov/issue/interventions-reduce…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45375/psn-pdf
    September 27, 2016 - Association of a web-based handoff tool with rates of medical errors. September 27, 2016 Mueller SK, Yoon CS, Schnipper JL. Association of a Web-Based Handoff Tool With Rates of Medical Errors. JAMA Intern Med. 2016;176(9):1400-2. doi:10.1001/jamainternmed.2016.4258. https://psnet.ahrq.gov/issue/association-web-ba…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45509/psn-pdf
    September 28, 2016 - Computerized triggers of big data to detect delays in follow-up of chest imaging results. September 28, 2016 Murphy DR, Meyer AND, Bhise V, et al. Computerized Triggers of Big Data to Detect Delays in Follow-up of Chest Imaging Results. Chest. 2016;150(3):613-20. doi:10.1016/j.chest.2016.05.001. https://psnet.ahrq…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41795/psn-pdf
    September 07, 2016 - Drug shortage-associated increase in catheter-related blood stream infection in children. September 7, 2016 Ralls MW, Blackwood A, Arnold MA, et al. Drug shortage-associated increase in catheter-related blood stream infection in children. Pediatrics. 2012;130(5):e1369-73. doi:10.1542/peds.2011-3894. https://psnet.…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/861772/psn-pdf
    January 31, 2024 - Rapid expansion of the Healing Emotional Lives of Peers program during COVID-19: a second victim peer support program for healthcare professionals. January 31, 2024 Rivera-Chiauzzi EY, Huang L, Osborne AK, et al. Rapid expansion of the Healing Emotional Lives of Peers program during COVID-19: a second victim peer …
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40526/psn-pdf
    June 15, 2011 - Critical drug–drug interactions for use in electronic health records systems with computerized physician order entry: review of leading approaches. June 15, 2011 Classen DC, Phansalkar S, Bates DW. Critical Drug-Drug Interactions for Use in Electronic Health Records Systems With Computerized Physician Order Entry.…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42068/psn-pdf
    April 09, 2013 - Wisdom through adversity: learning and growing in the wake of an error. April 9, 2013 Plews-Ogan M, Owens JE, May NB. Wisdom through adversity: learning and growing in the wake of an error. Patient Educ Couns. 2013;91(2):236-42. doi:10.1016/j.pec.2012.12.006. https://psnet.ahrq.gov/issue/wisdom-through-adversity-l…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41986/psn-pdf
    January 23, 2013 - Slow progress on meeting hospital safety standards: learning from the Leapfrog Group's efforts. January 23, 2013 Moran J, Scanlon D. Slow progress on meeting hospital safety standards: learning from the Leapfrog Group's efforts. Health Aff (Millwood). 2013;32(1):27-35. doi:10.1377/hlthaff.2011.0056. https://psnet.…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48187/psn-pdf
    August 21, 2019 - How medical error shapes physicians' perceptions of learning: an exploratory study. August 21, 2019 Shepherd L, LaDonna KA, Cristancho SM, et al. How Medical Error Shapes Physicians' Perceptions of Learning: An Exploratory Study. Acad Med. 2019;94(8):1157-1163. doi:10.1097/ACM.0000000000002752. https://psnet.ahrq.…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45889/psn-pdf
    August 16, 2017 - New persistent opioid use after minor and major surgical procedures in US adults. August 16, 2017 Brummett CM, Waljee JF, Goesling J, et al. New Persistent Opioid Use After Minor and Major Surgical Procedures in US Adults. JAMA Surg. 2017;152(6):e170504. doi:10.1001/jamasurg.2017.0504. https://psnet.ahrq.gov/issue…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40978/psn-pdf
    March 21, 2012 - Relationship between patient safety and hospital surgical volume. March 21, 2012 Hernandez-Boussard T, Downey JR, McDonald KM, et al. Relationship between Patient Safety and Hospital Surgical Volume. Health Serv Res. 2011;47(2). doi:10.1111/j.1475-6773.2011.01310.x. https://psnet.ahrq.gov/issue/relationship-betwee…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841202/psn-pdf
    December 18, 2024 - Updated Results for the AHRQ Surveys on Patient Safety Culture Workplace Safety Supplemental Item Set for Hospitals. December 18, 2024 Tyler ER, Yalden O, Fan L, et al. Results For The Ahrq Surveys On Patient Safety Culture (Sops) Workplace Safety Supplemental Item Set For Hospitals. Agency for Healthcare Research…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42023/psn-pdf
    May 25, 2013 - Description and evaluation of adaptations to the Global Trigger Tool to enhance value to adverse event reduction efforts. May 25, 2013 Kennerly DA, Saldaña M, Kudyakov R, et al. Description and evaluation of adaptations to the global trigger tool to enhance value to adverse event reduction efforts. J Patient Saf. …
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42803/psn-pdf
    February 13, 2014 - Pilot testing of a model for insurer-driven, large-scale multicenter simulation training for operating room teams. February 13, 2014 Arriaga AF, Gawande AA, Raemer D, et al. Pilot testing of a model for insurer-driven, large-scale multicenter simulation training for operating room teams. Ann Surg. 2014;259(3):403-1…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47905/psn-pdf
    April 03, 2019 - Ranking hospitals based on preventable hospital death rates: a systematic review with implications for both direct measurement and indirect measurement through standardized mortality rates. April 3, 2019 Manaseki-Holland S, Lilford RJ, Te AP, et al. Ranking Hospitals Based on Preventable Hospital Death Rates: A S…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41225/psn-pdf
    March 29, 2012 - The impact of perioperative catastrophes on anesthesiologists: results of a national survey. March 29, 2012 Gazoni FM, Amato PE, Malik ZM, et al. The impact of perioperative catastrophes on anesthesiologists: results of a national survey. Anesth Analg. 2012;114(3):596-603. doi:10.1213/ANE.0b013e318227524e. https:/…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45333/psn-pdf
    September 21, 2016 - Association of inpatient hospital experience with patient safety indicators: a cross-sectional, Canadian study. September 21, 2016 Kemp KA, Santana MJ, Southern DA, et al. Association of inpatient hospital experience with patient safety indicators: a cross-sectional, Canadian study. BMJ Open. 2016;6(7):e011242. doi…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45437/psn-pdf
    September 01, 2018 - Decreasing malpractice claims by reducing preventable perinatal harm. September 1, 2018 Riley W, Meredith LW, Price R, et al. Decreasing Malpractice Claims by Reducing Preventable Perinatal Harm. Health Serv Res. 2016;51(suppl 3):2453-2471. doi:10.1111/1475-6773.12551. https://psnet.ahrq.gov/issue/decreasing-malpr…
  20. psnet.ahrq.gov/issue/final-check-say-it-out-loud
    July 31, 2023 - Multi-use Website The Final Check: Say it Out Loud. Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL August 1, 2012 This Web site provides resources to help reduce incidence of …