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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35551/psn-pdfJune 08, 2010 - Validity of unplanned admission to an intensive care unit as a measure of patient safety in surgical patients. June 8, 2010 Haller G, Myles PS, Wolfe R, et al. Validity of unplanned admission to an intensive care unit as a measure of patient safety in surgical patients. Anesthesiology. 2005;103(6):1121-1129. https… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34707/psn-pdfSeptember 29, 2017 - National Patient Safety Foundation agenda for research and development in patient safety. September 29, 2017 Cooper JB, Gaba DM, Liang B, et al. The National Patient Safety Foundation agenda for research and development in patient safety. MedGenMed. 2000;2(3):E38. https://psnet.ahrq.gov/issue/national-patient-safe… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72677/psn-pdfJanuary 27, 2021 - An implementation science approach to promote optimal implementation, adoption, use, and spread of continuous clinical monitoring system technology. January 27, 2021 Dykes PC, Lowenthal G, Faris A, et al. An Implementation Science Approach to Promote Optimal Implementation, Adoption, Use, and Spread of Continuous … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60159/psn-pdfMarch 25, 2020 - Root cause analyses of reported adverse events occurring during gastrointestinal scope and tube placement procedures in the Veterans Health Association. March 25, 2020 Soncrant C, Mills PD, Neily J, et al. Root cause analyses of reported adverse events occurring during gastrointestinal scope and tube placement pro… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45268/psn-pdfSeptember 27, 2016 - The role of radio frequency detection system embedded surgical sponges in preventing retained surgical sponges: a prospective evaluation in patients undergoing emergency surgery. September 27, 2016 Inaba K, Okoye O, Aksoy H, et al. The Role of Radio Frequency Detection System Embedded Surgical Sponges in Preventi… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60297/psn-pdfJanuary 01, 2021 - A call for the application of patient safety culture in medical humanitarian action: a literature review. May 6, 2020 Biquet J-M, Schopper D, Sprumont D, et al. A call for the application of patient safety culture in medical humanitarian action: a literature review. J Patient Saf. 2021;17(8):e1732-e1737. doi:10.10… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/61120/psn-pdfNovember 11, 2020 - Application of human factors methods to understand missed follow-up of abnormal test results. November 11, 2020 Rogith D, Satterly T, Singh H, et al. Application of human factors methods to understand missed follow-up of abnormal test results. Appl Clin Inform. 2020;11(05):692-698. doi:10.1055/s-0040-1716537. http… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74217/psn-pdfDecember 22, 2021 - NPSD Data Spotlight, Patient Safety and COVID-19: A Qualitative Analysis of Concerns During the Public Health Emergency, 2021. December 22, 2021 Rockville, MD: Agency for Healthcare Research and Quality; November 2021. AHRQ Pub. No. 22-0005. https://psnet.ahrq.gov/issue/npsd-data-spotlight-patient-safety-and-covid… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/864848/psn-pdfMarch 20, 2024 - An mHealth design to promote medication safety in children with medical complexity. March 20, 2024 Jolliff A, Coller RJ, Kearney H, et al. An mHealth design to promote medication safety in children with medical complexity. Appl Clin Inform. 2024;15(1):45-54. doi:10.1055/a-2214-8000. https://psnet.ahrq.gov/issue/mh… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42287/psn-pdfNovember 26, 2014 - What do patients think about year-end resident continuity clinic handoffs?: a qualitative study. November 26, 2014 Pincavage A, Lee WW, Beiting KJ, et al. What do patients think about year-end resident continuity clinic handoffs? A qualitative study. J Gen Intern Med. 2013;28(8):999-1007. doi:10.1007/s11606-013-239… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45197/psn-pdfMarch 20, 2017 - When doctors share visit notes with patients: a study of patient and doctor perceptions of documentation errors, safety opportunities and the patient–doctor relationship. March 20, 2017 Bell SK, Mejilla R, Anselmo M, et al. When doctors share visit notes with patients: a study of patient and doctor perceptions of … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74004/psn-pdfOctober 27, 2021 - Quality standards for safe medication in nursing homes: development through a multistep approach including a Delphi consensus study. October 27, 2021 Brühwiler LD, Niederhauser A, Fischer S, et al. Quality standards for safe medication in nursing homes: development through a multistep approach including a Delphi c… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60792/psn-pdfAugust 12, 2020 - Nurse workarounds in the electronic health record: an integrative review. August 12, 2020 Fraczkowski D, Matson J, Lopez KD. Nurse workarounds in the electronic health record: an integrative review. J Am Med Inform Assoc. 2020;27(7):1149-1165. doi:10.1093/jamia/ocaa050. https://psnet.ahrq.gov/issue/nurse-workaroun… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46570/psn-pdfApril 12, 2019 - Attending physician remote access of the electronic health record and implications for resident supervision: a mixed methods study. April 12, 2019 Martin SK, Tulla K, Meltzer DO, et al. Attending Physician Remote Access of the Electronic Health Record and Implications for Resident Supervision: A Mixed Methods Stud… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46739/psn-pdfJanuary 24, 2019 - Symptom–Disease Pair Analysis of Diagnostic Error (SPADE): a conceptual framework and methodological approach for unearthing misdiagnosis-related harms using big data. January 24, 2019 Liberman AL, Newman-Toker DE. Symptom-Disease Pair Analysis of Diagnostic Error (SPADE): a conceptual framework and methodologica… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44205/psn-pdfJune 21, 2015 - Teamwork, communication and safety climate: a systematic review of interventions to improve surgical culture. June 21, 2015 Sacks GD, Shannon EM, Dawes AJ, et al. Teamwork, communication and safety climate: a systematic review of interventions to improve surgical culture. BMJ Qual Saf. 2015;24(7):458-67. doi:10.11… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43581/psn-pdfDecember 26, 2014 - Moving beyond misuse and diversion: the urgent need to consider the role of iatrogenic addiction in the current opioid epidemic. December 26, 2014 Beauchamp GA, Winstanley EL, Ryan SA, et al. Moving beyond misuse and diversion: the urgent need to consider the role of iatrogenic addiction in the current opioid epid… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/857581/psn-pdfJanuary 01, 2025 - Medicare and Medicaid Programs and the Children’s Health Insurance Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long- Term Care Hospital Prospective Payment System and Policy Changes and Fiscal Year 2025 Rates; Quality Programs Requirements; and Other Policy Changes. Au… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/851663/psn-pdfJuly 26, 2023 - Quality of Care Concerns and the Facility Response Following a Medical Emergency at the VA Southern Nevada Health Care System in Las Vegas. July 26, 2023 Washington, DC: VA Office of the Inspector General; June 28, 2023. Report no. 22-02725-132. https://psnet.ahrq.gov/issue/quality-care-concerns-and-facility-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/864846/psn-pdfMarch 20, 2024 - The association between nurse staffing and quality of care in emergency departments: a systematic review. March 20, 2024 Drennan J, Murphy A, McCarthy VJC, et al. The association between nurse staffing and quality of care in emergency departments: a systematic review. Int J Nurs Stud. 2024;153:104706. doi:10.1016/…
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