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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44494/psn-pdfJune 21, 2016 - Electronic trigger-based intervention to reduce delays in diagnostic evaluation for cancer: a cluster randomized controlled trial. June 21, 2016 Murphy DR, Wu L, Thomas EJ, et al. Electronic Trigger-Based Intervention to Reduce Delays in Diagnostic Evaluation for Cancer: A Cluster Randomized Controlled Trial. J Cl… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60029/psn-pdfMarch 11, 2020 - Prevalence, nature and predictors of omitted medication doses in mental health hospitals: a multi-centre study. March 11, 2020 Keers RN, Hann M, Alshehri GH, et al. Prevalence, nature and predictors of omitted medication doses in mental health hospitals: A multi-centre study. PLoS One. 2020;15(2):e0228868. doi:10.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/848083/psn-pdfApril 26, 2023 - Economic evaluations of interventions to prevent and control health-care-associated infections: a systematic review. April 26, 2023 Rice S, Carr K, Sobiesuo P, et al. Economic evaluations of interventions to prevent and control health-care- associated infections: a systematic review. Lancet Infect Dis. 2023;23(7):… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42802/psn-pdfJanuary 07, 2015 - Patient engagement in the inpatient setting: a systematic review. January 7, 2015 Prey JE, Woollen J, Wilcox L, et al. Patient engagement in the inpatient setting: a systematic review. J Am Med Inform Assoc. 2014;21(4):742-750. doi:10.1136/amiajnl-2013-002141. https://psnet.ahrq.gov/issue/patient-engagement-inpati… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/867599/psn-pdfJanuary 22, 2025 - Assessing patient work system factors for medication management during transition of care among older adults: an observational study. January 22, 2025 Xiao Y, Hsu Y-J, Hannum SM, et al. Assessing patient work system factors for medication management during transition of care among older adults: an observational st… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/867640/psn-pdfFebruary 26, 2025 - Patient safety of virtual primary care: a qualitative study examining risks and mitigation strategies. February 26, 2025 Lounsbury O, Li E, Lunova T, et al. Patient safety of virtual primary care: a qualitative study examining risks and mitigation strategies. Health Policy Tech. 2025;14(1):100966. doi:10.1016/j.hlp… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/853973/psn-pdfSeptember 27, 2023 - STOPP/START criteria for potentially inappropriate prescribing in older people: version 3. September 27, 2023 O’Mahony D, Cherubini A, Guiteras AR, et al. STOPP/START criteria for potentially inappropriate prescribing in older people: version 3. Eur Geriatr Med. 2023;14(4):625-632. doi:10.1007/s41999-023- 00777-y.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36697/psn-pdfFebruary 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… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34689/psn-pdfFebruary 10, 2011 - Incidence of adverse drug events and potential adverse drug events: implications for prevention. February 10, 2011 Bates DW, Cullen DJ, Laird N, et al. Incidence of adverse drug events and potential adverse drug events. Implications for prevention. ADE Prevention Study Group. JAMA. 1995;274(1):29-34. https://psnet… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42509/psn-pdfAugust 21, 2013 - Explaining Matching Michigan: an ethnographic study of a patient safety program. August 21, 2013 Dixon-Woods M, Leslie M, Tarrant C, et al. Explaining Matching Michigan: an ethnographic study of a patient safety program. Implement Sci. 2013;8:70. doi:10.1186/1748-5908-8-70. https://psnet.ahrq.gov/issue/explaining-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41496/psn-pdfDecember 21, 2014 - Hospital-based medication reconciliation practices: a systematic review. December 21, 2014 Mueller SK, Sponsler KC, Kripalani S, et al. Hospital-based medication reconciliation practices: a systematic review. Arch Intern Med. 2012;172(14):1057-69. doi:10.1001/archinternmed.2012.2246. https://psnet.ahrq.gov/issue/h… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44965/psn-pdfFebruary 15, 2017 - Identification and Prioritization of Health IT Patient Safety Measures. February 15, 2017 Washington, DC: National Quality Forum; February 2016. https://psnet.ahrq.gov/issue/identification-and-prioritization-health-it-patient-safety-measures Health information technology (IT) has transformed health care and improv… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41066/psn-pdfOctober 16, 2012 - Hospital Incident Reporting Systems Do Not Capture Most Patient Harm. October 16, 2012 Levinson DR. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; January 2012. Report No. OEI-06-09-00091. https://psnet.ahrq.gov/issue/hospital-incident-reporting-systems-do-not-capture-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39123/psn-pdfApril 30, 2014 - Incorrect surgical procedures within and outside of the operating room. April 30, 2014 Neily J, Mills PD, Eldridge N, et al. Incorrect surgical procedures within and outside of the operating room. Arch Surg. 2009;144(11):1028-34. doi:10.1001/archsurg.2009.126. https://psnet.ahrq.gov/issue/incorrect-surgical-proced… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50702/psn-pdfDecember 04, 2019 - Smart pumps improve medication safety but increase alert burden in neonatal care December 4, 2019 Melton KR, Timmons K, Walsh KE, et al. Smart pumps improve medication safety but increase alert burden in neonatal care. BMC Medical Inform Decis Mak. 2019;19(1):213. doi:10.1186/s12911-019-0945-2. https://psnet.ahrq.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60347/psn-pdfJanuary 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(… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36291/psn-pdfOctober 25, 2010 - Medicare payment for selected adverse events: building the business case for investing in patient safety. October 25, 2010 Zhan C, Friedman B, Mosso A, et al. Medicare payment for selected adverse events: building the business case for investing in patient safety. Health Aff (Millwood). 2006;25(5):1386-93. https:/… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/850161/psn-pdfJune 07, 2023 - Analysis of the nature and contributory factors of medication safety incidents following hospital discharge using National Reporting and Learning System (NRLS) data from England and Wales: a multi-method study. June 7, 2023 Alqenae FA, Steinke DT, Carson-Stevens A, et al. Analysis of the nature and contributory fa… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72468/psn-pdfNovember 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… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43474/psn-pdfAugust 28, 2017 - Racial and ethnic disparities in patient safety. August 28, 2017 Okoroh JS, Uribe EF, Weingart SN. Racial and Ethnic Disparities in Patient Safety. J Patient Saf. 2017;13(3):153-161. doi:10.1097/PTS.0000000000000133. https://psnet.ahrq.gov/issue/racial-and-ethnic-disparities-patient-safety Prior studies have raise…
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