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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853973/psn-pdf
    September 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.…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36697/psn-pdf
    February 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…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34758/psn-pdf
    January 29, 2019 - Normal Accidents: Living with High-Risk Technologies. January 29, 2019 Perrow C. Princeton NJ: Princeton University Press; 1999. https://psnet.ahrq.gov/issue/normal-accidents-living-high-risk-technologies Though less often cited than high-reliability theory in the health care literature, normal accidents theor…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41496/psn-pdf
    December 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…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72546/psn-pdf
    December 09, 2020 - Learning from incident reporting? Analysis of incidents resulting in patient injuries in a web-based system in Swedish health care. December 9, 2020 Ahlberg E-L, Elfström J, Borgstedt MR, et al. Learning from incident reporting? Analysis of incidents resulting in patient injuries in a web-based system in Swedish h…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41777/psn-pdf
    April 05, 2013 - Effect of nonpayment for preventable infections in U.S. hospitals. April 5, 2013 Lee GM, Kleinman K, Soumerai SB, et al. Effect of nonpayment for preventable infections in U.S. hospitals. N Engl J Med. 2012;367(15):1428-37. doi:10.1056/NEJMsa1202419. https://psnet.ahrq.gov/issue/effect-nonpayment-preventable-infec…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38291/psn-pdf
    April 08, 2011 - Medical diagnoses commonly associated with pediatric malpractice lawsuits in the United States. April 8, 2011 McAbee GN, Donn SM, Mendelson RA, et al. Medical diagnoses commonly associated with pediatric malpractice lawsuits in the United States. Pediatrics. 2008;122(6):e1282-e1286. doi:10.1542/peds.2008- 1594. h…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36334/psn-pdf
    October 26, 2010 - Missed and delayed diagnoses in the emergency department: a study of closed malpractice claims from 4 liability insurers. October 26, 2010 Kachalia A, Gandhi TK, Puopolo AL, et al. Missed and delayed diagnoses in the emergency department: a study of closed malpractice claims from 4 liability insurers. Ann Emerg Me…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41100/psn-pdf
    February 01, 2012 - Agency for Healthcare Research and Quality pediatric indicators as a quality metric for surgery in children: do they predict adverse outcomes? February 1, 2012 Rhee D, Zhang Y, Papandria DJ, et al. Agency for Healthcare Research and Quality pediatric indicators as a quality metric for surgery in children: do they …

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848316/psn-pdf
    May 03, 2023 - Floating to intensive care units: nurses' messages for instant action to promote patient safety. May 3, 2023 Ahmed FR, Timmins F, Dias JM, et al. Floating to intensive care units: nurses' messages for instant action to promote patient safety. Nurs Crit Care. 2023;28(6):902-912. doi:10.1111/nicc.12907. https://psne…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47073/psn-pdf
    July 02, 2019 - Physician prescribing of opioids to patients at increased risk of overdose from benzodiazepine use in the United States. July 2, 2019 Ladapo JA, Larochelle MR, Chen A, et al. Physician Prescribing of Opioids to Patients at Increased Risk of Overdose From Benzodiazepine Use in the United States. JAMA Psychiatry. 20…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865334/psn-pdf
    March 27, 2024 - Describing the evidence linking interprofessional education interventions to improving the delivery of safe and effective patient care: a scoping review. March 27, 2024 Cadet T, Cusimano J, McKearney S, et al. Describing the evidence linking interprofessional education interventions to improving the delivery of sa…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74159/psn-pdf
    December 08, 2021 - Disparities after discharge: the association of limited English proficiency and postdischarge patient-reported issues. December 8, 2021 Malevanchik L, Wheeler M, Gagliardi K, et al. Disparities after discharge: the association of limited English proficiency and postdischarge patient-reported issues. . Jt Comm J Qu…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38199/psn-pdf
    March 03, 2011 - Patient safety indicators for England from hospital administrative data: case-control analysis and comparison with US data. March 3, 2011 Raleigh VS, Cooper J, Bremner SA, et al. Patient safety indicators for England from hospital administrative data: case-control analysis and comparison with US data. BMJ. 2008;33…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853428/psn-pdf
    September 13, 2023 - Intensive care unit critical incident analysis as an objective tool to select content for a simulation curriculum. September 13, 2023 Yartsev A, Yang F. Intensive care unit critical incident analysis as an objective tool to select content for a simulation curriculum. Simul Healthc. 2023;18(4):279-282. doi:10.1097/…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46696/psn-pdf
    January 10, 2018 - Achieving the Institute of Medicine's 6 aims for quality in the midst of the opioid crisis: considerations for the emergency department. January 10, 2018 Waszak DL, Fennimore LA. Achieving the Institute of Medicine's 6 aims for quality in the midst of the opioid crisis: considerations for the emergency department.…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36291/psn-pdf
    October 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:/…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48008/psn-pdf
    May 22, 2019 - Patients as diagnostic collaborators: sharing visit notes to promote accuracy and safety. May 22, 2019 Blease CR, Bell SK. Patients as diagnostic collaborators: sharing visit notes to promote accuracy and safety. Diagnosis (Berl). 2019;6(3):213-221. doi:10.1515/dx-2018-0106. https://psnet.ahrq.gov/issue/patients-d…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72649/psn-pdf
    January 20, 2021 - Wrong-site surgery in Pennsylvania during 2015–2019: a study of variables associated with 368 events from 178 facilities. January 20, 2021 Yonash RA, Taylor M. Wrong-Site Surgery in Pennsylvania During 2015–2019: A Study of Variables Associated With 368 Events From 178 Facilities. Patient Safety. 2020;2(4):24-39. …

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46450/psn-pdf
    August 20, 2018 - Improving Diagnostic Quality and Safety Final Report. August 20, 2018 Washington, DC: National Quality Forum. September 19, 2017. https://psnet.ahrq.gov/issue/improving-diagnostic-quality-and-safety-final-report Although diagnostic error is a well-recognized source of preventable patient harm, measuring and mitiga…
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