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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867143/psn-pdf
    November 13, 2024 - A virtual breakthrough series collaborative for missed test results: a stepped-wedge cluster-randomized clinical trial. November 13, 2024 Zubkoff L, Zimolzak AJ, Meyer AND, et al. A virtual breakthrough series collaborative for missed test results: a stepped-wedge cluster-randomized clinical trial. JAMA Netw Open.…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48083/psn-pdf
    August 07, 2019 - Missed diagnosis of cancer in primary care: insights from malpractice claims data. August 7, 2019 Aaronson E, Quinn GR, Wong CI, et al. Missed diagnosis of cancer in primary care: Insights from malpractice claims data. J Healthc Risk Manag. 2019;39(2):19-29. doi:10.1002/jhrm.21385. https://psnet.ahrq.gov/issue/mis…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39101/psn-pdf
    March 05, 2010 - Interventions to improve team effectiveness: a systematic review. March 5, 2010 Buljac-Samardzic M, van Doorn CMD-, van Wijngaarden JDH, et al. Interventions to improve team effectiveness: a systematic review. Health Policy (New York). 2010;94(3):183-95. doi:10.1016/j.healthpol.2009.09.015. https://psnet.ahrq.gov…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40473/psn-pdf
    July 02, 2011 - A systematic review of failures in handoff communication during intrahospital transfers. July 2, 2011 Ong M-S, Coiera E. A systematic review of failures in handoff communication during intrahospital transfers. Jt Comm J Qual Patient Saf. 2011;37(6):274-284. https://psnet.ahrq.gov/issue/systematic-review-failures-h…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45461/psn-pdf
    January 03, 2017 - Operating room–to-ICU patient handovers: a multidisciplinary human-centered design approach. January 3, 2017 Segall N, Bonifacio AS, Barbeito A, et al. Operating Room-to-ICU Patient Handovers: A Multidisciplinary Human-Centered Design Approach. Jt Comm J Qual Patient Saf. 2016;42(9):400-14. https://psnet.ahrq.gov/…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37114/psn-pdf
    October 04, 2011 - A descriptive study of morbidity and mortality conferences and their conformity to medical incident analysis models: results of the morbidity and mortality conference improvement study, phase 1. October 4, 2011 Aboumatar HJ, Blackledge CG, Dickson C, et al. A descriptive study of morbidity and mortality conference…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40842/psn-pdf
    September 24, 2016 - A systematic review of the psychological literature on interruption and its patient safety implications. September 24, 2016 Li SYW, Magrabi F, Coiera E. A systematic review of the psychological literature on interruption and its patient safety implications. J Am Med Inform Assoc. 2012;19(1):6-12. doi:10.1136/amiajn…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46766/psn-pdf
    January 17, 2018 - What hinders the uptake of computerized decision support systems in hospitals? A qualitative study and framework for implementation. January 17, 2018 Liberati EG, Ruggiero F, Galuppo L, et al. What hinders the uptake of computerized decision support systems in hospitals? A qualitative study and framework for imple…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/859300/psn-pdf
    January 01, 2024 - Patient safety in remote primary care encounters: multimethod qualitative study combining Safety I and Safety II analysis. December 20, 2023 Payne R, Clarke A, Swann N, et al. Patient safety in remote primary care encounters: multimethod qualitative study combining Safety I and Safety II analysis. BMJ Qual Saf. 20…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841147/psn-pdf
    December 07, 2022 - Patient safety measurement tools used in nursing homes: a systematic literature review. December 7, 2022 Kim K-A, Lee J, Kim D, et al. Patient safety measurement tools used in nursing homes: a systematic literature review. BMC Health Serv Res. 2022;22(1):1376. doi:10.1186/s12913-022-08814-5. https://psnet.ahrq.gov…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38760/psn-pdf
    July 08, 2009 - Nurses' perceptions of safety culture in long-term care settings. July 8, 2009 Wagner LM, Capezuti E, Rice JC. Nurses' perceptions of safety culture in long-term care settings. J Nurs Scholarsh. 2009;41(2):184-192. doi:10.1111/j.1547-5069.2009.01270.x. https://psnet.ahrq.gov/issue/nurses-perceptions-safety-culture…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60887/psn-pdf
    September 09, 2020 - Human-based errors involving smart infusion pumps: a catalog of error types and prevention strategies. September 9, 2020 Kirkendall ES, Timmons K, Huth H, et al. Human-based errors involving smart infusion pumps: a catalog of error types and prevention strategies. Drug Saf. 2020;43(11):1073-1087. doi:10.1007/s40264…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45126/psn-pdf
    December 22, 2018 - Implementation of prescription drug monitoring programs associated with reductions in opioid-related death rates. December 22, 2018 Patrick SW, Fry CE, Jones TF, et al. Implementation of prescription drug monitoring programs associated with reductions in opioid-related death rates. Health Aff (Millwood). 2016;35(7)…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43533/psn-pdf
    August 28, 2017 - Organizational, cultural, and psychological determinants of smart infusion pump work arounds: a study of 3 U.S. health systems. August 28, 2017 Dunford BB, Perrigino M, Tucker SJ, et al. Organizational, Cultural, and Psychological Determinants of Smart Infusion Pump Work Arounds: A Study of 3 U.S. Health Systems. …

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46484/psn-pdf
    August 20, 2018 - Defining and measuring diagnostic uncertainty in medicine: a systematic review. August 20, 2018 Bhise V, Rajan SS, Sittig DF, et al. Defining and Measuring Diagnostic Uncertainty in Medicine: A Systematic Review. J Gen Intern Med. 2018;33(1):103-115. doi:10.1007/s11606-017-4164-1. https://psnet.ahrq.gov/issue/defi…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867009/psn-pdf
    October 23, 2024 - Specialized nurses' role in ensuring patient safety within the context of telehealth in home care: a scoping review. October 23, 2024 Vaismoradi M, Rae J, Turunen H, et al. Specialized nurses’ role in ensuring patient safety within the context of telehealth in home care: a scoping review. Digit Health. 2024;10:2055…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39777/psn-pdf
    November 04, 2012 - The Economic Measurement of Medical Errors. November 4, 2012 Shreve J, van Den Bos J, Gray T, Halford M, Rustagi K, Ziemkiewicz E. Schaumburg, IL: The Society of Actuaries; 2010. https://psnet.ahrq.gov/issue/economic-measurement-medical-errors Although the Institute of Medicine's estimate of up to 98,000 deaths ye…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47045/psn-pdf
    January 21, 2019 - Information management goals and process failures during home visits for middle-aged and older adults receiving skilled home healthcare services after hospital discharge: a multisite, qualitative study. January 21, 2019 Arbaje AI, Hughes A, Werner N, et al. Information management goals and process failures during …

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61065/psn-pdf
    October 28, 2020 - Health care-associated infections among critically ill children in the US, 2013-2018. October 28, 2020 Hsu HE, Mathew R, Wang R, et al. Health care-associated infections among critically ill children in the US, 2013-2018. JAMA Pediatr. 2020;174(12):1176-1183. doi:10.1001/jamapediatrics.2020.3223. https://psnet.ahr…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47010/psn-pdf
    March 13, 2019 - Comparative accuracy of diagnosis by collective intelligence of multiple physicians vs individual physicians. March 13, 2019 Barnett ML, Boddupalli D, Nundy S, et al. Comparative Accuracy of Diagnosis by Collective Intelligence of Multiple Physicians vs Individual Physicians. JAMA Netw Open. 2019;2(3):e190096. do…
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