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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41408/psn-pdf
    October 19, 2012 - Patient notification for bloodborne pathogen testing due to unsafe injection practices in the US health care settings, 2001–2011. October 19, 2012 Guh AY, Thompson ND, Schaefer MK, et al. Patient notification for bloodborne pathogen testing due to unsafe injection practices in the US health care settings, 2001-201…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40963/psn-pdf
    November 30, 2011 - Association between Leapfrog safe practices score and hospital mortality in major surgery. November 30, 2011 Qian F, Lustik SJ, Diachun CA, et al. Association between Leapfrog safe practices score and hospital mortality in major surgery. Med Care. 2011;49(12):1082-1088. doi:10.1097/MLR.0b013e318238f26b. https://ps…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43323/psn-pdf
    January 07, 2015 - Unrealized potential and residual consequences of electronic prescribing on pharmacy workflow in the outpatient pharmacy. January 7, 2015 Nanji KC, Rothschild JM, Boehne JJ, et al. Unrealized potential and residual consequences of electronic prescribing on pharmacy workflow in the outpatient pharmacy. J Am Med Inf…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60248/psn-pdf
    April 22, 2020 - Circumstances involved in unsupervised solid dose medication exposures among young children. April 22, 2020 Agarwal M, Lovegrove MC, Geller RJ, et al. Circumstances involved in unsupervised solid dose medication exposures among young children. J Pediatr. 2020;219. doi:10.1016/j.jpeds.2019.12.027. https://psnet.ahr…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42969/psn-pdf
    October 31, 2014 - Reducing the burden of surgical harm: a systematic review of the interventions used to reduce adverse events in surgery. October 31, 2014 Howell A-M, Panesar S, Burns EM, et al. Reducing the burden of surgical harm: a systematic review of the interventions used to reduce adverse events in surgery. Ann Surg. 2014;2…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74050/psn-pdf
    November 10, 2021 - Health disparities: impact of health disparities and treatment decision-making biases on cancer adverse effects among black cancer survivors. November 10, 2021 Vo J, Gillman A, Mitchell K, et al. Health disparities: impact of health disparities and treatment decision- making biases on cancer adverse effects among …
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43590/psn-pdf
    October 08, 2014 - Disentangling quality and safety indicator data: a longitudinal, comparative study of hand hygiene compliance and accreditation outcomes in 96 Australian hospitals. October 8, 2014 Mumford V, Greenfield D, Hogden A, et al. Disentangling quality and safety indicator data: a longitudinal, comparative study of hand …
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44522/psn-pdf
    June 21, 2016 - Impact of an electronic alert notification system embedded in radiologists' workflow on closed-loop communication of critical results: a time series analysis. June 21, 2016 Lacson R, O'Connor SD, Sahni A, et al. Impact of an electronic alert notification system embedded in radiologists' workflow on closed-loop com…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43788/psn-pdf
    February 25, 2015 - Evaluating ambulatory practice safety: the PROMISES Project administrators and practice staff surveys. February 25, 2015 Singer SJ, Nieva HR, Brede N, et al. Evaluating ambulatory practice safety: the PROMISES project administrators and practice staff surveys. Med Care. 2015;53(2):141-52. doi:10.1097/MLR.000000000…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46515/psn-pdf
    December 22, 2018 - A contemporary medicolegal analysis of outpatient medication management in chronic pain. December 22, 2018 Abrecht CR, Brovman EY, Greenberg P, et al. A Contemporary Medicolegal Analysis of Outpatient Medication Management in Chronic Pain. Anesth Analg. 2017;125(5):1761-1768. doi:10.1213/ANE.0000000000002499. htt…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41967/psn-pdf
    May 10, 2013 - A comparative review of patient safety initiatives for national health information technology. May 10, 2013 Magrabi F, Aarts J, Nohr C, et al. A comparative review of patient safety initiatives for national health information technology. Int J Med Inform. 2013;82(5):e139-48. doi:10.1016/j.ijmedinf.2012.11.014. htt…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43170/psn-pdf
    December 12, 2014 - Effects of patient-, environment- and medication-related factors on high-alert medication incidents. December 12, 2014 Manias E, Williams A, Liew D, et al. Effects of patient-, environment- and medication-related factors on high-alert medication incidents. Int J Qual Health Care. 2014;26(3):308-20. doi:10.1093/intq…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45310/psn-pdf
    January 03, 2017 - Minding the gaps: assessing communication outcomes of electronic preconsultation exchange. January 3, 2017 Price EL, Sewell JL, Chen AH, et al. Minding the Gaps: Assessing Communication Outcomes of Electronic Preconsultation Exchange. Jt Comm J Qual Patient Saf. 2016;42(8):341-54. https://psnet.ahrq.gov/issue/mind…
  14. psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.122_slideshow.ppt
    April 01, 2006 - Spotlight Case [MONTH] 2003 Spotlight Case April 2006 Is the “Surgical Personality” a Threat to Patient Safety? Source and Credits This presentation is based on the April 2006 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available through the Web site Commentary …
  15. psnet.ahrq.gov/continuing-education
    February 26, 2025 - attack (TIA) – particularly in a young, healthy adult, and the limitations of non-contrast brain CT for identifying
  16. psnet.ahrq.gov/web-mm/bandemia-harbinger-stercoral-colitis-and-impending-perforation
    November 25, 2020 - responsible for at least 3.2% of colonic perforations requiring surgical intervention. 2 The importance of identifying
  17. psnet.ahrq.gov/web-mm/norepinephrine-dosing-error-associated-multiple-health-system-vulnerabilities
    November 27, 2019 - Active surveillance of medication pump entry data and guardrail overrides can assist in identifying new
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867475/psn-pdf
    February 26, 2025 - Identifying missed clinical opportunities in delivery of overdose prevention and naloxone prescription
  19. psnet.ahrq.gov/web-mm/hard-swallow
    April 26, 2023 - assessment ( 15 ) by understanding communication processes, learning where they are subject to fail, and identifying
  20. psnet.ahrq.gov/perspective/emerging-safety-issues-artificial-intelligence
    February 20, 2019 - and where algorithmic monitoring of large volumes of data is complementary to the clinical skill of identifying

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