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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39368/psn-pdfMay 04, 2010 - Results of the Medications At Transitions and Clinical Handoffs (MATCH) study: an analysis of medication reconciliation errors and risk factors at hospital admission. May 4, 2010 Gleason KM, McDaniel MR, Feinglass J, et al. Results of the Medications At Transitions and Clinical Handoffs (MATCH) Study: An Analysis… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/852746/psn-pdfAugust 23, 2023 - Common contributing factors of diagnostic error: a retrospective analysis of 109 serious adverse event reports from Dutch hospitals. August 23, 2023 Hooftman J, Dijkstra AC, Suurmeijer I, et al. Common contributing factors of diagnostic error: a retrospective analysis of 109 serious adverse event reports from Dutc… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37114/psn-pdfOctober 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… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40842/psn-pdfSeptember 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… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46679/psn-pdfDecember 22, 2018 - Are parents who feel the need to watch over their children's care better patient safety partners? December 22, 2018 Cox E, Hansen K, Rajamanickam VP, et al. Are Parents Who Feel the Need to Watch Over Their Children's Care Better Patient Safety Partners? Hosp Pediatr. 2017;7(12):716-722. doi:10.1542/hpeds.2017-003… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43290/psn-pdfJune 25, 2014 - Unexpectedly long hospital stays as an indicator of risk of unsafe care: an exploratory study. June 25, 2014 Borghans I, Hekkert KD, Ouden L den, et al. Unexpectedly long hospital stays as an indicator of risk of unsafe care: an exploratory study. BMJ Open. 2014;4(6):e004773. doi:10.1136/bmjopen-2013-004773. https… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47045/psn-pdfJanuary 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 … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44081/psn-pdfApril 22, 2015 - Accuracy of harm scores entered into an event reporting system. April 22, 2015 Abbasi T, Adornetto-Garcia D, Johnston PA, et al. Accuracy of harm scores entered into an event reporting system. J Nurs Adm. 2015;45(4):218-225. doi:10.1097/NNA.0000000000000188. https://psnet.ahrq.gov/issue/accuracy-harm-scores-entere… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866686/psn-pdfSeptember 11, 2024 - Impact of automated alerts on discharge opioid overprescribing after general surgery. September 11, 2024 Rizk E, Kaur N, Duong PY, et al. Impact of automated alerts on discharge opioid overprescribing after general surgery. Am J Health Syst Pharm. 2024;81(24):1288-1296. doi:10.1093/ajhp/zxae185. https://psnet.ahrq… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/846160/psn-pdfMarch 15, 2023 - Critical care teamwork in the future: the role of TeamSTEPPS in the COVID-19 pandemic and implications for the future. March 15, 2023 Terregino CA, Jagpal S, Parikh P, et al. Critical Care Teamwork in the Future: The Role of Critical care teamwork in the future: the role of TeamSTEPPS in the COVID-19 pandemic and … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36807/psn-pdfOctober 25, 2013 - HealthGrades Quality Study: Fourth Annual Patient Safety in American Hospitals Study. October 25, 2013 Denver, CO; Health Grades Inc; 2007. https://psnet.ahrq.gov/issue/healthgrades-quality-study-fourth-annual-patient-safety-american-hospitals- study This fourth annual report on the safety of hospitalized Medicar… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60181/psn-pdfApril 01, 2020 - Adapting rapid assessment procedures for implementation research using a team-based approach to analysis: a case example of patient quality and safety interventions in the ICU. April 1, 2020 Holdsworth LM, Safaeinili N, Winget M, et al. Adapting rapid assessment procedures for implementation research using a team… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/841147/psn-pdfDecember 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… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38760/psn-pdfJuly 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… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45666/psn-pdfApril 24, 2018 - The relationship between professional burnout and quality and safety in healthcare: a meta-analysis. April 24, 2018 Salyers MP, Bonfils KA, Luther L, et al. The Relationship Between Professional Burnout and Quality and Safety in Healthcare: A Meta-Analysis. J Gen Intern Care. 2017;32(4):475-482. doi:10.1007/s11606-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36909/psn-pdfJanuary 05, 2017 - Medical team training: applying crew resource management in the Veterans Health Administration. January 5, 2017 Dunn EJ, Mills PD, Neily J, et al. Medical team training: applying crew resource management in the Veterans Health Administration. Jt Comm J Qual Patient Saf. 2007;33(6):317-325. https://psnet.ahrq.gov/i… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866906/psn-pdfOctober 09, 2024 - Potential harms resulting from patient–clinician real-time clinical encounters using video-based telehealth: a making healthcare safer rapid evidence review. October 9, 2024 Rosen MA, Stewart CM, Kharrazi H, et al. Potential harms resulting from patient–clinician real-time clinical encounters using video-based tel… -
psnet.ahrq.gov/web-mm/discharged-blindlyOctober 26, 2022 - Discharged Blindly Citation Text: Iezzoni LI. Discharged Blindly. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS…
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/49413/psn-pdfSeptember 01, 2003 - Did We Forget Something? September 1, 2003 Gibbs VC. Did We Forget Something? PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/did-we-forget-something The Case A 76-year-old-man underwent right aorto-iliac aneurysm repair. He developed postoperative fever, initially attributed to ventilator-associated pneumo… -
Spotlight Case [MONTH] 2003 (ppt file)
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.84_slideshow.pptDecember 01, 2004 - Spotlight Case [MONTH] 2003 Spotlight Case December 2004 Discharge Fumbles Source and Credits This presentation is based on the Dec. 2004 AHRQ WebM&M Spotlight Case in Hospital Medicine See the full article at http://webmm.ahrq.gov CME credit is available through the Web site Commentary by: Alan Forster, M…
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