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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40392/psn-pdf
    February 10, 2015 - 'Global Trigger Tool' shows that adverse events in hospitals may be ten times greater than previously measured. February 10, 2015 Classen D, Resar RK, Griffin F, et al. 'Global trigger tool' shows that adverse events in hospitals may be ten times greater than previously measured. Health Aff (Millwood). 2011;30(4):…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/840259/psn-pdf
    November 16, 2022 - Clinician collaboration to improve clinical decision support: the Clickbusters initiative. November 16, 2022 Mc Coy AB, Russo EM, Johnson KB, et al. Clinician collaboration to improve clinical decision support: the Clickbusters initiative. J Am Med Inform Assoc. Epub 2022 Mar 4 https://psnet.ahrq.gov/innovation/cl…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845356/psn-pdf
    March 29, 2023 - A novel approach for engagement in team training in high-technology surgery: the robotic-assisted surgery olympics. March 29, 2023 Cohen TN, Anger JT, Kanji FF, et al. A novel approach for engagement in team training in high-technology surgery: the robotic-assisted surgery olympics. J Patient Saf. 2022;18(6):570-5…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46411/psn-pdf
    April 12, 2019 - Effect of health information exchange on recognition of medication discrepancies is interrupted when data charges are introduced: results of a cluster-randomized controlled trial. April 12, 2019 Boockvar K, Ho W, Pruskowski J, et al. Effect of health information exchange on recognition of medication discrepancies…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45293/psn-pdf
    February 01, 2017 - Patient safety incidents involving sick children in primary care in England and Wales: a mixed methods analysis. February 1, 2017 Rees P, Edwards A, Powell C, et al. Patient Safety Incidents Involving Sick Children in Primary Care in England and Wales: A Mixed Methods Analysis. PLoS Med. 2017;14(1):e1002217. doi:1…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42099/psn-pdf
    March 13, 2013 - Inpatient fall prevention programs as a patient safety strategy: a systematic review. March 13, 2013 Miake-Lye IM, Hempel S, Ganz DA, et al. Inpatient fall prevention programs as a patient safety strategy: a systematic review. Ann Intern Med. 2013;158(5 Pt 2):390-396. doi:10.7326/0003-4819-158-5-201303051- 00005. …
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845358/psn-pdf
    March 29, 2023 - Implementation of a medication reconciliation risk stratification tool integrated within an electronic health record: a case series of three academic medical centers. March 29, 2023 Chu ES, El-Kareh R, Biondo A, et al. Implementation of a medication reconciliation risk stratification tool integrated within an elec…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44434/psn-pdf
    June 21, 2016 - Hospital board and management practices are strongly related to hospital performance on clinical quality metrics. June 21, 2016 Tsai TC, Jha AK, Gawande AA, et al. Hospital board and management practices are strongly related to hospital performance on clinical quality metrics. Health Aff (Millwood). 2015;34(8):130…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39617/psn-pdf
    February 18, 2011 - Potential unintended consequences due to Medicare's "No Pay for Errors Rule"? A randomized controlled trial of an educational intervention with internal medicine residents. February 18, 2011 Mookherjee S, Vidyarthi AR, Ranji SR, et al. Potential Unintended Consequences Due to Medicare’s “No Pay for Errors Rule”? …
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47117/psn-pdf
    November 16, 2018 - Using a pediatric trigger tool to estimate total harm burden hospital-acquired conditions represent. November 16, 2018 Stockwell DC, Landrigan CP, Schuster MA, et al. Using a Pediatric Trigger Tool to Estimate Total Harm Burden Hospital-acquired Conditions Represent. Pediatr Qual Saf. 2018;3(3):e081. doi:10.1097/p…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47928/psn-pdf
    January 01, 2021 - Perceptions of pediatric hospital safety culture in the United States: an analysis of the 2016 Hospital Survey on Patient Safety Culture. April 24, 2019 Gampetro PJ, Segvich JP, Jordan N, et al. Perceptions of Pediatric Hospital Safety Culture in the United States: An Analysis of the 2016 Hospital Survey on Patien…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39501/psn-pdf
    January 03, 2017 - Harmful medication errors involving unfractionated and low-molecular-weight heparin in three patient safety reporting programs. January 3, 2017 Grissinger MC, Hicks RW, Keroack MA, et al. Harmful medication errors involving unfractionated and low- molecular-weight heparin in three patient safety reporting programs…
  13. psnet.ahrq.gov/innovation/battle-buddies-rapid-deployment-psychological-resilience-intervention-health-care
    September 09, 2020 - EMERGING INNOVATIONS Battle Buddies: rapid deployment of a psychological resilience intervention for health care workers during the COVID-19 pandemic Citation Text: Albott CS, Wozniak JR, McGlinch BP, et al. Battle Buddies: rapid deployment of a psychological resilience intervention for health car…
  14. psnet.ahrq.gov/perspective/conversation-mark-l-graber-md
    January 01, 2016 - errors, these areas include clarifying responsibilities for follow-up of abnormal clinical findings, identifying … with further refinement, a single clinician could use the recently developed Safer Dx instrument for identifying
  15. psnet.ahrq.gov/web-mm/delayed-diagnosis-mesenteric-ischemia
    March 31, 2021 - Identifying Risks to Patient Safety The PCP, gastroenterologist, and endocrinologist did not fully
  16. psnet.ahrq.gov/web-mm/duplicate-therapies-retail-pharmacy
    August 05, 2022 - mitigated through best practices in medication reconciliation , which is defined as the process of identifying
  17. psnet.ahrq.gov/web-mm/all-history
    February 28, 2011 - These "ring downs" are necessarily brief, do not include identifying information (beyond patient age
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49431/psn-pdf
    January 01, 2004 - Keys to detecting acute aortic dissection are a complete history (identifying the quality, severity,
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841469/psn-pdf
    December 14, 2022 - care, critical care, rheumatology, pulmonology, and oncology, should be aware of the importance of identifying
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49497/psn-pdf
    December 01, 2005 - Once identified, these instructors need to develop skills in identifying learning objectives for various

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