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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40800/psn-pdf
    December 09, 2014 - 'Tempos' management in primary care: a key factor for classifying adverse events, and improving quality and safety. December 9, 2014 Amalberti R, Brami J. 'Tempos' management in primary care: a key factor for classifying adverse events, and improving quality and safety. BMJ Qual Saf. 2012;21(9):729-36. doi:10.1136…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45615/psn-pdf
    October 26, 2016 - Mandatory provider review and pain clinic laws reduce the amounts of opioids prescribed and overdose death rates. October 26, 2016 Dowell D, Zhang K, Noonan RK, et al. Mandatory Provider Review And Pain Clinic Laws Reduce The Amounts Of Opioids Prescribed And Overdose Death Rates. Health Aff (Millwood). 2016;35(10…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39526/psn-pdf
    December 02, 2014 - Decrease in hospital-wide mortality rate after implementation of a commercially sold computerized physician order entry system. December 2, 2014 Longhurst CA, Parast L, Sandborg CI, et al. Decrease in hospital-wide mortality rate after implementation of a commercially sold computerized physician order entry system…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43817/psn-pdf
    November 23, 2016 - Developing and evaluating the success of a family activated medical emergency team: a quality improvement report. November 23, 2016 Brady PW, Zix J, Brilli RJ, et al. Developing and evaluating the success of a family activated medical emergency team: a quality improvement report. BMJ Qual Saf. 2015;24(3):203-211. …

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46297/psn-pdf
    March 21, 2018 - Reasons for computerised provider order entry (CPOE)- based inpatient medication ordering errors: an observational study of voided orders. March 21, 2018 Abraham J, Kannampallil TG, Jarman A, et al. Reasons for computerised provider order entry (CPOE)- based inpatient medication ordering errors: an observational s…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47307/psn-pdf
    December 12, 2018 - Are teaching hospitals treated fairly in the Hospital- Acquired Condition Reduction Program? December 12, 2018 Mohajer MA, Joiner KA, Nix DE. Are Teaching Hospitals Treated Fairly in the Hospital-Acquired Condition Reduction Program? Acad Med. 2018;93(12):1827-1832. doi:10.1097/ACM.0000000000002399. https://psnet.…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43539/psn-pdf
    March 26, 2015 - Challenges and remediation for Patient Safety Indicators in the transition to ICD-10-CM. March 26, 2015 Boyd AD, Yang YM, Li J, et al. Challenges and remediation for Patient Safety Indicators in the transition to ICD-10-CM. J Am Med Inform Assoc. 2015;22(1):19-28. doi:10.1136/amiajnl-2013-002491. https://psnet.ahr…

  8. Tackling disrespectful, unprofessional provider behaviors. | PSNet

    psnet.ahrq.gov/issue/tackling-disrespectful-unprofessional-provider-behaviors
    January 13, 2021 - Newspaper/Magazine Article Tackling disrespectful, unprofessional provider behaviors. Citation Text: Tackling Disrespectful, Unprofessional Provider Behaviors. ED Manage. 2016;28(6):S1-S4. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endno…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48084/psn-pdf
    August 14, 2019 - Electronic health records, communication, and data sharing: challenges and opportunities for improving the diagnostic process. August 14, 2019 Quinn M, Forman J, Harrod M, et al. Electronic health records, communication, and data sharing: challenges and opportunities for improving the diagnostic process. Diagnosis…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48139/psn-pdf
    July 17, 2019 - 'Poking the skunk': ethical and medico-legal concerns in research about patients' experiences of medical injury. July 17, 2019 Moore JS, Mello MM, Bismark M. 'Poking the skunk': Ethical and medico-legal concerns in research about patients' experiences of medical injury. Bioethics. 2019;33(8):948-957. doi:10.1111/bi…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47777/psn-pdf
    January 01, 2021 - The association between complications, incidents, and patient experience: retrospective linkage of routine patient experience surveys and safety data. March 27, 2019 de Vos MS, Hamming JF, Boosman H, et al. The Association Between Complications, Incidents, and Patient Experience: Retrospective Linkage of Routine P…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42868/psn-pdf
    October 31, 2014 - Communication-and-resolution programs: the challenges and lessons learned from six early adopters. October 31, 2014 Mello MM, Boothman RC, McDonald TB, et al. Communication-and-resolution programs: the challenges and lessons learned from six early adopters. Health Aff (Millwood). 2014;33(1):20-29. doi:10.1377/hlth…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47228/psn-pdf
    August 09, 2018 - A road map for advancing the practice of respect in health care: the results of an interdisciplinary modified Delphi consensus study. August 9, 2018 Sokol-Hessner L, Folcarelli P, Annas CL, et al. A Road Map for Advancing the Practice of Respect in Health Care: The Results of an Interdisciplinary Modified Delphi C…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40725/psn-pdf
    October 16, 2012 - Association of ICU or hospital admission with unintentional discontinuation of medications for chronic diseases. October 16, 2012 Bell CM, Brener SS, Gunraj N, et al. Association of ICU or hospital admission with unintentional discontinuation of medications for chronic diseases. JAMA. 2011;306(8):840-7. doi:10.10…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40078/psn-pdf
    January 19, 2011 - Speaking up about safety concerns: multi-setting qualitative study of patients' views and experiences. January 19, 2011 Entwistle VA, McCaughan D, Watt I, et al. Speaking up about safety concerns: multi-setting qualitative study of patients' views and experiences. Qual Saf Health Care. 2010;19(6):e33. doi:10.1136/…

  16. JCAHO's safety goals—the clock is ticking, will your ED be compliant? | PSNet

    psnet.ahrq.gov/issue/jcahos-safety-goals-clock-ticking-will-your-ed-be-compliant
    April 10, 2019 - Commentary JCAHO's safety goals—the clock is ticking, will your ED be compliant? Citation Text: JCAHO's safety goals--the clock is ticking, will your ED be compliant? ED Manag. 2005;17(7):73-5. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XM…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46307/psn-pdf
    August 20, 2018 - Post-operative mortality, missed care and nurse staffing in nine countries: a cross-sectional study. August 20, 2018 Ball JE, Bruyneel L, Aiken LH, et al. Post-operative mortality, missed care and nurse staffing in nine countries: A cross-sectional study. Int J Nurs Stud. 2018;78:10-15. doi:10.1016/j.ijnurstu.2017.…

  18. Spotlight Case [MONTH] 2003 (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.37_slideshow.ppt
    November 01, 2003 - Spotlight Case [MONTH] 2003 Spotlight Case November 2003 The Missing Suction Tip Source and Credits This presentation is based on the Nov. 2003 AHRQ WebM&M Spotlight Case in Surgery See the full article at http://webmm.ahrq.gov CME credit is available through the Web site Commentary by: Eric J. Thomas, MD,…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33588/psn-pdf
    March 15, 2025 - Second Victims: Support for Clinicians Involved in Errors and Adverse Events March 15, 2025 Second Victims: Support for Clinicians Involved in Errors and Adverse Events. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/second-victims-support-clinicians-involved-errors-and-adverse-events PSNet primers are regu…

  20. 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):…
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