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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42245/psn-pdf
    July 22, 2013 - 25-Year summary of US malpractice claims for diagnostic errors 1986–2010: an analysis from the National Practitioner Data Bank. July 22, 2013 Tehrani ASS, Lee HW, Mathews SC, et al. 25-Year summary of US malpractice claims for diagnostic errors 1986-2010: an analysis from the National Practitioner Data Bank. BMJ Q…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47530/psn-pdf
    June 19, 2019 - Two decades since To Err Is Human: an assessment of progress and emerging priorities in patient safety. June 19, 2019 Bates DW, Singh H. Two Decades Since To Err Is Human: An Assessment Of Progress And Emerging Priorities In Patient Safety. Health Aff (Millwood). 2018;37(11):1736-1743. doi:10.1377/hlthaff.2018.0738…

  3. 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. …

  4. 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…

  5. 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…

  6. 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…

  7. 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…

  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/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…

  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/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”? …

  12. 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…

  13. 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…

  14. Creating a Culture of Safety for Opioid Prescribing: A Handbook for Healthcare Executives. | PSNet

    psnet.ahrq.gov/issue/creating-culture-safety-opioid-prescribing-handbook-healthcare-executives
    May 01, 2023 - Toolkit Creating a Culture of Safety for Opioid Prescribing: A Handbook for Healthcare Executives. Citation Text: Centers for Disease Control and Prevention (CDC); 2021. Creating a Culture of Safety for Opioid Prescribing: A Handbook for Healthcare Executives. Copy Citation Format:…

  15. Signout Fallout | PSNet

    psnet.ahrq.gov/web-mm/signout-fallout
    November 16, 2022 - SPOTLIGHT CASE Signout Fallout Citation Text: Starmer AJ, Landrigan CP. Signout Fallout. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote…

  16. Volume Too Low: In and Out | PSNet

    psnet.ahrq.gov/web-mm/volume-too-low-and-out
    July 01, 2017 - SPOTLIGHT CASE Volume Too Low: In and Out Citation Text: Miller MR. Volume Too Low: In and Out . PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011. Copy Citation Format: Google Scholar BibTeX EndNote X3 XM…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74252/psn-pdf
    January 12, 2022 - In Conversation With... Poonam Sharma, MD, MPH, the Senior Clinical Data Analyst at Atrium Health, and Rhonda Dickman, MSN, RN, CPHQ, the Director of the Tennessee Hospital Association PSO January 12, 2022 In Conversation With.. Poonam Sharma, MD, MPH, the Senior Clinical Data Analyst at Atrium Health, and Rhonda…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865411/psn-pdf
    March 27, 2024 - Uterine Artery Injury during Cesarean Delivery Leads to Cardiac Arrests and Emergency Hysterectomy March 27, 2024 Lopez C, Tache V. Uterine Artery Injury during Cesarean Delivery Leads to Cardiac Arrests and Emergency Hysterectomy. PSNet [internet]. 2024. https://psnet.ahrq.gov/web-mm/uterine-artery-injury-during-…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73336/psn-pdf
    May 26, 2021 - The “Great Pretender” (Syphilis) is Still Stumping Healthcare Providers May 26, 2021 Glaser K, Vongspanich-Dray J. The “Great Pretender” (Syphilis) is Still Stumping Healthcare Providers. PSNet [internet]. 2021. https://psnet.ahrq.gov/web-mm/great-pretender-syphilis-still-stumping-healthcare-providers The Case  …

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49738/psn-pdf
    August 21, 2015 - Privacy or Safety? August 21, 2015 Halamka JD, McGraw D. Privacy or Safety? PSNet [internet]. 2015. https://psnet.ahrq.gov/web-mm/privacy-or-safety Case Objectives Understand that the HIPAA Omnibus Rule is an enabler of data sharing, not a barrier. Review common misconceptions about privacy rules. Understand the…
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