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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867590/psn-pdf
    January 22, 2025 - Evaluation of Measure Dx, a resource to accelerate diagnostic safety learning and improvement. January 22, 2025 Bradford A, Tran A, Ali KJ, et al. Evaluation of Measure Dx, a resource to accelerate diagnostic safety learning and improvement. J Gen Intern Med. . 2024;Epub Oct 22. doi:10.1007/s11606-024-09132-8. htt…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837793/psn-pdf
    August 10, 2022 - The effect of structured medication review followed by face-to-face feedback to prescribers on adverse drug events recognition and prevention in older inpatients - a multicenter interrupted time series study. August 10, 2022 Klopotowska JE, Kuks PFM, Wierenga PC, et al. The effect of structured medication review f…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60906/psn-pdf
    August 18, 2021 - Global Patient Safety Action Plan 2021-2030: Towards Eliminating Avoidable Harm in Health Care. August 18, 2021 Geneva, Switzerland: World Health Organization; 2021. ISBN: 9789240032705. https://psnet.ahrq.gov/issue/global-patient-safety-action-plan-2021-2030-towards-eliminating-avoidable- harm-health-care The Wo…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853620/psn-pdf
    September 20, 2023 - Impact of pharmacist-led admission medication reconciliation on patient outcomes in a large health system. September 20, 2023 Kramer JS, Hayley Burgess L, Warren C, et al. Impact of pharmacist-led admission medication reconciliation on patient outcomes in a large health system. J Patient Saf Risk Manag. 2023;28(6)…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47190/psn-pdf
    January 01, 2021 - Disclosure coaching: an ask-tell-ask model to support clinicians in disclosure conversations. July 25, 2018 Shapiro J, Robins L, Galowitz P, et al. Disclosure Coaching: An Ask-Tell-Ask Model to Support Clinicians in Disclosure Conversations. J Patient Saf. 2021;17(8):e1364-e1370. doi:10.1097/PTS.0000000000000491. …
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35771/psn-pdf
    May 27, 2011 - Return on investment for a computerized physician order entry system. May 27, 2011 Kaushal R, Jha AK, Franz C, et al. Return on investment for a computerized physician order entry system. J Am Med Inform Assoc. 2006;13(3):261-6. https://psnet.ahrq.gov/issue/return-investment-computerized-physician-order-entry-syst…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865585/psn-pdf
    April 17, 2024 - Estimating the impact on patient safety of enabling the digital transfer of patients' prescription information in the English NHS. April 17, 2024 Camacho EM, Gavan S, Keers RN, et al. Estimating the impact on patient safety of enabling the digital transfer of patients’ prescription information in the English NHS. …
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40357/psn-pdf
    April 06, 2011 - Impact of reduction in working hours for doctors in training on postgraduate medical education and patients' outcomes: systematic review. April 6, 2011 Moonesinghe SR, Lowery J, Shahi N, et al. Impact of reduction in working hours for doctors in training on postgraduate medical education and patients' outcomes: sy…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38625/psn-pdf
    November 19, 2009 - The design of the SAFE or SORRY? study: a cluster randomised trial on the development and testing of an evidence based inpatient safety program for the prevention of adverse events. November 19, 2009 van Gaal BGI, Schoonhoven L, Hulscher M, et al. The design of the SAFE or SORRY? study: a cluster randomised trial…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47097/psn-pdf
    June 26, 2018 - Patterns of potential opioid misuse and subsequent adverse outcomes in Medicare, 2008 to 2012. June 26, 2018 Carey CM, Jena AB, Barnett ML. Patterns of Potential Opioid Misuse and Subsequent Adverse Outcomes in Medicare, 2008 to 2012. Ann Intern Med. 2018;168(12):837-845. doi:10.7326/M17-3065. https://psnet.ahrq.g…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50865/psn-pdf
    February 05, 2020 - Understanding principles of high reliability organizations through the eyes of VIONE: a clinical program to improve patient safety by deprescribing potentially inappropriate medications and reducing polypharmacy. February 5, 2020 Battar S, Dickerson KRW, Sedgwick C, et al. Understanding principles of high reliabil…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866170/psn-pdf
    June 19, 2024 - The World Federation of Chiropractic Global Patient Safety Task Force: a call to action. June 19, 2024 Coleman BC, Rubinstein SM, Salsbury SA, et al. The World Federation of Chiropractic Global Patient Safety Task Force: a call to action. Chiropr Man Therap. 2024;32(1):15. doi:10.1186/s12998-024-00536-1. https://p…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844051/psn-pdf
    February 08, 2023 - Insurance claims for wrong-side, wrong-organ, wrong- procedure, or wrong-person surgical errors: a retrospective study for 10 years. February 8, 2023 Vacheron C-H, Acker A, Autran M, et al. Insurance claims for wrong-side, wrong-organ, wrong-procedure, or wrong-person surgical errors: a retrospective study for 10 …
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837069/psn-pdf
    January 01, 2024 - Usability of a human factors-based clinical decision support in the emergency department: lessons learned for design and implementation. May 11, 2022 Salwei ME, Hoonakker PLT, Carayon P, et al. Usability of a human factors-based clinical decision support in the emergency department: lessons learned for design and …
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43787/psn-pdf
    June 22, 2016 - Measuring variation in use of the WHO surgical safety checklist in the operating room: a multicenter prospective cross-sectional study. June 22, 2016 Russ S, Rout S, Caris J, et al. Measuring variation in use of the WHO surgical safety checklist in the operating room: a multicenter prospective cross-sectional stud…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866200/psn-pdf
    June 26, 2024 - Does an app a day keep the doctor away? AI symptom checker applications, entrenched bias, and professional responsibility. June 26, 2024 Zawati M'n H, Lang M. Does an app a day keep the doctor away? AI symptom checker applications, entrenched bias, and professional responsibility. J Med Internet Res. 2024;26:e5034…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72568/psn-pdf
    January 01, 2021 - Alternatives to opioid education and a prescription drug monitoring program cumulatively decreased outpatient opioid prescriptions. December 16, 2020 Sigal A, Shah A, Onderdonk A, et al. Alternatives to opioid education and a prescription drug monitoring program cumulatively decreased outpatient opioid prescriptio…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73182/psn-pdf
    April 28, 2021 - Learning from morbidity and mortality conferences: focus and sustainability of lessons for patient care. April 28, 2021 de Vos MS, Hamming JF, Marang-van de Mheen PJ. Learning from morbidity and mortality conferences: focus and sustainability of lessons for patient care. J Patient Saf. 2021;17(3):231-238. doi:10.1…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72857/psn-pdf
    March 17, 2021 - Results and lessons from a hospital-wide initiative incentivised by delivery system reform to improve infection prevention and sepsis care. March 17, 2021 Sreeramoju P, Voy-Hatter K, White C, et al. Results and lessons from a hospital-wide initiative incentivised by delivery system reform to improve infection prev…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43975/psn-pdf
    July 18, 2016 - Influence of the Comprehensive Unit-based Safety Program in ICUs: evidence from the Keystone ICU project. July 18, 2016 Hsu Y-J, Marsteller JA. Influence of the Comprehensive Unit-based Safety Program in ICUs: Evidence From the Keystone ICU Project. Am J Med Qual. 2016;31(4):349-357. doi:10.1177/1062860615571963. …

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