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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845348/psn-pdf
    February 02, 2012 - Liquid-based Papanicolaou tests in endometrial carcinoma diagnosis: performance, error root cause analysis, and quality improvement. February 2, 2012 Sams SB, Currens HS, Raab SS. Liquid-based Papanicolaou tests in endometrial carcinoma diagnosis: performance, error root cause analysis, and quality improvement. Am…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60188/psn-pdf
    January 01, 2021 - Uncertain diagnoses in a children's hospital: patient characteristics and outcomes. April 1, 2020 Sump CA, Marshall TL, Ipsaro AJ, et al. Uncertain diagnoses in a children’s hospital: patient characteristics and outcomes. Diagnosis. 2021;8(3):353-357. doi:10.1515/dx-2019-0058. https://psnet.ahrq.gov/issue/uncertai…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72476/psn-pdf
    November 18, 2020 - Maintaining perioperative safety in uncertain times: COVID-19 pandemic response strategies. November 18, 2020 Mazzola SM, Grous C. Maintaining perioperative safety in uncertain times: COVID-19 pandemic response strategies. AORN J. 2020;112(4):397-405. doi:10.1002/aorn.13195. https://psnet.ahrq.gov/issue/maintainin…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47920/psn-pdf
    June 18, 2019 - Evaluating the impact of auto-calculation settings on opioid prescribing at an academic medical center. June 18, 2019 Crothers G, Edwards DA, Ehrenfeld JM, et al. Evaluating the Impact of Auto-Calculation Settings on Opioid Prescribing at an Academic Medical Center. Jt Comm J Qual Patient Saf. 2019;45(6):416-422. …
  5. psnet.ahrq.gov/issue/marylanddc-patient-safety-coalition
    September 28, 2023 - Multi-use Website Maryland/DC Patient Safety Coalition. Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL March 17, 2011 The Maryland Patient Safety Center facilitates the study …
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47187/psn-pdf
    September 05, 2018 - Supporting clinicians after adverse events: development of a clinician peer support program. September 5, 2018 Lane MA, Newman BM, Taylor MZ, et al. Supporting Clinicians After Adverse Events: Development of a Clinician Peer Support Program. J Patient Saf. 2018;14(3):e56-e60. doi:10.1097/PTS.0000000000000508. http…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43550/psn-pdf
    October 15, 2014 - Contingency planning for electronic health record–based care continuity: a survey of recommended practices. October 15, 2014 Sittig DF, Gonzalez D, Singh H. Contingency planning for electronic health record-based care continuity: a survey of recommended practices. Int J Med Inform. 2014;83(11):797-804. doi:10.1016…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47293/psn-pdf
    October 10, 2018 - Specifications of computerized provider order entry and clinical decision support systems for cancer patients undergoing chemotherapy: a systematic review. October 10, 2018 Rahimi R, Kazemi A, Moghaddasi H, et al. Specifications of Computerized Provider Order Entry and Clinical Decision Support Systems for Cancer …
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851910/psn-pdf
    August 02, 2023 - Relationship between in-hospital adverse events and hospital performance on 30-day all-cause mortality and readmission for patients with heart failure. August 2, 2023 Wang Y, Eldridge N, Metersky ML, et al. Relationship between in-hospital adverse events and hospital performance on 30-Day all-cause mortality and r…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836822/psn-pdf
    March 30, 2022 - Leveraging a safety event management system to improve organizational learning and safety culture. March 30, 2022 Dawson R, Saulnier T, Campbell A, et al. Leveraging a safety event management system to improve organizational learning and safety culture. Hosp Pediatr. 2022;12(4):407-417. doi:10.1542/hpeds.2021- 006…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74183/psn-pdf
    December 15, 2021 - Identifying safe care processes when GPs work in or alongside emergency departments: a realist evaluation. December 15, 2021 Cooper A, Carson-Stevens A, Edwards M, et al. Identifying safe care processes when GPs work in or alongside emergency departments: a realist evaluation. Br J Gen Pract. 2021;71(713):e931-e940…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45299/psn-pdf
    July 20, 2016 - Reducing readmission at an academic medical center: results of a pharmacy-facilitated discharge counseling and medication reconciliation program. July 20, 2016 Zemaitis CT, Morris G, Cabie M, et al. Reducing Readmission at an Academic Medical Center: Results of a Pharmacy-Facilitated Discharge Counseling and Medic…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41043/psn-pdf
    May 24, 2012 - Toward improving patient safety through voluntary peer- to-peer assessment. May 24, 2012 Hudson DW, Holzmueller CG, Pronovost P, et al. Toward improving patient safety through voluntary peer- to-peer assessment. Am J Med Qual. 2012;27(3):201-9. doi:10.1177/1062860611421981. https://psnet.ahrq.gov/issue/toward-impr…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44519/psn-pdf
    December 02, 2015 - Drug-related-problem outcomes and program satisfaction from a comprehensive brown bag medication review. December 2, 2015 O'Connell MB, Chang F, Tocco A, et al. Drug-Related-Problem Outcomes and Program Satisfaction from a Comprehensive Brown Bag Medication Review. J Am Geriatr Soc. 2015;63(9):1900-1905. doi:10.11…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74141/psn-pdf
    December 01, 2021 - Incident reporting systems: what will it take to make them less frustrating and achieve anything useful? December 1, 2021 Shojania KG. Incident reporting systems: what will it take to make them less frustrating and achieve anything useful? Jt Comm J Qual Patient Saf. 2021;47(12):755-758. doi:10.1016/j.jcjq.2021.10.…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48119/psn-pdf
    August 07, 2019 - Improving perceptions of patient safety through standardizing handoffs from the emergency department to the inpatient setting: a systematic review. August 7, 2019 Alimenti D, Buydos S, Cunliffe L, et al. Improving perceptions of patient safety through standardizing handoffs from the emergency department to the inp…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74028/psn-pdf
    November 03, 2021 - Survey of nurses' experiences applying The Joint Commission's medication management titration standards. November 3, 2021 Davidson JE, Doran N, Petty A, et al. Survey of nurses' experiences applying The Joint Commission's medication management titration standards. Am J Crit Care. 2021;30(5):365-374. doi:10.4037/a…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851358/psn-pdf
    July 12, 2023 - Enhancing resident education by embedding improvement specialists into a quality and safety curriculum. July 12, 2023 Levy KL, Grzyb K, Heidemann LA, et al. Enhancing resident education by embedding improvement specialists into a quality and safety curriculum. J Grad Med Educ. 2023;15(3):348-355. doi:10.4300/jgme-…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60899/psn-pdf
    September 09, 2020 - Improving transfusion safety in the operating room with a barcode scanning system designed specifically for the surgical environment and existing electronic medical record systems: an interrupted time series analysis. September 9, 2020 Vanneman MW, Balakrishna A, Lang AL, et al. Improving Transfusion Safety in the…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851457/psn-pdf
    July 19, 2023 - Root causes and preventability of unintentionally retained foreign objects after surgery: a national expert survey from Switzerland. July 19, 2023 Schwappach DLB, Pfeiffer Y. Root causes and preventability of unintentionally retained foreign objects after surgery: a national expert survey from Switzerland. Patient…

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