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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/849136/psn-pdf
    May 17, 2023 - Using morbidity and mortality conferences to drive quality improvement and reduce errors. May 17, 2023 Lai B, Horn J, Wilkinson J, et al. Fam Pract Manag. 2023;30(2):13-17. https://psnet.ahrq.gov/issue/using-morbidity-and-mortality-conferences-drive-quality-improvement-and- reduce-errors Morbidity and mortality (…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37178/psn-pdf
    October 06, 2011 - Randomized trial to improve prescribing safety in ambulatory elderly patients. October 6, 2011 Raebel MA, Charles J, Dugan J, et al. Randomized trial to improve prescribing safety in ambulatory elderly patients. J Am Geriatr Soc. 2007;55(7):977-85. https://psnet.ahrq.gov/issue/randomized-trial-improve-prescribing-…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46907/psn-pdf
    April 11, 2018 - To combat physician burnout and improve care, fix the electronic health record. April 11, 2018 Wachter R, Goldsmith J. Harv Bus Rev. March 30, 2018. https://psnet.ahrq.gov/issue/combat-physician-burnout-and-improve-care-fix-electronic-health-record Increased workload associated with electronic health record (EHR) …
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867529/psn-pdf
    January 15, 2025 - “I had no idea this happened”: electronic feedback on clinical reasoning for hospitalists. January 15, 2025 Kotwal S, Udayappan KM, Kutheala N, et al. “I had no idea this happened”: electronic feedback on clinical reasoning for hospitalists. J Gen Intern Med. 2024;39(16):3271-3277. doi:10.1007/s11606-024-09058-1. …
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837201/psn-pdf
    May 25, 2022 - Near miss research in the healthcare system: a scoping review. May 25, 2022 Feng T-ting, Zhang X, Tan L-ling, et al. Near miss research in the healthcare system: a scoping review. J Nurs Adm. 2022;52(3):160-166. doi:10.1097/nna.0000000000001124. https://psnet.ahrq.gov/issue/near-miss-research-healthcare-system-sco…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44455/psn-pdf
    September 02, 2015 - Finding antecedents of psychological safety: a step toward quality improvement. September 2, 2015 Aranzamendez G, James D, Toms R. Finding Antecedents of Psychological Safety: A Step Toward Quality Improvement. Nurs Forum. 2015;50(3):171-178. doi:10.1111/nuf.12084. https://psnet.ahrq.gov/issue/finding-antecedents-…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45024/psn-pdf
    December 19, 2017 - Leveraging a redesigned morbidity and mortality conference that incorporates the clinical and educational missions of improving quality and patient safety. December 19, 2017 Tad-Y DB, Pierce RG, Pell JM, et al. Leveraging a Redesigned Morbidity and Mortality Conference That Incorporates the Clinical and Educationa…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34700/psn-pdf
    January 04, 2017 - Reducing adverse drug events: lessons from a breakthrough series collaborative. January 4, 2017 Leape L, Kabcenell AI, Gandhi TK, et al. Reducing adverse drug events: lessons from a breakthrough series collaborative. Jt Comm J Qual Improv. 2000;26(6):321-31. https://psnet.ahrq.gov/issue/reducing-adverse-drug-event…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74699/psn-pdf
    January 26, 2022 - Indication alerts to improve problem list documentation. January 26, 2022 Grauer A, Kneifati-Hayek J, Reuland B, et al. Indication alerts to improve problem list documentation. J Am Med Inform Assoc. 2022;29(5):909-917. doi:10.1093/jamia/ocab285. https://psnet.ahrq.gov/issue/indication-alerts-improve-problem-list-d…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35909/psn-pdf
    October 07, 2008 - Committed to Safety: Ten Case Studies on Reducing Harm to Patients. October 7, 2008 McCarthy D, Blumenthal D. New York, NY: Commonwealth Fund; 2006. https://psnet.ahrq.gov/issue/committed-safety-ten-case-studies-reducing-harm-patients This report presents ten case studies to illustrate interventions that address p…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867182/psn-pdf
    November 20, 2024 - Combining multiple large language models improves diagnostic accuracy. November 20, 2024 Barabucci G, Shia V, Chu ES, et al. Combining multiple large language models improves diagnostic accuracy. NEJM AI. 2024;1(11):AIcs2400502. doi:10.1056/aics2400502. https://psnet.ahrq.gov/issue/combining-multiple-large-languag…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44891/psn-pdf
    July 03, 2016 - Characteristics of morbidity and mortality conferences associated with the implementation of patient safety improvement initiatives, an observational study. July 3, 2016 François P, Prate F, Vidal-Trecan G, et al. Characteristics of morbidity and mortality conferences associated with the implementation of patient …
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43886/psn-pdf
    July 13, 2016 - The Armstrong Institute Resident/Fellow Scholars: a multispecialty curriculum to train future leaders in patient safety and quality improvement. July 13, 2016 Rinke ML, Mock CK, Persing NM, et al. The Armstrong Institute Resident/Fellow Scholars: A Multispecialty Curriculum to Train Future Leaders in Patient Safet…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33559/psn-pdf
    December 15, 2024 - Medication Reconciliation December 15, 2024 Medication Reconciliation. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/medication-reconciliation PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that they reflect current research and practice in the patient safet…
  15. psnet.ahrq.gov/issue/making-healthcare-safe-story-patient-safety-movement
    January 20, 2021 - Book/Report Making Healthcare Safe: The Story of the Patient Safety Movement. Citation Text: Making Healthcare Safe: The Story of the Patient Safety Movement. Leape LL. Cham, Switzerland: Springer Nature; 2021. ISBN: 9783030711252. Copy Citation Save Save to you…
  16. psnet.ahrq.gov/issue/root-cause-analysis-health-care-joint-commission-guide-analysis-and-corrective-action
    November 27, 2018 - Book/Report Root Cause Analysis in Health Care: A Joint Commission Guide to Analysis and Corrective Action of Sentinel and Adverse Events. Citation Text: Root Cause Analysis in Health Care: A Joint Commission Guide to Analysis and Corrective Action of Sentinel and Adverse Events. Oakbroo…
  17. psnet.ahrq.gov/issue/providing-safe-high-quality-maternity-care-rural-us-hospitals-ihi-innovation-report
    November 02, 2016 - Book/Report Providing Safe, High-Quality Maternity Care in Rural US Hospitals. IHI Innovation Report. Citation Text: Providing Safe, High-Quality Maternity Care in Rural US Hospitals. IHI Innovation Report. Laderman M, Renton M. Boston, MA: Institute for Healthcare Improvement; 2020. …
  18. psnet.ahrq.gov/issue/keeping-commitment-progress-report-four-early-leaders-patient-safety-improvement
    October 07, 2008 - Book/Report Keeping the Commitment: A Progress Report on Four Early Leaders in Patient Safety Improvement. Citation Text: Keeping the Commitment: A Progress Report on Four Early Leaders in Patient Safety Improvement. McCarthy D, Klein S. New York, NY: The Commonwealth Fund; March 15,…
  19. psnet.ahrq.gov/issue/improving-diagnostic-quality-safetyreducing-diagnostic-error-measurement-considerations
    November 20, 2019 - Book/Report Improving Diagnostic Quality & Safety/Reducing Diagnostic Error: Measurement Considerations. Citation Text: Improving Diagnostic Quality & Safety/Reducing Diagnostic Error: Measurement Considerations. Washington DC; National Quality Forum: October 28, 2019. Copy Citation …
  20. psnet.ahrq.gov/issue/advancing-safety-acute-pain-management
    January 08, 2020 - Book/Report Advancing the Safety of Acute Pain Management. Citation Text: Advancing the Safety of Acute Pain Management. Boston, MA: Institute for Healthcare Improvement; 2019. Copy Citation Save Save to your library Print Download PDF Share …

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