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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867039/psn-pdf
    October 30, 2024 - Correlates of missed or late versus timely diagnosis of dementia in healthcare settings. October 30, 2024 Chen Y, Power MC, Grodstein F, et al. Correlates of missed or late versus timely diagnosis of dementia in healthcare settings. Alzheimers Dement. 2024;20(8):5551-5560. doi:10.1002/alz.14067. https://psnet.ahrq…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867044/psn-pdf
    October 30, 2024 - "Near miss": a mixed-methods analysis of medical student assignments in patient safety. October 30, 2024 Plugge T, Breviu A, Lappé K, et al. "Near miss": a mixed-methods analysis of medical student assignments in patient safety. Am J Med Qual. 2024;39(4):168-173. doi:10.1097/jmq.0000000000000196. https://psnet.ahr…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38505/psn-pdf
    February 10, 2015 - Health information technology and patient safety: evidence from panel data. February 10, 2015 Parente ST, McCullough JS. Health information technology and patient safety: evidence from panel data. Health Aff (Millwood). 2009;28(2):357-360. doi:10.1377/hlthaff.28.2.357. https://psnet.ahrq.gov/issue/health-informati…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74757/psn-pdf
    February 09, 2022 - Characteristics of disease-specific and generic diagnostic pitfalls: a qualitative study. February 9, 2022 Schiff GD, Volodarskaya M, Ruan E, et al. Characteristics of disease-specific and generic diagnostic pitfalls: a qualitative study. JAMA Netw Open. 2022;5(1):e2144531. doi:10.1001/jamanetworkopen.2021.44531. …
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853069/psn-pdf
    August 30, 2023 - Estimating breast cancer overdiagnosis after screening mammography among older women in the United States. August 30, 2023 Richman IB, Long JB, Soulos PR, et al. Estimating breast cancer overdiagnosis after screening mammography among older women in the United States. Ann Intern Med. 2023;176(9):1172-1180. doi:10.…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/862604/psn-pdf
    February 14, 2024 - A text mining approach to categorize patient safety event reports by medication error type. February 14, 2024 Boxley C, Fujimoto M, Ratwani RM, et al. A text mining approach to categorize patient safety event reports by medication error type. Sci Rep. 2023;13(1):18354. doi:10.1038/s41598-023-45152-w. https://psnet…
  7. 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…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36486/psn-pdf
    June 13, 2011 - Design and implementation of an application and associated services to support interdisciplinary medication reconciliation efforts at an integrated healthcare delivery network. June 13, 2011 Poon EG, Blumenfeld B, Hamann C, et al. Design and Implementation of an Application and Associated Services to Support Inte…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44508/psn-pdf
    November 20, 2015 - Outcomes associated with the nationwide introduction of rapid response systems in the Netherlands. November 20, 2015 Ludikhuize J, Brunsveld-Reinders AH, Dijkgraaf MGW, et al. Outcomes Associated With the Nationwide Introduction of Rapid Response Systems in The Netherlands. Crit Care Med. 2015;43(12):2544-51. doi:…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848364/psn-pdf
    May 03, 2023 - Health care-associated infections among hospitalized patients with COVID-19, March 2020-March 2022. May 3, 2023 Sands KE, Blanchard EJ, Fraker S, et al. Health care-associated infections among hospitalized patients with COVID-19, March 2020-March 2022. JAMA Netw Open. 2023;6(4):e238059. doi:10.1001/jamanetworkopen…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73131/psn-pdf
    April 14, 2021 - Identification of common themes from never events data published by NHS England. April 14, 2021 Omar I, Graham Y, Singhal R, et al. Identification of common themes from never events data published by NHS England. World J Surg. 2021;45(3):697-704. doi:10.1007/s00268-020-05867-7. https://psnet.ahrq.gov/issue/identif…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36154/psn-pdf
    September 29, 2010 - Harmful medication errors in children: a 5-year analysis of data from the USP's MEDMARX(R) program. September 29, 2010 Hicks RW, Becker SC, Cousins DD. Harmful medication errors in children: a 5-year analysis of data from the USP's MEDMARX program. J Pediatr Nurs. 2006;21(4):290-8. https://psnet.ahrq.gov/issue/har…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72720/psn-pdf
    February 10, 2021 - Health system leaders' role in addressing racism: time to prioritize eliminating health care disparities. February 10, 2021 Austin JM, Weeks K, Pronovost PJ. Health System Leaders’ Role in Addressing Racism: Time to Prioritize Eliminating Health Care Disparities. Jt Comm J Qual Patient Saf. 2020;47(4):265-267. doi…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41265/psn-pdf
    January 03, 2017 - Detecting unapproved abbreviations in the electronic medical record. January 3, 2017 Capraro A, Stack AM, Harper MB, et al. Detecting unapproved abbreviations in the electronic medical record. Jt Comm J Qual Patient Saf. 2012;38(4):178-183. doi:10.1016/s1553-7250(12)38023-9. https://psnet.ahrq.gov/issue/detecting-…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39579/psn-pdf
    June 11, 2014 - Outpatient adverse drug events identified by screening electronic health records. June 11, 2014 Gandhi TK, Seger AC, Overhage M, et al. Outpatient adverse drug events identified by screening electronic health records. J Patient Saf. 2010;6(2):91-6. doi:10.1097/PTS.0b013e3181dcae06. https://psnet.ahrq.gov/issue/out…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838631/psn-pdf
    October 19, 2022 - An asset-based quality improvement tool for health care organizations: cultivating organization wide quality improvement and health care professional engagement. October 19, 2022 Loving VA, Nolan C, Bessel M. An asset-based quality improvement tool for health care organizations: cultivating organization wide quali…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60251/psn-pdf
    April 22, 2020 - Exploring the association between organizational culture and large-scale adverse events: evidence from the Veterans Health Administration. April 22, 2020 George J, Elwy AR, Charns MP, et al. Exploring the Association Between Organizational Culture and Large-Scale Adverse Events: Evidence from the Veterans Health A…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72726/psn-pdf
    February 10, 2021 - Wrong administration route of medications in the domestic setting: a review of an underestimated public health topic. February 10, 2021 Gualano MR, Lo Moro G, Voglino G, et al. Wrong administration route of medications in the domestic setting: a review of an underestimated public health topic. Expert Opin Pharmaco…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36303/psn-pdf
    October 25, 2010 - Medication dispensing errors and potential adverse drug events before and after implementing bar code technology in the pharmacy. October 25, 2010 Poon EG, Cina J, Churchill WW, et al. Medication dispensing errors and potential adverse drug events before and after implementing bar code technology in the pharmacy. …
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851051/psn-pdf
    June 28, 2023 - The impact of safety culture, quality of care, missed care and nurse staffing on patient falls: a multisource association study. June 28, 2023 Alanazi FK, Lapkin S, Molloy L, et al. The impact of safety culture, quality of care, missed care and nurse staffing on patient falls: a multisource association study. J Cl…