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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36577/psn-pdf
    January 12, 2011 - Effects of teamwork training on adverse outcomes and process of care in labor and delivery: a randomized controlled trial. January 12, 2011 Nielsen PE, Goldman MB, Mann S, et al. Effects of teamwork training on adverse outcomes and process of care in labor and delivery: a randomized controlled trial. Obstet Gyneco…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46197/psn-pdf
    September 24, 2017 - Implementation and evaluation of a prototype consumer reporting system for patient safety events. September 24, 2017 Weingart SN, Weissman JS, Zimmer KP, et al. Implementation and evaluation of a prototype consumer reporting system for patient safety events. Int J Qual Health Care. 2017;29(4):521-526. doi:10.1093/…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37942/psn-pdf
    May 04, 2014 - Improving handoff communications in critical care: utilizing simulation-based training toward process improvement in managing patient risk. May 4, 2014 Berkenstadt H, Haviv Y, Tuval A, et al. Improving handoff communications in critical care: utilizing simulation-based training toward process improvement in managi…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61061/psn-pdf
    October 28, 2020 - Safer prescribing for hospitalized older adults with an electronic health records?based prescribing context. October 28, 2020 Drago K, Sharpe J, De Lima B, et al. Safer prescribing for hospitalized older adults with an electronic health records?based prescribing context. J Am Geriatrics Soc. 2020;68(9):2123-2127. d…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72498/psn-pdf
    January 01, 2021 - Changes in weekend and weekday care quality of emergency medical admissions to 20 hospitals in England during implementation of the 7-day services national health policy. November 25, 2020 Bion J, Aldridge CP, Girling AJ, et al. Changes in weekend and weekday care quality of emergency medical admissions to 20 hos…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866081/psn-pdf
    June 05, 2024 - "The patient is awake and we need to stay calm": reconsidering indirect communication in the face of medical error and professionalism lapses. June 5, 2024 Taylor T, Columbus L, Banner H, et al. “The patient is awake and we need to stay calm”: reconsidering indirect communication in the face of medical error and p…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41404/psn-pdf
    December 31, 2014 - Effects of an online personal health record on medication accuracy and safety: a cluster-randomized trial. December 31, 2014 Schnipper JL, Gandhi TK, Wald JS, et al. Effects of an online personal health record on medication accuracy and safety: a cluster-randomized trial. J Am Med Inform Assoc. 2012;19(5):728-34. …

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60642/psn-pdf
    July 01, 2020 - Opioid prescribing after childbirth and risk for serious opioid-related events: a cohort study. July 1, 2020 Osmundson SS, Min JY, Wiese AD, et al. Opioid Prescribing After Childbirth and Risk for Serious Opioid- Related Events: A Cohort Study. Ann Intern Med. 2020;173(5):412-414. doi:10.7326/m19-3805. https://psn…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34688/psn-pdf
    March 28, 2005 - Adverse drug events in hospitalized patients: excess length of stay, extra costs, and attributable mortality. March 28, 2005 Classen DC, Pestotnik SL, Evans RS, et al. Adverse drug events in hospitalized patients. Excess length of stay, extra costs, and attributable mortality. JAMA. 1997;277(4):301-6. https://psne…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41572/psn-pdf
    October 29, 2012 - Diagnostic errors in the intensive care unit: a systematic review of autopsy studies. October 29, 2012 Winters BD, Custer J, Galvagno SM, et al. Diagnostic errors in the intensive care unit: a systematic review of autopsy studies. BMJ Qual Saf. 2012;21(11):894-902. doi:10.1136/bmjqs-2012-000803. https://psnet.ahrq…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44699/psn-pdf
    December 16, 2015 - Suicide attempts after emergency room visits: the effect of patient safety goals. December 16, 2015 Robst J. Suicide Attempts After Emergency Room Visits: The Effect of Patient Safety Goals. Psych Q. 2015;86(4):497-504. doi:10.1007/s11126-015-9345-7. https://psnet.ahrq.gov/issue/suicide-attempts-after-emergency-ro…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38692/psn-pdf
    March 04, 2015 - Errare humanum est: frequency of laterality errors in radiology reports. March 4, 2015 Sangwaiya MJ, Saini S, Blake MA, et al. Errare humanum est: frequency of laterality errors in radiology reports. AJR Am J Roentgenol. 2009;192(5):W239-44. doi:10.2214/AJR.08.1778. https://psnet.ahrq.gov/issue/errare-humanum-est-…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36174/psn-pdf
    September 29, 2010 - Performance of International Classification of Diseases, 9th Revision, Clinical Modification codes as an adverse drug event surveillance system. September 29, 2010 Hougland P, Xu W, Pickard S, et al. Performance of International Classification Of Diseases, 9th Revision, Clinical Modification codes as an adverse dr…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50370/psn-pdf
    January 01, 2020 - Debunking the myth that the majority of medical errors are attributed to communication. September 25, 2019 Clapper TC, Ching K. Debunking the myth that the majority of medical errors are attributed to communication. Med Educ. 2020;54(1):74-81. doi:10.1111/medu.13821. https://psnet.ahrq.gov/issue/debunking-myth-maj…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41925/psn-pdf
    November 26, 2014 - Medication reconciliation accuracy and patient understanding of intended medication changes on hospital discharge. November 26, 2014 Ziaeian B, Araujo KLB, Van Ness PH, et al. Medication reconciliation accuracy and patient understanding of intended medication changes on hospital discharge. J Gen Intern Med. 2012;2…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40993/psn-pdf
    December 14, 2011 - Anticoagulation-associated adverse drug events. December 14, 2011 Piazza G, Nguyen TN, Cios D, et al. Anticoagulation-associated Adverse Drug Events. Am J Med. 2011;124(12). doi:10.1016/j.amjmed.2011.06.009. https://psnet.ahrq.gov/issue/anticoagulation-associated-adverse-drug-events Warfarin and other anticoagulan…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38891/psn-pdf
    January 04, 2010 - Do calculation errors by nurses cause medication errors in clinical practice? A literature review. January 4, 2010 Wright K. Do calculation errors by nurses cause medication errors in clinical practice? A literature review. Nurse Educ Today. 2010;30(1):85-97. doi:10.1016/j.nedt.2009.06.009. https://psnet.ahrq.gov/…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38047/psn-pdf
    January 31, 2011 - Single-patient rooms for safe patient-centered hospitals. January 31, 2011 Detsky ME. Single-Patient Rooms for Safe Patient-Centered Hospitals. JAMA. 2008;300(8). doi:10.1001/jama.300.8.954. https://psnet.ahrq.gov/issue/single-patient-rooms-safe-patient-centered-hospitals Providing patient-centered care continues …

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40925/psn-pdf
    December 07, 2011 - Improving the discharge process by embedding a discharge facilitator in a resident team. December 7, 2011 Finn KM, Heffner R, Chang Y, et al. Improving the discharge process by embedding a discharge facilitator in a resident team. J Hosp Med. 2011;6(9):494-500. doi:10.1002/jhm.924. https://psnet.ahrq.gov/issue/imp…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45585/psn-pdf
    June 29, 2017 - Impact of Medicare's nonpayment program on hospital- acquired conditions. June 29, 2017 Thirukumaran CP, Glance LG, Temkin-Greener H, et al. Impact of Medicare's Nonpayment Program on Hospital-acquired Conditions. Med Care. 2017;55(5):447-455. doi:10.1097/MLR.0000000000000680. https://psnet.ahrq.gov/issue/impact-m…
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