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  1. www.ahrq.gov/policy/electronic/privacy/pii.html
    October 01, 2014 - Notification of Breach Routine Use Language Notice of HHS response plan for the new requirements regarding safeguarding against and responding to the breach of personally identifiable information. October 9, 2007 TO: HHS Privacy Act Contacts FROM: Robert Eckert Director FOI/Privacy Acts Division Off…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36364/psn-pdf
    February 14, 2017 - National surveillance of emergency department visits for outpatient adverse drug events. February 14, 2017 Budnitz DS, Pollock DA, Weidenbach KN, et al. National surveillance of emergency department visits for outpatient adverse drug events. JAMA. 2006;296(15):1858-66. https://psnet.ahrq.gov/issue/national-surveil…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38886/psn-pdf
    August 26, 2009 - Medication overdoses leading to emergency department visits among children. August 26, 2009 Schillie SF, Shehab N, Thomas KE, et al. Medication overdoses leading to emergency department visits among children. Am J Prev Med. 2009;37(3):181-7. doi:10.1016/j.amepre.2009.05.018. https://psnet.ahrq.gov/issue/medication…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37707/psn-pdf
    March 02, 2011 - Bar-coding surgical sponges to improve safety: a randomized controlled trial.   March 2, 2011 Greenberg CC, Diaz-Flores R, Lipsitz SR, et al. Bar-coding Surgical Sponges To Improve Safety. Ann Surg. 2009;247(4). doi:10.1097/sla.0b013e3181656cd5. https://psnet.ahrq.gov/issue/bar-coding-surgical-sponges-improve-safe…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41095/psn-pdf
    February 01, 2012 - Intervention to reduce transmission of resistant bacteria in intensive care. February 1, 2012 Huskins C, Huckabee CM, O'Grady NP, et al. Intervention to reduce transmission of resistant bacteria in intensive care. N Engl J Med. 2011;364(15):1407-18. doi:10.1056/NEJMoa1000373. https://psnet.ahrq.gov/issue/intervent…
  6. www.ahrq.gov/pqmp/implementation-qi/toolkit/h2h/overview.html
    July 01, 2021 - Quality of Pediatric Hospital-to-Home Transitions Toolkit Overview Previous Page Next Page Table of Contents Quality of Pediatric Hospital-to-Home Transitions Toolkit Introduction Overview About the Measure Key Driver Diagram Quality Improvement Strategies Improvement Data Other Resour…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47723/psn-pdf
    January 01, 2020 - Psychological and psychosomatic symptoms of second victims of adverse events: a systematic review and meta- analysis. May 1, 2019 Busch IM, Moretti F, Purgato M, et al. Psychological and Psychosomatic Symptoms of Second Victims of Adverse Events. J Patient Saf. 2020;16(2):e61-e74. doi:10.1097/pts.0000000000000589.…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40982/psn-pdf
    March 23, 2012 - Emergency hospitalizations for adverse drug events in older Americans. March 23, 2012 Budnitz DS, Lovegrove MC, Shehab N, et al. Emergency hospitalizations for adverse drug events in older Americans. New Engl J Med. 2011;365(21):2002-2012. doi:10.1056/NEJMsa1103053. https://psnet.ahrq.gov/issue/emergency-hospitali…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866246/psn-pdf
    July 10, 2024 - "They say they listen. But do they really listen?": A qualitative study of hospital doctors' experiences of organisational deafness, disconnect and denial. July 10, 2024 Creese J, Byrne JP, Conway E, et al. “They say they listen. But do they really listen?”: A qualitative study of hospital doctors’ experiences of …
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39063/psn-pdf
    December 17, 2009 - Safety and risk management interventions in hospitals: a systematic review of the literature. December 17, 2009 Dückers M, Faber M, Cruijsberg J, et al. Safety and risk management interventions in hospitals: a systematic review of the literature. Med Care Res Rev. 2009;66(6 Suppl):90S-119S. doi:10.1177/10775587093…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48150/psn-pdf
    August 21, 2019 - Communication between primary and secondary care: deficits and danger. August 21, 2019 Dinsdale E, Hannigan A, O’Connor R, et al. Communication between primary and secondary care: deficits and danger. Fam Pract. 2019;17(1):63-68. doi:10.1093/fampra/cmz037. https://psnet.ahrq.gov/issue/communication-between-primary…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44315/psn-pdf
    November 20, 2015 - Expanding the scope of Critical Care Rapid Response Teams: a feasible approach to identify adverse events. A prospective observational cohort. November 20, 2015 Amaral ACK-B, McDonald A, Coburn NG, et al. Expanding the scope of Critical Care Rapid Response Teams: a feasible approach to identify adverse events. A p…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40200/psn-pdf
    July 02, 2014 - Checklists to reduce diagnostic errors. July 2, 2014 Ely JW, Graber ML, Croskerry P. Checklists to reduce diagnostic errors. Acad Med. 2011;86(3):307-313. doi:10.1097/ACM.0b013e31820824cd. https://psnet.ahrq.gov/issue/checklists-reduce-diagnostic-errors Diagnostic errors are rapidly gaining attention as the next f…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41795/psn-pdf
    September 07, 2016 - Drug shortage-associated increase in catheter-related blood stream infection in children. September 7, 2016 Ralls MW, Blackwood A, Arnold MA, et al. Drug shortage-associated increase in catheter-related blood stream infection in children. Pediatrics. 2012;130(5):e1369-73. doi:10.1542/peds.2011-3894. https://psnet.…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39777/psn-pdf
    November 04, 2012 - The Economic Measurement of Medical Errors. November 4, 2012 Shreve J, van Den Bos J, Gray T, Halford M, Rustagi K, Ziemkiewicz E. Schaumburg, IL: The Society of Actuaries; 2010. https://psnet.ahrq.gov/issue/economic-measurement-medical-errors Although the Institute of Medicine's estimate of up to 98,000 deaths ye…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72709/psn-pdf
    February 03, 2021 - COVID-19 hospital outbreaks: protecting healthcare workers to protect frail patients. An Italian observational cohort study. February 3, 2021 Vimercati L, De Maria L, Quarato M, et al. COVID-19 hospital outbreaks: Protecting healthcare workers to protect frail patients. An Italian observational cohort study. Int J…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41610/psn-pdf
    January 25, 2017 - Adverse events among children in Canadian hospitals: the Canadian Paediatric Adverse Events Study. January 25, 2017 Matlow A, Baker R, Flintoft V, et al. Adverse events among children in Canadian hospitals: the Canadian Paediatric Adverse Events Study. CMAJ. 2012;184(13):E709-718. doi:10.1503/cmaj.112153. https://…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42270/psn-pdf
    December 31, 2014 - Relationship between medication event rates and the Leapfrog computerized physician order entry evaluation tool. December 31, 2014 Leung AA, Keohane C, Lipsitz S, et al. Relationship between medication event rates and the Leapfrog computerized physician order entry evaluation tool. J Am Med Info Asso. 2013;20(e1):…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42211/psn-pdf
    April 24, 2013 - An organizational assessment of disruptive clinician behavior: findings and implications. April 24, 2013 Walrath JM, Dang D, Nyberg D. An Organizational Assessment of Disruptive Clinician Behavior. J Nurs Care Qual. 2012;28(2):110-121. doi:10.1097/ncq.0b013e318270d2ba. https://psnet.ahrq.gov/issue/organizational-a…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47170/psn-pdf
    May 30, 2018 - Do written disclosures of serious events increase risk of malpractice claims? One health care system's experience. May 30, 2018 Painter LM, Kidwell KM, Kidwell RP, et al. Do Written Disclosures of Serious Events Increase Risk of Malpractice Claims? One Health Care System's Experience. J Patient Saf. 2018;14(2):87-9…