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  1. Resource List - AHRQ Ambulatory Surgery Center Survey (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/asc-resource-list.pdf
    April 01, 2023 - United Kingdom determine a fair and consistent course of action toward staff involved in patient safety incidents … Tree supports the aim of creating an open culture, where employees feel able to report patient safety incidents

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845361/psn-pdf
    March 29, 2023 - A standardized marking procedure for ENT operations to prevent wrong-site surgery: development, establishment and subsequent evaluation among patients and medical personnel. March 29, 2023 Rohrmeier C, Abudan Al-Masry N, Keerl R, et al. A standardized marking procedure for ENT operations to prevent wrong-site sur…

  3. AHRQ Safety Program for Perinatal Care: CEO/Senior Leader Checklist (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/supporting/senior-leader-checklist.docx
    May 01, 2017 - AHRQ Safety Program for Perinatal Care: CEO/Senior Leader Checklist AHRQ Safety Program for Perinatal Care CEO/Senior Leader Checklist CEO/Senior Leader Checklist Who should use this tool: Senior leaders Checklist Items Leader Responsible Date Initiated 1. Ensure all current and new employees receive Science o…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40656/psn-pdf
    October 16, 2012 - Defining health information technology–related errors: new developments since To Err Is Human. October 16, 2012 Sittig DF, Singh H. Defining health information technology-related errors: new developments since to err is human. Arch Intern Med. 2011;171(14):1281-4. doi:10.1001/archinternmed.2011.327. https://psnet.…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47266/psn-pdf
    August 08, 2018 - Outpatient opioid prescriptions for children and opioid- related adverse events. August 8, 2018 Chung CP, Callahan T, Cooper WO, et al. Outpatient Opioid Prescriptions for Children and Opioid-Related Adverse Events. Pediatrics. 2018;142(2):e20172156. doi:10.1542/peds.2017-2156. https://psnet.ahrq.gov/issue/outpati…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43388/psn-pdf
    July 30, 2014 - Exploration of an automated approach for receiving patient feedback after outpatient acute care visits. July 30, 2014 Berner ES, Ray MN, Panjamapirom A, et al. Exploration of an automated approach for receiving patient feedback after outpatient acute care visits. J Gen Intern Med. 2014;29(8):1105-12. doi:10.1007/s1…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47610/psn-pdf
    March 13, 2019 - Patient safety outcomes under flexible and standard resident duty-hour rules. March 13, 2019 Silber JH, Bellini LM, Shea JA, et al; iCOMPARE Research Group. N Engl J Med. 2019;380:905-914. https://psnet.ahrq.gov/issue/patient-safety-outcomes-under-flexible-and-standard-resident-duty-hour-rules Duty hour reform for…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46843/psn-pdf
    June 21, 2018 - Electronic health record reviews to measure diagnostic uncertainty in primary care. June 21, 2018 Bhise V, Rajan SS, Sittig DF, et al. Electronic health record reviews to measure diagnostic uncertainty in primary care. J Eval Clin Pract. 2018;24(3):545-551. doi:10.1111/jep.12912. https://psnet.ahrq.gov/issue/elect…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44709/psn-pdf
    November 18, 2016 - Lost information during the handover of critically injured trauma patients: a mixed-methods study. November 18, 2016 Zakrison TL, Rosenbloom B, McFarlan A, et al. Lost information during the handover of critically injured trauma patients: a mixed-methods study. BMJ Qual Saf. 2016;25(12):929-936. doi:10.1136/bmjqs-2…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47991/psn-pdf
    July 12, 2019 - What quality and safety of care for patients admitted to clinically inappropriate wards: a systematic review. July 12, 2019 La Regina M, Guarneri F, Romano E, et al. What Quality and Safety of Care for Patients Admitted to Clinically Inappropriate Wards: a Systematic Review. J Gen Intern Med. 2019;34(7):1314-1321. …

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46232/psn-pdf
    February 10, 2018 - Implications of electronic health record downtime: an analysis of patient safety event reports. February 10, 2018 Larsen E, Fong A, Wernz C, et al. Implications of electronic health record downtime: an analysis of patient safety event reports. J Am Med Inform Assoc. 2018;25(2):187-191. doi:10.1093/jamia/ocx057. ht…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41964/psn-pdf
    April 17, 2013 - Use of HIT for adverse event reporting in nursing homes: barriers and facilitators. April 17, 2013 Wagner LM, Castle NG, Handler S. Use of HIT for adverse event reporting in nursing homes: barriers and facilitators. Geriatr Nurs. 2013;34(2):112-5. doi:10.1016/j.gerinurse.2012.10.003. https://psnet.ahrq.gov/issue/u…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46491/psn-pdf
    August 20, 2018 - A qualitative study of speaking out about patient safety concerns in intensive care units. August 20, 2018 Tarrant C, Leslie M, Bion J, et al. A qualitative study of speaking out about patient safety concerns in intensive care units. Soc Sci Med. 2017;193:8-15. doi:10.1016/j.socscimed.2017.09.036. https://psnet.ah…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39215/psn-pdf
    January 03, 2017 - Adverse drug events among hospitalized Medicare patients: epidemiology and national estimates from a new approach to surveillance. January 3, 2017 Classen D, Jaser L, Budnitz DS. Adverse drug events among hospitalized Medicare patients: epidemiology and national estimates from a new approach to surveillance. Jt Co…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39031/psn-pdf
    March 23, 2011 - Care homes' use of medicines study: prevalence, causes and potential harm of medication errors in care homes for older people. March 23, 2011 Barber ND, Alldred DP, Raynor DK, et al. Care homes' use of medicines study: prevalence, causes and potential harm of medication errors in care homes for older people. Qual …

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40412/psn-pdf
    March 23, 2012 - Veterans Affairs initiative to prevent methicillin-resistant Staphylococcus aureus infections. March 23, 2012 Jain R, Kralovic SM, Evans ME, et al. Veterans Affairs initiative to prevent methicillin-resistant Staphylococcus aureus infections. N Engl J Med. 2011;364(15):1419-30. doi:10.1056/NEJMoa1007474. https://p…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43652/psn-pdf
    August 04, 2015 - Do clinicians know which of their patients have central venous catheters?: A multicenter observational study. August 4, 2015 Chopra V, Govindan S, Kuhn L, et al. Do clinicians know which of their patients have central venous catheters?: a multicenter observational study. Ann Intern Med. 2014;161(8):562-7. doi:10.73…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37838/psn-pdf
    June 11, 2008 - Mitigation of patient harm from testing errors in family medicine offices: a report from the American Academy of Family Physicians National Research Network. June 11, 2008 Graham DG, Harris DM, Elder NC, et al. Mitigation of patient harm from testing errors in family medicine offices: a report from the American Ac…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46245/psn-pdf
    June 28, 2017 - Associations between patient factors and adverse events in the home care setting: a secondary data analysis of two Canadian adverse event studies. June 28, 2017 Sears NA, Blais R, Spinks M, et al. Associations between patient factors and adverse events in the home care setting: a secondary data analysis of two can…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40904/psn-pdf
    January 04, 2012 - Effect of illness severity and comorbidity on patient safety and adverse events. January 4, 2012 Naessens JM, Campbell CR, Shah ND, et al. Effect of illness severity and comorbidity on patient safety and adverse events. Am J Med Qual. 2012;27(1):48-57. doi:10.1177/1062860611413456. https://psnet.ahrq.gov/issue/eff…
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