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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/859300/psn-pdf
    January 01, 2024 - Patient safety in remote primary care encounters: multimethod qualitative study combining Safety I and Safety II analysis. December 20, 2023 Payne R, Clarke A, Swann N, et al. Patient safety in remote primary care encounters: multimethod qualitative study combining Safety I and Safety II analysis. BMJ Qual Saf. 20…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43711/psn-pdf
    November 26, 2014 - The impact of hospital-acquired conditions on Medicare program payments. November 26, 2014 Kandilov AMG, Coomer NM, Dalton K. The impact of hospital-acquired conditions on Medicare program payments. Medicare Medicaid Res Rev. 2014;4(4). doi:10.5600/mmrr.004.04.a01. https://psnet.ahrq.gov/issue/impact-hospital-acqu…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41010/psn-pdf
    November 26, 2014 - Preventing hospital-acquired infections: a national survey of practices reported by U.S. hospitals in 2005 and 2009. November 26, 2014 Krein SL, Kowalski CP, Hofer TP, et al. Preventing hospital-acquired infections: a national survey of practices reported by U.S. hospitals in 2005 and 2009. J Gen Intern Med. 2012;2…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46191/psn-pdf
    July 19, 2017 - Performance of a trigger tool for identifying adverse events in oncology. July 19, 2017 Lipitz-Snyderman A, Classen D, Pfister D, et al. Performance of a Trigger Tool for Identifying Adverse Events in Oncology. J Oncol Pract. 2017;13(3). doi:10.1200/jop.2016.016634. https://psnet.ahrq.gov/issue/performance-trigger…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45979/psn-pdf
    April 05, 2017 - Healthcare system-wide implementation of opioid-safety guideline recommendations: the case of urine drug screening and opioid-patient suicide- and overdose- related events in the Veterans Health Administration. April 5, 2017 Brennan PL, Del Re AC, Henderson PT, et al. Healthcare system-wide implementation of opioi…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43401/psn-pdf
    August 02, 2015 - Morning handover of on-call issues: opportunities for improvement. August 2, 2015 Devlin MK, Kozij NK, Kiss A, et al. Morning handover of on-call issues: opportunities for improvement. JAMA Intern Med. 2014;174(9):1479-85. doi:10.1001/jamainternmed.2014.3033. https://psnet.ahrq.gov/issue/morning-handover-call-issu…
  7. 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 …
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40450/psn-pdf
    December 21, 2014 - Unit-based care teams and the frequency and quality of physician–nurse communications. December 21, 2014 Gordon M, Melvin P, Graham DA, et al. Unit-based care teams and the frequency and quality of physician- nurse communications. Arch Pediatr Adolesc Med. 2011;165(5):424-8. doi:10.1001/archpediatrics.2011.54. htt…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39813/psn-pdf
    October 11, 2010 - Code debriefing from the Department of Veterans Affairs (VA) Medical Team Training Program improves the cardiopulmonary resuscitation code process. October 11, 2010 Percarpio KB, Harris FS, Hatfield BA, et al. Code debriefing from the Department of Veterans Affairs (VA) Medical Team Training program improves the c…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72572/psn-pdf
    January 01, 2021 - "At home, with care": lessons from New York City home- based primary care practices managing COVID-19. December 16, 2020 Franzosa E, Gorbenko K, Brody AA, et al. "At home, with care": lessons from New York City home-based primary care practices managing COVID-19. J Am Geriatr Soc. 2021;69(2):300-306. doi:10.1111/j…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/864856/psn-pdf
    March 20, 2024 - Changes in perceptions of antibiotic stewardship among neonatal intensive care unit providers over the course of a learning collaborative: a prospective, multisite, mixed- methods evaluation. March 20, 2024 Qureshi N, Kroger J, Zangwill KM, et al. Changes in perceptions of antibiotic stewardship among neonatal in…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44560/psn-pdf
    January 23, 2017 - What is the return on investment for implementation of a crew resource management program at an academic medical center? January 23, 2017 Moffatt-Bruce SD, Hefner JL, Mekhjian H, et al. What Is the Return on Investment for Implementation of a Crew Resource Management Program at an Academic Medical Center? Am J Med…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46302/psn-pdf
    December 22, 2017 - Non–health care facility medication errors resulting in serious medical outcomes. December 22, 2017 Hodges NL, Spiller HA, Casavant MJ, et al. Non-health care facility medication errors resulting in serious medical outcomes. Clin Toxicol (Phila). 2018;56(1):43-50. doi:10.1080/15563650.2017.1337908. https://psnet.a…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43367/psn-pdf
    May 01, 2015 - Promoting Patient Safety Through Effective Health Information Technology Risk Management. May 1, 2015 Schneider EC, Ridgely MS, Meeker D, Hunter LE, Khodyakov D, Rudin R. RAND Health. Washington, DC: Office of the National Coordinator for Health Information Technology; May 2014. RR-654-DHHSNCH. https://psnet.ahrq.…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37687/psn-pdf
    February 22, 2011 - Use of an interactive, telephone-based self-management support program to identify adverse events among ambulatory diabetes patients. February 22, 2011 Sarkar U, Handley MA, Gupta R, et al. Use of an interactive, telephone-based self-management support program to identify adverse events among ambulatory diabetes p…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44302/psn-pdf
    August 04, 2015 - The Global Comparators project: international comparison of 30-day in-hospital mortality by day of the week. August 4, 2015 Ruiz M, Bottle A, Aylin PP. The Global Comparators project: international comparison of 30-day in-hospital mortality by day of the week. BMJ Qual Saf. 2015;24(8):492-504. doi:10.1136/bmjqs-20…
  17. 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…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/861772/psn-pdf
    January 31, 2024 - Rapid expansion of the Healing Emotional Lives of Peers program during COVID-19: a second victim peer support program for healthcare professionals. January 31, 2024 Rivera-Chiauzzi EY, Huang L, Osborne AK, et al. Rapid expansion of the Healing Emotional Lives of Peers program during COVID-19: a second victim peer …
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45739/psn-pdf
    July 02, 2017 - High-risk medications in hospitalized elderly adults: are we making it easy to do the wrong thing? July 2, 2017 Blachman NL, Leipzig RM, Mazumdar M, et al. High-Risk Medications in Hospitalized Elderly Adults: Are We Making It Easy to Do the Wrong Thing? J Am Geriatr Soc. 2017;65(3):603-607. doi:10.1111/jgs.14703. …
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43301/psn-pdf
    May 01, 2015 - Walkrounds in practice: corrupting or enhancing a quality improvement intervention? A qualitative study. May 1, 2015 Martin G, Ozieranski P, Willars J, et al. Walkrounds in practice: corrupting or enhancing a quality improvement intervention? A qualitative study. Jt Comm J Qual Patient Saf. 2014;40(7):303-310. htt…