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  1. psnet.ahrq.gov/issue/improving-detection-intraoperative-medical-errors-imes-and-intraoperative-adverse-events-iaes
    June 04, 2014 - Study Improving detection of intraoperative medical errors (iMEs) and intraoperative adverse events (iAEs) and their contribution to postoperative outcomes. Citation Text: Chen Q, Rosen AK, Amirfarzan H, et al. Improving detection of intraoperative medical errors (iMEs) and intraoperativ…
  2. psnet.ahrq.gov/issue/using-machine-learning-system-identify-and-prevent-medication-prescribing-errors-clinical-and
    June 05, 2018 - Study Emerging Classic Using a machine learning system to identify and prevent medication prescribing errors: a clinical and cost analysis evaluation. Citation Text: Rozenblum R, Rodriguez-Monguio R, Volk LA, et al. Using a machine learning system to identify an…
  3. psnet.ahrq.gov/web-mm/direct-oral-anticoagulants-are-high-risk-medications-potentially-complex-dosing
    August 21, 2005 - hospitals at discharge or physician’s offices can include similar details if the healthcare provider indicates
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39358/psn-pdf
    October 13, 2010 - Hospital safety climate and safety outcomes: is there a relationship in the VA? October 13, 2010 Rosen AK, Singer SJ, Zhao S, et al. Hospital safety climate and safety outcomes: is there a relationship in the VA? Med Care Res Rev. 2010;67(5):590-608. doi:10.1177/1077558709356703. https://psnet.ahrq.gov/issue/hospi…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44866/psn-pdf
    March 15, 2016 - Associations between attending physician workload, teaching effectiveness, and patient safety. March 15, 2016 Wingo MT, Halvorsen AJ, Beckman T, et al. Associations between attending physician workload, teaching effectiveness, and patient safety. J Hosp Med. 2016;11(3):169-73. doi:10.1002/jhm.2540. https://psnet.a…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35462/psn-pdf
    February 18, 2011 - Effect of the transformation of the Veterans Affairs Health Care System on the quality of care. February 18, 2011 Jha AK, Perlin JB, Kizer KW, et al. Effect of the transformation of the Veterans Affairs Health Care System on the quality of care. N Engl J Med. 2003;348(22):2218-27. https://psnet.ahrq.gov/issue/effe…
  7. psnet.ahrq.gov/issue/ambulatory-surgery-center-survey-patient-safety-culture
    December 24, 2008 - Measurement Tool/Indicator Ambulatory Surgery Center Survey on Patient Safety Culture. Citation Text: Ambulatory Surgery Center Survey on Patient Safety Culture. Rockville, MD: Agency for Healthcare Research and Quality; October 2020. Copy Citation Save Save to yo…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45950/psn-pdf
    July 18, 2017 - Developing and evaluating an automated all-cause harm trigger system. July 18, 2017 Sammer C, Miller S, Jones C, et al. Developing and Evaluating an Automated All-Cause Harm Trigger System. Jt Comm J Qual Patient Saf. 2017;43(4):155-165. doi:10.1016/j.jcjq.2017.01.004. https://psnet.ahrq.gov/issue/developing-and-e…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35855/psn-pdf
    October 25, 2013 - HealthGrades Quality Study: Third Annual Patient Safety in American Hospitals Study. October 25, 2013 Denver, CO: HealthGrades; 2006. https://psnet.ahrq.gov/issue/healthgrades-quality-study-third-annual-patient-safety-american-hospitals- study This third annual report on the safety of hospitalized Medicare patien…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45473/psn-pdf
    April 24, 2018 - Navigating a ship with a broken compass: evaluating standard algorithms to measure patient safety. April 24, 2018 Hefner JL, Huerta T, McAlearney AS, et al. Navigating a ship with a broken compass: evaluating standard algorithms to measure patient safety. J Am Med Inform Assoc. 2017;24(2):310-315. doi:10.1093/jami…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49476/psn-pdf
    March 02, 2005 - Arrow indicates large spinal mass at posterior lateral L3-L4 level, associated with severe narrowing
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33666/psn-pdf
    October 01, 2008 - had a risk of dying twice that of patients with a susceptible S. aureus.(15) Connie's video clearly indicates
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49782/psn-pdf
    January 01, 2017 - A review of reported cases indicates that the risk of local tissue injury with peripheral infusion is
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49507/psn-pdf
    April 01, 2006 - The seemingly oxymoronic term, “normal accident,” indicates that accidents are a consequence of the
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49479/psn-pdf
    April 01, 2005 - currently available clinical software but exist in other applications, such as a word processor that indicates
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33775/psn-pdf
    December 01, 2014 - in African health systems.(2,3) While exact data remain elusive, a steadily growing knowledge base indicates
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49785/psn-pdf
    February 01, 2017 - complex medication regimen (polypharmacy) are likely contributors to nonadherence.(4) Current evidence indicates
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49796/psn-pdf
    June 01, 2017 - go to PubMed] Figure Figure: Illustration of Pneumothorax and Chest Tube Three-bottle System (–20 Indicates
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49850/psn-pdf
    January 01, 2019 - The case indicates that the heparin infusion order set in question "now contained dosing and monitoring
  20. psnet.ahrq.gov/perspective/patient-safety-and-opioid-medications
    January 01, 2015 - Recent literature also indicates that the manner in which opioids are prescribed and used by patients

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