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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39746/psn-pdf
    August 11, 2010 - Analysis of adverse events in pediatric surgery using criteria validated from the adult population: justifying the need for pediatric-focused outcome measures. August 11, 2010 Rice-Townsend S, Hall M, Jenkins KJ, et al. Analysis of adverse events in pediatric surgery using criteria validated from the adult populat…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36294/psn-pdf
    July 14, 2010 - Care management implementation and patient safety. July 14, 2010 Alexander JA; Weiner BJ; Baker LC; et al. J Patient Saf. 2006;2(2):83-96. https://psnet.ahrq.gov/issue/care-management-implementation-and-patient-safety The Institute of Medicine's Crossing the Quality Chasm report endorsed care management, defined as…
  3. psnet.ahrq.gov/issue/workplace-safety-supplemental-item-set-hospital-sops
    December 24, 2008 - Measurement Tool/Indicator Workplace Safety Supplemental Item Set for Hospital SOPS. Citation Text: Workplace Safety Supplemental Item Set for Hospital SOPS. Rockville, MD: Agency for Healthcare Research and Quality; 2021. Copy Citation Save Save to your library…
  4. 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…
  5. 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…
  6. 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
  7. 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…
  8. 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…
  9. 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…
  10. 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…
  11. 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…
  12. 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…
  13. 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…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43346/psn-pdf
    August 02, 2015 - Diffusion of surgical innovations, patient safety, and minimally invasive radical prostatectomy. August 2, 2015 Parsons K, Messer K, Palazzi K, et al. Diffusion of surgical innovations, patient safety, and minimally invasive radical prostatectomy. JAMA Surg. 2014;149(8):845-51. doi:10.1001/jamasurg.2014.31. https:…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36807/psn-pdf
    October 25, 2013 - HealthGrades Quality Study: Fourth Annual Patient Safety in American Hospitals Study. October 25, 2013 Denver, CO; Health Grades Inc; 2007. https://psnet.ahrq.gov/issue/healthgrades-quality-study-fourth-annual-patient-safety-american-hospitals- study This fourth annual report on the safety of hospitalized Medicar…
  16. 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
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40726/psn-pdf
    July 03, 2014 - Automated identification of postoperative complications within an electronic medical record using natural language processing. July 3, 2014 Murff HJ, FitzHenry F, Matheny ME, et al. Automated identification of postoperative complications within an electronic medical record using natural language processing. JAMA. …
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44993/psn-pdf
    April 17, 2017 - Surgical patient safety outcomes in critical access hospitals: how do they compare? April 17, 2017 Natafgi N, Baloh J, Weigel P, et al. Surgical Patient Safety Outcomes in Critical Access Hospitals: How Do They Compare? J Rural Health. 2016;33(2):117-126. doi:10.1111/jrh.12176. https://psnet.ahrq.gov/issue/surgica…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45395/psn-pdf
    August 10, 2016 - Adverse inpatient outcomes during the transition to a new electronic health record system: observational study. August 10, 2016 Barnett ML, Mehrotra A, Jena AB. Adverse inpatient outcomes during the transition to a new electronic health record system: observational study. BMJ. 2016;354:i3835. doi:10.1136/bmj.i3835.…
  20. psnet.ahrq.gov/issue/creating-effective-quality-improvement-collaboratives-multiple-case-study
    December 19, 2012 - Study Creating effective quality-improvement collaboratives: a multiple case study. Citation Text: Strating MMH, Nieboer AP, Zuiderent-Jerak T, et al. Creating effective quality-improvement collaboratives: a multiple case study. BMJ Qual Saf. 2011;20(4). doi:10.1136/bmjqs.2010.047159. …

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