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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41920/psn-pdf
    October 08, 2013 - Review of computerized physician handoff tools for improving the quality of patient care. October 8, 2013 Li P, Ali S, Tang C, et al. Review of computerized physician handoff tools for improving the quality of patient care. J Hosp Med. 2013;8(8):456-63. doi:10.1002/jhm.1988. https://psnet.ahrq.gov/issue/review-com…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72848/psn-pdf
    March 17, 2021 - The development and piloting of the Ambulatory Electronic Health Record Evaluation Tool: lessons learned. March 17, 2021 Co Z, Holmgren AJ, Classen DC, et al. The development and piloting of the Ambulatory Electronic Health Record Evaluation Tool: lessons learned. Appl Clin Inform. 2021;12(01):153-163. doi:10.1055…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36314/psn-pdf
    June 13, 2011 - Discontinuity of chronic medications in patients discharged from the intensive care unit. June 13, 2011 Bell CM, Rahimi-Darabad P, Orner AI. Discontinuity of chronic medications in patients discharged from the intensive care unit. J Gen Intern Med. 2006;21(9):937-41. https://psnet.ahrq.gov/issue/discontinuity-chro…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837423/psn-pdf
    June 15, 2022 - Evaluation and comparison of errors on nursing notes created by online and offline speech recognition technology and handwritten: an interventional study. June 15, 2022 Peivandi S, Ahmadian L, Farokhzadian J, et al. Evaluation and comparison of errors on nursing notes created by online and offline speech recogniti…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72798/psn-pdf
    March 03, 2021 - Perceptual gaps between clinicians and technologists on health information technology-related errors in hospitals: observational study. March 3, 2021 Ndabu T, Mulgund P, Sharman R, et al. Perceptual gaps between clinicians and technologists on health information technology-related errors in hospitals: observationa…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36262/psn-pdf
    August 04, 2009 - Safety in the academic medical center: transforming challenges into ingredients for improvement. August 4, 2009 Blumenthal D, Ferris T. Safety in the academic medical center: transforming challenges into ingredients for improvement. Acad Med. 2006;81(9):817-22. https://psnet.ahrq.gov/issue/safety-academic-medical-…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73879/psn-pdf
    September 29, 2021 - Evolving factors in hospital safety: a systematic review and meta-analysis of hospital adverse events. September 29, 2021 Sauro KM, Machan M, Whalen-Browne L, et al. Evolving factors in hospital safety: a systematic review and meta-analysis of hospital adverse events. J Patient Saf. 2021;17(8):e1285-e1295. doi:10.…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866280/psn-pdf
    July 10, 2024 - Visitor restrictions during the COVID-19 pandemic and increased falls with harm at a Canadian hospital: an exploratory study. July 10, 2024 Shennan S, Coyle N, Lockwood B, et al. Visitor restrictions during the COVID-19 pandemic and increased falls with harm at a Canadian hospital: an exploratory study. J Patient …
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60518/psn-pdf
    May 27, 2020 - Infection Control Deficiencies Were Widespread and Persistent in Nursing Homes Prior to COVID-19 Pandemic. May 27, 2020 Washington, DC: United States Government Accountability Office; May 20, 2020. Publication GAO-20- 576R.    https://psnet.ahrq.gov/issue/infection-control-deficiencies-were-widespre…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/764405/psn-pdf
    March 02, 2022 - Evaluation of communication and safety behaviors during hospital-wide code response simulation. March 2, 2022 Ren DM, Abrams A, Banigan M, et al. Evaluation of communication and safety behaviors during hospital- wide code response simulation. Simul Healthc. 2022;17(1):e45-e50. doi:10.1097/sih.0000000000000575. htt…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/856585/psn-pdf
    November 29, 2023 - Overnight stay in the emergency department and mortality in older patients. November 29, 2023 Roussel M, Teissandier D, Yordanov Y, et al. Overnight stay in the emergency department and mortality in older patients. JAMA Intern Med. 2023;183(12):1378-1385. doi:10.1001/jamainternmed.2023.5961. https://psnet.ahrq.gov…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851651/psn-pdf
    July 26, 2023 - Using failure mode and effect analysis to identify potential failures in a psychiatric hospital emergency department. July 26, 2023 Gur-Arieh S, Mendlovic S, Rozenblum R, et al. Using failure mode and effect analysis to identify potential failures in a psychiatric hospital emergency department. J Patient Saf. 2023…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72474/psn-pdf
    January 01, 2021 - Associations of physicians’ prescribing experience, work hours, and workload with prescription errors. November 18, 2020 Leviatan I, Oberman B, Zimlichman E, et al. Associations of physicians’ prescribing experience, work hours, and workload with prescription errors. J Am Med Inform Assoc. 2021;28(6):1074-1080. do…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866277/psn-pdf
    July 10, 2024 - How payers can help hospitals become safer through value-based programs. July 10, 2024 Hsu E, Ma S, Winn B, et al. How payers can help hospitals become safer through value-based programs. NEJM Catalyst. 2024;5(7):CAT.24.0049. doi:10.1056/cat.24.0049. https://psnet.ahrq.gov/issue/how-payers-can-help-hospitals-becom…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73157/psn-pdf
    April 21, 2021 - The impact of power on health care team performance and patient safety: a review of the literature. April 21, 2021 Stevens EL, Hulme A, Salmon PM. The impact of power on health care team performance and patient safety: a review of the literature. Ergonomics. 2021;64(8):1072-1090. doi:10.1080/00140139.2021.1906454.…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836773/psn-pdf
    March 23, 2022 - Association between operative autonomy of surgical residents and patient outcomes. March 23, 2022 Oliver JB, Kunac A, McFarlane JL, et al. Association between operative autonomy of surgical residents and patient outcomes. JAMA Surg. 2022;157(3):211-219. doi:10.1001/jamasurg.2021.6444. https://psnet.ahrq.gov/issue/…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44165/psn-pdf
    May 27, 2015 - Unplanned return to theater: a quality of care and risk management index? May 27, 2015 Pujol N, Merrer J, Lemaire B, et al. Unplanned return to theater: A quality of care and risk management index? Orthop Traumatol Surg Res. 2015;101(4):399-403. doi:10.1016/j.otsr.2015.03.013. https://psnet.ahrq.gov/issue/unplanne…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73208/psn-pdf
    May 05, 2021 - Accuracy of practitioner estimates of probability of diagnosis before and after testing. May 5, 2021 Morgan DJ, Pineles L, Owczarzak J, et al. Accuracy of practitioner estimates of probability of diagnosis before and after testing. JAMA Intern Med. 2021;181(6):747-755. doi:10.1001/jamainternmed.2021.0269. https://…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867228/psn-pdf
    December 04, 2024 - Risk factors for wrong-patient medication orders in the emergency department. December 4, 2024 Krummrey G, Sauter TC, Hautz WE, et al. Risk factors for wrong-patient medication orders in the emergency department. JAMIA Open. 2024;7(4):ooae103. doi:10.1093/jamiaopen/ooae103. https://psnet.ahrq.gov/issue/risk-factor…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865520/psn-pdf
    April 10, 2024 - The prevalence of incivility in hospitals and the effects of incivility on patient safety culture and outcomes: a systematic review and meta-analysis. April 10, 2024 Freedman B, Li WW, Liang Z, et al. The prevalence of incivility in hospitals and the effects of incivility on patient safety culture and outcomes: a …