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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43729/psn-pdf
    November 21, 2017 - Medical harm: patient perceptions and follow-up actions. November 21, 2017 Lyu HG, Cooper M, Mayer-Blackwell B, et al. Medical Harm: Patient Perceptions and Follow-up Actions. J Patient Saf. 2017;13(4):199-201. doi:10.1097/PTS.0000000000000136. https://psnet.ahrq.gov/issue/medical-harm-patient-perceptions-and-follo…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41539/psn-pdf
    January 07, 2015 - Dying for the weekend: a retrospective cohort study on the association between day of hospital presentation and the quality and safety of stroke care. January 7, 2015 Palmer WL, Bottle A, Davie C, et al. Dying for the weekend: a retrospective cohort study on the association between day of hospital presentation and…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47152/psn-pdf
    October 12, 2018 - A quality initiative: a system-wide reduction in serious medication events through targeted simulation training. October 12, 2018 Hebbar KB, Colman N, Williams L, et al. A Quality Initiative: A System-Wide Reduction in Serious Medication Events Through Targeted Simulation Training. Simul Healthc. 2018;13(5):324-330…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39143/psn-pdf
    February 14, 2011 - Impact of a pharmacist-facilitated hospital discharge program: a quasi-experimental study. February 14, 2011 Walker PC, Bernstein SJ, Jones JNT, et al. Impact of a pharmacist-facilitated hospital discharge program: a quasi-experimental study. Arch Intern Med. 2009;169(21):2003-10. doi:10.1001/archinternmed.2009.398…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46343/psn-pdf
    March 21, 2018 - Outpatient CPOE orders discontinued due to 'erroneous entry': prospective survey of prescribers' explanations for errors. March 21, 2018 Hickman T-TT, Quist AJL, Salazar A, et al. Outpatient CPOE orders discontinued due to 'erroneous entry': prospective survey of prescribers' explanations for errors. BMJ Qual Saf.…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36366/psn-pdf
    April 11, 2011 - Adverse events in the neonatal intensive care unit: development, testing, and findings of an NICU-focused trigger tool to identify harm in North American NICUs. April 11, 2011 Sharek PJ, Horbar JD, Mason W, et al. Adverse events in the neonatal intensive care unit: development, testing, and findings of an NICU-foc…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46135/psn-pdf
    July 11, 2017 - Two-state collaborative study of a multifaceted intervention to decrease ventilator-associated events. July 11, 2017 Rawat N, Yang T, Ali KJ, et al. Two-State Collaborative Study of a Multifaceted Intervention to Decrease Ventilator-Associated Events. Crit Care Med. 2017;45(7):1208-1215. doi:10.1097/CCM.0000000000…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845278/psn-pdf
    March 01, 2023 - Association between opioid tapering and subsequent health care use, medication adherence, and chronic condition control. March 1, 2023 Magnan EM, Tancredi DJ, Xing G, et al. Association between opioid tapering and subsequent health care use, medication adherence, and chronic condition control. JAMA Netw Open. 2023…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73241/psn-pdf
    May 12, 2021 - Delayed or failure to follow-up abnormal breast cancer screening mammograms in primary care: a systematic review. May 12, 2021 Reece JC, Neal EFG, Nguyen P, et al. Delayed or failure to follow-up abnormal breast cancer screening mammograms in primary care: a systematic review. BMC Cancer. 2021;21(1):373. doi:10.11…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39641/psn-pdf
    September 20, 2011 - Adherence to Surgical Care Improvement Project measures and the association with postoperative infections. September 20, 2011 Stulberg JJ, Delaney CP, Neuhauser D, et al. Adherence to surgical care improvement project measures and the association with postoperative infections. JAMA. 2010;303(24):2479-85. doi:10.1…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44004/psn-pdf
    September 01, 2016 - Impact of computerized physician order entry alerts on prescribing in older patients. September 1, 2016 Lester PE, Rios-Rojas L, Islam S, et al. Impact of computerized physician order entry alerts on prescribing in older patients. Drugs Aging. 2015;32(3):227-33. doi:10.1007/s40266-015-0244-2. https://psnet.ahrq.go…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39662/psn-pdf
    April 30, 2014 - Patient record review of the incidence, consequences, and causes of diagnostic adverse events. April 30, 2014 Zwaan L, de Bruijne M, Wagner C, et al. Patient record review of the incidence, consequences, and causes of diagnostic adverse events. Arch Intern Med. 2010;170(12):1015-21. doi:10.1001/archinternmed.2010.…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47671/psn-pdf
    January 01, 2019 - Racial, ethnic, and socioeconomic disparities in patient safety events for hospitalized children. December 19, 2018 Stockwell DC, Landrigan CP, Toomey SL, et al. Racial, Ethnic, and Socioeconomic Disparities in Patient Safety Events for Hospitalized Children. Hosp Pediatr. 2019;9(1):1-5. doi:10.1542/hpeds.2018-0131…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44056/psn-pdf
    May 19, 2018 - Impact of inpatient harms on hospital finances and patient clinical outcomes. May 19, 2018 Adler L, Yi D, Li M, et al. Impact of Inpatient Harms on Hospital Finances and Patient Clinical Outcomes. J Patient Saf. 2018;14(2):67-73. doi:10.1097/PTS.0000000000000171. https://psnet.ahrq.gov/issue/impact-inpatient-harms…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42711/psn-pdf
    October 31, 2014 - Characterising the complexity of medication safety using a human factors approach: an observational study in two intensive care units. October 31, 2014 Carayon P, Wetterneck TB, Cartmill R, et al. Characterising the complexity of medication safety using a human factors approach: an observational study in two inten…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39142/psn-pdf
    December 02, 2009 - Resident and RN perceptions of the impact of a medical emergency team on education and patient safety in an academic medical center. December 2, 2009 Sarani B, Sonnad SS, Bergey MR, et al. Resident and RN perceptions of the impact of a medical emergency team on education and patient safety in an academic medical c…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44372/psn-pdf
    June 21, 2016 - Hospital characteristics associated with penalties in the Centers for Medicare & Medicaid Services Hospital- Acquired Condition Reduction Program. June 21, 2016 Rajaram R, Chung JW, Kinnier C, et al. Hospital Characteristics Associated With Penalties in the Centers for Medicare & Medicaid Services Hospital-Acquire…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45356/psn-pdf
    May 09, 2017 - Screening for medication errors using an outlier detection system. May 9, 2017 Schiff G, Volk LA, Volodarskaya M, et al. Screening for medication errors using an outlier detection system. J Am Med Inform Assoc. 2017;24(2):281-287. doi:10.1093/jamia/ocw171. https://psnet.ahrq.gov/issue/screening-medication-errors-u…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42748/psn-pdf
    November 20, 2013 - Effectiveness of written hospitalist sign-outs in answering overnight inquiries. November 20, 2013 Fogerty RL, Schoenfeld A, Al-Damluji MS, et al. Effectiveness of written hospitalist sign-outs in answering overnight inquiries. J Hosp Med. 2013;8(11):609-14. doi:10.1002/jhm.2090. https://psnet.ahrq.gov/issue/effec…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43341/psn-pdf
    July 23, 2014 - Effectiveness of different nursing handover styles for ensuring continuity of information in hospitalised patients. July 23, 2014 Smeulers M, Lucas C, Vermeulen H. Effectiveness of different nursing handover styles for ensuring continuity of information in hospitalised patients. Cochrane Database of Syst Rev. 2014…