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2041. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37067/psn-pdf
      October 03, 2011 - Using an interactive voice response system to improve patient safety following hospital discharge. October 3, 2011 Forster AJ, van Walraven C. Using an interactive voice response system to improve patient safety following hospital discharge. J Eval Clin Pract. 2007;13(3):346-51. https://psnet.ahrq.gov/issue/using-…

2042. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41747/psn-pdf
      November 26, 2012 - Workplace engagement and workers' compensation claims as predictors for patient safety culture. November 26, 2012 Thorp J, Baqai W, Witters D, et al. Workplace engagement and workers' compensation claims as predictors for patient safety culture. J Patient Saf. 2012;8(4):194-201. doi:10.1097/PTS.0b013e3182699942. h…

2043. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72796/psn-pdf
      March 03, 2021 - Patient safety. Factors for and perceived consequences of nursing errors by nursing staff in home care services. March 3, 2021 Jachan DE, Müller?Werdan U, Lahmann NA. Patient safety. Factors for and perceived consequences of nursing errors by nursing staff in home care services. Nurs Open. 2021;8(2):755-765. doi:1…

2044. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44806/psn-pdf
      February 03, 2016 - Are Workarounds Ethical? Managing Moral Problems in Health Care Systems. February 3, 2016 Berlinger N. New York, NY: Oxford University Press; 2016. ISBN: 9780190269296. https://psnet.ahrq.gov/issue/are-workarounds-ethical-managing-moral-problems-health-care-systems Workarounds indicate process weaknesses that can …

2045. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73678/psn-pdf
      September 08, 2021 - A report of information technology and health deficiencies in U.S. nursing homes. September 8, 2021 Alexander GL, Madsen RW. A report of information technology and health deficiencies in U.S. nursing homes. J Patient Saf. 2021;17(6):e483-e489. doi:10.1097/pts.0000000000000390. https://psnet.ahrq.gov/issue/report-i…

2046. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36489/psn-pdf
      January 07, 2011 - An observational study of changes to long-term medication after admission to an intensive care unit. January 7, 2011 Campbell AJ, Bloomfield R, Noble DW. An observational study of changes to long-term medication after admission to an intensive care unit. Anaesthesia. 2006;61(11):1087-92. https://psnet.ahrq.gov/iss…

2047. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73585/psn-pdf
      August 11, 2021 - Breast cancer screening and overdiagnosis. August 11, 2021 Bulliard J?L, Beau A?B, Njor S, et al. Breast cancer screening and overdiagnosis. Int J Cancer. 2021;149(4):846-853. doi:10.1002/ijc.33602. https://psnet.ahrq.gov/issue/breast-cancer-screening-and-overdiagnosis Overdiagnosis of breast cancer and the result…

2048. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/844757/psn-pdf
      September 11, 2019 - Diagnostic overshadowing in dentistry. September 11, 2019 Clough S, Handley P. Diagnostic overshadowing in dentistry. Br Dent J. 2019;227(4):311-315. doi:10.1038/s41415-019-0623-x. https://psnet.ahrq.gov/issue/diagnostic-overshadowing-dentistry Assumptions, communication barriers, and implicit biases can compromis…

2049. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837703/psn-pdf
      July 20, 2022 - Family safety reporting in hospitalized children with medical complexity. July 20, 2022 Mercer AN, Mauskar S, Baird JD, et al. Family safety reporting in hospitalized children with medical complexity. Pediatrics. 2022;150(2):e2021055098. doi:10.1542/peds.2021-055098. https://psnet.ahrq.gov/issue/family-safety-repo…

2050. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47442/psn-pdf
      October 03, 2018 - Speaking up for safety—it’s not simple. October 3, 2018 Liberatore K. PA-PSRS Patient Saf Advis. 2018;15(3). https://psnet.ahrq.gov/issue/speaking-safety-its-not-simple Engaging patients and families in patient safety efforts is a key priority in health care. This poll of patients from Pennsylvania explores action…

2051. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837847/psn-pdf
      August 17, 2022 - Defining and studying errors in surgical care: a systematic review. August 17, 2022 Marsh KM, Turrentine FE, Knight K, et al. Defining and studying errors in surgical care: a systematic review. Ann Surg. 2022;275(6):1067-1073. doi:10.1097/sla.0000000000005351. https://psnet.ahrq.gov/issue/defining-and-studying-err…

2052. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/838192/psn-pdf
      September 28, 2022 - When medical error becomes personal, activism becomes painful. September 28, 2022 Millenson M. Forbes. September 16, 2022. https://psnet.ahrq.gov/issue/when-medical-error-becomes-personal-activism-becomes-painful Unnecessary medication infusions indicate weaknesses in medication service processes. While no harm w…

2053. Spotlight Case [MONTH] 2003 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.251_slideshow.ppt
      October 01, 2011 - Spotlight Case [MONTH] 2003 Spotlight Case Mobility Lost in the ICU * * Source and Credits This presentation is based on the October 2011 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Jim Smith, PT, DPT, MA; Associate Professor of Physical …

2054. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50699/psn-pdf
      November 26, 2019 - Patient Safety in Frail Older Patients November 26, 2019 Wald HL, Hall KK, Fitall E. Patient Safety in Frail Older Patients. PSNet [internet]. 2019. https://psnet.ahrq.gov/perspective/patient-safety-frail-older-patients Background Older patients are at a particular risk of experiencing a patient safety event. Stud…

2055. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/852700/psn-pdf
      August 30, 2023 - And it’s time to move beyond lagging indicators of safety to upstream measures and attention to how … This work is important, but keep in mind that these are lagging indicators, and more importantly that

2056. The Role of the National Quality Forum (NQF) in the Quest for Transparency in U.S. Hospitals' Patient Safety Performance | PSNet
      psnet.ahrq.gov/perspective/role-national-quality-forum-nqf-quest-transparency-us-hospitals-patient-safety
      April 01, 2010 - Guidance for Using the AHRQ Quality Indicators for Hospital-level Public Reporting or Payment. … September 22, 2010 Changes in medication safety indicators in England throughout the

2057. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42585/psn-pdf
      June 17, 2014 - https://psnet.ahrq.gov/issue/safety-subject-science https://psnet.ahrq.gov/issue/patient-safety-indicators-overview

2058. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37142/psn-pdf
      August 29, 2007 - psnet.ahrq.gov/issue/patient-safety-canada-update Using survey data as well as information on patient safety indicators

2059. Factors associated with hospital admission after outpatient surgery in the Veterans Health Administration. | PSNet
      psnet.ahrq.gov/issue/factors-associated-hospital-admission-after-outpatient-surgery-veterans-health-administration
      August 17, 2018 - detected by the Veterans Health Administration Surgical Quality Improvement Program and the Patient Safety Indicators … June 5, 2013 Validity of selected patient safety indicators: opportunities and concerns

2060. Opportunities and challenges for quality and safety applications in ICD-11: an international survey of users of coded health data. | PSNet
      psnet.ahrq.gov/issue/opportunities-and-challenges-quality-and-safety-applications-icd-11-international-survey
      February 17, 2017 - Related Resources From the Same Author(s) Deriving ICD-10 codes for patient safety indicators … November 30, 2022 Application of patient safety indicators internationally: a pilot study