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2421. 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…

2422. 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.…

2423. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41283/psn-pdf
      April 11, 2012 - Clinical diagnoses and autopsy findings: discrepancies in critically ill patients. April 11, 2012 Tejerina E, Esteban A, Fernández-Segoviano P, et al. Clinical diagnoses and autopsy findings: discrepancies in critically ill patients*. Crit Care Med. 2012;40(3):842-6. doi:10.1097/CCM.0b013e318236f64f. https://psne…

2424. 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…

2425. 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…

2426. 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.…

2427. 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…

2428. 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…

2429. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45555/psn-pdf
      June 15, 2017 - Variations in GPs' decisions to investigate suspected lung cancer: a factorial experiment using multimedia vignettes. June 15, 2017 Sheringham J, Sequeira R, Myles J, et al. Variations in GPs' decisions to investigate suspected lung cancer: a factorial experiment using multimedia vignettes. BMJ Qual Saf. 2017;26(6…

2430. 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…

2431. 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…

2432. 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…

2433. 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…

2434. 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…

2435. Failure Mode and Effect Analysis (FMEA) | PSNet
      psnet.ahrq.gov/glossary/failure-mode-and-effect-analysis-fmea
      September 13, 2021 - Failure Mode and Effect Analysis (FMEA) September 13, 2021 Anonymous (not verified) A common process used to prospectively identify error risk within a particular process. FMEA begins with a complete process mapping that identifies all the steps that must occur for a given process to occur (e.g., programming an…

2436. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40048/psn-pdf
      December 01, 2010 - Temporal trends in rates of patient harm resulting from medical care. December 1, 2010 Landrigan CP, Parry G, Bones CB, et al. Temporal trends in rates of patient harm resulting from medical care. N Engl J Med. 2010;363(22):2124-34. doi:10.1056/NEJMsa1004404. https://psnet.ahrq.gov/issue/temporal-trends-rates-pati…

2437. 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…

2438. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60825/psn-pdf
      August 19, 2020 - Effect of delays in the 2-week-wait cancer referral pathway during the COVID-19 pandemic on cancer survival in the UK: a modelling study. August 19, 2020 Sud A, Torr B, Jones ME, et al. Effect of delays in the 2-week-wait cancer referral pathway during the COVID-19 pandemic on cancer survival in the UK: a modellin…

2439. In Conversation With… Vineet Chopra, MD, MSc | PSNet
      psnet.ahrq.gov/perspective/conversation-vineet-chopra-md-msc
      February 28, 2024 - In Conversation With… Vineet Chopra, MD, MSc October 30, 2019  Citation Text: In Conversation With… Vineet Chopra, MD, MSc. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation…

2440. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49799/psn-pdf
      July 01, 2017 - chills can be important predictors of a positive culture.(9) Clinical gestalt is superior to individual indicators