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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40436/psn-pdf
    August 25, 2011 - Hospital discharge documentation and risk of rehospitalisation. August 25, 2011 Hansen LO, Strater A, Smith L, et al. Hospital discharge documentation and risk of rehospitalisation. BMJ Qual Saf. 2011;20(9):773-8. doi:10.1136/bmjqs.2010.048470. https://psnet.ahrq.gov/issue/hospital-discharge-documentation-and-risk…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866735/psn-pdf
    September 18, 2024 - Achieving diagnostic excellence: roadmaps to develop and use patient-reported measures with an equity lens. September 18, 2024 McDonald KM, Gleason KT, Jajodia A, et al. Achieving diagnostic excellence: roadmaps to develop and use patient-reported measures with an equity lens. Int J Health Policy Manag. 2024;13:804…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35906/psn-pdf
    May 27, 2011 - Error reduction in pediatric chemotherapy: computerized order entry and failure modes and effects analysis. May 27, 2011 Kim G, Chen AR, Arceci RJ, et al. Error reduction in pediatric chemotherapy: computerized order entry and failure modes and effects analysis. Arch Pediatr Adolesc Med. 2006;160(5):495-8. https:/…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73348/psn-pdf
    June 02, 2021 - Association of opioid consumption profiles after hospitalization with risk of adverse health care events. June 2, 2021 Kurteva S, Abrahamowicz M, Gomes T, et al. Association of opioid consumption profiles after hospitalization with risk of adverse health care events. JAMA Netw Open. 2021;4(5):e218782. doi:10.1001/…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46610/psn-pdf
    December 06, 2017 - Pragmatic insights on patient safety priorities and intervention strategies in ambulatory settings. December 6, 2017 Sarkar U, McDonald KM, Motala A, et al. Pragmatic Insights on Patient Safety Priorities and Intervention Strategies in Ambulatory Settings. Jt Comm J Qual Patient Saf. 2017;43(12):661-670. doi:10.10…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866407/psn-pdf
    July 31, 2024 - Effect of digital tools to promote hospital quality and safety on adverse events after discharge. July 31, 2024 Vasudevan A, Plombon S, Piniella N, et al. Effect of digital tools to promote hospital quality and safety on adverse events after discharge. J Am Med Inform Assoc. 2024;31(10):2304-2314. doi:10.1093/jami…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36902/psn-pdf
    June 09, 2010 - Patient handover from surgery to intensive care: using Formula 1 pit-stop and aviation models to improve safety and quality. June 9, 2010 Catchpole K, de Leval MR, McEwan A, et al. Patient handover from surgery to intensive care: using Formula 1 pit-stop and aviation models to improve safety and quality. Paediatr …
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45770/psn-pdf
    January 25, 2017 - Understanding patient-centred readmission factors: a multi-site, mixed-methods study. January 25, 2017 Greysen R, Harrison JD, Kripalani S, et al. Understanding patient-centred readmission factors: a multi-site, mixed-methods study. BMJ Qual Saf. 2017;26(1):33-41. doi:10.1136/bmjqs-2015-004570. https://psnet.ahrq.…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/860721/psn-pdf
    January 17, 2024 - How safe are outpatient electronic health records? An evaluation of medication-related decision support using the Ambulatory Electronic Health Record Evaluation Tool. January 17, 2024 Co Z, Classen DC, Cole JM, et al. How safe are outpatient electronic health records? An evaluation of medication-related decision s…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34087/psn-pdf
    June 16, 2011 - Evaluation of the culture of safety: survey of clinicians and managers in an academic medical center. June 16, 2011 Pronovost PJ, Weast B, Holzmueller CG, et al. Evaluation of the culture of safety: survey of clinicians and managers in an academic medical center. Qual Saf Health Care. 2003;12(6):405-10. https://ps…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853959/psn-pdf
    September 27, 2023 - Scaling up a diagnostic pause at the ICU-to-ward transition: an exploration of barriers and facilitators to implementation of the ICU-PAUSE handoff tool. September 27, 2023 Cornell EG, Harris E, McCune E, et al. Scaling up a diagnostic pause at the ICU-to-ward transition: an exploration of barriers and facilitator…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/764398/psn-pdf
    March 02, 2022 - What do we really know about crew resource management in healthcare?: An umbrella review on crew resource management and its effectiveness. March 2, 2022 Buljac-Samardzic M, Dekker-van Doorn CM, Maynard MT. What do we really know about crew resource management in healthcare?: An umbrella review on crew resource ma…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837589/psn-pdf
    June 29, 2022 - Monitoring preventable adverse events and near misses: number and type identified differ depending on method used. June 29, 2022 Isaksson S, Schwarz A, Rusner M, et al. Monitoring preventable adverse events and near misses: number and type identified differ depending on method used. J Patient Saf. 2022;18(4):325-3…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35889/psn-pdf
    March 10, 2011 - Automated surveillance for adverse drug events at a community hospital and an academic medical center. March 10, 2011 Kilbridge PM, Campbell UC, Cozart HB, et al. Automated surveillance for adverse drug events at a community hospital and an academic medical center. J Am Med Inform Assoc. 2006;13(4):372-7. https://…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41725/psn-pdf
    January 01, 2013 - Improving patient handovers from hospital to primary care: a systematic review. October 3, 2012 Hesselink G, Schoonhoven L, Barach P, et al. Improving patient handovers from hospital to primary care: a systematic review. Ann Intern Med. 2013;157(6):417. doi:10.7326/0003-4819-157-6-201209180-00006. https://psnet.ah…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43292/psn-pdf
    January 07, 2015 - Clinical decision support for atypical orders: detection and warning of atypical medication orders submitted to a computerized provider order entry system. January 7, 2015 Woods AD, Mulherin DP, Flynn AJ, et al. Clinical decision support for atypical orders: detection and warning of atypical medication orders subm…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35467/psn-pdf
    March 11, 2011 - The impact of electronic health records on time efficiency of physicians and nurses: a systematic review. March 11, 2011 Poissant L, Pereira J, Tamblyn R, et al. The impact of electronic health records on time efficiency of physicians and nurses: a systematic review. J Am Med Inform Assoc. 2005;12(5):505-16. https…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47845/psn-pdf
    April 24, 2019 - Differential safety between top-ranked cancer hospitals and their affiliates for complex cancer surgery. April 24, 2019 Hoag JR, Resio BJ, Monsalve AF, et al. Differential Safety Between Top-Ranked Cancer Hospitals and Their Affiliates for Complex Cancer Surgery. JAMA Netw Open. 2019;2(4):e191912. doi:10.1001/jama…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44515/psn-pdf
    February 23, 2018 - The Expert Panel Report to Texas Health Resources Leadership on the 2014 Ebola Events. February 23, 2018 Cortese D, Abbott P, Chassin M, Lyon GM III, Riley WJ. Dallas, TX: Texas Health Resources Leadership; 2015. https://psnet.ahrq.gov/issue/expert-panel-report-texas-health-resources-leadership-2014-ebola-events …
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44158/psn-pdf
    September 30, 2015 - Meaningful Use stage 2 e-prescribing threshold and adverse drug events in the Medicare Part D population with diabetes. September 30, 2015 Powers C, Gabriel MH, Encinosa W, et al. Meaningful use stage 2 e-prescribing threshold and adverse drug events in the Medicare Part D population with diabetes. J Am Med Inform…

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