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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49572/psn-pdf
    October 01, 2008 - Mistaken Identity October 1, 2008 Hall LW. Mistaken Identity. PSNet [internet]. 2008. https://psnet.ahrq.gov/web-mm/mistaken-identity The Case An 85-year-old Cantonese-speaking woman was admitted to the medical service with altered mental status and a reported fall. After finding tenderness in her left hip, the p…
  2. psnet.ahrq.gov/primers-0
    March 15, 2025 - Primers Guides for key topics in patient safety through context, epidemiology, and relevant AHRQ PSNet content. The Patient Safety 101 Primer provides an overview of the patient safety field and covers key definitions and concepts. Latest Primers Clinical Decision Support Systems March…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49580/psn-pdf
    March 21, 2009 - Medication Reconciliation Victory After an Avoidable Error March 21, 2009 Cutler TW. Medication Reconciliation Victory After an Avoidable Error. PSNet [internet]. 2009. https://psnet.ahrq.gov/web-mm/medication-reconciliation-victory-after-avoidable-error The Case A 91-year-old woman, previously active and indepen…
  4. psnet.ahrq.gov/perspective/weekend-effect
    April 01, 2008 - Annual Perspective The Weekend Effect Sumant Ranji, MD | January 1, 2017  View more articles from the same authors. Citation Text: Ranji SR. The Weekend Effect. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Hea…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845360/psn-pdf
    March 29, 2023 - Demonstrating the value of a standardized cognitive assessment tool through the use of interprofessional rapid safety rounds. March 29, 2023 Hayes M, Wheeling D, Kaul-Connolly S. Demonstrating the value of a standardized cognitive assessment tool through the use of interprofessional rapid safety rounds. J Nurs Car…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43344/psn-pdf
    July 16, 2014 - Cost-effectiveness of a computerized provider order entry system in improving medication safety ambulatory care. July 16, 2014 Forrester SH, Hepp Z, Roth JA, et al. Cost-Effectiveness of a Computerized Provider Order Entry System in Improving Medication Safety Ambulatory Care. Value Health. 2014;17(4):340-349. doi…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47674/psn-pdf
    December 19, 2018 - Patient safety after implementation of a coproduced family centered communication programme: multicenter before and after intervention study. December 19, 2018 Khan A, Spector ND, Baird JD, et al. Patient safety after implementation of a coproduced family centered communication programme: multicenter before and af…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41451/psn-pdf
    October 19, 2012 - Challenges of making a diagnosis in the outpatient setting: a multi-site survey of primary care physicians. October 19, 2012 Sarkar U, Bonacum D, Strull W, et al. Challenges of making a diagnosis in the outpatient setting: a multi- site survey of primary care physicians. BMJ Qual Saf. 2012;21(8):641-648. doi:10.113…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39526/psn-pdf
    December 02, 2014 - Decrease in hospital-wide mortality rate after implementation of a commercially sold computerized physician order entry system. December 2, 2014 Longhurst CA, Parast L, Sandborg CI, et al. Decrease in hospital-wide mortality rate after implementation of a commercially sold computerized physician order entry system…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47082/psn-pdf
    July 02, 2019 - Effect of systematic physician cross-checking on reducing adverse events in the emergency department: the CHARMED cluster randomized trial. July 2, 2019 Freund Y, Goulet H, Leblanc J, et al. Effect of Systematic Physician Cross-checking on Reducing Adverse Events in the Emergency Department: The CHARMED Cluster Ra…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39438/psn-pdf
    March 23, 2011 - Time to listen: a review of methods to solicit patient reports of adverse events. March 23, 2011 King A, Daniels J, Lim J, et al. Time to listen: a review of methods to solicit patient reports of adverse events. Qual Saf Health Care. 2010;19(2):148-57. doi:10.1136/qshc.2008.030114. https://psnet.ahrq.gov/issue/tim…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43817/psn-pdf
    November 23, 2016 - Developing and evaluating the success of a family activated medical emergency team: a quality improvement report. November 23, 2016 Brady PW, Zix J, Brilli RJ, et al. Developing and evaluating the success of a family activated medical emergency team: a quality improvement report. BMJ Qual Saf. 2015;24(3):203-211. …
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45033/psn-pdf
    July 16, 2019 - A cross-sectional observational study of high override rates of drug allergy alerts in inpatient and outpatient settings, and opportunities for improvement. July 16, 2019 Slight SP, Beeler PE, Seger DL, et al. A cross-sectional observational study of high override rates of drug allergy alerts in inpatient and outp…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46985/psn-pdf
    July 02, 2019 - The impact of automated notification on follow-up of actionable tests pending at discharge: a cluster- randomized controlled trial. July 2, 2019 Dalal A, Schaffer A, Gershanik EF, et al. The Impact of Automated Notification on Follow-up of Actionable Tests Pending at Discharge: a Cluster-Randomized Controlled Tria…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43539/psn-pdf
    March 26, 2015 - Challenges and remediation for Patient Safety Indicators in the transition to ICD-10-CM. March 26, 2015 Boyd AD, Yang YM, Li J, et al. Challenges and remediation for Patient Safety Indicators in the transition to ICD-10-CM. J Am Med Inform Assoc. 2015;22(1):19-28. doi:10.1136/amiajnl-2013-002491. https://psnet.ahr…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46704/psn-pdf
    December 04, 2018 - Surveying care teams after in-hospital deaths to identify preventable harm and opportunities to improve advance care planning. December 4, 2018 Lucier D, Folcarelli P, Totte C, et al. Surveying Care Teams after in-Hospital Deaths to Identify Preventable Harm and Opportunities to Improve Advance Care Planning. Jt C…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43630/psn-pdf
    April 15, 2016 - Evaluation of adverse drug events and medication discrepancies in transitions of care between hospital discharge and primary care follow-up. April 15, 2016 Armor BL, Wight AJ, Carter SM. Evaluation of Adverse Drug Events and Medication Discrepancies in Transitions of Care Between Hospital Discharge and Primary Car…
  18. psnet.ahrq.gov/issue/opioid-deprescribing-toolkit
    May 01, 2023 - Toolkit Opioid deprescribing toolkit. Citation Text: Health Innovation East, National Health Service. Opioid deprescribing toolkit. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation …
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43386/psn-pdf
    January 20, 2016 - The influence of organizational factors on patient safety: examining successful handoffs in health care. January 20, 2016 Richter J, McAlearney AS, Pennell ML. The influence of organizational factors on patient safety: Examining successful handoffs in health care. Health Care Manage Rev. 2016;41(1):32-41. doi:10.1…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42945/psn-pdf
    February 19, 2014 - Integrating patient safety into health professionals' curricula: a qualitative study of medical, nursing and pharmacy faculty perspectives. February 19, 2014 Tregunno D, Ginsburg LR, Clarke B, et al. Integrating patient safety into health professionals' curricula: a qualitative study of medical, nursing and pharma…

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