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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837627/psn-pdf
    July 06, 2022 - Distinguishing high-performing from low-performing hospitals for severe maternal morbidity: a focus on quality and equity. July 6, 2022 Howell EA, Sofaer S, Balbierz A, et al. Distinguishing high-performing from low-performing hospitals for severe maternal morbidity: a focus on quality and equity. Obstet Gynecol. …
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/849595/psn-pdf
    May 31, 2023 - Effect of an emergency department process improvement package on suicide prevention: the ED-SAFE 2 cluster randomized clinical trial. May 31, 2023 Boudreaux ED, Larkin C, Vallejo Sefair A, et al. Effect of an emergency department process improvement package on suicide prevention: the ED-SAFE 2 cluster randomized c…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73397/psn-pdf
    June 16, 2021 - Safe opioid prescribing: a prognostic machine learning approach to predicting 30-day risk after an opioid dispensation in Alberta, Canada. June 16, 2021 Sharma V, Kulkarni V, Eurich DT, et al. Safe opioid prescribing: a prognostic machine learning approach to predicting 30-day risk after an opioid dispensation in …
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47526/psn-pdf
    January 16, 2019 - US national trends in pediatric deaths from prescription and illicit opioids, 1999–2016. January 16, 2019 Gaither JR, Shabanova V, Leventhal JM. US National Trends in Pediatric Deaths From Prescription and Illicit Opioids, 1999-2016. JAMA Netw Open. 2018;1(8):e186558. doi:10.1001/jamanetworkopen.2018.6558. https:…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43346/psn-pdf
    August 02, 2015 - Diffusion of surgical innovations, patient safety, and minimally invasive radical prostatectomy. August 2, 2015 Parsons K, Messer K, Palazzi K, et al. Diffusion of surgical innovations, patient safety, and minimally invasive radical prostatectomy. JAMA Surg. 2014;149(8):845-51. doi:10.1001/jamasurg.2014.31. https:…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45471/psn-pdf
    September 21, 2016 - Vital signs: epidemiology of sepsis: prevalence of health care factors and opportunities for prevention. September 21, 2016 Novosad SA, Sapiano MRP, Grigg C, et al. Vital Signs: Epidemiology of Sepsis: Prevalence of Health Care Factors and Opportunities for Prevention. MMWR Morb Mortal Wkly Rep. 2016;65(33):864-869…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47063/psn-pdf
    November 19, 2018 - I-PASS handoff program: use of a campaign to effect transformational change. November 19, 2018 Rosenbluth G, Destino LA, Starmer AJ, et al. I-PASS Handoff Program: Use of a Campaign to Effect Transformational Change. Ped Qual Saf. 2018;3(4):e088. doi:10.1097/pq9.0000000000000088. https://psnet.ahrq.gov/issue/i-pas…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43859/psn-pdf
    May 28, 2015 - Point prevalence of surgical checklist use in Europe: relationship with hospital mortality. May 28, 2015 Jammer I, Ahmad T, Aldecoa C, et al. Point prevalence of surgical checklist use in Europe: relationship with hospital mortality. Br J Anaesth. 2015;114(5):801-807. doi:10.1093/bja/aeu460. https://psnet.ahrq.gov…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43064/psn-pdf
    January 01, 2015 - Leadership, safety climate, and continuous quality improvement: impact on process quality and patient safety. December 12, 2014 McFadden KL, Stock GN, Gowen CR. Leadership, safety climate, and continuous quality improvement: impact on process quality and patient safety. Health Care Manage Rev. 2015;40(1):24-34. d…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47973/psn-pdf
    July 18, 2019 - Transition planning for the senior surgeon: guidance and recommendations from the Society of Surgical Chairs. July 18, 2019 Rosengart TK, Doherty G, Higgins R, et al. Transition Planning for the Senior Surgeon: Guidance and Recommendations From the Society of Surgical Chairs. JAMA Surg. 2019;154(7):647-653. doi:10…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46700/psn-pdf
    November 19, 2018 - Promising practices for improving hospital patient safety culture. November 19, 2018 Campione J, Famolaro T. Promising Practices for Improving Hospital Patient Safety Culture. Jt Comm J Qual Patient Saf. 2018;44(1):23-32. doi:10.1016/j.jcjq.2017.09.001. https://psnet.ahrq.gov/issue/promising-practices-improving-ho…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43697/psn-pdf
    March 26, 2015 - Establishing an international baseline for medication safety in oncology: findings from the 2012 ISMP International Medication Safety Self Assessment for Oncology. March 26, 2015 Greenall J, Shastay A, Vaida AJ, et al. Establishing an international baseline for medication safety in oncology: Findings from the 201…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41168/psn-pdf
    February 29, 2012 - Evaluation of organizational culture among different levels of healthcare staff participating in the Institute for Healthcare Improvement's 100,000 Lives Campaign. February 29, 2012 Sinkowitz-Cochran R, Garcia-Williams A, Hackbarth AD, et al. Evaluation of organizational culture among different levels of healthcar…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38563/psn-pdf
    March 23, 2011 - Market-based control mechanisms for patient safety. March 23, 2011 Coiera E, Braithwaite J. Market-based control mechanisms for patient safety. Qual Saf Health Care. 2009;18(2):99-103. doi:10.1136/qshc.2007.025833. https://psnet.ahrq.gov/issue/market-based-control-mechanisms-patient-safety Efforts to improve patie…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46679/psn-pdf
    December 22, 2018 - Are parents who feel the need to watch over their children's care better patient safety partners? December 22, 2018 Cox E, Hansen K, Rajamanickam VP, et al. Are Parents Who Feel the Need to Watch Over Their Children's Care Better Patient Safety Partners? Hosp Pediatr. 2017;7(12):716-722. doi:10.1542/hpeds.2017-003…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43254/psn-pdf
    May 01, 2015 - Investigating the long-term consequences of adverse medical events among older adults. May 1, 2015 Carter MW, Zhu M, Xiang J, et al. Investigating the long-term consequences of adverse medical events among older adults. Inj Prev. 2014;20(6):408-15. doi:10.1136/injuryprev-2013-041043. https://psnet.ahrq.gov/issue/i…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43851/psn-pdf
    March 13, 2015 - Systematic review of the effectiveness of strategies to encourage patients to remind healthcare professionals about their hand hygiene. March 13, 2015 Davis R, Parand A, Pinto A, et al. Systematic review of the effectiveness of strategies to encourage patients to remind healthcare professionals about their hand hy…
  18. psnet.ahrq.gov/web-mm/forgotten-drip
    April 01, 2014 - The Forgotten Drip Citation Text: Josephson AS. The Forgotten Drip. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2008. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId R…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73554/psn-pdf
    July 28, 2021 - EMS Patient Safety in the Field July 28, 2021 Augustine JJ, Fitall E, Hall KK, et al. EMS Patient Safety in the Field. PSNet [internet]. 2021. https://psnet.ahrq.gov/perspective/ems-patient-safety-field Introduction Emergency medical services (EMS) personnel serve a critical role within the care continuum. They ar…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49389/psn-pdf
    February 01, 2003 - Procedural Mishap: Learning Curve? February 1, 2003 Gibbs VC, Leape L. Procedural Mishap: Learning Curve? PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/procedural-mishap-learning-curve The Case A 28-year-old multiparous obese female presented for laparoscopic tubal ligation. The patient had undesired fert…

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