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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46346/psn-pdf
    October 29, 2017 - Root cause analysis of ICU adverse events in the Veterans Health Administration. October 29, 2017 Corwin GS, Mills PD, Shanawani H, et al. Root Cause Analysis of ICU Adverse Events in the Veterans Health Administration. Jt Comm J Qual Patient Saf. 2017;43(11):580-590. doi:10.1016/j.jcjq.2017.04.009. https://psnet.…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36675/psn-pdf
    January 18, 2011 - Target-focused medical emergency team training using a human patient simulator: effects on behaviour and attitude. January 18, 2011 Wallin C-J, Meurling L, Hedman L, et al. Target-focused medical emergency team training using a human patient simulator: effects on behaviour and attitude. Med Educ. 2007;41(2):173-80…
  3. www.ahrq.gov/research/findings/final-reports/advisorycouncil/adcouncilack.html
    April 01, 2018 - Guide for Developing a Community-Based Patient Safety Advisory Council Acknowledgments We are in the midst of an exciting national movement, endorsed by health care entities and patients alike, to engage patients and families as partners with their health care providers. Including patients in the design and i…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47523/psn-pdf
    December 05, 2018 - Developing standardized "receiver-driven" handoffs between referring providers and the emergency department: results of a multidisciplinary needs assessment. December 5, 2018 Huth K, Stack AM, Chi G, et al. Developing Standardized "Receiver-Driven" Handoffs Between Referring Providers and the Emergency Department…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60892/psn-pdf
    September 09, 2020 - Applying thematic synthesis to interpretation and commentary in epidemiological studies: identifying what contributes to successful interventions to promote hand hygiene in patient care. September 9, 2020 Drey N, Gould D, Purssell E, et al. Applying thematic synthesis to interpretation and commentary in epidemiol…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47592/psn-pdf
    July 17, 2019 - Identifying potential medication discrepancies during medication reconciliation in the post-acute long-term care setting. July 17, 2019 Cook H, Parson J, Brandt N. Identifying Potential Medication Discrepancies During Medication Reconciliation in the Post-Acute Long-Term Care Setting. J Gerontol Nurs. 2019;45(7):5…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35328/psn-pdf
    May 19, 2015 - Applicability of Healthcare Failure Mode and Effects Analysis to healthcare epidemiology: evaluation of the sterilization and use of surgical instruments. May 19, 2015 Weinstein RA, Linkin DR, Sausman C, et al. Applicability of Healthcare Failure Mode and Effects Analysis to Healthcare Epidemiology: Evaluation of …
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845348/psn-pdf
    February 02, 2012 - Liquid-based Papanicolaou tests in endometrial carcinoma diagnosis: performance, error root cause analysis, and quality improvement. February 2, 2012 Sams SB, Currens HS, Raab SS. Liquid-based Papanicolaou tests in endometrial carcinoma diagnosis: performance, error root cause analysis, and quality improvement. Am…
  9. psnet.ahrq.gov/issue/marylanddc-patient-safety-coalition
    September 28, 2023 - Multi-use Website Maryland/DC Patient Safety Coalition. Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL March 17, 2011 The Maryland Patient Safety Center facilitates the study …
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47187/psn-pdf
    September 05, 2018 - Supporting clinicians after adverse events: development of a clinician peer support program. September 5, 2018 Lane MA, Newman BM, Taylor MZ, et al. Supporting Clinicians After Adverse Events: Development of a Clinician Peer Support Program. J Patient Saf. 2018;14(3):e56-e60. doi:10.1097/PTS.0000000000000508. http…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/839827/psn-pdf
    December 20, 2020 - Racial bias in pulse oximetry measurement. December 20, 2020 Sjoding MW, Dickson RP, Iwashyna TJ, et al. Racial bias in pulse oximetry measurement. N Engl J Med. 2020;383(25):2477-2478. doi:10.1056/nejmc2029240. https://psnet.ahrq.gov/issue/racial-bias-pulse-oximetry-measurement Pulse oximetry is used to triage pa…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866525/psn-pdf
    August 14, 2024 - Stakeholder perceptions of and attitudes towards problematic polypharmacy and prescribing cascades: a qualitative study. August 14, 2024 Jennings AA, Doherty AS, Clyne B, et al. Stakeholder perceptions of and attitudes towards problematic polypharmacy and prescribing cascades: a qualitative study. Age Ageing. 2024…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60521/psn-pdf
    May 27, 2020 - Assessment of potentially inappropriate prescribing of opioid analgesics requiring prior opioid tolerance. May 27, 2020 Jeffery MM, Chaisson CE, Hane C, et al. Assessment of potentially inappropriate prescribing of opioid analgesics requiring prior opioid tolerance. JAMA Netw Open. 2020;3(4). doi:10.1001/jamanetwo…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46903/psn-pdf
    December 04, 2018 - Salzburg Global Seminar Session 565—Better Health Care: How Do We Learn About Improvement? December 4, 2018 Massoud MR, Kimble LE, Goldmann D, eds. Int J Qual Health Care. 2018;30(suppl 1):1-41. https://psnet.ahrq.gov/issue/salzburg-global-seminar-session-565-better-health-care-how-do-we-learn- about-improvement …
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41132/psn-pdf
    March 13, 2012 - Spreading a medication administration intervention organizationwide in six hospitals. March 13, 2012 Kliger J, Singer SJ, Hoffman F, et al. Spreading a medication administration intervention organizationwide in six hospitals. Jt Comm J Qual Patient Saf. 2012;38(2):51-60. https://psnet.ahrq.gov/issue/spreading-medi…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41814/psn-pdf
    March 04, 2015 - Autopsy as a quality control measure for radiology, and vice versa. March 4, 2015 Murken DR, Ding M, Branstetter BF, et al. Autopsy as a quality control measure for radiology, and vice versa. AJR Am J Roentgenol. 2012;199(2):394-401. doi:10.2214/AJR.11.8386. https://psnet.ahrq.gov/issue/autopsy-quality-control-mea…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44930/psn-pdf
    June 01, 2016 - How well is quality improvement described in the perioperative care literature? A systematic review. June 1, 2016 Jones EL, Lees N, Martin G, et al. How Well Is Quality Improvement Described in the Perioperative Care Literature? A Systematic Review. Jt Comm J Qual Patient Saf. 2016;42(5):196-206. https://psnet.ahr…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35451/psn-pdf
    January 05, 2017 - Closing the loop: follow-up and feedback in a patient safety program. January 5, 2017 Gandhi TK, Graydon-Baker E, Huber CN, et al. Closing the loop: follow-up and feedback in a patient safety program. Jt Comm J Qual Patient Saf. 2005;31(11):614-21. https://psnet.ahrq.gov/issue/closing-loop-follow-and-feedback-pati…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37487/psn-pdf
    May 26, 2011 - Predicting computerized physician order entry system adoption in US hospitals: can the federal mandate be met? May 26, 2011 Ford EW, McAlearney AS, Phillips MT, et al. Predicting computerized physician order entry system adoption in US hospitals: Can the federal mandate be met? Int J Med Inform. 2007;77(8). doi:1…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45014/psn-pdf
    July 18, 2016 - Improving patient safety through simulation training in anesthesiology: where are we? July 18, 2016 Green M, Tariq R, Green P. Improving Patient Safety through Simulation Training in Anesthesiology: Where Are We? Anesthesiol Res Pract. 2016;2016:4237523. doi:10.1155/2016/4237523. https://psnet.ahrq.gov/issue/impro…