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  1. psnet.ahrq.gov/issue/electronic-health-record-based-real-time-analytics-program-patient-safety-surveillance-and
    May 19, 2018 - Study An electronic health record–based real-time analytics program for patient safety surveillance and improvement. Citation Text: Classen D, Li M, Miller S, et al. An Electronic Health Record-Based Real-Time Analytics Program For Patient Safety Surveillance And Improvement. Health Aff …
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35015/psn-pdf
    June 16, 2011 - Keeping Patients Safe: Transforming the Work Environment of Nurses. June 16, 2011 Page A; Committee on the Work Environment for Nurses and Patient Safety, Board on Health Care Services. Washington, DC: The National Academies Press; 2004. ISBN: 9780309090674. https://psnet.ahrq.gov/issue/keeping-patients-safe-trans…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837809/psn-pdf
    August 10, 2022 - The Uneven Burden of Maternal Mortality in the U.S. August 10, 2022 NIHCM Foundation. Washington DC: National Institute for Health Care Management. August 2, 2022. https://psnet.ahrq.gov/issue/uneven-burden-maternal-mortality-us Preventable maternal morbidity is an ongoing challenge in the United States. This infog…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35397/psn-pdf
    September 10, 2009 - The National Medical Error Disclosure and Compensation (MEDiC) Act. September 10, 2009 Rodham-Clinton H; Obama B. 109th Congress. 1st Session. S. 1784. September 28, 2005. https://psnet.ahrq.gov/issue/national-medical-error-disclosure-and-compensation-medic-act This bill, introduced to the Senate by Senators Clint…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41293/psn-pdf
    June 01, 2012 - Developing an action plan for patient radiation safety in adult cardiovascular medicine. June 1, 2012 Douglas PS, Carr J, Cerqueira MD, et al. Developing an action plan for patient radiation safety in adult cardiovascular medicine: proceedings from the Duke University Clinical Research Institute/American College o…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38913/psn-pdf
    May 24, 2015 - Thinking Outside the Pillbox: A System-wide Approach to Improving Patient Medication Adherence for Chronic Disease. May 24, 2015 Cambridge, MA: New England Healthcare Institute; August 12, 2009. https://psnet.ahrq.gov/issue/thinking-outside-pillbox-system-wide-approach-improving-patient-medication- adherence-chro…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37053/psn-pdf
    July 31, 2008 - Electronic health record use and the quality of ambulatory care in the United States. July 31, 2008 Linder JA, Ma J, Bates DW, et al. Electronic health record use and the quality of ambulatory care in the United States. Arch Intern Med. 2007;167(13):1400-5. https://psnet.ahrq.gov/issue/electronic-health-record-use…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41062/psn-pdf
    July 02, 2014 - Perspective: a road map for academic departments to promote scholarship in quality improvement and patient safety. July 2, 2014 Neeman N, Sehgal NL. Perspective: a road map for academic departments to promote scholarship in quality improvement and patient safety. Acad Med. 2012;87(2):168-71. doi:10.1097/ACM.0b013…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836870/psn-pdf
    April 26, 2022 - A Conversation Among Stakeholders on Medical Malpractice. April 6, 2022 Collaborative for Accountability and Improvement. April 26, 2022. https://psnet.ahrq.gov/issue/conversation-among-stakeholders-medical-malpractice Communication and resolution programs (CRP) can improve response to patients and families a…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72688/psn-pdf
    October 06, 2022 - Request for proposals for clinical quality measures to improve diagnosis. October 6, 2022 Palo Alto CA; Gordon and Betty Moore Foundation: February 22, 2022.  https://psnet.ahrq.gov/issue/request-proposals-clinical-quality-measures-improve-diagnosis A lack of consensus on measures for the effectiveness and ac…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50457/psn-pdf
    October 09, 2019 - Combined SNA and LDA methods to understand adverse medical events October 9, 2019 Zhu L, Reychav I, McHaney R, et al. Combined SNA and LDA methods to understand adverse medical events. Int J Risk Saf Med. 2019;30(3):129-153. doi:10.3233/JRS-180052. https://psnet.ahrq.gov/issue/combined-sna-and-lda-methods-understa…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42028/psn-pdf
    February 18, 2014 - Warning! Severe burns and permanent scarring after glacial acetic acid (?99.5%) mistakenly applied topically. February 18, 2014 National Alert Network for Serious Medication Errors. Bethesda, MD: American Society of Health-System Pharmacists and Institute for Safe Medication Practices; January 23, 2013. https://ps…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40352/psn-pdf
    April 06, 2011 - Safety culture of nursing homes: opinions of top managers. April 6, 2011 Castle NG, Wagner LM, Ferguson JC, et al. Safety culture of nursing homes: opinions of top managers. Health Care Manage Rev. 2011;36(2):175-187. doi:10.1097/HMR.0b013e3182080d5f. https://psnet.ahrq.gov/issue/safety-culture-nursing-homes-opini…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45176/psn-pdf
    July 20, 2016 - Sustaining Improvement. July 20, 2016 Scoville R, Little K, Rakover J, et al. Cambridge, Massachusetts: Institute for Healthcare Improvement; 2016. https://psnet.ahrq.gov/issue/sustaining-improvement Numerous activities and programs have been launched to improve patient safety, but sustaining improvements can be …
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35233/psn-pdf
    August 10, 2005 - The influence of the causes and contexts of medical errors on emergency medicine residents' responses to their errors: an exploration. August 10, 2005 Hobgood C, Hevia A, Tamayo-Sarver JH, et al. The influence of the causes and contexts of medical errors on emergency medicine residents' responses to their errors: …
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34668/psn-pdf
    June 06, 2018 - Please don't sleep through this wake-up call. June 6, 2018 ISMP Medication Safety Alert! Acute Care Edition. May 2, 2001.   https://psnet.ahrq.gov/issue/please-dont-sleep-through-wake-call This is an alert from the Institute for Safe Medication Practices informing readers of a fatal medication error that occu…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48136/psn-pdf
    August 07, 2019 - Safe Practices for Drug Allergies—Using CDS and Health IT. August 7, 2019 Partnership for Health IT Patient Safety. Plymouth Meeting, PA: ECRI Institute; 2019. https://psnet.ahrq.gov/issue/safe-practices-drug-allergies-using-cds-and-health-it Inconsistent checking for and consideration of drug allergy alerts can d…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74031/psn-pdf
    November 03, 2021 - Emergency department crowding: the canary in the health care system. November 3, 2021 doi:10.1056/CAT.21.0217. https://psnet.ahrq.gov/issue/emergency-department-crowding-canary-health-care-system Emergency department (ED) overcrowding and boarding can result in worse patient outcomes and increased risk of medical…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866531/psn-pdf
    August 14, 2024 - The Impact of Artificial Intelligence (AI) on the Safety of Patients. August 14, 2024 Institute for Healthcare Improvement. The Impact of Artificial Intelligence (AI) on the Safety of Patients. . https://psnet.ahrq.gov/issue/impact-artificial-intelligence-ai-safety-patients Artificial intelligence (AI) is rapidly …
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37576/psn-pdf
    May 24, 2015 - Saving Lives, Saving Money: The Imperative for Computerized Physician Order Entry in Massachusetts Hospitals. May 24, 2015 Adams M, Bates D, Coffman G, et al. Boston, MA: Massachusetts Technology Collaborative; New England Healthcare Institute; February 2008. https://psnet.ahrq.gov/issue/saving-lives-saving-money…

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