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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33662/psn-pdf
    January 01, 2008 - In Conversation with…Jennifer Daley, MD January 1, 2008 In Conversation with…Jennifer Daley, MD. PSNet [internet]. 2008. https://psnet.ahrq.gov/perspective/conversation-withjennifer-daley-md Editor's note: Jennifer Daley, MD, is the Chief Medical Officer of Partners Community Healthcare Inc., the organization for …
  2. psnet.ahrq.gov/perspective/learning-health-systems-patient-safety
    February 26, 2025 - The most successful learning health systems have had some institutional investment behind them and alignment
  3. psnet.ahrq.gov/perspective/conversation-lucy-savitz-about-learning-health-systems-patient-safety
    February 26, 2025 - The most successful learning health systems have had some institutional investment behind them and alignment
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41494/psn-pdf
    June 27, 2012 - National Voluntary Consensus Standards for Patient Safety Measures: A Consensus Report. June 27, 2012 Washington, DC: National Quality Forum; June 2012. https://psnet.ahrq.gov/issue/national-voluntary-consensus-standards-patient-safety-measures-consensus- report Progress in improving patient safety has been hampe…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37562/psn-pdf
    June 14, 2011 - Effectiveness and efficiency of root cause analysis in medicine. June 14, 2011 Wu AW. Effectiveness and Efficiency of Root Cause Analysis in Medicine. JAMA. 2008;299(6):685-687. doi:10.1001/jama.299.6.685. https://psnet.ahrq.gov/issue/effectiveness-and-efficiency-root-cause-analysis-medicine Application of root c…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40020/psn-pdf
    September 20, 2011 - Case 34-2010: a 65-year-old woman with an incorrect operation on the left hand. September 20, 2011 Ring DC, Herndon JH, Meyer GS. Case records of The Massachusetts General Hospital: Case 34-2010: a 65-year-old woman with an incorrect operation on the left hand. N Engl J Med. 2010;363(20):1950-7. doi:10.1056/NEJMcp…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39173/psn-pdf
    November 02, 2014 - Transforming healthcare: a safety imperative. November 2, 2014 Leape L, Berwick D, Clancy C, et al. Transforming healthcare: a safety imperative. Qual Saf Health Care. 2009;18(6):424-8. doi:10.1136/qshc.2009.036954. https://psnet.ahrq.gov/issue/transforming-healthcare-safety-imperative Although significant progres…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47856/psn-pdf
    June 02, 2019 - The impact of patient–physician alliance on trust following an adverse event. June 2, 2019 Shoemaker K, Smith CP. The impact of patient-physician alliance on trust following an adverse event. Patient Educ Couns. 2019;102(7):1342-1349. doi:10.1016/j.pec.2019.02.015. https://psnet.ahrq.gov/issue/impact-patient-physi…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38270/psn-pdf
    December 01, 2010 - Improving America's Hospitals: The Joint Commission's Report on Quality and Safety 2008. December 1, 2010 Oakbrook Terrace, IL: The Joint Commission; November 2008. https://psnet.ahrq.gov/issue/improving-americas-hospitals-joint-commissions-report-quality-and-safety-2008 The quality of care delivered at US hospita…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46472/psn-pdf
    August 20, 2018 - Wide variation and overprescription of opioids after elective surgery. August 20, 2018 Thiels CA, Anderson SS, Ubl DS, et al. Wide Variation and Overprescription of Opioids After Elective Surgery. Ann Surg. 2017;266(4):564-573. doi:10.1097/SLA.0000000000002365. https://psnet.ahrq.gov/issue/wide-variation-and-overp…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40394/psn-pdf
    January 01, 2019 - Partnership for Patients. October 6, 2016 Washington, DC: US Department of Health and Human Services. https://psnet.ahrq.gov/issue/partnership-patients Launched in 2011, the Partnership for Patients plans to invest approximately $1 billion total in an effort to decrease preventable harm in United States hospitals.…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44461/psn-pdf
    June 21, 2016 - Outcomes of daytime procedures performed by attending surgeons after night work. June 21, 2016 Govindarajan A, Urbach DR, Kumar M, et al. Outcomes of Daytime Procedures Performed by Attending Surgeons after Night Work. N Engl J Med. 2015;373(9):845-53. doi:10.1056/NEJMsa1415994. https://psnet.ahrq.gov/issue/outcom…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74179/psn-pdf
    January 01, 2022 - Establishing a multidisciplinary taskforce to improve anticoagulation safety at a large health system. December 12, 2021 Attia E, Fuentes A, Vassallo M, et al. Establishing a multidisciplinary taskforce to improve anticoagulation safety at a large health system. Am J Health Syst Pharm. 2022;79(4):297-305. doi:10.10…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42250/psn-pdf
    June 03, 2013 - A long-term follow-up evaluation of electronic health record prescribing safety. June 3, 2013 Abramson EL, Malhotra S, Osorio N, et al. A long-term follow-up evaluation of electronic health record prescribing safety. J Am Med Inform Assoc. 2013;20(e1):e52-8. doi:10.1136/amiajnl-2012-001328. https://psnet.ahrq.gov/…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845651/psn-pdf
    November 17, 2016 - Variability in diagnostic error rates of 10 MRI centers performing lumbar spine MRI examinations on the same patient within a 3-week period. November 17, 2016 Herzog R, Elgort DR, Flanders AE, et al. Variability in diagnostic error rates of 10 MRI centers performing lumbar spine MRI examinations on the same patien…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46756/psn-pdf
    May 09, 2018 - Using a modified A3 lean framework to identify ways to increase students' reporting of mistreatment behaviors. May 9, 2018 Ross PT, Abdoler E, Flygt LA, et al. Using a Modified A3 Lean Framework to Identify Ways to Increase Students' Reporting of Mistreatment Behaviors. Acad Med. 2018;93(4):606-611. doi:10.1097/AC…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39197/psn-pdf
    January 06, 2010 - Resident fatigue: is there a patient safety issue? January 6, 2010 Mitchell CD, Mooty CR, Dunn EL, et al. Resident fatigue: is there a patient safety issue? Am J Surg. 2009;198(6):811-6. doi:10.1016/j.amjsurg.2009.04.028. https://psnet.ahrq.gov/issue/resident-fatigue-there-patient-safety-issue Regulations limiting…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/842763/psn-pdf
    January 18, 2023 - Implementation of peer messengers to deliver feedback: an observational study to promote professionalism in nursing. January 18, 2023 Baldwin CA, Hanrahan K, Edmonds SW, et al. Implementation of peer messengers to deliver feedback: an observational study to promote professionalism in nursing. Jt Comm J Qual Patien…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36003/psn-pdf
    March 28, 2011 - The "To Err Is Human Report" and the patient safety literature. March 28, 2011 Stelfox HT, Palmisani S, Scurlock C, et al. The "To Err is Human" report and the patient safety literature. Qual Saf Health Care. 2006;15(3):174-8. https://psnet.ahrq.gov/issue/err-human-report-and-patient-safety-literature This study …
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35436/psn-pdf
    September 15, 2009 - Hospital nurse staffing and patient mortality, emotional exhaustion, and job dissatisfaction. September 15, 2009 Halm M, Peterson M, Kandels M, et al. Hospital nurse staffing and patient mortality, emotional exhaustion, and job dissatisfaction. Clin Nurse Spec. 2005;19(5):241-254. https://psnet.ahrq.gov/issue/hosp…

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