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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40619/psn-pdf
    October 06, 2016 - Sustaining and spreading the reduction of adverse drug events in a multicenter collaborative. October 6, 2016 Tham E, Calmes HM, Poppy A, et al. Sustaining and spreading the reduction of adverse drug events in a multicenter collaborative. Pediatrics. 2011;128(2):e438-45. doi:10.1542/peds.2010-3772. https://psnet.a…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38983/psn-pdf
    February 10, 2015 - Improving safety and eliminating redundant tests: cutting costs in U.S. hospitals. February 10, 2015 Jha AK, Chan DC, Ridgway AB, et al. Improving safety and eliminating redundant tests: cutting costs in U.S. hospitals. Health Aff (Millwood). 2009;28(5):1475-1484. doi:10.1377/hlthaff.28.5.1475. https://psnet.ahrq.…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46404/psn-pdf
    December 07, 2017 - Preventable and mitigable adverse events in cancer care: measuring risk and harm across the continuum. December 7, 2017 Lipitz-Snyderman A, Pfister D, Classen D, et al. Preventable and mitigable adverse events in cancer care: measuring risk and harm across the continuum. Cancer. 2017;123(23):4728-4736. doi:10.1002/…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46323/psn-pdf
    October 29, 2017 - Use of unit-based interventions to improve the quality of care for hospitalized medical patients: a national survey. October 29, 2017 O'Leary KJ, Johnson J, Manojlovich M, et al. Use of Unit-Based Interventions to Improve the Quality of Care for Hospitalized Medical Patients: A National Survey. Jt Comm J Qual Patie…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43263/psn-pdf
    July 16, 2014 - Patient complaints in healthcare systems: a systematic review and coding taxonomy. July 16, 2014 Reader TW, Gillespie A, Roberts J. Patient complaints in healthcare systems: a systematic review and coding taxonomy. BMJ Qual Saf. 2014;23(8):678-689. doi:10.1136/bmjqs-2013-002437. https://psnet.ahrq.gov/issue/patien…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46616/psn-pdf
    July 02, 2019 - Medication-related clinical decision support alert overrides in inpatients. July 2, 2019 Nanji KC, Seger DL, Slight SP, et al. Medication-related clinical decision support alert overrides in inpatients. J Am Med Inform Assoc. 2018;25(5):476-481. doi:10.1093/jamia/ocx115. https://psnet.ahrq.gov/issue/medication-rel…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50369/psn-pdf
    January 01, 2020 - Association of registered nurse and nursing support staffing with inpatient hospital mortality. September 25, 2019 Needleman J, Liu J, Shang J, et al. Association of registered nurse and nursing support staffing with inpatient hospital mortality. BMJ Qual Saf. 2020;29(1):10-18. doi:10.1136/bmjqs-2018-009219. https…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46471/psn-pdf
    March 20, 2018 - Diagnostic errors in primary care pediatrics: Project RedDE. March 20, 2018 Rinke ML, Singh H, Heo M, et al. Diagnostic Errors in Primary Care Pediatrics: Project RedDE. Acad Peds. 2018;18(2):220-227. doi:10.1016/j.acap.2017.08.005. https://psnet.ahrq.gov/issue/diagnostic-errors-primary-care-pediatrics-project-red…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45684/psn-pdf
    January 01, 2020 - A multilevel analysis of U.S. hospital patient safety culture relationships with perceptions of voluntary event reporting. June 29, 2017 Burlison JD, Quillivan RR, Kath LM, et al. A Multilevel Analysis of U.S. Hospital Patient Safety Culture Relationships With Perceptions of Voluntary Event Reporting. J Patient Sa…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45323/psn-pdf
    June 28, 2017 - Effects of health information technology on patient outcomes: a systematic review. June 28, 2017 Brenner SK, Kaushal R, Grinspan Z, et al. Effects of health information technology on patient outcomes: a systematic review. J Am Med Inform Assoc. 2016;23(5):1016-36. doi:10.1093/jamia/ocv138. https://psnet.ahrq.gov/i…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38354/psn-pdf
    September 24, 2010 - Barriers to emergency departments' adherence to four medication safety–related Joint Commission National Patient Safety Goals. September 24, 2010 Juarez A, Gacki-Smith J, Bauer MR, et al. Barriers to emergency departments' adherence to four medication safety-related Joint Commission National Patient Safety Goals. …
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39970/psn-pdf
    January 22, 2017 - Hospital board checklist to improve culture and reduce central line–associated bloodstream infections. January 22, 2017 Goeschel CA, Holzmueller CG, Pronovost P. Hospital Board Checklist to improve culture and reduce central line-associated bloodstream infections. Jt Comm J Qual Patient Saf. 2010;36(11):525-8. htt…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43063/psn-pdf
    May 01, 2015 - More Than 1,000 Preventable Deaths a Day Is Too Many: The Need to Improve Patient Safety. May 1, 2015 Hearing Before the Subcommittee on Primary Health and Aging, 113th Cong (July 17, 2014). https://psnet.ahrq.gov/issue/more-1000-preventable-deaths-day-too-many-need-improve-patient-safety A group of patient safety…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38455/psn-pdf
    January 02, 2017 - Clinical triggers: an alternative to a rapid response team. January 2, 2017 Moldenhauer K, Sabel A, Chu ES, et al. Clinical triggers: an alternative to a rapid response team. Jt Comm J Qual Patient Saf. 2009;35(3):164-74. https://psnet.ahrq.gov/issue/clinical-triggers-alternative-rapid-response-team A national cam…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42396/psn-pdf
    July 31, 2013 - Developing and implementing a standardized process for Global Trigger Tool application across a large health system. July 31, 2013 Garrett PR, Sammer C, Nelson A, et al. Developing and implementing a standardized process for global trigger tool application across a large health system. Jt Comm J Qual Saf. 2013;39(…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46343/psn-pdf
    March 21, 2018 - Outpatient CPOE orders discontinued due to 'erroneous entry': prospective survey of prescribers' explanations for errors. March 21, 2018 Hickman T-TT, Quist AJL, Salazar A, et al. Outpatient CPOE orders discontinued due to 'erroneous entry': prospective survey of prescribers' explanations for errors. BMJ Qual Saf.…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38616/psn-pdf
    June 08, 2009 - Cost and workforce implications of subjecting all physicians to aviation industry work-hour restrictions.   June 8, 2009 Payette M, Chatterjee A, Weeks WB. Cost and workforce implications of subjecting all physicians to aviation industry work-hour restrictions. Am J Surg. 2009;197(6):820-5; discussion 826-7. doi:1…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46112/psn-pdf
    December 21, 2017 - Analysis of variations in the display of drug names in computerized prescriber-order-entry systems. December 21, 2017 Quist AJL, Hickman T-TT, Amato MG, et al. Analysis of variations in the display of drug names in computerized prescriber-order-entry systems. American Journal of Health-System Pharmacy. 2017;74(7). …
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44056/psn-pdf
    May 19, 2018 - Impact of inpatient harms on hospital finances and patient clinical outcomes. May 19, 2018 Adler L, Yi D, Li M, et al. Impact of Inpatient Harms on Hospital Finances and Patient Clinical Outcomes. J Patient Saf. 2018;14(2):67-73. doi:10.1097/PTS.0000000000000171. https://psnet.ahrq.gov/issue/impact-inpatient-harms…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38628/psn-pdf
    May 13, 2009 - Fast forward rounds: an effective method for teaching medical students to transition patients safely across care settings. May 13, 2009 Ouchida K, LoFaso VM, Capello CF, et al. Fast forward rounds: an effective method for teaching medical students to transition patients safely across care settings. J Am Geriatr So…

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