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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39501/psn-pdf
    January 03, 2017 - This study reviewed reported heparin errors from three large patient safety reporting systems—MEDMARX … As this was the first study to combine three large sources of reporting data for a single process, the
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47189/psn-pdf
    August 17, 2018 - of opioid-related adverse drug events with clinical and cost outcomes among surgical patients in a large … of Opioid-Related Adverse Drug Events With Clinical and Cost Outcomes Among Surgical Patients in a Large
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41408/psn-pdf
    October 19, 2012 - potential harm, and a recent Australian article describes the notification process used after a similar large-scale … culture-safety https://psnet.ahrq.gov/issue/look-back-and-talk-openly-responding-and-communicating-about-risk-large-scale-error-pathology
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45190/psn-pdf
    February 15, 2017 - However, this study analyzed a large British database and found that many patients with a history of … biases-detection-apparent-weekend-effect-outcome-administrative-coding-data-population-based https://psnet.ahrq.gov/issue/weekend-mortality-emergency-admissions-large-multicentre-study
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41964/psn-pdf
    April 17, 2013 - use-hit-adverse-event-reporting-nursing-homes-barriers-and-facilitators https://psnet.ahrq.gov/issue/incidence-adverse-drug-events-two-large-academic-long-term-care-facilities … computerized-provider-order-entry https://psnet.ahrq.gov/issue/preventing-medication-errors-long-term-care-results-and-evaluation-large-scale-web-based
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42472/psn-pdf
    August 07, 2013 - medication-errors-and-adverse-drug-events https://psnet.ahrq.gov/issue/preventing-medication-errors-long-term-care-results-and-evaluation-large-scale-web-based … https://psnet.ahrq.gov/issue/preventing-medication-errors-long-term-care-results-and-evaluation-large-scale-web-based
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45419/psn-pdf
    June 29, 2017 - This analysis of a large national database examined variations in outcomes following in-hospital cardiac … delayed-time-defibrillation-after-hospital-cardiac-arrest https://psnet.ahrq.gov/issue/weekend-mortality-emergency-admissions-large-multicentre-study
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39839/psn-pdf
    November 07, 2011 - improvements in patient safety and quality, the United Kingdom’s Safer Patients Initiative (SPI) is a large-scale … https://psnet.ahrq.gov/issue/safer-patients-network https://psnet.ahrq.gov/issue/perceptions-impact-large-scale-collaborative-improvement-programme-experience-uk-safer
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45858/psn-pdf
    March 24, 2017 - : how the application of financial structures to safety and quality can drive accountability in a large … Bedside: How the Application of Financial Structures to Safety and Quality Can Drive Accountability in a Large
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43161/psn-pdf
    December 12, 2014 - This large study, conducted in 44 neonatal intensive care units, documents a strong connection between … deal with unexpected events and setbacks, in many ways the opposite of burnout—as a prerequisite for large-scale
  11. psnet.ahrq.gov/perspective/conversation-paul-mcgann-md
    July 10, 2024 - Writ large, we were answering the question: What could we do at national scale to make hospitals safer … Now the big proviso is that I've had experience in large-scale quality improvement collaborations in … It's obvious from the enrollment numbers that we achieved large enrollment. … We were going for large-scale and quick results, and we allowed flexibility. … We're starting to run on the idea that large national collaboratives like this can actually serve as
  12. psnet.ahrq.gov/issue/missed-diagnoses-acute-myocardial-infarction-emergency-department-variation-patient-and
    April 08, 2018 - Missed diagnosis of stroke in the emergency department: a cross-sectional analysis of a large … patient-provider encounter are a frequent source of diagnostic error among ischemic stroke cases included in a large … Missed diagnosis of stroke in the emergency department: a cross-sectional analysis of a large
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33663/psn-pdf
    September 15, 2008 - Implementing a Patient Safety Program at a Large National Health System January 1, 2008 Hauck LD, … Implementing a Patient Safety Program at a Large National Health System. PSNet [internet]. 2008. … https://psnet.ahrq.gov/perspective/implementing-patient-safety-program-large-national-health-system … of 36 hospital campuses in geographically varied locations, ranging from small rural facilities to large … Both also recognized that, in a health care system as large and diverse as AHS, the journey needed to
  14. psnet.ahrq.gov/web-mm/hidden-danger-unseen-intravenous-catheters
    October 04, 2023 - Major surgical procedures, including craniotomy, require large-bore venous access in case of rapid and … Complex surgeries usually require at least two large-bore intravenous catheters, with 22-gauge catheters … Shorter catheters provide less resistance to flow than longer ones and thus are preferred when rapid large-volume … infusion of fluids is anticipated. 2 Common sites for large-bore catheters in infants include the saphenous … using clear securement devices as well as frequent intravenous catheter assessments prior to and during large
  15. psnet.ahrq.gov/print/pdf/node/865864
    January 01, 2024 - Large malpractice claims databases are increasingly used as a proxy to assess the frequency and severity … This study utilized a large national database of closed malpractice claims to... … Large malpractice claims databases are increasingly used as a proxy to assess the frequency and severity … This study utilized a large national database of closed malpractice claims to...
  16. psnet.ahrq.gov/issue/impacts-operational-failures-primary-care-physicians-work-critical-interpretive-synthesis
    May 22, 2024 - A qualitative study of a large-scale exercise in seeking to measure for improvement, not blame. … May 8, 2024 Quality and reporting of large-scale improvement programmes: a review of
  17. psnet.ahrq.gov/periodic-issue/weekly-resource
    March 25, 2025 - Issue RSS Feed Study Medical large … To produce safe, accurate output, large language models (LLMs) must be trained on accurate information … Study Medical large language models are vulnerable to data-poisoning attacks. … To produce safe, accurate output, large language models (LLMs) must be trained on accurate information … This article explores the potential weaknesses in large administrative databases – weaknesses inherent
  18. psnet.ahrq.gov/issue/when-bone-flap-hits-floor
    March 12, 2025 - Download Citation Related Resources From the Same Author(s) Medical large … health record–based data query of statin prescriptions in patients with coronary artery disease in a large
  19. psnet.ahrq.gov/perspective/conversation-richard-platt-md-msc
    October 01, 2016 - That's largely because systems for collecting and analyzing large amounts of both inpatient and ambulatory … RP : It's now possible to talk about the experience of large, well-defined populations, which is a great … For the FDA's program called Sentinel , we've built a distributed data network that involves most large … national health plans, insurance companies, and large HMOs. … stores, and thorough understanding of how to rigorously analyze large datasets.
  20. psnet.ahrq.gov/issue/technology-education-and-safety
    December 15, 2021 - August 12, 2020 Large-scale Coordination: Health Care. … exposure on opioid prescribing and patient pain in opioid-naive patients undergoing elective surgery in a large

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