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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47690/psn-pdf
    March 13, 2019 - I-PASS mentored implementation handoff curriculum: champion training materials. March 13, 2019 O'Toole JK, Starmer AJ, Calaman S, et al. I-PASS Mentored Implementation Handoff Curriculum: Champion Training Materials. MedEdPORTAL. 2019;15:10794. doi:10.15766/mep_2374-8265.10794. https://psnet.ahrq.gov/issue/i-pass-…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46646/psn-pdf
    January 01, 2021 - Impact of an original methodological tool on the identification of corrective and preventive actions after root cause analysis of adverse events in health care facilities: results of a randomized controlled trial. December 20, 2017 Vacher A, El Mhamdi S, d?Hollander A, et al. Impact of an Original Methodological T…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36262/psn-pdf
    August 04, 2009 - Safety in the academic medical center: transforming challenges into ingredients for improvement. August 4, 2009 Blumenthal D, Ferris T. Safety in the academic medical center: transforming challenges into ingredients for improvement. Acad Med. 2006;81(9):817-22. https://psnet.ahrq.gov/issue/safety-academic-medical-…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74200/psn-pdf
    January 01, 2022 - Association of surgeon-patient sex concordance with postoperative outcomes. December 22, 2021 Wallis CJD, Jerath A, Coburn N, et al. Association of surgeon-patient sex concordance with postoperative outcomes. JAMA Surg. 2022;157(2):146-156. doi:10.1001/jamasurg.2021.6339. https://psnet.ahrq.gov/issue/association-s…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47717/psn-pdf
    June 27, 2019 - Does overlapping surgery result in worse surgical outcomes? A systematic review and meta-analysis. June 27, 2019 Gartland RM, Alves K, Brasil NC, et al. Does overlapping surgery result in worse surgical outcomes? A systematic review and meta-analysis. Am J Surg. 2019;218(1):181-191. doi:10.1016/j.amjsurg.2018.11.0…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838131/psn-pdf
    January 01, 2023 - What I wish I’d known: how experienced physician managers diagnose, treat and prevent disruptive behaviour. September 21, 2022 Goodwin C, Haas S, Berry WR. What I wish I’d known: how experienced physician managers diagnose, treat and prevent disruptive behaviour. BMJ Lead. 2023;7(2):128-132. doi:10.1136/leader-202…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47180/psn-pdf
    November 15, 2018 - Efficacy and unintended consequences of hard-stop alerts in electronic health record systems: a systematic review. November 15, 2018 Powers EM, Shiffman RN, Melnick ER, et al. Efficacy and unintended consequences of hard-stop alerts in electronic health record systems: a systematic review. J Am Med Inform Assoc. 2…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72532/psn-pdf
    December 02, 2020 - Association of display of patient photographs in the electronic health record with wrong-patient order entry errors. December 2, 2020 Salmasian H, Blanchfield BB, Joyce K, et al. Association of display of patient photographs in the electronic health record with wrong-patient order entry errors. JAMA Netw Open. 202…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867341/psn-pdf
    January 01, 2025 - Diagnostic uncertainty among critically ill children admitted to the PICU: a multicenter study. December 11, 2024 Cifra CL, Custer JW, Smith CM, et al. Diagnostic uncertainty among critically ill children admitted to the PICU: a multicenter study. Crit Care Med. 2025;53(2):e294-e307. doi:10.1097/ccm.000000000000651…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/843085/psn-pdf
    January 25, 2023 - Assessment of the use of patient vital sign data for preventing misidentification and medical errors. January 25, 2023 Maul J, Straub J. Assessment of the use of patient vital sign data for preventing misidentification and medical errors. Healthcare (Basel). 2022;10(12):2440. doi:10.3390/healthcare10122440. https:…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46574/psn-pdf
    October 25, 2017 - Effect of a hospital-wide measure on the readmissions reduction program. October 25, 2017 Zuckerman RB, Maddox KEJ, Sheingold SH, et al. Effect of a Hospital-wide Measure on the Readmissions Reduction Program. N Engl J Med. 2017;377(16):1551-1558. doi:10.1056/NEJMsa1701791. https://psnet.ahrq.gov/issue/effect-hosp…

  12. 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…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42640/psn-pdf
    November 08, 2013 - The Safe Patient Flow Initiative: a collaborative quality improvement journey at Yale-New Haven Hospital. November 8, 2013 Jweinat J, Damore P, Morris V, et al. The safe patient flow initiative: a collaborative quality improvement journey at Yale-New Haven Hospital. Jt Comm J Qual Patient Saf. 2013;39(10):447-59. …

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837699/psn-pdf
    July 20, 2022 - Influence of a general practice pharmacist on medication management for patients at risk of medicine-related harm: a qualitative evaluation. July 20, 2022 Jordan M, Young-Whitford M, Mullan J, et al. Influence of a general practice pharmacist on medication management for patients at risk of medicine-related harm: …

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867047/psn-pdf
    October 30, 2024 - Therapeutic errors involving diabetes medications reported to United States poison centers. October 30, 2024 Thurgood Giarman A, Hays HL, Badeti J, et al. Therapeutic errors involving diabetes medications reported to United States poison centers. Inj Epidemiol. 2024;11(1):51. doi:10.1186/s40621-024-00536-y. https:…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60528/psn-pdf
    May 27, 2020 - The prevalence and impact of potentially inappropriate prescribing among older persons in primary care settings: multilevel meta-analysis. May 27, 2020 Liew TM, Lee CS, Goh SKL, et al. The prevalence and impact of potentially inappropriate prescribing among older persons in primary care settings: multilevel meta-a…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34889/psn-pdf
    March 04, 2011 - Effect of electronic health records in ambulatory care: retrospective, serial, cross sectional study. March 4, 2011 Garrido T, Jamieson L, Zhou Y, et al. Effect of electronic health records in ambulatory care: retrospective, serial, cross sectional study. BMJ. 2005;330(7491):581. https://psnet.ahrq.gov/issue/effec…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41045/psn-pdf
    July 02, 2014 - Relating faults in diagnostic reasoning with diagnostic errors and patient harm. July 2, 2014 Zwaan L, Thijs A, Wagner C, et al. Relating faults in diagnostic reasoning with diagnostic errors and patient harm. Acad Med. 2012;87(2):149-156. doi:10.1097/ACM.0b013e31823f71e6. https://psnet.ahrq.gov/issue/relating-fau…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41186/psn-pdf
    January 03, 2017 - The costs of adverse drug events in community hospitals. January 3, 2017 Hug BL, Keohane C, Seger DL, et al. The costs of adverse drug events in community hospitals. Jt Comm J Qual Patient Saf. 2012;38(3):120-6. https://psnet.ahrq.gov/issue/costs-adverse-drug-events-community-hospitals Adverse drug events (ADEs) a…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74720/psn-pdf
    February 02, 2022 - Improving medical residents’ self-assessment of their diagnostic accuracy: does feedback help? February 2, 2022 Kuhn J, van den Berg P, Mamede S, et al. Improving medical residents’ self-assessment of their diagnostic accuracy: does feedback help? Adv Health Sci Edu. 2022;27(1):189-200. doi:10.1007/s10459-021-10080…
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