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  1. psnet.ahrq.gov/web-mm/new-oral-anticoagulants
    July 01, 2011 - SPOTLIGHT CASE New Oral Anticoagulants Citation Text: Fang MC. New Oral Anticoagulants. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2013. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote …
  2. psnet.ahrq.gov/web-mm/coming-undone-failure-closure-device
    April 01, 2006 - Coming Undone: Failure of Closure Device Citation Text: Baez-Escudero JL, Levine GN. Coming Undone: Failure of Closure Device. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2007. Copy Citation Format: Google Scholar Bi…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/861880/psn-pdf
    January 31, 2024 - Patient and Family Centered I-PASS (Family-Centered Communication Program to Reduce Medical Errors and Improve Family Experience and Communication Processes) January 31, 2024 https://psnet.ahrq.gov/innovation/patient-and-family-centered-i-pass-family-centered-communication- program-reduce-medical Summary Medica…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42342/psn-pdf
    December 31, 2014 - The safety of electronic prescribing: manifestations, mechanisms, and rates of system-related errors associated with two commercial systems in hospitals. December 31, 2014 Westbrook JI, Baysari M, Li L, et al. The safety of electronic prescribing: manifestations, mechanisms, and rates of system-related errors asso…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46851/psn-pdf
    January 23, 2019 - To care is human—collectively confronting the clinician- burnout crisis. January 23, 2019 Dzau VJ, Kirch DG, Nasca TJ. To Care Is Human — Collectively Confronting the Clinician-Burnout Crisis. New Engl J Med. 2018;378(4):312-314. doi:10.1056/nejmp1715127. https://psnet.ahrq.gov/issue/care-human-collectively-confro…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45858/psn-pdf
    March 24, 2017 - From board to bedside: how the application of financial structures to safety and quality can drive accountability in a large health care system. March 24, 2017 Austin M, Demski R, Callender T, et al. From Board to Bedside: How the Application of Financial Structures to Safety and Quality Can Drive Accountability i…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38674/psn-pdf
    February 17, 2011 - Cost implications of reduced work hours and workloads for resident physicians. February 17, 2011 Nuckols TK, Bhattacharya J, Wolman DM, et al. Cost implications of reduced work hours and workloads for resident physicians. N Engl J Med. 2009;360(21):2202-15. doi:10.1056/NEJMsa0810251. https://psnet.ahrq.gov/issue/c…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40048/psn-pdf
    December 01, 2010 - Temporal trends in rates of patient harm resulting from medical care. December 1, 2010 Landrigan CP, Parry G, Bones CB, et al. Temporal trends in rates of patient harm resulting from medical care. N Engl J Med. 2010;363(22):2124-34. doi:10.1056/NEJMsa1004404. https://psnet.ahrq.gov/issue/temporal-trends-rates-pati…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39721/psn-pdf
    September 20, 2011 - Physicians' perceptions, preparedness for reporting, and experiences related to impaired and incompetent colleagues. September 20, 2011 DesRoches CM, Rao SR, Fromson J, et al. Physicians' perceptions, preparedness for reporting, and experiences related to impaired and incompetent colleagues. JAMA. 2010;304(2):187-…
  10. 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…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44823/psn-pdf
    February 15, 2017 - US poison control center calls for infants 6 months of age and younger. February 15, 2017 Kang M, Brooks DE. US Poison Control Center Calls for Infants 6 Months of Age and Younger. Pediatrics. 2016;137(2):e20151865. doi:10.1542/peds.2015-1865. https://psnet.ahrq.gov/issue/us-poison-control-center-calls-infants-6-m…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42118/psn-pdf
    March 20, 2013 - Simulation exercises as a patient safety strategy: a systematic review. March 20, 2013 Schmidt E, Goldhaber-Fiebert SN, Ho LA, et al. Simulation exercises as a patient safety strategy: a systematic review. Ann Intern Med. 2013;158(5 Pt 2):426-32. doi:10.7326/0003-4819-158-5-201303051- 00010. https://psnet.ahrq.go…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46842/psn-pdf
    June 22, 2018 - Do EPs change their clinical behaviour in the hallway or when a companion is present? A cross-sectional survey. June 22, 2018 Stoklosa H, Scannell M, Ma Z, et al. Do EPs change their clinical behaviour in the hallway or when a companion is present? A cross-sectional survey. Emerg Med J. 2018;35(7):406-411. doi:10.…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44112/psn-pdf
    November 03, 2015 - Unexpected death within 72 hours of emergency department visit: were those deaths preventable? November 3, 2015 Goulet H, Guerand V, Bloom B, et al. Unexpected death within 72 hours of emergency department visit: were those deaths preventable? Crit Care. 2015;19(1):154. doi:10.1186/s13054-015-0877-x. https://psnet…
  15. 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. …
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37327/psn-pdf
    March 03, 2011 - Patterns of technical error among surgical malpractice claims: an analysis of strategies to prevent injury to surgical patients. March 3, 2011 Regenbogen SE, Greenberg CC, Studdert DM, et al. Patterns of technical error among surgical malpractice claims: an analysis of strategies to prevent injury to surgical pati…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46645/psn-pdf
    January 23, 2019 - Emergency department contribution to the prescription opioid epidemic. January 23, 2019 Axeen S, Seabury SA, Menchine M. Emergency Department Contribution to the Prescription Opioid Epidemic. Ann Emerg Med. 2018;71(6):659-667.e3. doi:10.1016/j.annemergmed.2017.12.007. https://psnet.ahrq.gov/issue/emergency-departm…
  18. 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…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39662/psn-pdf
    April 30, 2014 - Patient record review of the incidence, consequences, and causes of diagnostic adverse events. April 30, 2014 Zwaan L, de Bruijne M, Wagner C, et al. Patient record review of the incidence, consequences, and causes of diagnostic adverse events. Arch Intern Med. 2010;170(12):1015-21. doi:10.1001/archinternmed.2010.…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43128/psn-pdf
    August 25, 2015 - Locating errors through networked surveillance: a multimethod approach to peer assessment, hazard identification, and prioritization of patient safety efforts in cardiac surgery. August 25, 2015 Thompson DA, Marsteller JA, Pronovost P, et al. Locating Errors Through Networked Surveillance: A Multimethod Approach …

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