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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60814/psn-pdf
    August 19, 2020 - Missed acute myocardial infarction in the emergency department-standardizing measurement of misdiagnosis- related harms using the SPADE method. August 19, 2020 Sharp AL, Baecker A, Nassery N, et al. Missed acute myocardial infarction in the emergency department–standardizing measurement of misdiagnosis-related har…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37075/psn-pdf
    October 03, 2011 - Outreach and Early Warning Systems (EWS) for the prevention of Intensive Care admission and death of critically ill adult patients on general hospital wards. October 3, 2011 McGaughey J, Alderdice F, Fowler RA, et al. Outreach and Early Warning Systems (EWS) for the prevention of Intensive Care admission and death…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39233/psn-pdf
    August 02, 2013 - Rapid response teams: a systematic review and meta- analysis. August 2, 2013 Chan PS, Jain R, Nallmothu BK, et al. Rapid Response Teams: A Systematic Review and Meta-analysis. Arch Intern Med. 2010;170(1):18-26. doi:10.1001/archinternmed.2009.424. https://psnet.ahrq.gov/issue/rapid-response-teams-systematic-review…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45355/psn-pdf
    September 28, 2016 - Getting it right for patient safety: specimen collection process improvement from operating room to pathology. September 28, 2016 D'Angelo R, Mejabi O. Getting It Right for Patient Safety: Specimen Collection Process Improvement From Operating Room to Pathology. Am J Clin Pathol. 2016;146(1):8-17. doi:10.1093/ajcp/…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35855/psn-pdf
    October 25, 2013 - HealthGrades Quality Study: Third Annual Patient Safety in American Hospitals Study. October 25, 2013 Denver, CO: HealthGrades; 2006. https://psnet.ahrq.gov/issue/healthgrades-quality-study-third-annual-patient-safety-american-hospitals- study This third annual report on the safety of hospitalized Medicare patien…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40634/psn-pdf
    September 20, 2011 - "July Effect": impact of the academic year-end changeover on patient outcomes. A systematic review. September 20, 2011 Young JQ, Ranji SR, Wachter R, et al. "July effect": impact of the academic year-end changeover on patient outcomes: a systematic review. Ann Intern Med. 2011;155(5):309-15. doi:10.7326/0003-4819-1…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37437/psn-pdf
    June 03, 2010 - Effects of rapid response systems on clinical outcomes: systematic review and meta-analysis. June 3, 2010 Ranji SR, Auerbach AD, Hurd CJ, et al. Effects of rapid response systems on clinical outcomes: systematic review and meta-analysis. J Hosp Med. 2007;2(6):422-432. https://psnet.ahrq.gov/issue/effects-rapid-res…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38691/psn-pdf
    June 10, 2009 - Effects of shift length on quality of patient care and health provider outcomes: systematic review. June 10, 2009 Estabrooks CA, Cummings GG, Olivo SA, et al. Effects of shift length on quality of patient care and health provider outcomes: systematic review. Qual Saf Health Care. 2009;18(3):181-188. doi:10.1136/qs…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41355/psn-pdf
    April 05, 2013 - Comparative economic analyses of patient safety improvement strategies in acute care: a systematic review. April 5, 2013 Etchells E, Koo M, Daneman N, et al. Comparative economic analyses of patient safety improvement strategies in acute care: a systematic review. BMJ Qual Saf. 2012;21(6):448-56. doi:10.1136/bmjqs…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36807/psn-pdf
    October 25, 2013 - HealthGrades Quality Study: Fourth Annual Patient Safety in American Hospitals Study. October 25, 2013 Denver, CO; Health Grades Inc; 2007. https://psnet.ahrq.gov/issue/healthgrades-quality-study-fourth-annual-patient-safety-american-hospitals- study This fourth annual report on the safety of hospitalized Medicar…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43851/psn-pdf
    March 13, 2015 - Systematic review of the effectiveness of strategies to encourage patients to remind healthcare professionals about their hand hygiene. March 13, 2015 Davis R, Parand A, Pinto A, et al. Systematic review of the effectiveness of strategies to encourage patients to remind healthcare professionals about their hand hy…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37363/psn-pdf
    February 03, 2011 - Effect of a rapid response team on hospital-wide mortality and code rates outside the ICU in a children’s hospital. February 3, 2011 Sharek PJ, Parast L, Leong K, et al. Effect of a rapid response team on hospital-wide mortality and code rates outside the ICU in a Children's Hospital. JAMA. 2007;298(19):2267-74. h…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38120/psn-pdf
    June 16, 2011 - Organizational culture, team climate and diabetes care in small office-based practices. June 16, 2011 Bosch M, Dijkstra R, Wensing M, et al. Organizational culture, team climate and diabetes care in small office-based practices. BMC Health Serv Res. 2008;8:180. doi:10.1186/1472-6963-8-180. https://psnet.ahrq.gov/i…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44079/psn-pdf
    May 28, 2015 - Differences in the rates of patient safety events by payer: implications for providers and policymakers. May 28, 2015 Spencer CS, Roberts ET, Gaskin DJ. Differences in the rates of patient safety events by payer: implications for providers and policymakers. Med Care. 2015;53(6):524-9. doi:10.1097/MLR.00000000000003…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40893/psn-pdf
    November 02, 2011 - Systematic review of safety checklists for use by medical care teams in acute hospital settings—limited evidence of effectiveness. November 2, 2011 Ko HCH, Turner TJ, Finnigan MA. Systematic review of safety checklists for use by medical care teams in acute hospital settings--limited evidence of effectiveness. BMC…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45116/psn-pdf
    February 15, 2017 - Postoperative adverse events inconsistently improved by the World Health Organization surgical safety checklist: a systematic literature review of 25 studies. February 15, 2017 de Jager E, McKenna C, Bartlett L, et al. Postoperative adverse events inconsistently improved by the World Health Organization surgical s…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39788/psn-pdf
    April 21, 2011 - Effects of reducing or eliminating resident work shifts over 16 hours: a systematic review. April 21, 2011 Levine AC, Adusumilli J, Landrigan CP. Effects of reducing or eliminating resident work shifts over 16 hours: a systematic review. Sleep. 2010;33(8):1043-53. doi:10.1093/sleep/33.8.1043. https://psnet.ahrq.go…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43687/psn-pdf
    November 12, 2014 - Changes in medical errors after implementation of a handoff program. November 12, 2014 Starmer AJ, Spector ND, Srivastava R, et al. Changes in medical errors after implementation of a handoff program. New Engl J Med. 2014;371(19):1803-1812. doi:10.1056/NEJMsa1405556. https://psnet.ahrq.gov/issue/changes-medical-er…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45113/psn-pdf
    May 11, 2016 - Medical error—the third leading cause of death in the US. May 11, 2016 Makary MA, Daniel M. Medical error-the third leading cause of death in the US. BMJ. 2016;353:i2139. doi:10.1136/bmj.i2139. https://psnet.ahrq.gov/issue/medical-error-third-leading-cause-death-us How many patients die each year due to preventabl…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43042/psn-pdf
    December 18, 2014 - Introduction of surgical safety checklists in Ontario, Canada. December 18, 2014 Urbach DR, Govindarajan A, Saskin R, et al. Introduction of Surgical Safety Checklists in Ontario, Canada. New Engl J Med. 2014;370(11):1029-1038. doi:10.1056/nejmsa1308261. https://psnet.ahrq.gov/issue/introduction-surgical-safety-ch…

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