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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39071/psn-pdf
    November 04, 2009 - Identification of patient information corruption in the intensive care unit: using a scoring tool to direct quality improvements in handover. November 4, 2009 Pickering BW, Hurley K, Marsh B. Identification of patient information corruption in the intensive care unit: using a scoring tool to direct quality improve…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39016/psn-pdf
    April 04, 2011 - Variation in hospital mortality associated with inpatient surgery. April 4, 2011 Ghaferi AA, Birkmeyer JD, Dimick JB. Variation in hospital mortality associated with inpatient surgery. N Engl J Med. 2009;361(14):1368-75. doi:10.1056/NEJMsa0903048. https://psnet.ahrq.gov/issue/variation-hospital-mortality-associate…
  3. psnet.ahrq.gov/web-mm/residual-anesthesia-tepid-burn
    February 10, 2010 - 2009 A systematic review of simulation for multidisciplinary team training in operating
  4. psnet.ahrq.gov/perspective/conversation-withwilliam-b-munier-md-mba
    July 01, 2011 - I think the CDC was operating at about 350 hospitals then, and now they're in several thousand. … are significantly higher than maintained by many organizations, and there are considerable costs to operating
  5. psnet.ahrq.gov/perspective/health-care-delivery-and-pharmacists-during-covid-19-pandemic
    June 29, 2020 - informatics and technology changes associated with monitoring medication supplies or when systems are operating
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41941/psn-pdf
    February 11, 2013 - A cross-sectional study on the relationship between utilization of root cause analysis and patient safety at 139 Department of Veterans Affairs medical centers. February 11, 2013 Percarpio KB, Watts V. A cross-sectional study on the relationship between utilization of root cause analysis and patient safety at 139 …
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39045/psn-pdf
    April 04, 2011 - Risks of complications by attending physicians after performing nighttime procedures. April 4, 2011 Rothschild JM. Risks of Complications by Attending Physicians After Performing Nighttime Procedures. JAMA. 2009;302(14):1565-1572. doi:10.1001/jama.2009.1423. https://psnet.ahrq.gov/issue/risks-complications-attendi…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42969/psn-pdf
    October 31, 2014 - Reducing the burden of surgical harm: a systematic review of the interventions used to reduce adverse events in surgery. October 31, 2014 Howell A-M, Panesar S, Burns EM, et al. Reducing the burden of surgical harm: a systematic review of the interventions used to reduce adverse events in surgery. Ann Surg. 2014;2…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40013/psn-pdf
    July 24, 2011 - Patient participation in surgical site marking: can this be an additional tool to help avoid wrong-site surgery? July 24, 2011 Bergal LM, Schwarzkopf R, Walsh M, et al. Patient participation in surgical site marking: can this be an additional tool to help avoid wrong-site surgery? J Patient Saf. 2010;6(4):221-5. h…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44881/psn-pdf
    August 16, 2017 - A comparative effectiveness analysis of the implementation of surgical safety checklists in a tertiary care hospital. August 16, 2017 Bock M, Fanolla A, Segur-Cabanac I, et al. A Comparative Effectiveness Analysis of the Implementation of Surgical Safety Checklists in a Tertiary Care Hospital. JAMA Surg. 2016;151(…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43917/psn-pdf
    November 03, 2015 - Underlying reasons associated with hospital readmission following surgery in the United States. November 3, 2015 Merkow RP, Ju MH, Chung JW, et al. Underlying reasons associated with hospital readmission following surgery in the United States. JAMA. 2015;313(5):483-495. doi:10.1001/jama.2014.18614. https://psnet.a…
  12. psnet.ahrq.gov/web-mm/lot-pain-medications
    September 23, 2020 - SPOTLIGHT CASE A Lot of Pain (Medications) Citation Text: Herzig SJ. A Lot of Pain (Medications). PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014. Copy Citation Format: Google Scholar BibTeX EndNote X3 XM…
  13. psnet.ahrq.gov/sites/default/files/2023-09/a_missed_bowel_perforation_-_the_importance_of_diagnostic_reasoning.pdf
    January 01, 2023 - Microsoft PowerPoint - Spotlight Case_A Missed Bowel Perforation - SLIDES_FINAL.pptx Spotlight A Missed Bowel Perforation – the Importance of Diagnostic Reasoning Source and Credits • This presentation is based on the September 2023 AHRQ WebM&M Spotlight Case o See the full article at https://psnet.ahrq.gov/web…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33880/psn-pdf
    May 01, 2019 - Safety in the Prehospital Emergency Medical Services Setting May 1, 2019 Patterson DP, Yealy DM. Safety in the Prehospital Emergency Medical Services Setting. PSNet [internet]. 2019. https://psnet.ahrq.gov/perspective/safety-prehospital-emergency-medical-services-setting Perspective Emergency medical services (E…
  15. psnet.ahrq.gov/innovation/geisingers-outpatient-addiction-medicine-specialty-program-uses-data-driven-decision
    October 30, 2024 - Geisinger’s Outpatient Addiction Medicine Specialty Program Uses Data-Driven Decision Making and MAT to Reduce Mortality Rates Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL February 9, 2021 …
  16. psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.158_slideshow.ppt
    September 01, 2007 - Spotlight Case [MONTH] 2003 Spotlight Case September 2007 Medication Reconciliation: Whose Job Is It? Source and Credits This presentation is based on the September 2007 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Eric G. Poon, MD, MPH, Ha…
  17. psnet.ahrq.gov/web-mm/timely-diagnosis-esophageal-perforation
    September 27, 2023 - Timely diagnosis of esophageal perforation Citation Text: Utter GH, Cooke DT. Timely diagnosis of esophageal perforation. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020. Copy Citation Format: Google Scholar BibTeX …
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43857/psn-pdf
    August 02, 2015 - A checklist-based intervention to improve surgical outcomes in Michigan: evaluation of the Keystone Surgery program. August 2, 2015 Reames BN, Krell RW, Campbell D, et al. A checklist-based intervention to improve surgical outcomes in Michigan: evaluation of the Keystone Surgery program. JAMA Surg. 2015;150(3):208…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46990/psn-pdf
    July 25, 2018 - Analysis of errors in dictated clinical documents assisted by speech recognition software and professional transcriptionists. July 25, 2018 Zhou L, Blackley SV, Kowalski L, et al. Analysis of Errors in Dictated Clinical Documents Assisted by Speech Recognition Software and Professional Transcriptionists. JAMA Netw…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49563/psn-pdf
    May 01, 2008 - Furthermore, decreased bed availability, ED overcrowding, and hospitals operating at full capacity often

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