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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41250/psn-pdf
    December 21, 2014 - Disclosure of "nonharmful" medical errors and other events: duty to disclose. December 21, 2014 Chamberlain CJ, Koniaris LG, Wu AW, et al. Disclosure of "nonharmful" medical errors and other events: duty to disclose. Arch Surg. 2012;147(3):282-6. doi:10.1001/archsurg.2011.1005. https://psnet.ahrq.gov/issue/disclos…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38964/psn-pdf
    November 27, 2009 - Development of a measure of patient safety event learning responses. November 27, 2009 Ginsburg LR, Chuang Y-T, Norton PG, et al. Development of a measure of patient safety event learning responses. Health Serv Res. 2009;44(6):2123-47. doi:10.1111/j.1475-6773.2009.01021.x. https://psnet.ahrq.gov/issue/development-…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/862128/psn-pdf
    February 07, 2024 - Embracing the future-is artificial intelligence already better? A comparative study of artificial intelligence performance in diagnostic accuracy and decision-making. February 7, 2024 Fonseca Â, Ferreira A, Ribeiro L, et al. Embracing the future—is artificial intelligence already better? A comparative study of art…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853234/psn-pdf
    September 06, 2023 - Perceptions and attitudes of pediatricians and families with regard to pediatric medication errors at home. September 6, 2023 de Dios JG, Lopez-Pineda A, Juan GM-P, et al. Perceptions and attitudes of pediatricians and families with regard to pediatric medication errors at home. BMC Pediatr. 2023;23(1):380. doi:10.…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44247/psn-pdf
    November 03, 2015 - Effects of interdisciplinary team care interventions on general medical wards: a systematic review. November 3, 2015 Pannick S, Davis R, Ashrafian H, et al. Effects of Interdisciplinary Team Care Interventions on General Medical Wards: A Systematic Review. JAMA Intern Med. 2015;175(8):1288-98. doi:10.1001/jamainte…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72670/psn-pdf
    January 27, 2021 - System issues leading to "found-on-floor" incidents: a multi-incident analysis. January 27, 2021 Shaw J, Bastawrous M, Burns S, et al. System Issues Leading to “Found-on-Floor” Incidents: A Multi- Incident Analysis. J Patient Saf. 2021;17(1):30-35. doi:10.1097/pts.0000000000000294. https://psnet.ahrq.gov/issue/sys…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45117/psn-pdf
    August 03, 2016 - Using computerized prescriber order entry to limit overrides from automated dispensing cabinets. August 3, 2016 Drake E, Srinivas P, Trujillo T. Using computerized prescriber order entry to limit overrides from automated dispensing cabinets. Am J Health-Syst Pharm. 2016;73(14):1033-1035. doi:10.2146/ajhp150564. ht…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36975/psn-pdf
    March 24, 2011 - Safety of telephone triage in general practitioner cooperatives: do triage nurses correctly estimate urgency? March 24, 2011 Giesen P, Ferwerda R, Tijssen R, et al. Safety of telephone triage in general practitioner cooperatives: do triage nurses correctly estimate urgency? Qual Saf Health Care. 2007;16(3):181-4. …
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/863748/psn-pdf
    March 06, 2024 - Scaling the EQUIPPED medication safety program: traditional and hub-and-spoke implementation models. March 6, 2024 Vandenberg AE, Hwang U, Das S, et al. Scaling the EQUIPPED medication safety program: traditional and hub?and?spoke implementation models. J Am Geriatr Soc. 2024;72(7):2184-2194. doi:10.1111/jgs.18746.…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38570/psn-pdf
    April 22, 2009 - Factors influencing incident reporting in surgical care. April 22, 2009 Kreckler S, Catchpole K, McCulloch P, et al. Factors influencing incident reporting in surgical care. Qual Saf Health Care. 2009;18(2):116-20. doi:10.1136/qshc.2008.026534. https://psnet.ahrq.gov/issue/factors-influencing-incident-reporting-sur…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38877/psn-pdf
    April 08, 2011 - Computerized order entry with limited decision support to prevent prescription errors in a PICU. April 8, 2011 Kadmon G, Bron-Harlev E, Nahum E, et al. Computerized order entry with limited decision support to prevent prescription errors in a PICU. Pediatrics. 2009;124(3):935-940. doi:10.1542/peds.2008-2737. https…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37499/psn-pdf
    January 10, 2017 - Medicare's decision to withhold payment for hospital errors: the devil is in the details. January 10, 2017 Wachter R, Foster NE, Dudley A. Medicare's decision to withhold payment for hospital errors: the devil is in the det. Jt Comm J Qual Patient Saf. 2008;34(2):116-23. https://psnet.ahrq.gov/issue/medicares-deci…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46892/psn-pdf
    June 13, 2018 - AHRQ National Scorecard on Hospital-Acquired Conditions Updated Baseline Rates and Preliminary Results 2014–2016. June 13, 2018 Rockville, MD: Agency for Healthcare Research and Quality; June 2018. https://psnet.ahrq.gov/issue/ahrq-national-scorecard-hospital-acquired-conditions-updated-baseline-rates- and-prelim…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48057/psn-pdf
    June 26, 2019 - Multicenter study to evaluate the benefits of technology- assisted workflow on i.v. room efficiency, costs, and safety. June 26, 2019 Eckel SF, Higgins JP, Hess E, et al. Multicenter study to evaluate the benefits of technology-assisted workflow on i.v. room efficiency, costs, and safety. Am J Health-Syst Pharm. 2…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41611/psn-pdf
    November 23, 2012 - Self-reported uptake of recommendations after dissemination of medication incident alerts. November 23, 2012 Cheung K-C, Wensing M, Bouvy ML, et al. Self-reported uptake of recommendations after dissemination of medication incident alerts. BMJ Qual Saf. 2012;21(12):1009-18. doi:10.1136/bmjqs-2012-000828. https://p…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42509/psn-pdf
    August 21, 2013 - Explaining Matching Michigan: an ethnographic study of a patient safety program. August 21, 2013 Dixon-Woods M, Leslie M, Tarrant C, et al. Explaining Matching Michigan: an ethnographic study of a patient safety program. Implement Sci. 2013;8:70. doi:10.1186/1748-5908-8-70. https://psnet.ahrq.gov/issue/explaining-…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40037/psn-pdf
    September 20, 2011 - Adverse Events in Hospitals: National Incidence Among Medicare Beneficiaries. September 20, 2011 Levinson DR. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; November 2010. Report No. OEI-06-09-00090. https://psnet.ahrq.gov/issue/adverse-events-hospitals-national-incide…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42219/psn-pdf
    July 22, 2013 - Parent perceptions of children's hospital safety climate. July 22, 2013 Cox E, Carayon P, Hansen KW, et al. Parent perceptions of children's hospital safety climate. BMJ Qual Saf. 2013;22(8):664-71. doi:10.1136/bmjqs-2012-001727. https://psnet.ahrq.gov/issue/parent-perceptions-childrens-hospital-safety-climate Pat…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867606/psn-pdf
    February 10, 2025 - AHRQ PSNet Annual Webinar: Evidence on Advancing Rapid Response Systems and Opioid Stewardship. January 22, 2025 Agency for Healthcare Quality and Research. AHRQ PSNet Annual Webinar: Evidence on Advancing Rapid Response Systems and Opioid Stewardship. February 10, 2025, 1:00pm-2:00pm (eastern). https://psnet.ahrq…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/856583/psn-pdf
    January 01, 2024 - Prescription opioid dose reductions and potential adverse events: a multi-site observational cohort study in diverse US health systems. November 29, 2023 Metz VE, Ray GT, Palzes V, et al. Prescription opioid dose reductions and potential adverse events: a multi-site observational cohort study in diverse US health …

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