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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39002/psn-pdf
    January 03, 2017 - Engaging the patient as observer to promote hand hygiene compliance in ambulatory care. January 3, 2017 Bittle MJ, LaMarche S. Engaging the patient as observer to promote hand hygiene compliance in ambulatory care. Jt Comm J Qual Patient Saf. 2009;35(10):519-25. https://psnet.ahrq.gov/issue/engaging-patient-observ…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47467/psn-pdf
    January 21, 2019 - Application of electronic trigger tools to identify targets for improving diagnostic safety. January 21, 2019 Murphy DR, Meyer AN, Sittig DF, et al. Application of electronic trigger tools to identify targets for improving diagnostic safety. BMJ Qual Saf. 2019;28(2):151-159. doi:10.1136/bmjqs-2018-008086. https://…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39419/psn-pdf
    September 20, 2011 - Engaging patients as vigilant partners in safety: a systematic review. September 20, 2011 Schwappach DLB. Engaging patients as vigilant partners in safety: a systematic review. Med Care Res Rev. 2010;67(2):119-148. doi:10.1177/1077558709342254. https://psnet.ahrq.gov/issue/engaging-patients-vigilant-partners-safet…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45375/psn-pdf
    September 27, 2016 - Association of a web-based handoff tool with rates of medical errors. September 27, 2016 Mueller SK, Yoon CS, Schnipper JL. Association of a Web-Based Handoff Tool With Rates of Medical Errors. JAMA Intern Med. 2016;176(9):1400-2. doi:10.1001/jamainternmed.2016.4258. https://psnet.ahrq.gov/issue/association-web-ba…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47547/psn-pdf
    February 13, 2019 - Prevention of prescription opioid misuse and projected overdose deaths in the United States. February 13, 2019 Chen Q, Larochelle MR, Weaver DT, et al. Prevention of Prescription Opioid Misuse and Projected Overdose Deaths in the United States. JAMA Netw Open. 2019;2(2):e187621. doi:10.1001/jamanetworkopen.2018.76…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40819/psn-pdf
    January 07, 2015 - Multimodal system designed to reduce errors in recording and administration of drugs in anaesthesia: prospective randomised clinical evaluation. January 7, 2015 Merry A, Webster CS, Hannam J, et al. Multimodal system designed to reduce errors in recording and administration of drugs in anaesthesia: prospective ran…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47727/psn-pdf
    January 23, 2019 - Improving resident and fellow engagement in patient safety through a graduate medical education incentive program. January 23, 2019 Turner DA, Bae J, Cheely G, et al. Improving Resident and Fellow Engagement in Patient Safety Through a Graduate Medical Education Incentive Program. J Gen Intern Care. 2018;10(6):671…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844044/psn-pdf
    January 01, 2024 - Effect of contextual factors on the prevalence of diagnostic errors among patients managed by physicians of the same specialty: a single-centre retrospective observational study. February 8, 2023 Harada Y, Otaka Y, Katsukura S, et al. Effect of contextual factors on the prevalence of diagnostic errors among patie…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45979/psn-pdf
    April 05, 2017 - Healthcare system-wide implementation of opioid-safety guideline recommendations: the case of urine drug screening and opioid-patient suicide- and overdose- related events in the Veterans Health Administration. April 5, 2017 Brennan PL, Del Re AC, Henderson PT, et al. Healthcare system-wide implementation of opioi…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44750/psn-pdf
    January 06, 2016 - Simulation in the executive suite: lessons learned for building patient safety leadership. January 6, 2016 Rosen MA, Goeschel CA, Che X-X, et al. Simulation in the Executive Suite: Lessons Learned for Building Patient Safety Leadership. Simul Healthc. 2015;10(6):372-377. https://psnet.ahrq.gov/issue/simulation-exe…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44683/psn-pdf
    June 21, 2016 - Physician spending and subsequent risk of malpractice claims: observational study. June 21, 2016 Jena AB, Schoemaker L, Bhattacharya J, et al. Physician spending and subsequent risk of malpractice claims: observational study. BMJ. 2015;351:h5516. doi:10.1136/bmj.h5516. https://psnet.ahrq.gov/issue/physician-spendi…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40450/psn-pdf
    December 21, 2014 - Unit-based care teams and the frequency and quality of physician–nurse communications. December 21, 2014 Gordon M, Melvin P, Graham DA, et al. Unit-based care teams and the frequency and quality of physician- nurse communications. Arch Pediatr Adolesc Med. 2011;165(5):424-8. doi:10.1001/archpediatrics.2011.54. htt…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39499/psn-pdf
    January 03, 2017 - Caring for our own: deploying a systemwide second victim rapid response team. January 3, 2017 Scott SD, Hirschinger LE, Cox KR, et al. Caring for our own: deploying a systemwide second victim rapid response team. Jt Comm J Qual Saf. 2010;36(5):233-240. https://psnet.ahrq.gov/issue/caring-our-own-deploying-systemwi…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37874/psn-pdf
    April 18, 2011 - Interprofessional handover and patient safety in anaesthesia: observational study of handovers in the recovery room. April 18, 2011 Smith AF, Pope C, Goodwin D, et al. Interprofessional handover and patient safety in anaesthesia: observational study of handovers in the recovery room. Br J Anaesth. 2008;101(3):332-…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847544/psn-pdf
    April 12, 2023 - A nationwide study of the "July Effect" concerning postpartum hemorrhage and its risk factors at teaching hospitals across the United States. April 12, 2023 Shahin Z, Shah GH, Apenteng BA, et al. A nationwide study of the "July Effect" concerning postpartum hemorrhage and its risk factors at teaching hospitals acr…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866686/psn-pdf
    September 11, 2024 - Impact of automated alerts on discharge opioid overprescribing after general surgery. September 11, 2024 Rizk E, Kaur N, Duong PY, et al. Impact of automated alerts on discharge opioid overprescribing after general surgery. Am J Health Syst Pharm. 2024;81(24):1288-1296. doi:10.1093/ajhp/zxae185. https://psnet.ahrq…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43859/psn-pdf
    May 28, 2015 - Point prevalence of surgical checklist use in Europe: relationship with hospital mortality. May 28, 2015 Jammer I, Ahmad T, Aldecoa C, et al. Point prevalence of surgical checklist use in Europe: relationship with hospital mortality. Br J Anaesth. 2015;114(5):801-807. doi:10.1093/bja/aeu460. https://psnet.ahrq.gov…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48085/psn-pdf
    June 19, 2019 - A decade of preventing harm. June 19, 2019 Woeltje KF, Olenski LK, Donatelli M, et al. A Decade of Preventing Harm. Jt Comm J Qual Patient Saf. 2019;45(7):480-486. doi:10.1016/j.jcjq.2019.04.007. https://psnet.ahrq.gov/issue/decade-preventing-harm Preventable patient safety problems continue to challenge health ca…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39852/psn-pdf
    February 10, 2015 - National costs of the medical liability system. February 10, 2015 Mello MM, Chandra A, Gawande AA, et al. National costs of the medical liability system. Health Aff (Millwood). 2010;29(9):1569-1577. doi:10.1377/hlthaff.2009.0807. https://psnet.ahrq.gov/issue/national-costs-medical-liability-system The role of medi…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39873/psn-pdf
    January 22, 2017 - A proactive risk avoidance system using failure mode and effects analysis for "same-name" physician orders. January 22, 2017 Tarpey K, Schaaf E, Lakhani U, et al. A proactive risk avoidance system using failure mode and effects analysis for "same-name" physician orders. Jt Comm J Qual Patient Saf. 2010;36(10):461-7…

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