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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40881/psn-pdf
    October 26, 2011 - The effect of two different electronic health record user interfaces on intensive care provider task load, errors of cognition, and performance. October 26, 2011 Ahmed A, Chandra S, Herasevich V, et al. The effect of two different electronic health record user interfaces on intensive care provider task load, error…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47388/psn-pdf
    March 13, 2019 - Artificial intelligence systems for complex decision- making in acute care medicine: a review. March 13, 2019 Lynn LA. Artificial intelligence systems for complex decision-making in acute care medicine: a review. Patient Saf Surg. 2019;13:6. doi:10.1186/s13037-019-0188-2. https://psnet.ahrq.gov/issue/artificial-in…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47896/psn-pdf
    July 10, 2019 - Engaging patients and informal caregivers to improve safety and facilitate person- and family-centered care during transitions from hospital to home: a qualitative descriptive study. July 10, 2019 Backman C, Cho-Young D. Engaging patients and informal caregivers to improve safety and facilitate person- and family…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35404/psn-pdf
    March 11, 2011 - Improving patient safety by identifying side effects from introducing bar coding in medication administration. March 11, 2011 Patterson ES, Cook RI, Render ML. Improving patient safety by identifying side effects from introducing bar coding in medication administration. J Am Med Inform Assoc. 2002;9(5):540-53. htt…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43809/psn-pdf
    February 25, 2015 - Application of the aviation black box principle in pediatric cardiac surgery: tracking all failures in the pediatric cardiac operating room. February 25, 2015 Bowermaster R, Miller M, Ashcraft T, et al. Application of the aviation black box principle in pediatric cardiac surgery: tracking all failures in the pedia…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46506/psn-pdf
    October 11, 2017 - Getting Ahead of Harm Before It Happens: A Guide About Proactive Analysis for Improving Surgical Care Safety. October 11, 2017 Wiley K, Davies JM. Edmonton, AB: Canadian Patient Safety Institute; 2017. https://psnet.ahrq.gov/issue/getting-ahead-harm-it-happens-guide-about-proactive-analysis-improving- surgical-car…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60526/psn-pdf
    May 27, 2020 - A qualitative content analysis of retained surgical items: learning from root cause analysis investigations. May 27, 2020 Hibbert PD, Thomas MJW, Deakin A, et al. A qualitative content analysis of retained surgical items: learning from root cause analysis investigations. Int J Qual Health Care. 2020;32(3):184-189. …
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48064/psn-pdf
    June 12, 2019 - Lives Lost, Lives Saved: An Updated Comparative Analysis of Avoidable Deaths at Hospitals Graded by The Leapfrog Group. June 12, 2019 Austin M, Derk J. Baltimore, MD: Armstrong Institute for Patient Safety and Quality, and Johns Hopkins Medicine; May 2019. https://psnet.ahrq.gov/issue/lives-lost-lives-saved-updat…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46042/psn-pdf
    July 12, 2017 - Implementation science for ambulatory care safety: a novel method to develop context-sensitive interventions to reduce quality gaps in monitoring high-risk patients. July 12, 2017 McDonald KM, Su G, Lisker S, et al. Implementation science for ambulatory care safety: a novel method to develop context-sensitive inte…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852450/psn-pdf
    August 16, 2023 - Incidence and severity of medication reconciliation discrepancies in trauma patients. August 16, 2023 Dunbar EG, Massey AC, Lee YL, et al. Incidence and severity of medication reconciliation discrepancies in trauma patients. Am Surg. 2023;89(7):3272-3274. doi:10.1177/00031348231161686. https://psnet.ahrq.gov/issue…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74073/psn-pdf
    November 17, 2021 - Use of artificial intelligence for image analysis in breast cancer screening programmes: systematic review of test accuracy. November 17, 2021 Freeman K, Geppert J, Stinton C, et al. Use of artificial intelligence for image analysis in breast cancer screening programmes: systematic review of test accuracy. BMJ. 20…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46237/psn-pdf
    June 21, 2017 - Identifying and analyzing diagnostic paths: a new approach for studying diagnostic practices. June 21, 2017 Rao G, Epner P, Bauer V, et al. Identifying and analyzing diagnostic paths: a new approach for studying diagnostic practices. Diagnosis (Berl). 2017;4(2):67-72. doi:10.1515/dx-2016-0049. https://psnet.ahrq.g…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74088/psn-pdf
    November 17, 2021 - Surgical teams' attitudes about surgical safety and the surgical safety checklist at 10 years: a multinational survey. November 17, 2021 Urban D, Burian BK, Patel K, et al. Surgical teams' attitudes about surgical safety and the surgical safety checklist at 10 years: a multinational survey. Ann Surg. 2021;2(3):e07…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44741/psn-pdf
    January 20, 2016 - System hazards in managing laboratory test requests and results in primary care: medical protection database analysis and conceptual model. January 20, 2016 Bowie P, Price J, Hepworth N, et al. System hazards in managing laboratory test requests and results in primary care: medical protection database analysis and…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44669/psn-pdf
    January 22, 2016 - Safety standards: implementing fall prevention interventions and sustaining lower fall rates by promoting the culture of safety on an inpatient rehabilitation unit. January 22, 2016 Leone RM, Adams RJ. Safety Standards: Implementing Fall Prevention Interventions and Sustaining Lower Fall Rates by Promoting the Cul…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837762/psn-pdf
    August 03, 2022 - A scoping review of real-time automated clinical deterioration alerts and evidence of impacts on hospitalised patient outcomes. August 3, 2022 Blythe R, Parsons R, White NM, et al. A scoping review of real-time automated clinical deterioration alerts and evidence of impacts on hospitalised patient outcomes. BMJ Qu…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73081/psn-pdf
    March 31, 2021 - Health professionals' perspectives of safety issues in mental health services: a qualitative study. March 31, 2021 Albutt AK, Berzins K, Louch G, et al. Health professionals’ perspectives of safety issues in mental health services: A qualitative study. nt J Ment Health Nurs. 2021;30(3):798-810. doi:10.1111/inm.1283…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47980/psn-pdf
    May 01, 2019 - Intensive care medicine in 2050: preventing harm. May 1, 2019 Beet C, Benoit D, Bion J. Intensive care medicine in 2050: preventing harm. Intensive Care Med. 2019;45(4):505-507. doi:10.1007/s00134-018-5353-z. https://psnet.ahrq.gov/issue/intensive-care-medicine-2050-preventing-harm This commentary discusses curren…
  19. www.ahrq.gov/news/newsroom/case-studies/criteria.html
    December 01, 2019 - AHRQ Impact Case Studies Criteria AHRQ Impact Case Studies provide evidence of how AHRQ-funded projects impact health care outcomes, quality, cost, use, and access. Each Impact Case Study demonstrates how AHRQ-funded resources are actually being used to improve the health care system. Impact Case Studies are …
  20. www.ahrq.gov/policymakers/chipra/overview/background/appendix-a9.html
    December 01, 2009 - Background Report for the Request for Public Comment on Initial, Recommended Core Set of Children's Healthcare Quality Measures for Voluntary Use by Medicaid and CHIP Programs Background Report on request for public comment on initial, recommended core set of Children's Healthcare Quality Measures for voluntary…