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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37011/psn-pdf
    September 24, 2010 - What do medical records tell us about potentially harmful co-prescribing? September 24, 2010 Lafata JE, Simpkins J, Kaatz S, et al. What do medical records tell us about potentially harmful co- prescribing? Jt Comm J Qual Patient Saf. 2007;33(7):395-400. https://psnet.ahrq.gov/issue/what-do-medical-records-tell-us…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836851/psn-pdf
    April 06, 2022 - Surveys on Patient Safety Culture (SOPS) Medical Office Survey: 2022 User Database Report. April 6, 2022 Famolaro T, Hare R, Tapia A, et al. Rockville, MD: Agency for Healthcare Research and Quality; March 2022. AHRQ Publication No. 22-0017. https://psnet.ahrq.gov/issue/surveys-patient-safety-culture-sops-med…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44218/psn-pdf
    July 01, 2016 - The Armstrong Institute: an academic institute for patient safety and quality improvement, research, training, and practice. July 1, 2016 Pronovost P, Holzmueller CG, Molello NE, et al. The Armstrong Institute: An Academic Institute for Patient Safety and Quality Improvement, Research, Training, and Practice. Acad…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45266/psn-pdf
    January 01, 2020 - Learning from lawsuits: using malpractice claims data to develop care transitions planning tools. August 31, 2016 Arbaje AI, Werner NE, Kasda EM, et al. Learning From Lawsuits: Using Malpractice Claims Data to Develop Care Transitions Planning Tools. J Patient Saf. 2020;16(1):52-57. doi:10.1097/pts.000000000000023…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/843084/psn-pdf
    January 25, 2023 - A scoping review of non-professional medication practices and medication safety outcomes during public health emergencies. January 25, 2023 Kelly D, Koay A, Mineva G, et al. A scoping review of non-professional medication practices and medication safety outcomes during public health emergencies. Public Health. 202…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46156/psn-pdf
    July 11, 2017 - Causes of death of residents in ACGME-accredited programs 2000 through 2014: implications for the learning environment. July 11, 2017 Yaghmour NA, Brigham T, Richter T, et al. Causes of Death of Residents in ACGME-Accredited Programs 2000 Through 2014. Acad Med. 2017;92(7):976-983. doi:10.1097/acm.0000000000001736…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838009/psn-pdf
    September 07, 2022 - High-risk medication in home care nursing: a Delphi study. September 7, 2022 Dumitrescu I, Casteels M, De Vliegher K, et al. High-risk medication in home care nursing: a Delphi study. J Patient Saf. 2022;18(5):435-443. doi:10.1097/pts.0000000000001023. https://psnet.ahrq.gov/issue/high-risk-medication-home-care-nu…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43812/psn-pdf
    January 14, 2015 - Healthcare Inspection: Evaluation of the Veterans Health Administration's National Consult Delay Review and Associated Fact Sheet. January 14, 2015 Daigh JD Jr. Washington, DC: VA Office of the Inspector General; December 15, 2014. Report No. 14- 04705-62. https://psnet.ahrq.gov/issue/healthcare-inspection-evalua…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46830/psn-pdf
    May 30, 2018 - A call to bridge across silos during care transitions. May 30, 2018 Sheikh F, Gathecha E, Bellantoni M, et al. A Call to Bridge Across Silos during Care Transitions. Jt Comm J Qual Patient Saf. 2018;44(5):270-278. doi:10.1016/j.jcjq.2017.10.006. https://psnet.ahrq.gov/issue/call-bridge-across-silos-during-care-tran…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47532/psn-pdf
    November 29, 2018 - Payment innovations to improve diagnostic accuracy and reduce diagnostic error. November 29, 2018 Berenson R, Singh H. Payment Innovations To Improve Diagnostic Accuracy And Reduce Diagnostic Error. Health Aff (Millwood). 2018;37(11):1828-1835. doi:10.1377/hlthaff.2018.0714. https://psnet.ahrq.gov/issue/payment-in…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866856/psn-pdf
    October 02, 2024 - ASPEN survey of parenteral nutrition access issues: how the system fails the patients. October 2, 2024 Mirtallo JM, Allen P, Book WM, et al. ASPEN survey of parenteral nutrition access issues: how the system fails the patient. Nutr Clin Pract. 2024;39(5):1164-1181. doi:10.1002/ncp.11187. https://psnet.ahrq.gov/iss…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61100/psn-pdf
    November 04, 2020 - Patient errors in use of injectable antidiabetic medications: a need for improved clinic-based education. November 4, 2020 Wei ET, Koh E, Kelly MS, et al. Patient errors in use of injectable antidiabetic medications: a need for improved clinic-based education. J Am Pharm Assoc (2003). 2020;60(5):e76-e80. doi:10.10…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74112/psn-pdf
    April 14, 2017 - Structural racism and health inequities in the USA: evidence and interventions. April 14, 2017 Bailey ZD, Krieger N, Agénor M, et al. Structural racism and health inequities in the USA: evidence and interventions. Lancet. 2017;389(10077):1453-1463. doi:10.1016/s0140-6736(17)30569-x. https://psnet.ahrq.gov/issue/st…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46996/psn-pdf
    May 23, 2018 - How to incorporate quality improvement and patient safety projects in your training. May 23, 2018 Siddique SM, Ketwaroo G, Newberry C, et al. How to Incorporate Quality Improvement and Patient Safety Projects in Your Training. Gastroenterology. 2018;154(6):1564-1568. doi:10.1053/j.gastro.2018.03.044. https://psnet…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45448/psn-pdf
    January 23, 2017 - Accuracy of laboratory data communication on ICU daily rounds using an electronic health record. January 23, 2017 Artis KA, Dyer E, Mohan V, et al. Accuracy of Laboratory Data Communication on ICU Daily Rounds Using an Electronic Health Record. Crit Care Med. 2017;45(2):179-186. doi:10.1097/CCM.0000000000002060. h…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45089/psn-pdf
    July 18, 2016 - Clinical outcomes and mortality associated with weekend admission to psychiatric hospital. July 18, 2016 Patel R, Chesney E, Cullen AE, et al. Clinical outcomes and mortality associated with weekend admission to psychiatric hospital. Br J Psychiatry. 2016;209(1):29-34. doi:10.1192/bjp.bp.115.180307. https://psnet.…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866447/psn-pdf
    August 07, 2024 - Older adults are often misdiagnosed. Specialized ERs and trained clinicians can help. August 7, 2024 Milne-Tyte A. Older adults are often misdiagnosed. Specialized ERs and trained clinicians can help. Health Shots. National Public Radio. July 30, 2024; https://psnet.ahrq.gov/issue/older-adults-are-often-misdiagnos…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865593/psn-pdf
    April 17, 2024 - An integrative systematic review of promoting patient safety within prehospital emergency medical services by paramedics: a role theory perspective. April 17, 2024 Strandås M, Vizcaya-Moreno M, Ingstad K, et al. An integrative systematic review of promoting patient safety within prehospital emergency medical servi…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845302/psn-pdf
    March 01, 2023 - Reducing preventable adverse events in obstetrics by improving interprofessional communication skills--results of an intervention study. March 1, 2023 Hüner B, Derksen C, Schmiedhofer M, et al. Reducing preventable adverse events in obstetrics by improving interprofessional communication skills – results of an int…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838913/psn-pdf
    October 26, 2022 - Communication during interhospital transfers of emergency general surgery patients: a qualitative study of challenges and opportunities. October 26, 2022 Alagoz E, Saucke M, Arroyo N, et al. Communication during interhospital transfers of emergency general surgery patients: a qualitative study of challenges and op…

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