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  1. psnet.ahrq.gov/issue/comparing-va-and-non-va-quality-care-systematic-review
    May 15, 2024 - Review Comparing VA and Non-VA quality of care: a systematic review. Citation Text: O'Hanlon C, Huang C, Sloss E, et al. Comparing VA and Non-VA Quality of Care: A Systematic Review. J Gen Intern Med. 2017;32(1):105-121. doi:10.1007/s11606-016-3775-2. Copy Citation Format: …
  2. psnet.ahrq.gov/issue/preventable-adverse-drug-events-causing-hospitalisation-identifying-root-causes-and
    March 05, 2008 - Study Preventable adverse drug events causing hospitalisation: identifying root causes and developing a surveillance and learning system at an urban community hospital, a cross-sectional observational study. Citation Text: de Lemos J, Loewen PS, Nagle C, et al. Preventable adverse drug e…
  3. psnet.ahrq.gov/issue/were-not-ready-i-dont-think-youre-ever-ready-clinician-perspectives-implementation-crisis
    September 23, 2020 - Study "We're not ready, but I don't think you're ever ready." Clinician perspectives on implementation of crisis standards of care. Citation Text: Chuang E, Cuartas PA, Powell T, et al. "We're not ready, but I don't think you're ever ready." Clinician perspectives on implementation of cr…
  4. psnet.ahrq.gov/issue/transitioning-between-electronic-health-records-effects-ambulatory-prescribing-safety
    June 03, 2013 - Study Transitioning between electronic health records: effects on ambulatory prescribing safety. Citation Text: Abramson EL, Malhotra S, Fischer K, et al. Transitioning between electronic health records: effects on ambulatory prescribing safety. J Gen Intern Med. 2011;26(8):868-74. doi:1…
  5. psnet.ahrq.gov/issue/discontinuation-outpatient-medications-implications-electronic-messaging-pharmacies-using
    October 05, 2022 - Study Discontinuation of outpatient medications: implications for electronic messaging to pharmacies using CancelRx. Citation Text: Pitts S, Yang Y, Thomas BA, et al. Discontinuation of outpatient medications: implications for electronic messaging to pharmacies using CancelRx. J Am Med I…
  6. psnet.ahrq.gov/issue/sources-unsafe-primary-care-older-adults-mixed-methods-analysis-patient-safety-incident
    October 12, 2016 - Study Sources of unsafe primary care for older adults: a mixed-methods analysis of patient safety incident reports. Citation Text: Cooper A, Edwards A, Williams H, et al. Sources of unsafe primary care for older adults: a mixed-methods analysis of patient safety incident reports. Age Age…
  7. psnet.ahrq.gov/issue/medically-necessary-time-sensitive-procedures-scoring-system-ethically-and-efficiently-manage
    October 11, 2017 - Commentary Emerging Classic Medically-necessary, time-sensitive procedures: a scoring system to ethically and efficiently manage resource scarcity and provider risk during the COVID-19 pandemic. Citation Text: Prachand VN, Milner R, Angelos P, et al. Medically-n…
  8. psnet.ahrq.gov/issue/evaluation-second-victim-peer-support-program-perceptions-second-victim-experiences-and
    December 23, 2020 - Study Evaluation of a second victim peer support program on perceptions of second victim experiences and supportive resources in pediatric clinical specialties using the second victim experience and support tool (SVEST). Citation Text: Finney RE, Czinski S, Fjerstad K, et al. Evaluation …
  9. psnet.ahrq.gov/issue/factors-influencing-witnesses-perception-patient-safety-during-pre-hospital-health-care
    March 09, 2022 - Study Factors influencing witnesses' perception of patient safety during pre-hospital health care from emergency medical services: a multi-center cross-sectional study. Citation Text: Péculo-Carrasco J-A, Rodríguez-Ruiz H-J, Puerta-Córdoba A, et al. Factors influencing witnesses’ percept…
  10. psnet.ahrq.gov/issue/did-organization-primary-care-practices-during-covid-19-pandemic-influence-quality-and-safety
    January 08, 2025 - Study Did the organization of primary care practices during the COVID-19 pandemic influence quality and safety? - an international survey. Citation Text: Eriksson M, Blomberg K, Arvidsson E, et al. Did the organization of primary care practices during the COVID-19 pandemic influence qual…
  11. psnet.ahrq.gov/issue/using-coworker-observations-promote-accountability-disrespectful-and-unsafe-behaviors
    June 27, 2018 - Study Using coworker observations to promote accountability for disrespectful and unsafe behaviors by physicians and advanced practice professionals. Citation Text: Webb LE, Dmochowski RR, Moore IN, et al. Using Coworker Observations to Promote Accountability for Disrespectful and Unsafe…
  12. psnet.ahrq.gov/issue/computerized-prescriber-order-entry-related-patient-safety-reports-analysis-2522-medication
    December 21, 2017 - Study Computerized prescriber order entry–related patient safety reports: analysis of 2522 medication errors. Citation Text: Amato MG, Salazar A, Hickman T-TT, et al. Computerized prescriber order entry-related patient safety reports: analysis of 2522 medication errors. J Am Med Inform A…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41519/psn-pdf
    September 01, 2016 - Failure to utilize functions of an electronic prescribing system and the subsequent generation of 'technically preventable' computerized alerts. September 1, 2016 Baysari M, Reckmann MH, Li L, et al. Failure to utilize functions of an electronic prescribing system and the subsequent generation of 'technically prev…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47602/psn-pdf
    January 27, 2019 - Association of nurse workload with missed nursing care in the neonatal intensive care unit. January 27, 2019 Tubbs-Cooley HL, Mara CA, Carle AC, et al. Association of Nurse Workload With Missed Nursing Care in the Neonatal Intensive Care Unit. JAMA Pediatr. 2019;173(1):44-51. doi:10.1001/jamapediatrics.2018.3619. …
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46995/psn-pdf
    January 01, 2021 - Qualitative content analysis of coworkers' safety reports of unprofessional behavior by physicians and advanced practice professionals. April 18, 2018 Martinez W, Pichert JW, Hickson GB, et al. Qualitative Content Analysis of Coworkers' Safety Reports of Unprofessional Behavior by Physicians and Advanced Practice …
  16. psnet.ahrq.gov/issue/vha-national-patient-safety-improvement-handbook
    April 12, 2019 - Organizational Policy/Guidelines VHA National Patient Safety Improvement Handbook. Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL January 17, 2012 A handbook developed by the …
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45536/psn-pdf
    October 05, 2016 - Clinician-identified problems and solutions for delayed diagnosis in primary care: a PRIORITIZE study. October 5, 2016 Car LT, Papachristou N, Bull A, et al. Clinician-identified problems and solutions for delayed diagnosis in primary care: a PRIORITIZE study. BMC Fam Pract. 2016;17(1):131. doi:10.1186/s12875-016-0…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45380/psn-pdf
    November 11, 2016 - Innovative patient safety curriculum using iPad game (PASSED) improved patient safety concepts in undergraduate medical students. November 11, 2016 Kow AWC, Ang BLS, Chong CS, et al. Innovative Patient Safety Curriculum Using iPAD Game (PASSED) Improved Patient Safety Concepts in Undergraduate Medical Students. Wo…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39282/psn-pdf
    September 20, 2011 - Weekend mortality for emergency admissions. A large, multicentre study. September 20, 2011 Aylin PP, Yunus A, Bottle A, et al. Weekend mortality for emergency admissions. A large, multicentre study. Qual Saf Health Care. 2010;19(3):213-7. doi:10.1136/qshc.2008.028639. https://psnet.ahrq.gov/issue/weekend-mortality…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41455/psn-pdf
    June 13, 2012 - Medication errors during medical emergencies in a large, tertiary care, academic medical center. June 13, 2012 Gokhman R, Seybert AL, Phrampus P, et al. Medication errors during medical emergencies in a large, tertiary care, academic medical center. Resuscitation. 2012;83(4):482-7. doi:10.1016/j.resuscitation.2011…

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