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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45892/psn-pdf
    October 31, 2017 - Relationship between state malpractice environment and quality of health care in the United States. October 31, 2017 Bilimoria KY, Chung JW, Minami CA, et al. Relationship Between State Malpractice Environment and Quality of Health Care in the United States. Jt Comm J Qual Patient Saf. 2017;43(5):241-250. doi:10.1…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44180/psn-pdf
    June 21, 2015 - "Never events" and the quest to reduce preventable harm. June 21, 2015 Austin M, Pronovost P. "Never events" and the quest to reduce preventable harm. Jt Comm J Qual Patient Saf. 2015;41(6):279-288. https://psnet.ahrq.gov/issue/never-events-and-quest-reduce-preventable-harm The introduction of the term never event…

  3. Patient Safety Resource Center. | PSNet

    psnet.ahrq.gov/issue/patient-safety-resource-center
    May 26, 2021 - Multi-use Website Patient Safety Resource Center. Citation Text: Patient Safety Resource Center. Medscape Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL …

  4. JCAHO's safety goals—the clock is ticking, will your ED be compliant? | PSNet

    psnet.ahrq.gov/issue/jcahos-safety-goals-clock-ticking-will-your-ed-be-compliant
    April 10, 2019 - Commentary JCAHO's safety goals—the clock is ticking, will your ED be compliant? Citation Text: JCAHO's safety goals--the clock is ticking, will your ED be compliant? ED Manag. 2005;17(7):73-5. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XM…

  5. Preventing Infections During Cancer Treatment. | PSNet

    psnet.ahrq.gov/issue/preventing-infections-during-cancer-treatment
    September 07, 2016 - Government Resource Preventing Infections During Cancer Treatment. Citation Text: Preventing Infections During Cancer Treatment. Centers for Disease Control and Prevention; CDC. Copy Citation Save Save to your library Print Download PDF Share…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38981/psn-pdf
    September 30, 2009 - Computerized decision support to reduce potentially inappropriate prescribing to older emergency department patients: a randomized, controlled trial. September 30, 2009 Terrell KM, Perkins AJ, Dexter P, et al. Computerized decision support to reduce potentially inappropriate prescribing to older emergency departme…

  7. Patient Safety. | PSNet

    psnet.ahrq.gov/issue/patient-safety-10
    May 01, 2023 - Multi-use Website Patient Safety. Citation Text: Patient Safety. Minnesota Hospital Association; MHA. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL Fe…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47674/psn-pdf
    December 19, 2018 - Patient safety after implementation of a coproduced family centered communication programme: multicenter before and after intervention study. December 19, 2018 Khan A, Spector ND, Baird JD, et al. Patient safety after implementation of a coproduced family centered communication programme: multicenter before and af…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/855058/psn-pdf
    October 31, 2023 - In Conversation with... Cheryl Jones about Addressing Workplace Violence and Creating a Safer Workplace October 31, 2023 Jones CB. In Conversation with.. Cheryl Jones about Addressing Workplace Violence and Creating a Safer Workplace. PSNet [internet]. 2023. https://psnet.ahrq.gov/perspective/conversation-cheryl-j…

  10. Premature Closure: Was It Just Syncope? | PSNet

    psnet.ahrq.gov/web-mm/premature-closure-was-it-just-syncope
    February 10, 2021 - SPOTLIGHT CASE Premature Closure: Was It Just Syncope? Citation Text: Maurier D, Barnes DK. Premature Closure: Was It Just Syncope?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020. Copy Citation Format: …

  11. In Conversation With… Vineet Chopra, MD, MSc | PSNet

    psnet.ahrq.gov/perspective/conversation-vineet-chopra-md-msc
    February 28, 2024 - In Conversation With… Vineet Chopra, MD, MSc October 30, 2019  Citation Text: In Conversation With… Vineet Chopra, MD, MSc. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation…

  12. How context affects electronic health record–based test result follow-up: a mixed-methods evaluation. | PSNet

    psnet.ahrq.gov/issue/how-context-affects-electronic-health-record-based-test-result-follow-mixed-methods
    April 04, 2011 - Study How context affects electronic health record–based test result follow-up: a mixed-methods evaluation. Citation Text: Menon S, Smith MW, Sittig DF, et al. How context affects electronic health record-based test result follow-up: a mixed-methods evaluation. BMJ Open. 2014;4(11):e0059…

  13. Potential safety gaps in order entry and automated drug alerts: a nationwide survey of VA physician self-reported practices with computerized order entry. | PSNet

    psnet.ahrq.gov/issue/potential-safety-gaps-order-entry-and-automated-drug-alerts-nationwide-survey-va-physician
    March 10, 2011 - Study Potential safety gaps in order entry and automated drug alerts: a nationwide survey of VA physician self-reported practices with computerized order entry. Citation Text: Spina JR, Glassman PA, Simon B, et al. Potential safety gaps in order entry and automated drug alerts: a natio…

  14. Exploring the roots of unintended safety threats associated with the introduction of hospital ePrescribing systems and candidate avoidance and/or mitigation strategies: a qualitative study. | PSNet

    psnet.ahrq.gov/issue/exploring-roots-unintended-safety-threats-associated-introduction-hospital-eprescribing
    December 21, 2022 - Study Exploring the roots of unintended safety threats associated with the introduction of hospital ePrescribing systems and candidate avoidance and/or mitigation strategies: a qualitative study. Citation Text: Mozaffar H, Cresswell K, Williams R, et al. Exploring the roots of unintended…

  15. Evaluation of medium-term consequences of implementing commercial computerized physician order entry and clinical decision support prescribing systems in two 'early adopter' hospitals. | PSNet

    psnet.ahrq.gov/issue/evaluation-medium-term-consequences-implementing-commercial-computerized-physician-order
    December 21, 2022 - Study Evaluation of medium-term consequences of implementing commercial computerized physician order entry and clinical decision support prescribing systems in two 'early adopter' hospitals. Citation Text: Cresswell K, Bates DW, Williams R, et al. Evaluation of medium-term consequences o…

  16. The safety of electronic prescribing: manifestations, mechanisms, and rates of system-related errors associated with two commercial systems in hospitals. | PSNet

    psnet.ahrq.gov/issue/safety-electronic-prescribing-manifestations-mechanisms-and-rates-system-related-errors
    February 15, 2012 - Study The safety of electronic prescribing: manifestations, mechanisms, and rates of system-related errors associated with two commercial systems in hospitals. Citation Text: Westbrook JI, Baysari M, Li L, et al. The safety of electronic prescribing: manifestations, mechanisms, and rates…

  17. Diagnostic errors reported in primary healthcare and emergency departments: a retrospective and descriptive cohort study of 4830 reported cases of preventable harm in Sweden. | PSNet

    psnet.ahrq.gov/issue/diagnostic-errors-reported-primary-healthcare-and-emergency-departments-retrospective-and
    March 11, 2020 - Study Diagnostic errors reported in primary healthcare and emergency departments: a retrospective and descriptive cohort study of 4830 reported cases of preventable harm in Sweden. Citation Text: Fernholm R, Pukk Härenstam K, Wachtler C, et al. Diagnostic errors reported in primary healt…

  18. Patient factors and hospital outcomes associated with atypical presentation in hospitalized older adults with COVID-19 during the first surge of the pandemic. | PSNet

    psnet.ahrq.gov/issue/patient-factors-and-hospital-outcomes-associated-atypical-presentation-hospitalized-older
    June 29, 2022 - Study Patient factors and hospital outcomes associated with atypical presentation in hospitalized older adults with COVID-19 during the first surge of the pandemic. Citation Text: Marziliano A, Burns E, Chauhan L, et al. Patient factors and hospital outcomes associated with atypical pres…

  19. Understanding and preventing wrong-patient electronic orders: a randomized controlled trial. | PSNet

    psnet.ahrq.gov/issue/understanding-and-preventing-wrong-patient-electronic-orders-randomized-controlled-trial
    December 21, 2017 - Study Understanding and preventing wrong-patient electronic orders: a randomized controlled trial. Citation Text: Adelman JS, Kalkut GE, Schechter CB, et al. Understanding and preventing wrong-patient electronic orders: a randomized controlled trial. J Am Med Inform Assoc. 2013;20(2):305…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/842919/psn-pdf
    February 01, 2023 - Hospital-Acquired Diabetic Ketoacidosis. February 1, 2023 Zuidema D, Bagley B, Tan CL. Hospital-Acquired Diabetic Ketoacidosis. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/hospital-acquired-diabetic-ketoacidosis The Cases Case #1: A 46-year-old Hindi-speaking resident of a skilled nursing facility (SNF) …
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