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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46299/psn-pdf
    September 13, 2017 - Simulation-based assessment of the management of critical events by board-certified anesthesiologists. September 13, 2017 Weinger MB, Banerjee A, Burden AR, et al. Simulation-based assessment of the management of critical events by board-certified anesthesiologists. Anesthesiology. 2017;127(3):475-489. doi:10.1097…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46662/psn-pdf
    August 20, 2018 - Weekend specialist intensity and admission mortality in acute hospital trusts in England: a cross-sectional study. August 20, 2018 Aldridge C, Bion J, Boyal A, et al. Weekend specialist intensity and admission mortality in acute hospital trusts in England: a cross-sectional study. Lancet. 2016;388(10040):178-86. do…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41257/psn-pdf
    April 22, 2012 - Development of an evidence-based framework of factors contributing to patient safety incidents in hospital settings: a systematic review. April 22, 2012 Lawton R, McEachan RRC, Giles SJ, et al. Development of an evidence-based framework of factors contributing to patient safety incidents in hospital settings: a sy…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43452/psn-pdf
    August 20, 2014 - Electronic health record–related safety concerns: a cross- sectional survey. August 20, 2014 Menon S, Singh H, Meyer AND, et al. Electronic health record-related safety concerns: a cross-sectional survey. J Healthc Risk Manag. 2014;34(1):14-26. doi:10.1002/jhrm.21146. https://psnet.ahrq.gov/issue/electronic-health…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854623/psn-pdf
    January 01, 2025 - Do junior doctors make more prescribing errors than experienced doctors when prescribing electronically using a computerised physician order entry system combined with a clinical decision support system? A cross-sectional study. October 18, 2023 Kalfsvel L, Wilkes S, van der Kuy H, et al. Do junior doctors make m…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46797/psn-pdf
    March 14, 2018 - Empowering informal caregivers with health information: OpenNotes as a safety strategy. March 14, 2018 Chimowitz H, Gerard M, Fossa A, et al. Empowering Informal Caregivers with Health Information: OpenNotes as a Safety Strategy. Jt Comm J Qual Saf. 2018;44(3):130-136. doi:10.1016/j.jcjq.2017.09.004. https://psnet…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38164/psn-pdf
    July 02, 2009 - A Compendium of Strategies to Prevent Healthcare- Associated Infections in Acute Care Hospitals. July 2, 2009 Yokoe DS, Mermel LA, Anderson DJ, et al. Infect Control Hosp Epidemiol. 2008;29:901-994.   https://psnet.ahrq.gov/issue/compendium-strategies-prevent-healthcare-associated-infections-acute-care- hospi…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46515/psn-pdf
    December 22, 2018 - A contemporary medicolegal analysis of outpatient medication management in chronic pain. December 22, 2018 Abrecht CR, Brovman EY, Greenberg P, et al. A Contemporary Medicolegal Analysis of Outpatient Medication Management in Chronic Pain. Anesth Analg. 2017;125(5):1761-1768. doi:10.1213/ANE.0000000000002499. htt…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42938/psn-pdf
    February 12, 2014 - Successful implementation of a unit-based quality nurse to reduce central line-associated bloodstream infections. February 12, 2014 Thom KA, Li S, Custer M, et al. Successful implementation of a unit-based quality nurse to reduce central line-associated bloodstream infections. Am J Infect Control. 2014;42(2):139-43…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45796/psn-pdf
    June 29, 2017 - Characteristics of initial prescription episodes and likelihood of long-term opioid use—United States, 2006–2015. June 29, 2017 Shah A, Hayes CJ, Martin BC. Characteristics of Initial Prescription Episodes and Likelihood of Long-Term Opioid Use - United States, 2006-2015. MMWR Morb Mortal Wkly Rep. 2017;66(10):265…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47333/psn-pdf
    October 10, 2018 - Changing dynamics of the drug overdose epidemic in the United States from 1979 through 2016. October 10, 2018 Jalal H, Buchanich JM, Roberts MS, et al. Changing dynamics of the drug overdose epidemic in the United States from 1979 through 2016. Science (1979). 2018;361(6408). doi:10.1126/science.aau1184. https://p…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50368/psn-pdf
    September 25, 2019 - A patient and family reporting system for perceived ambulatory note mistakes: experience at 3 U.S. healthcare centers. September 25, 2019 Bourgeois FC, Fossa A, Gerard M, et al. A patient and family reporting system for perceived ambulatory note mistakes: experience at 3 U.S. healthcare centers. J Am Med Inform As…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47908/psn-pdf
    April 24, 2019 - "Sorry" is never enough: how state apology laws fail to reduce medical malpractice liability risk. April 24, 2019 McMichael BJ, Van Horn L, Viscusi K. "Sorry” Is Never Enough: How State Apology Laws Fail to Reduce Medical Malpractice Liability Risk. Stanford Law Rev. 2019;71(2):341-409. https://psnet.ahrq.gov/issu…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43115/psn-pdf
    December 18, 2014 - Multistate point-prevalence survey of health care- associated infections. December 18, 2014 Magill SS, Edwards JR, Bamberg W, et al. Multistate point-prevalence survey of health care-associated infections. N Engl J Med. 2014;370(13):1198-208. doi:10.1056/NEJMoa1306801. https://psnet.ahrq.gov/issue/multistate-point…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43049/psn-pdf
    October 31, 2014 - Vital signs: improving antibiotic use among hospitalized patients. October 31, 2014 Fridkin SK, Baggs J, Fagan R, et al. Vital signs: improving antibiotic use among hospitalized patients. MMWR Morb Mortal Wkly Rep. 2014;63(9):194-200. https://psnet.ahrq.gov/issue/vital-signs-improving-antibiotic-use-among-hospital…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47203/psn-pdf
    October 25, 2018 - Speaking up about care concerns in the ICU: patient and family experiences, attitudes and perceived barriers. October 25, 2018 Bell SK, Roche S, Mueller A, et al. Speaking up about care concerns in the ICU: patient and family experiences, attitudes and perceived barriers. BMJ Qual Saf. 2018;27(11):928-936. doi:10.1…
  17. psnet.ahrq.gov/glossary/handoffs-and-handovers
    September 13, 2021 - Handoffs and Handovers September 13, 2021 Anonymous (not verified) See Primer . The process when one health care professional updates another on the status of one or more patients for the purpose of taking over their care. Typical examples involve a physician who has been on call overnight telling an incoming …
  18. psnet.ahrq.gov/perspective/conversation-sharon-k-inouye-md-mph
    December 01, 2012 - In Conversation With… Sharon K. Inouye, MD, MPH December 1, 2012  Also Read an Essay Citation Text: In Conversation With… Sharon K. Inouye, MD, MPH. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Ser…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851389/psn-pdf
    July 31, 2023 - Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer July 31, 2023 https://psnet.ahrq.gov/innovation/ambulatory-safety-nets-reduce-missed-and-delayed-diagnoses-cancer Summary Concern over patient safety issues associated with inadequate tracking of test results has grown over the last decade, a…
  20. psnet.ahrq.gov/web-mm/difficult-encounters-cmo-and-cno-respond
    March 01, 2018 - SPOTLIGHT CASE Difficult Encounters: A CMO and CNO Respond Citation Text: Ring EJ, Hirsch JE. Difficult Encounters: A CMO and CNO Respond. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2009. Copy Citation Format: …

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