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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40575/psn-pdf
    July 06, 2011 - Student-observed surgical safety practices across an urban regional health authority. July 6, 2011 Spence J, Goodwin B, Enns C, et al. Student-observed surgical safety practices across an urban regional health authority. BMJ Qual Saf. 2011;20(7):580-6. doi:10.1136/bmjqs.2010.044826. https://psnet.ahrq.gov/issue/st…

  2. Supporting Consumers in Using Information on Health Care Quality | Agency for Healthcare Research and Quality

    www.ahrq.gov/talkingquality/explain/support/index.html
    July 01, 2016 - Supporting Consumers in Using Information on Health Care Quality The ultimate goal for comparative quality reports is for consumers and patients to use them. All of the recommendations in this Web site are intended to help you plan, design, and disseminate your report in a way that maximizes the likelihood th…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37193/psn-pdf
    October 06, 2011 - Incomplete EHR adoption: late uptake of patient safety and cost control functions. October 6, 2011 Menachemi N, Ford E, Beitsch LM, et al. Incomplete EHR adoption: late uptake of patient safety and cost control functions. Am J Med Qual. 2007;22(5):319-26. https://psnet.ahrq.gov/issue/incomplete-ehr-adoption-late-u…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836718/psn-pdf
    March 09, 2022 - Systems engineering analysis of diagnostic referral closed-loop processes. March 9, 2022 Nehls N, Yap TS, Salant T, et al. Systems engineering analysis of diagnostic referral closed-loop processes. BMJ Open Qual. 2021;10(4):e001603. doi:10.1136/bmjoq-2021-001603. https://psnet.ahrq.gov/issue/systems-engineering-an…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50700/psn-pdf
    January 01, 2020 - Developing health care organizations that pursue learning and exploration of diagnostic excellence: an action plan. December 4, 2019 Singh H, Upadhyay DK, Torretti D. Developing Health Care Organizations That Pursue Learning and Exploration of Diagnostic Excellence: An Action Plan. Acad Med. 2020;95(8):1172-1178. …

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45584/psn-pdf
    November 02, 2016 - Discrepancies between prescribed and actual pediatric home parenteral nutrition solutions. November 2, 2016 Raphael BP, Murphy M, Gura KM, et al. Discrepancies Between Prescribed and Actual Pediatric Home Parenteral Nutrition Solutions. Nutr Clin Pract. 2016;31(5):654-658. doi:10.1177/0884533616639410. https://psn…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852802/psn-pdf
    August 23, 2023 - Indian Health Service: Actions Needed to Improve Use of Data on Adverse Events. August 23, 2023 Washington, DC: United States Government Accounting Office; July 10, 2023.  Publication GAO-23- 105722. https://psnet.ahrq.gov/issue/indian-health-service-actions-needed-improve-use-data-adverse-events Health info…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44677/psn-pdf
    June 07, 2016 - Computerised prescribing for safer medication ordering: still a work in progress. June 7, 2016 Schiff G, Hickman T-TT, Volk LA, et al. Computerised prescribing for safer medication ordering: still a work in progress. BMJ Qual Saf. 2016;25(5):315-9. doi:10.1136/bmjqs-2015-004677. https://psnet.ahrq.gov/issue/comput…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866648/psn-pdf
    September 04, 2024 - ACOG Committee Statement No. 10: Racial and Ethnic Inequities in Obstetrics and Gynecology. September 4, 2024 ACOG Committee Statement No. 10: Racial and Ethnic Inequities in Obstetrics and Gynecology. Obstet Gynecol. 2024;144(3):e62-e74. doi:10.1097/aog.0000000000005678. https://psnet.ahrq.gov/issue/acog-committe…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48124/psn-pdf
    July 31, 2019 - Medication safety alert fatigue may be reduced via interaction design and clinical role tailoring: a systematic review. July 31, 2019 Hussain MI, Reynolds TL, Zheng K. Medication safety alert fatigue may be reduced via interaction design and clinical role tailoring: a systematic review. J Am Med Inform Assoc. 2019…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50922/psn-pdf
    February 19, 2020 - An Organisation Losing its Memory? Patient Safety Alerts: Implementation, Monitoring and Regulation in England February 19, 2020 Cousins D. Croydon, UK: Accidents against Medical Accidents; 2020. https://psnet.ahrq.gov/issue/organisation-losing-its-memory-patient-safety-alerts-implementation- monitoring-and-regul…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48059/psn-pdf
    June 05, 2019 - Investigating for improvement? Five strategies to ensure national patient safety investigations improve patient safety. June 5, 2019 Macrae C. Investigating for improvement? Five strategies to ensure national patient safety investigations improve patient safety. J R Soc Med. 2019;112(9):365-369. doi:10.1177/014107…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72554/psn-pdf
    December 09, 2020 - Fall prevention implementation strategies in use at 60 United States hospitals: a descriptive study. December 9, 2020 Turner K, Staggs V, Potter C, et al. Fall prevention implementation strategies in use at 60 United States hospitals: a descriptive study. BMJ Qual Saf. 2020;29(12):1000-1007. doi:10.1136/bmjqs-2019-…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45702/psn-pdf
    January 25, 2017 - Implantable infusion pumps in the magnetic resonance (MR) environment: FDA safety communication—important safety precautions. January 25, 2017 MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; January 11, 2017. https://psnet.ahrq.gov/issue/implantable-infusion-pumps-magnetic-resonance-mr-e…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60697/psn-pdf
    July 15, 2020 - FDA alerts health care professionals to the temporary absence of warning statement on the vial caps of two neuromuscular blocking agents. July 15, 2020 MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration. June 2, 2020. https://psnet.ahrq.gov/issue/fda-alerts-health-care-professionals-temporar…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44841/psn-pdf
    February 03, 2016 - Preventable Tragedies: Superbugs and How Ineffective Monitoring of Medical Device Safety Fails Patients. February 3, 2016 Murray P. Washington, DC; Senate Health, Education, Labor, and Pensions Committee; 2016. https://psnet.ahrq.gov/issue/preventable-tragedies-superbugs-and-how-ineffective-monitoring-medical- dev…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848814/psn-pdf
    May 10, 2023 - A critical appraisal of AHRQ's "Diagnostic Errors" report. May 10, 2023 Carpenter C, Jotte R, Griffey RT, et al. A critical appraisal of AHRQ's "Diagnostic Errors" report. Mo Med. 2023;120(2):114-120. https://psnet.ahrq.gov/issue/critical-appraisal-ahrqs-diagnostic-errors-report AHRQ's 2022 report Diagnostic Error…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35805/psn-pdf
    January 02, 2017 - Getting the board on board: engaging hospital boards in quality and patient safety. January 2, 2017 Joshi MS, Hines S. Getting the board on board: Engaging hospital boards in quality and patient safety. Jt Comm J Qual Patient Saf. 2006;32(4):179-87. https://psnet.ahrq.gov/issue/getting-board-board-engaging-hospita…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43079/psn-pdf
    May 28, 2014 - Confirming delivery: understanding the role of the hospitalized patient in medication administration safety. May 28, 2014 Macdonald M, Heilemann MS, MacKinnon NJ, et al. Confirming delivery: understanding the role of the hospitalized patient in medication administration safety. Qual Health Res. 2014;24(4):536-50. …

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74003/psn-pdf
    October 27, 2021 - Test-retest reliability of an experienced Global Trigger Tool review team. October 27, 2021 Bjørn B, Anhøj J, Østergaard M, et al. Test-retest reliability of an experienced Global Trigger Tool review team. J Patient Saf. 2021;17(7):e593-e598. doi:10.1097/pts.0000000000000433. https://psnet.ahrq.gov/issue/test-rete…
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