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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43811/psn-pdf
    July 18, 2018 - 2014 Annual Benchmarking Report: Malpractice Risks in the Diagnostic Process. July 18, 2018 Hoffman J, ed. Cambridge, MA: CRICO Strategies; 2014. https://psnet.ahrq.gov/issue/2014-annual-benchmarking-report-malpractice-risks-diagnostic-process This analysis of more than 4700 diagnosis-related malpractice claims fo…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43749/psn-pdf
    December 10, 2014 - Alarm management: first things first: using reliable data to eliminate unnecessary alarms. December 10, 2014 Vanderveen T. Patient Saf Qual Healthc. November/December 2014;11:38-40,42-45. https://psnet.ahrq.gov/issue/alarm-management-first-things-first-using-reliable-data-eliminate-unnecessary- alarms Spotlightin…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47459/psn-pdf
    October 10, 2018 - People, processes, health IT and accurate patient identification. October 10, 2018 Quick Safety. October 1, 2018;(45):1-2. https://psnet.ahrq.gov/issue/people-processes-health-it-and-accurate-patient-identification This newsletter article reviews common problems related to patient identification and recommends st…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46988/psn-pdf
    April 25, 2018 - Opioid Stewardship. April 25, 2018 Ochsner J. 2018;18(1):20-45. https://psnet.ahrq.gov/issue/opioid-stewardship Both organizational and national strategies are required to reduce opioid-related harm. This special issue section explores one health system's efforts to address the opioid epidemic. Articles discuss em…
  5. psnet.ahrq.gov/perspective/conversation-witheric-coleman-md-mph
    December 01, 2007 - This intervention significantly reduced rehospitalization rates and costs.( 9 ) Hospital physicians
  6. psnet.ahrq.gov/perspective/emergence-trigger-tool-premier-measurement-strategy-patient-safety
    May 01, 2012 - Clearly there have been improvements because we have reduced hospital mortality rates in the past decade … and we have reduced certain types of events such as ventilator-associated pneumonia; however, more recent
  7. psnet.ahrq.gov/perspective/conversation-withdavid-c-classen-md-ms
    May 01, 2012 - Clearly there have been improvements because we have reduced hospital mortality rates in the past decade … and we have reduced certain types of events such as ventilator-associated pneumonia; however, more recent
  8. psnet.ahrq.gov/perspective/conversation-rebecca-smith-bindman-md
    October 01, 2013 - In Conversation With… Rebecca Smith-Bindman, MD October 1, 2013  Also Read an Essay Citation Text: In Conversation With… Rebecca Smith-Bindman, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Serv…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50755/psn-pdf
    December 18, 2019 - if the stomach is empty, then the potential for aspiration of stomach contents during sedation is reduced
  10. psnet.ahrq.gov/web-mm/life-threatening-infant-overdose-sodium-chloride
    December 23, 2020 - CPOE has evolved, the addition of clinical decision support systems has enhanced patient safety and reduced
  11. psnet.ahrq.gov/issue/states-targeting-reduction-infections-engagement-strive
    June 12, 2024 - Special or Theme Issue States Targeting Reduction in Infections via Engagement (STRIVE). Citation Text: States Targeting Reduction in Infections via Engagement (STRIVE). Ann Intern Med. 2019;171(7_Suppl):s1-s82. Copy Citation Save Save to your library Prin…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853071/psn-pdf
    August 30, 2023 - A natural language processing approach to categorise contributing factors from patient safety event reports. August 30, 2023 Tabaie A, Sengupta S, Pruitt ZM, et al. BMJ Health Care Inform. 2023;30(1):e100731. https://psnet.ahrq.gov/issue/natural-language-processing-approach-categorise-contributing-factors-patient- …
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43970/psn-pdf
    May 19, 2015 - Organisational reporting and learning systems: innovating inside and outside of the box. May 19, 2015 Sujan M, Furniss D. Organisational reporting and learning systems: Innovating inside and outside of the box. Clin Risk. 2015;21(1):7-12. doi:10.1177/1356262215574203. https://psnet.ahrq.gov/issue/organisational-re…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852452/psn-pdf
    August 16, 2023 - Value assessment of deprescribing interventions: suggestions for improvement. August 16, 2023 Hung A, Wang J, Moriarty F, et al. Value assessment of deprescribing interventions: suggestions for improvement. J Am Geriatr Soc. 2023;71(6):2023-2027. doi:10.1111/jgs.18298. https://psnet.ahrq.gov/issue/value-assessment…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/839329/psn-pdf
    November 02, 2022 - Eight human factors and ergonomics principles for healthcare artificial intelligence. November 2, 2022 Sujan M, Pool R, Salmon P. Eight human factors and ergonomics principles for healthcare artificial intelligence. BMJ Health Care Inform. 2022;29(1):e100516. doi:10.1136/bmjhci-2021-100516. https://psnet.ahrq.gov/…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46749/psn-pdf
    April 04, 2018 - Toolkit for Improving Perinatal Safety. April 4, 2018 Rockville, MD: Agency for Healthcare Research and Quality. June 2017. https://psnet.ahrq.gov/issue/toolkit-improving-perinatal-safety Communication in labor and delivery units can be challenging. This AHRQ-funded program draws from comprehensive unit-based safe…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43103/psn-pdf
    April 02, 2014 - Ten Years After Keeping Patients Safe: Have Nurses' Work Environments Been Transformed? April 2, 2014 Princeton, NJ: Robert Wood Johnson Foundation. Washington, DC: George Washington University School of Nursing. March 14, 2014;22:1-8. https://psnet.ahrq.gov/issue/ten-years-after-keeping-patients-safe-have-nurses-…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841790/psn-pdf
    September 01, 2021 - Diagnostic errors, health disparities, and artificial intelligence: a combination for health or harm. September 1, 2021 Ibrahim SA, Pronovost PJ. Diagnostic errors, health disparities, and artificial intelligence: a combination for health or harm. JAMA Health Forum. 2021;2(9):e212430. doi:10.1001/jamahealthforum.20…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41701/psn-pdf
    September 26, 2019 - The CUSP Method September 26, 2019 The CUSP Method. https://psnet.ahrq.gov/issue/cusp-method The Comprehensive Unit-based Safety Program (CUSP), originally developed at Johns Hopkins Hospital by Dr. Peter Pronovost and colleagues, has been instrumental in driving patient safety improvement in several landmark pat…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46058/psn-pdf
    October 23, 2018 - Centers for Disease Control and Prevention Guideline for the Prevention of Surgical Site Infection, 2017. October 23, 2018 Berríos-Torres SI, Umscheid CA, Bratzler DW, et al. Centers for Disease Control and Prevention Guideline for the Prevention of Surgical Site Infection, 2017. JAMA Surg. 2017;152(8). doi:10.100…

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