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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39210/psn-pdfJanuary 12, 2010 - Can aviation-based team training elicit sustainable behavioral change? January 12, 2010 Sax HC, Browne P, Mayewski RJ, et al. Can aviation-based team training elicit sustainable behavioral change? Arch Surg. 2009;144(12):1133-1137. doi:10.1001/archsurg.2009.207. https://psnet.ahrq.gov/issue/can-aviation-based-team… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41924/psn-pdfApril 05, 2013 - Disclosure-and-resolution programs that include generous compensation offers may prompt a complex patient response. April 5, 2013 Murtagh L, Gallagher TH, Andrew P, et al. Disclosure-and-resolution programs that include generous compensation offers may prompt a complex patient response. Health Aff (Millwood). 2012… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37791/psn-pdfSeptember 29, 2017 - Controversy and quality improvement: lingering questions about ethics, oversight, and patient safety research. September 29, 2017 Kass N, Pronovost P, Sugarman J, et al. Controversy and quality improvement: lingering questions about ethics, oversight, and patient safety research. Jt Comm J Qual Patient Saf. 2008;3… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43002/psn-pdfMarch 12, 2014 - Exposure to media information about a disease can cause doctors to misdiagnose similar-looking clinical cases. March 12, 2014 Schmidt HG, Mamede S, Van den Berge K, et al. Exposure to media information about a disease can cause doctors to misdiagnose similar-looking clinical cases. Acad Med. 2014;89(2):285-91. doi… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47063/psn-pdfNovember 19, 2018 - I-PASS handoff program: use of a campaign to effect transformational change. November 19, 2018 Rosenbluth G, Destino LA, Starmer AJ, et al. I-PASS Handoff Program: Use of a Campaign to Effect Transformational Change. Ped Qual Saf. 2018;3(4):e088. doi:10.1097/pq9.0000000000000088. https://psnet.ahrq.gov/issue/i-pas… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60229/psn-pdfApril 15, 2020 - Factors associated with mental health outcomes among health care workers exposed to coronavirus disease 2019. April 15, 2020 Lai J, Ma S, Wang Y, et al. Factors associated with mental health outcomes among health care workers exposed to coronavirus disease 2019. JAMA Netw Open. 2020;3(3):e203976. doi:10.1001/jaman… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42816/psn-pdfOctober 31, 2014 - Rates of medical errors and preventable adverse events among hospitalized children following implementation of a resident handoff bundle. October 31, 2014 Starmer AJ, Sectish TC, Simon DW, et al. Rates of medical errors and preventable adverse events among hospitalized children following implementation of a reside… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/850160/psn-pdfJune 07, 2023 - The Ohio Maternal Safety Quality Improvement Project: initial results of a statewide perinatal hypertension quality improvement initiative implemented during the COVID-19 pandemic. June 7, 2023 Schneider P, Lorenz A, Menegay MC, et al. The Ohio Maternal Safety Quality Improvement Project: initial results of a sta… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37019/psn-pdfSeptember 15, 2011 - Just what the doctor ordered. Review of the evidence of the impact of computerized physician order entry system on medication errors. September 15, 2011 Shamliyan TA, Duval S, Du J, et al. Just what the doctor ordered. Review of the evidence of the impact of computerized physician order entry system on medication … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43859/psn-pdfMay 28, 2015 - Point prevalence of surgical checklist use in Europe: relationship with hospital mortality. May 28, 2015 Jammer I, Ahmad T, Aldecoa C, et al. Point prevalence of surgical checklist use in Europe: relationship with hospital mortality. Br J Anaesth. 2015;114(5):801-807. doi:10.1093/bja/aeu460. https://psnet.ahrq.gov… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46807/psn-pdfJuly 02, 2019 - Communication failure: analysis of prescribers' use of an internal free-text field on electronic prescriptions. July 2, 2019 Ai A, Wong A, Amato MG, et al. Communication failure: analysis of prescribers’ use of an internal free-text field on electronic prescriptions. J Am Med Inform Assoc. 2018;25(6):709-714. doi:1… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39852/psn-pdfFebruary 10, 2015 - National costs of the medical liability system. February 10, 2015 Mello MM, Chandra A, Gawande AA, et al. National costs of the medical liability system. Health Aff (Millwood). 2010;29(9):1569-1577. doi:10.1377/hlthaff.2009.0807. https://psnet.ahrq.gov/issue/national-costs-medical-liability-system The role of medi… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41795/psn-pdfSeptember 07, 2016 - Drug shortage-associated increase in catheter-related blood stream infection in children. September 7, 2016 Ralls MW, Blackwood A, Arnold MA, et al. Drug shortage-associated increase in catheter-related blood stream infection in children. Pediatrics. 2012;130(5):e1369-73. doi:10.1542/peds.2011-3894. https://psnet.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866699/psn-pdfSeptember 11, 2024 - AHRQ-Funded Patient Safety Project Highlights: Improving Patient Safety by Enhancing Medication Safety. September 11, 2024 Ahrq-Funded Patient Safety Project Highlights: Improving Patient Safety By Enhancing Medication Safety. Rockville, MD: Agency for Healthcare Research and Quality; 2024. AHRQ Publication No. 24-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42787/psn-pdfJanuary 19, 2014 - The effects of electronic prescribing by community-based providers on ambulatory medication safety. January 19, 2014 Abramson EL, Pfoh ER, Barrón Y, et al. The effects of electronic prescribing by community-based providers on ambulatory medication safety. Jt Comm J Qual Patient Saf. 2013;39(12):545-552. https://ps… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45608/psn-pdfOctober 27, 2016 - Errors, omissions, and outliers in hourly vital signs measurements in intensive care. October 27, 2016 Maslove DM, Dubin JA, Shrivats A, et al. Errors, Omissions, and Outliers in Hourly Vital Signs Measurements in Intensive Care. Crit Care Med. 2016;44(11):e1021-e1030. https://psnet.ahrq.gov/issue/errors-omissions… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46910/psn-pdfJanuary 23, 2019 - Taking the heat or taking the temperature? A qualitative study of a large-scale exercise in seeking to measure for improvement, not blame. January 23, 2019 Armstrong N, Brewster L, Tarrant C, et al. Taking the heat or taking the temperature? A qualitative study of a large-scale exercise in seeking to measure for i… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37032/psn-pdfMay 27, 2011 - Effects of computerized physician order entry and clinical decision support systems on medication safety: a systematic review. May 27, 2011 Kaushal R, Shojania KG, Bates DW. Effects of computerized physician order entry and clinical decision support systems on medication safety: a systematic review. Arch Intern Me… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40526/psn-pdfJune 15, 2011 - Critical drug–drug interactions for use in electronic health records systems with computerized physician order entry: review of leading approaches. June 15, 2011 Classen DC, Phansalkar S, Bates DW. Critical Drug-Drug Interactions for Use in Electronic Health Records Systems With Computerized Physician Order Entry.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45435/psn-pdfAugust 24, 2016 - Pharmacist–physician communications in a highly computerised hospital: sign-off and action of electronic review messages. August 24, 2016 Pontefract SK, Hodson J, Marriott JF, et al. Pharmacist-Physician Communications in a Highly Computerised Hospital: Sign-Off and Action of Electronic Review Messages. PLoS One. …
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