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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42966/psn-pdf
    November 21, 2018 - The next organizational challenge: finding and addressing diagnostic error. November 21, 2018 Graber ML, Trowbridge RL, Myers JS, et al. The next organizational challenge: finding and addressing diagnostic error. Jt Comm J Qual Patient Saf. 2014;40(3):102-10. https://psnet.ahrq.gov/issue/next-organizational-challe…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44881/psn-pdf
    August 16, 2017 - A comparative effectiveness analysis of the implementation of surgical safety checklists in a tertiary care hospital. August 16, 2017 Bock M, Fanolla A, Segur-Cabanac I, et al. A Comparative Effectiveness Analysis of the Implementation of Surgical Safety Checklists in a Tertiary Care Hospital. JAMA Surg. 2016;151(…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44882/psn-pdf
    July 18, 2016 - An ethical framework for allocating scarce life-saving chemotherapy and supportive care drugs for childhood cancer. July 18, 2016 Unguru Y, Fernandez C, Bernhardt B, et al. An Ethical Framework for Allocating Scarce Life-Saving Chemotherapy and Supportive Care Drugs for Childhood Cancer. J Natl Cancer Inst. 2016;1…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42968/psn-pdf
    February 26, 2014 - From physician intent to the pharmacy label: prevalence and description of discrepancies from a cross-sectional evaluation of electronic prescriptions. February 26, 2014 Cochran GL, Klepser DG, Morien M, et al. From physician intent to the pharmacy label: prevalence and description of discrepancies from a cross-se…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41175/psn-pdf
    December 31, 2014 - Design and implementation of an automated email notification system for results of tests pending at discharge. December 31, 2014 Dalal A, Schnipper JL, Poon EG, et al. Design and implementation of an automated email notification system for results of tests pending at discharge. J Am Med Inform Assoc. 2012;19(4):52…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46806/psn-pdf
    January 01, 2020 - Examining the relationship of an all-cause harm patient safety measure and critical performance measures at the frontline of care. February 28, 2018 Sammer C, Hauck L, Jones C, et al. Examining the Relationship of an All-Cause Harm Patient Safety Measure and Critical Performance Measures at the Frontline of Care. …
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40221/psn-pdf
    July 21, 2011 - The association between a prolonged stay in the emergency department and adverse events in older patients admitted to hospital: a retrospective cohort study. July 21, 2011 Ackroyd-Stolarz S, Guernsey R, Mackinnon NJ, et al. The association between a prolonged stay in the emergency department and adverse events in…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42483/psn-pdf
    January 22, 2014 - What patients think doctors know: beliefs about provider knowledge as barriers to safe medication use. January 22, 2014 Serper M, McCarthy D, Patzer RE, et al. What patients think doctors know: beliefs about provider knowledge as barriers to safe medication use. Patient Educ Couns. 2013;93(2):306-11. doi:10.1016/j…
  9. psnet.ahrq.gov/issue/pharmacists-play-key-role-patient-safety
    March 29, 2023 - Newspaper/Magazine Article Pharmacists play key role in patient safety. Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL March 6, 2005 Description of a successful model from Duke…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43695/psn-pdf
    August 02, 2015 - The medical liability climate and prospects for reform. August 2, 2015 Mello MM, Studdert DM, Kachalia A. The medical liability climate and prospects for reform. JAMA. 2014;312(20):2146-55. doi:10.1001/jama.2014.10705. https://psnet.ahrq.gov/issue/medical-liability-climate-and-prospects-reform This review of natio…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40412/psn-pdf
    March 23, 2012 - Veterans Affairs initiative to prevent methicillin-resistant Staphylococcus aureus infections. March 23, 2012 Jain R, Kralovic SM, Evans ME, et al. Veterans Affairs initiative to prevent methicillin-resistant Staphylococcus aureus infections. N Engl J Med. 2011;364(15):1419-30. doi:10.1056/NEJMoa1007474. https://p…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47189/psn-pdf
    August 17, 2018 - Association of opioid-related adverse drug events with clinical and cost outcomes among surgical patients in a large integrated health care delivery system. August 17, 2018 Shafi S, Collinsworth AW, Copeland LA, et al. Association of Opioid-Related Adverse Drug Events With Clinical and Cost Outcomes Among Surgical…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43652/psn-pdf
    August 04, 2015 - Do clinicians know which of their patients have central venous catheters?: A multicenter observational study. August 4, 2015 Chopra V, Govindan S, Kuhn L, et al. Do clinicians know which of their patients have central venous catheters?: a multicenter observational study. Ann Intern Med. 2014;161(8):562-7. doi:10.73…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45769/psn-pdf
    December 21, 2016 - National Scorecard on Rates of Hospital-Acquired Conditions 2010 to 2015: Interim Data From National Efforts to Make Health Care Safer. December 21, 2016 Rockville, MD: Agency for Healthcare Research and Quality; December 2016. https://psnet.ahrq.gov/issue/national-scorecard-rates-hospital-acquired-conditions-2010…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38871/psn-pdf
    August 19, 2009 - Effect of medication reconciliation with and without patient counseling on the number of pharmaceutical interventions among patients discharged from the hospital. August 19, 2009 Karapinar-Carkit F, Borgsteede SD, Zoer J, et al. Effect of medication reconciliation with and without patient counseling on the number…
  16. 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…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40995/psn-pdf
    January 04, 2012 - Effects of the introduction of the WHO "Surgical Safety Checklist" on in-hospital mortality: a cohort study. January 4, 2012 van Klei WA, Hoff RG, van Aarnhem EEHL, et al. Effects of the introduction of the WHO "Surgical Safety Checklist" on in-hospital mortality: a cohort study. Ann Surg. 2012;255(1):44-9. doi:10…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38829/psn-pdf
    January 03, 2017 - Implementing standardized operating room briefings and debriefings at a large regional medical center. January 3, 2017 Berenholtz SM, Schumacher K, Hayanga AJ, et al. Implementing standardized operating room briefings and debriefings at a large regional medical center. Jt Comm J Qual Patient Saf. 2009;35(8):391-7. …
  19. 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…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38710/psn-pdf
    September 14, 2009 - Patient readmissions, emergency visits, and adverse events after software-assisted discharge from hospital: cluster randomized trial. September 14, 2009 Graumlich JF, Novotny NL, Nace S, et al. Patient readmissions, emergency visits, and adverse events after software-assisted discharge from hospital: cluster rando…

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