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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46135/psn-pdf
    July 11, 2017 - Two-state collaborative study of a multifaceted intervention to decrease ventilator-associated events. July 11, 2017 Rawat N, Yang T, Ali KJ, et al. Two-State Collaborative Study of a Multifaceted Intervention to Decrease Ventilator-Associated Events. Crit Care Med. 2017;45(7):1208-1215. doi:10.1097/CCM.0000000000…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47524/psn-pdf
    June 19, 2019 - Learning from patients' experiences related to diagnostic errors is essential for progress in patient safety. June 19, 2019 Giardina TD, Haskell H, Menon S, et al. Learning From Patients' Experiences Related To Diagnostic Errors Is Essential For Progress In Patient Safety. Health Aff (Millwood). 2018;37(11):1821-18…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43773/psn-pdf
    May 01, 2015 - Efforts To Improve Patient Safety Result in 1.3 Million Fewer Patient Harms: Interim Update on 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013. May 1, 2015 Rockville, MD: Agency for Healthcare Research and Quality; December 2014. AHRQ Publication No. …
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42081/psn-pdf
    April 09, 2013 - Types and origins of diagnostic errors in primary care settings. April 9, 2013 Singh H, Giardina TD, Meyer AND, et al. Types and origins of diagnostic errors in primary care settings. JAMA Intern Med. 2013;173(6):418-425. doi:10.1001/jamainternmed.2013.2777. https://psnet.ahrq.gov/issue/types-and-origins-diagnosti…
  5. psnet.ahrq.gov/issue/vha-national-patient-safety-improvement-handbook
    April 12, 2019 - Organizational Policy/Guidelines VHA National Patient Safety Improvement Handbook. Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL January 17, 2012 A handbook developed by the …
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37462/psn-pdf
    January 06, 2017 - Medication errors associated with code situations in U.S. hospitals: direct and collateral damage. January 6, 2017 Lipshutz AKM, Morlock LL, Shore AD, et al. Medication Errors Associated with Code Situations in U.S. Hospitals: Direct and Collateral Damage. Jt Comm J Qual Patient Saf. 2016;34(1):46-56. doi:10.1016/…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39302/psn-pdf
    February 17, 2010 - Preoperative briefing in the operating room: shared cognition, teamwork, and patient safety. February 17, 2010 Einav Y, Gopher D, Kara I, et al. Preoperative briefing in the operating room: shared cognition, teamwork, and patient safety. Chest. 2010;137(2):443-9. doi:10.1378/chest.08-1732. https://psnet.ahrq.gov/i…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847717/psn-pdf
    April 19, 2023 - Quality improvement initiative to decrease central line- associated bloodstream infections during the COVID-19 pandemic: a "zero harm" approach. April 19, 2023 Redstone CS, Zadeh M, Wilson M-A, et al. Quality improvement initiative to decrease central line- associated bloodstream infections during the COVID-19 pan…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46612/psn-pdf
    February 22, 2018 - Influencing organisational culture to improve hospital performance in care of patients with acute myocardial infarction: a mixed-methods intervention study. February 22, 2018 Curry LA, Brault MA, Linnander EL, et al. Influencing organisational culture to improve hospital performance in care of patients with acute …
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46471/psn-pdf
    March 20, 2018 - Diagnostic errors in primary care pediatrics: Project RedDE. March 20, 2018 Rinke ML, Singh H, Heo M, et al. Diagnostic Errors in Primary Care Pediatrics: Project RedDE. Acad Peds. 2018;18(2):220-227. doi:10.1016/j.acap.2017.08.005. https://psnet.ahrq.gov/issue/diagnostic-errors-primary-care-pediatrics-project-red…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39730/psn-pdf
    December 21, 2014 - Surgical case listing accuracy: failure analysis at a high- volume academic medical center. December 21, 2014 Cima RR, Hale C, Kollengode A, et al. Surgical case listing accuracy: failure analysis at a high-volume academic medical center. Arch Surg. 2010;145(7):641-6. doi:10.1001/archsurg.2010.112. https://psnet.a…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38553/psn-pdf
    April 14, 2010 - The effect of computerized physician order entry on medication prescription errors and clinical outcome in pediatric and intensive care: a systematic review. April 14, 2010 van Rosse F, Maat B, Rademaker CMA, et al. The effect of computerized physician order entry on medication prescription errors and clinical out…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43785/psn-pdf
    May 01, 2015 - Evaluation of the effectiveness of a surgical checklist in Medicare patients. May 1, 2015 Reames BN, Scally CP, Thumma JR, et al. Evaluation of the Effectiveness of a Surgical Checklist in Medicare Patients. Med Care. 2015;53(1):87-94. doi:10.1097/MLR.0000000000000277. https://psnet.ahrq.gov/issue/evaluation-effec…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45319/psn-pdf
    September 01, 2018 - Special Issue: Progress at the Intersection of Patient Safety and Medical Liability. September 1, 2018 Ridgely MS, Greenberg MD, Clancy CM, eds. Health Serv Res. 2016;51(suppl 3):2395-2648. https://psnet.ahrq.gov/issue/special-issue-progress-intersection-patient-safety-and-medical-liability Medical liability refor…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44034/psn-pdf
    January 19, 2016 - Surgical checklist implementation project: the impact of variable WHO checklist compliance on risk-adjusted clinical outcomes after national implementation: a longitudinal study. January 19, 2016 Mayer EK, Sevdalis N, Rout S, et al. Surgical Checklist Implementation Project: The Impact of Variable WHO Checklist C…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44925/psn-pdf
    July 27, 2018 - Improving safety for hospitalized patients: much progress but many challenges remain. July 27, 2018 Kronick R, Arnold S, Brady J. Improving Safety for Hospitalized Patients: Much Progress but Many Challenges Remain. JAMA. 2016;316(5):489-90. doi:10.1001/jama.2016.7887. https://psnet.ahrq.gov/issue/improving-safety…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45555/psn-pdf
    June 15, 2017 - Variations in GPs' decisions to investigate suspected lung cancer: a factorial experiment using multimedia vignettes. June 15, 2017 Sheringham J, Sequeira R, Myles J, et al. Variations in GPs' decisions to investigate suspected lung cancer: a factorial experiment using multimedia vignettes. BMJ Qual Saf. 2017;26(6…
  18. psnet.ahrq.gov/issue/healthcare-failure-mode-and-effect-analysis-chemotherapy-preparation-process
    March 09, 2022 - Study Healthcare failure mode and effect analysis in the chemotherapy preparation process. Citation Text: Pueyo-López C, Sánchez-Cuervo M, Vélez-Díaz-Pallarés M, et al. Healthcare failure mode and effect analysis in the chemotherapy preparation process. J Oncol Pharm Pract. 2021;27(7):15…
  19. psnet.ahrq.gov/issue/cluster-randomized-trial-two-implementation-strategies-deliver-audit-and-feedback-equipped
    September 01, 2018 - Study A cluster randomized trial of two implementation strategies to deliver audit and feedback in the EQUIPPED medication safety program. Citation Text: Vaughan CP, Burningham Z, Kelleher JL, et al. A cluster‐randomized trial of two implementation strategies to deliver audit and feedbac…
  20. psnet.ahrq.gov/issue/preventing-potentially-inappropriate-medication-use-hospitalized-older-patients-computerized
    November 16, 2022 - Study Preventing potentially inappropriate medication use in hospitalized older patients with a computerized provider order entry warning system. Citation Text: Mattison MLP, Afonso KA, Ngo LH, et al. Preventing potentially inappropriate medication use in hospitalized older patients wi…

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