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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72670/psn-pdfJanuary 27, 2021 - System issues leading to "found-on-floor" incidents: a multi-incident analysis. January 27, 2021 Shaw J, Bastawrous M, Burns S, et al. System Issues Leading to “Found-on-Floor” Incidents: A Multi- Incident Analysis. J Patient Saf. 2021;17(1):30-35. doi:10.1097/pts.0000000000000294. https://psnet.ahrq.gov/issue/sys… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46450/psn-pdfAugust 20, 2018 - Improving Diagnostic Quality and Safety Final Report. August 20, 2018 Washington, DC: National Quality Forum. September 19, 2017. https://psnet.ahrq.gov/issue/improving-diagnostic-quality-and-safety-final-report Although diagnostic error is a well-recognized source of preventable patient harm, measuring and mitiga… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/48008/psn-pdfMay 22, 2019 - Patients as diagnostic collaborators: sharing visit notes to promote accuracy and safety. May 22, 2019 Blease CR, Bell SK. Patients as diagnostic collaborators: sharing visit notes to promote accuracy and safety. Diagnosis (Berl). 2019;6(3):213-221. doi:10.1515/dx-2018-0106. https://psnet.ahrq.gov/issue/patients-d… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47529/psn-pdfJanuary 21, 2019 - Community-acquired and hospital-acquired medication harm among older inpatients and impact of a state-wide medication management intervention. January 21, 2019 Pellegrin K, Lozano A, Miyamura J, et al. Community-acquired and hospital-acquired medication harm among older inpatients and impact of a state-wide medica… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36163/psn-pdfSeptember 29, 2010 - Improving the bar-coded medication administration system at the Department of Veterans Affairs. September 29, 2010 Mills PD, Neily J, Mims E, et al. Improving the bar-coded medication administration system at the Department of Veterans Affairs. Am J Health Syst Pharm. 2006;63(15):1442-7. https://psnet.ahrq.gov/iss… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41732/psn-pdfOctober 03, 2012 - Double checking the administration of medicines: what is the evidence? A systematic review. October 3, 2012 Alsulami Z, Conroy S, Choonara I. Double checking the administration of medicines: what is the evidence? A systematic review. Arch Dis Child. 2012;97(9):833-7. doi:10.1136/archdischild-2011-301093. https://p… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36577/psn-pdfJanuary 12, 2011 - Effects of teamwork training on adverse outcomes and process of care in labor and delivery: a randomized controlled trial. January 12, 2011 Nielsen PE, Goldman MB, Mann S, et al. Effects of teamwork training on adverse outcomes and process of care in labor and delivery: a randomized controlled trial. Obstet Gyneco… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60012/psn-pdfMarch 03, 2020 - Algorithm based smartphone apps to assess risk of skin cancer in adults: systematic review of diagnostic accuracy studies. March 3, 2020 Freeman K, Dinnes J, Chuchu N, et al. Algorithm based smartphone apps to assess risk of skin cancer in adults: systematic review of diagnostic accuracy studies. BMJ. 2020;368:m12… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39655/psn-pdfJuly 07, 2010 - Errors of diagnosis in pediatric practice: a multisite survey. July 7, 2010 Singh H, Thomas EJ, Wilson L, et al. Errors of diagnosis in pediatric practice: a multisite survey. Pediatrics. 2010;126(1):70-9. doi:10.1542/peds.2009-3218. https://psnet.ahrq.gov/issue/errors-diagnosis-pediatric-practice-multisite-survey… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/853621/psn-pdfSeptember 20, 2023 - Do not PIMP my nursing home ride! The impact of Potentially Inappropriate Medications Prescribing on residents' emergency care use. September 20, 2023 Rapp T, Sicsic J, Tavassoli N, et al. Do not PIMP my nursing home ride! The impact of Potentially Inappropriate Medications Prescribing on residents’ emergency care… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46782/psn-pdfJanuary 24, 2019 - Patient perspectives on how physicians communicate diagnostic uncertainty: an experimental vignette study. January 24, 2019 Bhise V, Meyer AND, Menon S, et al. Patient perspectives on how physicians communicate diagnostic uncertainty: An experimental vignette study. Int J Qual Health Care. 2018;30(1):2-8. doi:10.1… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/867091/psn-pdfNovember 06, 2024 - Initiative to deprescribe high-risk drugs for older adults presenting to the emergency department after falls. November 6, 2024 Selman K, Roberts E, Niznik J, et al. Initiative to deprescribe high?risk drugs for older adults presenting to the emergency department after falls. J Am Geriatr Soc. 2024;72(Supp 3):s60-s… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42568/psn-pdfDecember 29, 2014 - Hospital readmission and parent perceptions of their child's hospital discharge. December 29, 2014 Berry JG, Ziniel SI, Freeman L, et al. Hospital readmission and parent perceptions of their child's hospital discharge. Int J Qual Health Care. 2013;25(5):573-81. doi:10.1093/intqhc/mzt051. https://psnet.ahrq.gov/iss… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73084/psn-pdfMarch 31, 2021 - Maternal and neonatal health care worker well-being and patient safety climate amid the COVID-19 pandemic. March 31, 2021 Haidari E, Main EK, Cui X, et al. Maternal and neonatal health care worker well-being and patient safety climate amid the COVID-19 pandemic. J Perinatol. 2021;41(5):961-969. doi:10.1038/s41372-0… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45216/psn-pdfJune 08, 2016 - Ambulatory computerized prescribing and preventable adverse drug events. June 8, 2016 Overhage JM, Gandhi TK, Hope C, et al. Ambulatory Computerized Prescribing and Preventable Adverse Drug Events. J Patient Saf. 2016;12(2):69-74. doi:10.1097/PTS.0000000000000194. https://psnet.ahrq.gov/issue/ambulatory-computeriz… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/61018/psn-pdfOctober 14, 2020 - Association of current opioid use with serious adverse events among older adult survivors of breast cancer. October 14, 2020 Winn AN, Check DK, Farkas A, et al. Association of current opioid use with serious adverse events among older adult survivors of breast cancer. JAMA Netw Open. 2020;3(9):e2016858. doi:10.100… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/836967/psn-pdfApril 20, 2022 - Hospital acquired infections in surgical patients: impact of COVID-19-related infection prevention measures. April 20, 2022 Tham N, Fazio T, Johnson D, et al. Hospital acquired infections in surgical patients: impact of COVID-19- related infection prevention measures. World J Surg. 2022;46:1249-1258. doi:10.1007/s0… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866584/psn-pdfAugust 28, 2024 - Raising the barcode: improving medication safety behaviours through a behavioural science-informed feedback intervention. A quality improvement project and difference-in-difference analysis. August 28, 2024 Grailey K, Brazier A, Franklin BD, et al. Raising the barcode: improving medication safety behaviours throu… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44609/psn-pdfJune 21, 2016 - The missing evidence: a systematic review of patients' experiences of adverse events in health care. June 21, 2016 Harrison R, Walton M, Manias E, et al. The missing evidence: a systematic review of patients' experiences of adverse events in health care. Int J Qual Health Care. 2015;27(6):424-42. doi:10.1093/intqhc… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/856583/psn-pdfJanuary 01, 2024 - Prescription opioid dose reductions and potential adverse events: a multi-site observational cohort study in diverse US health systems. November 29, 2023 Metz VE, Ray GT, Palzes V, et al. Prescription opioid dose reductions and potential adverse events: a multi-site observational cohort study in diverse US health …
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