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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/850160/psn-pdf
    June 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…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37019/psn-pdf
    September 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 …
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43859/psn-pdf
    May 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…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46807/psn-pdf
    July 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…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39852/psn-pdf
    February 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…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41795/psn-pdf
    September 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.…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866699/psn-pdf
    September 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-…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45608/psn-pdf
    October 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…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39354/psn-pdf
    September 20, 2011 - Sustaining reductions in catheter related bloodstream infections in Michigan intensive care units: observational study. September 20, 2011 Pronovost P, Goeschel CA, Colantuoni E, et al. Sustaining reductions in catheter related bloodstream infections in Michigan intensive care units: observational study. BMJ. 2010…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44302/psn-pdf
    August 04, 2015 - The Global Comparators project: international comparison of 30-day in-hospital mortality by day of the week. August 4, 2015 Ruiz M, Bottle A, Aylin PP. The Global Comparators project: international comparison of 30-day in-hospital mortality by day of the week. BMJ Qual Saf. 2015;24(8):492-504. doi:10.1136/bmjqs-20…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37308/psn-pdf
    January 05, 2012 - Effect of a rapid response system for patients in shock on time to treatment and mortality during 5 years. January 5, 2012 Sebat F, Musthafa AA, Johnson D, et al. Effect of a rapid response system for patients in shock on time to treatment and mortality during 5 years. Crit Care Med. 2007;35(11):2568-75. https://p…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46910/psn-pdf
    January 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…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37032/psn-pdf
    May 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…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40526/psn-pdf
    June 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.…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45435/psn-pdf
    August 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. …
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41317/psn-pdf
    January 31, 2013 - Variation in 17 obstetric care pathways: potential danger for health professionals and patient safety? January 31, 2013 Sarrechia M, Van Gerven E, Hermans L, et al. Variation in 17 obstetric care pathways: potential danger for health professionals and patient safety? J Adv Nurs. 2013;69(2):278-85. doi:10.1111/j.136…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40072/psn-pdf
    April 04, 2011 - Perceptions of hospital safety climate and incidence of readmission. April 4, 2011 Hansen LO, Williams M, Singer SJ. Perceptions of hospital safety climate and incidence of readmission. Health Serv Res. 2011;46(2):596-616. doi:10.1111/j.1475-6773.2010.01204.x. https://psnet.ahrq.gov/issue/perceptions-hospital-safe…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/849124/psn-pdf
    May 17, 2023 - Human factors and safety analysis methods used in the design and redesign of electronic medication management systems: a systematic review. May 17, 2023 Awad S, Amon K, Baillie A, et al. Human factors and safety analysis methods used in the design and redesign of electronic medication management systems: a systema…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45889/psn-pdf
    August 16, 2017 - New persistent opioid use after minor and major surgical procedures in US adults. August 16, 2017 Brummett CM, Waljee JF, Goesling J, et al. New Persistent Opioid Use After Minor and Major Surgical Procedures in US Adults. JAMA Surg. 2017;152(6):e170504. doi:10.1001/jamasurg.2017.0504. https://psnet.ahrq.gov/issue…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46439/psn-pdf
    August 20, 2018 - Hospital-readmission risk--isolating hospital effects from patient effects. August 20, 2018 Krumholz HM, Wang K, Lin Z, et al. Hospital-Readmission Risk - Isolating Hospital Effects from Patient Effects. N Engl J Med. 2017;377(11):1055-1064. doi:10.1056/NEJMsa1702321. https://psnet.ahrq.gov/issue/hospital-readmiss…

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