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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39641/psn-pdf
    September 20, 2011 - Adherence to Surgical Care Improvement Project measures and the association with postoperative infections. September 20, 2011 Stulberg JJ, Delaney CP, Neuhauser D, et al. Adherence to surgical care improvement project measures and the association with postoperative infections. JAMA. 2010;303(24):2479-85. doi:10.1…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38616/psn-pdf
    June 08, 2009 - Cost and workforce implications of subjecting all physicians to aviation industry work-hour restrictions.   June 8, 2009 Payette M, Chatterjee A, Weeks WB. Cost and workforce implications of subjecting all physicians to aviation industry work-hour restrictions. Am J Surg. 2009;197(6):820-5; discussion 826-7. doi:1…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47716/psn-pdf
    June 26, 2019 - Magnitude and modifiers of the weekend effect in hospital admissions: a systematic review and meta-analysis. June 26, 2019 Chen Y-F, Armoiry X, Higenbottam C, et al. Magnitude and modifiers of the weekend effect in hospital admissions: a systematic review and meta-analysis. BMJ Open. 2019;9(6):e025764. doi:10.1136/…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45329/psn-pdf
    April 24, 2018 - State legal restrictions and prescription-opioid use among disabled adults. April 24, 2018 Meara E, Horwitz JR, Powell W, et al. State Legal Restrictions and Prescription-Opioid Use among Disabled Adults. N Engl J Med. 2016;375(1):44-53. doi:10.1056/NEJMsa1514387. https://psnet.ahrq.gov/issue/state-legal-restricti…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38536/psn-pdf
    February 03, 2011 - Association between hospital-reported Leapfrog Safe Practices scores and inpatient mortality. February 3, 2011 Werner RM, McNutt RA. A New Strategy to Improve Quality. JAMA. 2009;301(13). doi:10.1001/jama.2009.423. https://psnet.ahrq.gov/issue/association-between-hospital-reported-leapfrog-safe-practices-scores-an…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46599/psn-pdf
    August 20, 2018 - Effect of standardized handoff curriculum on improved clinician preparedness in the intensive care unit: a stepped-wedge cluster randomized clinical trial. August 20, 2018 Parent B, LaGrone LN, Albirair MT, et al. Effect of Standardized Handoff Curriculum on Improved Clinician Preparedness in the Intensive Care Un…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47735/psn-pdf
    June 24, 2019 - The Financial and Human Cost of Medical Error... and How Massachusetts Can Lead the Way on Patient Safety. June 24, 2019 Boston, MA: Betsy Lehman Center for Patient Safety; June 2019. https://psnet.ahrq.gov/issue/financial-and-human-cost-medical-error-and-how-massachusetts-can-lead- way-patient-safety The Betsy L…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45556/psn-pdf
    June 29, 2017 - Readmission rates after passage of the Hospital Readmissions Reduction Program: a pre–post analysis. June 29, 2017 Wasfy JH, Zigler CM, Choirat C, et al. Readmission Rates After Passage of the Hospital Readmissions Reduction Program: A Pre-Post Analysis. Ann Intern Med. 2017;166(5):324-331. doi:10.7326/M16-0185. h…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46396/psn-pdf
    August 15, 2018 - An ethnographic study of health information technology use in three intensive care units. August 15, 2018 Leslie M, Paradis E, Gropper MA, et al. An Ethnographic Study of Health Information Technology Use in Three Intensive Care Units. Health Serv Res. 2017;52(4):1330-1348. doi:10.1111/1475-6773.12466. https://psn…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73121/psn-pdf
    April 07, 2021 - The impact of introducing automated dispensing cabinets, barcode medication administration, and closed- loop electronic medication management systems on work processes and safety of controlled medications in hospitals: a systematic review. April 7, 2021 Zheng WY, Lichtner V, Van Dort BA, et al. The impact of intr…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37768/psn-pdf
    April 27, 2010 - The wisdom and justice of not paying for "preventable complications." April 27, 2010 Pronovost P, Goeschel CA, Wachter R. The wisdom and justice of not paying for "preventable complications". JAMA. 2008;299(18):2197-9. doi:10.1001/jama.299.18.2197. https://psnet.ahrq.gov/issue/wisdom-and-justice-not-paying-prevent…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39489/psn-pdf
    June 11, 2010 - What happens between visits? Adverse and potential adverse events among a low-income, urban, ambulatory population with diabetes. June 11, 2010 Sarkar U, Handley MA, Gupta R, et al. What happens between visits? Adverse and potential adverse events among a low-income, urban, ambulatory population with diabetes. Qua…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45402/psn-pdf
    November 01, 2017 - Potentially preventable 30-day hospital readmissions at a children's hospital. November 1, 2017 Toomey SL, Peltz A, Loren S, et al. Potentially Preventable 30-Day Hospital Readmissions at a Children's Hospital. Pediatrics. 2016;138(2). doi:10.1542/peds.2015-4182. https://psnet.ahrq.gov/issue/potentially-preventabl…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45536/psn-pdf
    October 05, 2016 - Clinician-identified problems and solutions for delayed diagnosis in primary care: a PRIORITIZE study. October 5, 2016 Car LT, Papachristou N, Bull A, et al. Clinician-identified problems and solutions for delayed diagnosis in primary care: a PRIORITIZE study. BMC Fam Pract. 2016;17(1):131. doi:10.1186/s12875-016-0…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73252/psn-pdf
    January 01, 2022 - Why test results are still getting "lost" to follow-up: a qualitative study of implementation gaps. May 12, 2021 Zimolzak AJ, Shahid U, Giardina TD, et al. Why test results are still getting "lost" to follow-up: a qualitative study of implementation gaps. J Gen Intern Med. 2022;37(1):137-144. doi:10.1007/s11606-021…
  16. psnet.ahrq.gov/web-mm/amended-lab-results-communication-slip
    September 26, 2012 - Amended Lab Results: Communication Slip Citation Text: Mohta V. Amended Lab Results: Communication Slip. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML En…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49574/psn-pdf
    November 01, 2008 - A Mid-Summer Fog November 1, 2008 Braddock CH. A Mid-Summer Fog. PSNet [internet]. 2008. https://psnet.ahrq.gov/web-mm/mid-summer-fog The Case A 33-year-old woman with type I diabetes mellitus was admitted for symptoms of left flank pain, dysuria, and emesis, concerning for pyelonephritis. The patient was taking …
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33773/psn-pdf
    September 01, 2014 - Overuse as a Patient Safety Problem September 1, 2014 Moriates C. Overuse as a Patient Safety Problem. PSNet [internet]. 2014. https://psnet.ahrq.gov/perspective/overuse-patient-safety-problem Perspective Nearly half of primary care physicians in the United States believe that patients cared for in their own prac…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49405/psn-pdf
    June 01, 2003 - XL or Smaller? June 1, 2003 Kozer E. XL or Smaller? PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/xl-or-smaller The Case With a history of hypertension and chronic renal failure secondary to hemolytic uremia syndrome at age 3, a 14-year-old boy presented to the emergency department with dehydration second…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/612828/psn-pdf
    February 23, 2022 - Delayed Diagnosis of Kidney Transplant Complications February 23, 2022 Kapa N, Morfín JA. Delayed Diagnosis of Kidney Transplant Complications. PSNet [internet]. 2022. https://psnet.ahrq.gov/web-mm/delayed-diagnosis-kidney-transplant-complications Objectives Recognition, early evaluation, and management of kidney …

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