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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41748/psn-pdf
    April 05, 2013 - Factors contributing to all-cause 30-day readmissions: a structured case series across 18 hospitals. April 5, 2013 Feigenbaum P, Neuwirth E, Trowbridge L, et al. Factors contributing to all-cause 30-day readmissions: a structured case series across 18 hospitals. Med Care. 2012;50(7):599-605. doi:10.1097/MLR.0b013e…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39948/psn-pdf
    December 21, 2014 - Wrong-site and wrong-patient procedures in the Universal Protocol era: analysis of a prospective database of physician self-reported occurrences. December 21, 2014 Stahel PF, Sabel A, Victoroff MS, et al. Wrong-site and wrong-patient procedures in the universal protocol era: analysis of a prospective database of p…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38761/psn-pdf
    July 15, 2009 - Effect of bar-code–assisted medication administration on medication administration errors and accuracy in multiple patient care areas. July 15, 2009 Helmons PJ, Wargel LN, Daniels CE. Effect of bar-code-assisted medication administration on medication administration errors and accuracy in multiple patient care are…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40216/psn-pdf
    February 16, 2011 - Impact of a statewide intensive care unit quality improvement initiative on hospital mortality and length of stay: retrospective comparative analysis. February 16, 2011 Lipitz-Snyderman A, Steinwachs D, Needham DM, et al. Impact of a statewide intensive care unit quality improvement initiative on hospital mortalit…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43264/psn-pdf
    June 18, 2014 - CDC central-line bloodstream infection prevention efforts produced net benefits of at least $640 million during 1990–2008. June 18, 2014 Scott D, Sinkowitz-Cochran R, Wise ME, et al. CDC central-line bloodstream infection prevention efforts produced net benefits of at least $640 Million during 1990-2008. Health Af…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48084/psn-pdf
    August 14, 2019 - Electronic health records, communication, and data sharing: challenges and opportunities for improving the diagnostic process. August 14, 2019 Quinn M, Forman J, Harrod M, et al. Electronic health records, communication, and data sharing: challenges and opportunities for improving the diagnostic process. Diagnosis…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44813/psn-pdf
    February 15, 2017 - Remote video auditing with real-time feedback in an academic surgical suite improves safety and efficiency metrics: a cluster randomised study. February 15, 2017 Overdyk FJ, Dowling O, Newman S, et al. Remote video auditing with real-time feedback in an academic surgical suite improves safety and efficiency metric…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45220/psn-pdf
    June 08, 2016 - Medical Office Survey on Patient Safety Culture: 2016 User Comparative Database Report. June 8, 2016 Famolaro T, Yount ND, Hare R, Thornton S, Sorra J. Rockville, MD: Agency for Healthcare Research and Quality; May 2016. AHRQ Publication No. 16-0028-EF. https://psnet.ahrq.gov/issue/medical-office-survey-patient-sa…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47228/psn-pdf
    August 09, 2018 - A road map for advancing the practice of respect in health care: the results of an interdisciplinary modified Delphi consensus study. August 9, 2018 Sokol-Hessner L, Folcarelli P, Annas CL, et al. A Road Map for Advancing the Practice of Respect in Health Care: The Results of an Interdisciplinary Modified Delphi C…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38289/psn-pdf
    July 05, 2008 - Resident Duty Hours: Enhancing Sleep, Supervision, and Safety. July 5, 2008 Ulmer C, Wolman DM, Johns MME, eds. Committee on Optimizing Graduate Medical Trainee (Resident) Hours and Work Schedule to Improve Patient Safety, Institute of Medicine. Washington, DC: The National Academies Press; 2008. ISBN: 97803091277…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43865/psn-pdf
    May 01, 2015 - Computerised physician order entry-related medication errors: analysis of reported errors and vulnerability testing of current systems. May 1, 2015 Schiff GD, Amato MG, Eguale T, et al. Computerised physician order entry-related medication errors: analysis of reported errors and vulnerability testing of current sy…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37978/psn-pdf
    April 11, 2011 - Effects of the Accreditation Council for Graduate Medical Education duty hour limits on sleep, work hours, and safety. April 11, 2011 Landrigan CP, Fahrenkopf AM, Lewin D, et al. Effects of the accreditation council for graduate medical education duty hour limits on sleep, work hours, and safety. Pediatrics. 2008;…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46959/psn-pdf
    August 20, 2018 - Education outcomes from a duty-hour flexibility trial in internal medicine. August 20, 2018 Desai SV, Asch DA, Bellini LM, et al. Education Outcomes in a Duty-Hour Flexibility Trial in Internal Medicine. New Engl J Med. 2018;378(16):1494-1508. doi:10.1056/nejmoa1800965. https://psnet.ahrq.gov/issue/education-outco…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42510/psn-pdf
    August 21, 2013 - Root cause analysis reports help identify common factors in delayed diagnosis and treatment of outpatients. August 21, 2013 Giardina TD, King BJ, Ignaczak AP, et al. Root cause analysis reports help identify common factors in delayed diagnosis and treatment of outpatients. Health Aff (Millwood). 2013;32(8):1368-75.…
  15. psnet.ahrq.gov/perspective/learning-health-systems-patient-safety
    February 26, 2025 - Learning Health Systems for Patient Safety Lucy A. Savitz, MBA, PhD; Zoe Sousane, BS; Sarah E. Mossburg, RN, PhD | February 26, 2025  Also Read the Conversation View more articles from the same authors. Citation Text: Savitz LA, Sousane Z, Mossburg SE. Learning …
  16. psnet.ahrq.gov/perspective/conversation-lucy-savitz-about-learning-health-systems-patient-safety
    February 26, 2025 - In Conversation with Lucy Savitz about Learning Health Systems for Patient Safety Lucy A. Savitz, MBA, PhD; Zoe Sousane, BS; Sarah E. Mossburg, RN, PhD | February 26, 2025  Also Read the Essay View more articles from the same authors. Citation Text: Savitz LA, S…
  17. psnet.ahrq.gov/perspective/conversation-edwin-boudreaux-about-suicide-prevention
    March 25, 2025 - Clinically indicated screening obviously reduces the burden on the clinician because they are only going
  18. psnet.ahrq.gov/perspective/suicide-prevention
    March 24, 2025 - Clinically indicated screening obviously reduces the burden on the clinician because they are only going
  19. psnet.ahrq.gov/perspective/care-transitions
    December 01, 2007 - An intervention that reduces readmissions and creates capacity for higher revenue patients may be particularly
  20. psnet.ahrq.gov/perspective/conversation-vineet-chopra-md-msc
    February 28, 2024 - June 16, 2019 Adherence to simple and effective measures reduces the incidence of ventilator-associated

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