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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45376/psn-pdf
    November 09, 2016 - The new CMS hospital quality star ratings: the stars are not aligned. November 9, 2016 Bilimoria KY, Barnard C. The New CMS Hospital Quality Star Ratings: The Stars Are Not Aligned. JAMA. 2016;316(17):1761-1762. doi:10.1001/jama.2016.13679. https://psnet.ahrq.gov/issue/new-cms-hospital-quality-star-ratings-stars-a…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866399/psn-pdf
    July 31, 2024 - Typology of solutions addressing diagnostic disparities: gaps and opportunities. July 31, 2024 Dukhanin V, Wiegand AA, Sheikh T, et al. Typology of solutions addressing diagnostic disparities: gaps and opportunities. Diagnosis (Berl). 2024;11(4):389-399. doi:10.1515/dx-2024-0026. https://psnet.ahrq.gov/issue/typol…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36529/psn-pdf
    August 09, 2011 - 5 Million Lives Campaign. August 9, 2011 Institute for Healthcare Improvement; IHI https://psnet.ahrq.gov/issue/5-million-lives-campaign The Institute for Healthcare Improvement's 100,000 Lives Campaign successfully engaged more than 3,000 US hospitals in a coordinated effort to reduce preventable inpatient deaths…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43080/psn-pdf
    March 26, 2014 - Hospital-based transfusion error tracking from 2005 to 2010: identifying the key errors threatening patient transfusion safety. March 26, 2014 Maskens C, Downie H, Wendt A, et al. Hospital-based transfusion error tracking from 2005 to 2010: identifying the key errors threatening patient transfusion safety. Transfu…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38070/psn-pdf
    March 10, 2011 - Can surveillance systems identify and avert adverse drug events? A prospective evaluation of a commercial application. March 10, 2011 Jha AK, Laguette J, Seger AC, et al. Can surveillance systems identify and avert adverse drug events? A prospective evaluation of a commercial application. J Am Med Inform Assoc. 20…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44187/psn-pdf
    November 10, 2015 - A safe practice standard for barcode technology. November 10, 2015 Leung AA, Denham CR, Gandhi TK, et al. A safe practice standard for barcode technology. J Patient Saf. 2015;11(2):89-99. doi:10.1097/PTS.0000000000000049. https://psnet.ahrq.gov/issue/safe-practice-standard-barcode-technology Barcode technology has…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44172/psn-pdf
    September 28, 2016 - Preventing high-alert medication errors in hospital patients. September 28, 2016 Anderson P, Townsend T. Am Nurse Today. May 2015;10:18-23. https://psnet.ahrq.gov/issue/preventing-high-alert-medication-errors-hospital-patients High-alert medications have the potential to cause serious patient harm. This article fo…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46100/psn-pdf
    July 11, 2017 - The tension between promoting mobility and preventing falls in the hospital. July 11, 2017 Growdon ME, Shorr RI, Inouye SK. The Tension Between Promoting Mobility and Preventing Falls in the Hospital. JAMA Intern Med. 2017;177(6):759-760. doi:10.1001/jamainternmed.2017.0840. https://psnet.ahrq.gov/issue/tension-be…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47798/psn-pdf
    February 20, 2019 - Simulation safety first: an imperative. February 20, 2019 Raemer D, Hannenberg A, Mullen A. Simulation Safety First: An Imperative. Simul Healthc. 2018;13(6):373-375. doi:10.1097/SIH.0000000000000341. https://psnet.ahrq.gov/issue/simulation-safety-first-imperative Although simulation training heightens the learnin…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44072/psn-pdf
    August 02, 2015 - The rise of the medical scribe industry: implications for the advancement of electronic health records. August 2, 2015 Gellert GA, Ramirez R, Webster L. The rise of the medical scribe industry: implications for the advancement of electronic health records. JAMA. 2015;313(13):1315-1316. doi:10.1001/jama.2014.17128. …
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46597/psn-pdf
    November 01, 2017 - A novel process audit for standardized perioperative handoff protocols. November 1, 2017 Pallekonda V, Scholl AT, McKelvey GM, et al. A Novel Process Audit for Standardized Perioperative Handoff Protocols. Jt Comm J Qual Patient Saf. 2017;43(11):611-618. doi:10.1016/j.jcjq.2017.04.011. https://psnet.ahrq.gov/issue…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50453/psn-pdf
    October 09, 2019 - Effect of a sedation weaning protocol on safety and medication use among hospitalized children post critical illness October 9, 2019 Solodiuk JC, Greco CD, O'Donnell KA, et al. Effect of a Sedation Weaning Protocol on Safety and Medication Use among Hospitalized Children Post Critical Illness. J Pediatr Nurs. 2019…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43692/psn-pdf
    April 22, 2015 - Surgeon-specific mortality data disguise wider failings in delivery of safe surgical services. April 22, 2015 Westaby S, De Silva R, Petrou M, et al. Surgeon-specific mortality data disguise wider failings in delivery of safe surgical services. Eur J Cardiothorac Surg. 2015;47(2):341-5. doi:10.1093/ejcts/ezu380. h…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/860391/psn-pdf
    January 10, 2024 - Neonatal near-miss audits: a systematic review and a call to action. January 10, 2024 Medeiros PB, Bailey C, Pollock D, et al. Neonatal near-miss audits: a systematic review and a call to action. BMC Pediatr. 2023;23(1):573. doi:10.1186/s12887-023-04383-6. https://psnet.ahrq.gov/issue/neonatal-near-miss-audits-sys…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72778/psn-pdf
    February 24, 2021 - Distractions in the cardiac catheterisation laboratory: impact for cardiologists and patient safety. February 24, 2021 Mahadevan K, Cowan E, Kalsi N, et al. Distractions in the cardiac catheterisation laboratory: impact for cardiologists and patient safety. Open Heart. 2020;7(2). doi:10.1136/openhrt-2020-001260. h…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866190/psn-pdf
    June 26, 2024 - What is diagnostic safety? A review of safety science paradigms and rethinking paths to improving diagnosis. June 26, 2024 Choi JJ. What is diagnostic safety? A review of safety science paradigms and rethinking paths to improving diagnosis. Diagnosis (Berl). 2024;11(4):369-373. doi:10.1515/dx-2024-0008. https://ps…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40622/psn-pdf
    September 25, 2011 - Alternatives to potentially inappropriate medications for use in e-prescribing software: triggers and treatment algorithms. September 25, 2011 Hume AL, Quilliam BJ, Goldman R, et al. Alternatives to potentially inappropriate medications for use in e- prescribing software: triggers and treatment algorithms. BMJ Qua…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46390/psn-pdf
    October 29, 2017 - Using data to enhance performance and improve quality and safety in surgery. October 29, 2017 Goldenberg MG, Jung JJ, Grantcharov T. Using Data to Enhance Performance and Improve Quality and Safety in Surgery. JAMA Surg. 2017;152(10):972-973. doi:10.1001/jamasurg.2017.2888. https://psnet.ahrq.gov/issue/using-data-…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47237/psn-pdf
    January 01, 2020 - First-year analysis of the Operating Room Black Box study. July 25, 2018 Jung JJ, Jüni P, Lebovic G, et al. First-year Analysis of the Operating Room Black Box Study. Ann Surg. 2020;271(1):122-127. doi:10.1097/SLA.0000000000002863. https://psnet.ahrq.gov/issue/first-year-analysis-operating-room-black-box-study An…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50744/psn-pdf
    December 18, 2019 - EMS crews brought patients to the hospital with misplaced breathing tubes. None of them survived December 18, 2019 Arditi L. Peoples Public Radio. December 3, 2019. https://psnet.ahrq.gov/issue/ems-crews-brought-patients-hospital-misplaced-breathing-tubes-none-them- survived Emergency medical services are often p…