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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39432/psn-pdf
    April 08, 2011 - The response of the APPD, CoPS and AAP to the Institute of Medicine report on resident duty hours. April 8, 2011 Guralnick S, Rushton J, Bale JF, et al. The response of the APPD, CoPS and AAP to the Institute of Medicine report on resident duty hours. Pediatrics. 2010;125(4):786-790. doi:10.1542/peds.2009-2149. ht…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837001/psn-pdf
    April 27, 2022 - Final Report of the Ockenden Review. April 27, 2022 London UK: Crown Copyright; March 30, 2022. ISBN: 9781528632294. https://psnet.ahrq.gov/issue/final-report-ockenden-review Maternal and baby harm in healthcare is a sentinel event manifested by systemic failure. This report serves as the final conclusions of an i…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37176/psn-pdf
    January 02, 2017 - Using an automated risk assessment report to identify patients at risk for clinical deterioration. January 2, 2017 Whittington J, White R, Haig KM, et al. Using an automated risk assessment report to identify patients at risk for clinical deterioration. Jt Comm J Qual Patient Saf. 2007;33(9):569-74. https://psnet.…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50577/psn-pdf
    October 23, 2019 - Medicare's Oversight of Ambulatory Surgery Centers Report. October 23, 2019 Washington, DC: Office of the Inspector General; September 2019. Report No. OEI-01-15-00400. https://psnet.ahrq.gov/issue/medicares-oversight-ambulatory-surgery-centers-report Ambulatory surgery centers (ASC) play an increasing role in com…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39855/psn-pdf
    September 29, 2017 - Industrial and Systems Engineering and Health Care: Critical Areas of Research: Final Report. September 29, 2017 Valdez RS, Ramly E, Brennan PF. Rockville, MD: Agency for Healthcare Research and Quality; May 2010. AHRQ Publication No. 10-0079-EF. https://psnet.ahrq.gov/issue/industrial-and-systems-engineering-and-…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41270/psn-pdf
    April 04, 2012 - Medical errors reported by French general practitioners in training: results of a survey and individual interviews. April 4, 2012 Venus E, Galam E, Aubert J-P, et al. Medical errors reported by French general practitioners in training: results of a survey and individual interviews. BMJ Qual Saf. 2012;21(4):279-86. …
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35021/psn-pdf
    April 03, 2012 - Health Information Technology Leadership Panel: Final Report. April 3, 2012 Lewin Group: Falls Church, VA; March 2005. https://psnet.ahrq.gov/issue/health-information-technology-leadership-panel-final-report Prepared by the Lewin Group for the Department of Health and Human Services, this 45-page report summarize…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41015/psn-pdf
    December 21, 2011 - Possible net harms of breast cancer screening: updated modelling of Forrest report. December 21, 2011 Raftery J, Chorozoglou M. Possible net harms of breast cancer screening: updated modelling of Forrest report. BMJ. 2011;343(dec08 2):d7627. doi:10.1136/bmj.d7627. https://psnet.ahrq.gov/issue/possible-net-harms-br…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867350/psn-pdf
    December 11, 2024 - Surveys on Patient Safety Culture (SOPS) Hospital Survey 2.0: User Database Report. December 11, 2024 Tyler ER, Yalden O, Fan L, et al. Surveys On Patient Safety Culture (Sops) Hospital Survey 2.0: User Database Report. Rockville, MD: Agency for Healthcare Research and Quality; November 2024. AHRQ Publication No. …
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41010/psn-pdf
    November 26, 2014 - Preventing hospital-acquired infections: a national survey of practices reported by U.S. hospitals in 2005 and 2009. November 26, 2014 Krein SL, Kowalski CP, Hofer TP, et al. Preventing hospital-acquired infections: a national survey of practices reported by U.S. hospitals in 2005 and 2009. J Gen Intern Med. 2012;2…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41478/psn-pdf
    June 20, 2014 - 2012 User Comparative Database Report: Medical Office Survey on Patient Safety Culture. June 20, 2014 Sorra J, Famolaro T, Dyer N, Smith S, Liu H, Ragan M. Rockville, MD: Agency for Healthcare Research and Quality; May 2012. AHRQ Publication No. 12-0052. https://psnet.ahrq.gov/issue/2012-user-comparative-database-…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40038/psn-pdf
    December 23, 2016 - A follow-up report on preventing suicide: focus on medical/surgical units and the emergency department. December 23, 2016 A follow-up report on preventing suicide: focus on medical/surgical units and the emergency department. Sentinel Event Alert. 2010;46(46):1-4. https://psnet.ahrq.gov/issue/follow-report-prevent…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45994/psn-pdf
    January 01, 2019 - Common predictors of nurse-reported quality of care and patient safety. December 21, 2018 Stimpfel AW, Djukic M, Brewer CS, et al. Common predictors of nurse-reported quality of care and patient safety. Health Care Manage Rev. 2019;44(1):57-66. doi:10.1097/HMR.0000000000000155. https://psnet.ahrq.gov/issue/common-…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47847/psn-pdf
    July 10, 2024 - CHPSO Annual Reports. July 10, 2024 California Hospital Patient Safety Organization: Sacramento, CA; 2024. https://psnet.ahrq.gov/issue/chpso-2019-annual-report Patient Safety Organizations (PSOs) capture and analyze local data to inform learning among their 490 members. This report highlights 2023 trends, activit…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42435/psn-pdf
    July 24, 2013 - Cost of illness of patient-reported adverse drug events: a population-based cross-sectional survey. July 24, 2013 Gyllensten H, Rehnberg C, Jönsson AK, et al. Cost of illness of patient-reported adverse drug events: a population-based cross-sectional survey. BMJ Open. 2013;3(6). doi:10.1136/bmjopen-2013-002574. ht…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42531/psn-pdf
    December 06, 2013 - Is evidence guiding practice? Reported versus observed adherence to contact precautions: a pilot study. December 6, 2013 Jessee MA, Mion LC. Is evidence guiding practice? Reported versus observed adherence to contact precautions: a pilot study. Am J Infect Control. 2013;41(11):965-70. doi:10.1016/j.ajic.2013.05.005…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42109/psn-pdf
    March 13, 2013 - Nursing crew resource management: a follow-up report from the Veterans Health Administration. March 13, 2013 Sculli GL, Fore AM, West P, et al. Nursing crew resource management: a follow-up report from the Veterans Health Administration. J Nurs Adm. 2013;43(3):122-6. doi:10.1097/NNA.0b013e318283dafa. https://psnet…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42205/psn-pdf
    April 24, 2013 - Reported medication errors after introducing an electronic medication management system. April 24, 2013 Redley B, Botti M. Reported medication errors after introducing an electronic medication management system. J Clin Nurs. 2013;22(3-4):579-89. doi:10.1111/j.1365-2702.2012.04326.x. https://psnet.ahrq.gov/issue/re…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45236/psn-pdf
    June 15, 2016 - Advancing Patient Safety in Cataract Surgery: A Betsy Lehman Center Expert Panel Report. June 15, 2016 Boston, MA: Betsy Lehman Center for Patient Safety and Medical Error Reduction; 2016. https://psnet.ahrq.gov/issue/advancing-patient-safety-cataract-surgery-betsy-lehman-center-expert-panel- report Cataract surg…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39541/psn-pdf
    June 02, 2010 - Structured communication for patient safety in emergency medical services: a legal case report. June 2, 2010 Greenwood MJ, Heninger JR. Structured communication for patient safety in emergency medical services: a legal case report. Prehosp Emerg Care. 2010;14(3):345-8. doi:10.3109/10903121003760788. https://psnet.…

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