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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47877/psn-pdf
    June 15, 2019 - End-to-end lung cancer screening with three-dimensional deep learning on low-dose chest computed tomography. June 15, 2019 Ardila D, Kiraly AP, Bharadwaj S, et al. End-to-end lung cancer screening with three-dimensional deep learning on low-dose chest computed tomography. Nat Med. 2019;25(6):954-961. doi:10.1038/s4…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50883/psn-pdf
    February 12, 2020 - Time series evaluation of improvement interventions to reduce alarm notifications in a paediatric hospital. February 12, 2020 Pater CM, Sosa TK, Boyer J, et al. Time series evaluation of improvement interventions to reduce alarm notifications in a paediatric hospital. BMJ Qual Saf. 2020;29(9):717-726. doi:10.1136/b…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60549/psn-pdf
    June 03, 2020 - Rate of diagnostic errors and serious misdiagnosis- related harms for major vascular events, infections, and cancers: toward a national incidence estimate using the “Big Three”. June 3, 2020 Newman-Toker DE, Wang Z, Zhu Y, et al. Rate of diagnostic errors and serious misdiagnosis-related harms for major vascular …
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50868/psn-pdf
    February 05, 2020 - Adverse medication events related to hospitalization in the United States: a comparison between adults with intellectual and developmental disabilities and those without. February 5, 2020 Erickson SR, Kamdar N, Wu C-H. Adverse Medication Events Related to Hospitalization in the United States: A Comparison Between…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72743/psn-pdf
    February 17, 2021 - Preventable medication harm across health care settings: a systematic review and meta-analysis. February 17, 2021 Hodkinson A, Tyler N, Ashcroft DM, et al. Preventable medication harm across health care settings: a systematic review and meta-analysis. BMC Med. 2020;18(1):313. doi:10.1186/s12916-020-01774-9. https:…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74854/psn-pdf
    February 23, 2022 - Nursing guidelines for comprehensive harm prevention strategies for adult patients in acute hospitals: an integrative review and synthesis. February 23, 2022 Redley B, Douglas T, Hoon L, et al. Nursing guidelines for comprehensive harm prevention strategies for adult patients in acute hospitals: An integrative rev…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33901/psn-pdf
    August 01, 2023 - Patient Safety Indicators Overview. August 1, 2023 Agency for Healthcare Research and Quality https://psnet.ahrq.gov/issue/patient-safety-indicators-overview The AHRQ Patient Safety Indicators (PSIs) represent quality measures that make use of a hospital's available administrative data. The PSIs reflect the qualit…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72855/psn-pdf
    March 17, 2021 - We asked the experts: the WHO Surgical Safety Checklist and the COVID-19 pandemic: recommendations for content and implementation adaptations. March 17, 2021 Panda N, Etheridge JC, Singh T, et al. The WHO Surgical Safety Checklist and the COVID-19 pandemic: recommendations for content and implementation adaptation…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852750/psn-pdf
    August 23, 2023 - Cognitive biases and moral characteristics of healthcare workers and their treatment approach for persons with advanced dementia in acute care settings. August 23, 2023 Erel M, Marcus E-L, DeKeyser Ganz F. Cognitive biases and moral characteristics of healthcare workers and their treatment approach for persons wit…
  10. psnet.ahrq.gov/issue/2024-network-patient-safety-databases-chartbook-medication-and-other-substance-events
    September 11, 2024 - Book/Report 2024 Network of Patient Safety Databases Chartbook: Medication and Other Substance Events. Citation Text: 2024 Network Of Patient Safety Databases Chartbook: Medication And Other Substance Events. Rockville, MD: Agency for Healthcare Research and Quality; 2024. AHRQ Pub. No. …
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41440/psn-pdf
    August 17, 2016 - The Toolkit for Using the AHRQ Quality Indicators: How To Improve Hospital Quality and Safety. August 17, 2016 Rockville, MD: Agency for Healthcare Research and Quality; July 2016. https://psnet.ahrq.gov/issue/toolkit-using-ahrq-quality-indicators-how-improve-hospital-quality-and-safety This toolkit provides resou…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34778/psn-pdf
    December 23, 2008 - Anesthetic mishaps: breaking the chain of accident evolution. December 23, 2008 Gaba DM, Maxwell M, DeAnda A. Anesthetic mishaps: breaking the chain of accident evolution. Anesthesiology. 1987;66(5):670-6. https://psnet.ahrq.gov/issue/anesthetic-mishaps-breaking-chain-accident-evolution A review of anesthesia saf…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44946/psn-pdf
    February 01, 2017 - Quality gaps identified through mortality review. February 1, 2017 Kobewka DM, van Walraven C, Turnbull J, et al. Quality gaps identified through mortality review. BMJ Qual Saf. 2017;26(2):141-149. doi:10.1136/bmjqs-2015-004735. https://psnet.ahrq.gov/issue/quality-gaps-identified-through-mortality-review Inpatien…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43952/psn-pdf
    March 04, 2015 - Improving resident morning sign-out by use of daily events reports. March 4, 2015 Nabors C, Patel D, Khera S, et al. Improving resident morning sign-out by use of daily events reports. J Patient Saf. 2015;11(1):36-41. doi:10.1097/PTS.0b013e31829e4f56. https://psnet.ahrq.gov/issue/improving-resident-morning-sign-ou…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41985/psn-pdf
    October 26, 2016 - Legislative Report to the General Assembly: Adverse Event Reporting. October 26, 2016 Pino R, Furniss WH, Mueller L, Olson JC. Hartford, CT: Connecticut Department of Public Health; October 2016. https://psnet.ahrq.gov/issue/legislative-report-general-assembly-adverse-event-reporting This annual publication provi…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45221/psn-pdf
    July 18, 2016 - When less is better, but physicians are afraid not to intervene. July 18, 2016 Esserman L. When Less Is Better, but Physicians Are Afraid Not to Intervene. JAMA Intern Med. 2016;176(7):888-9. doi:10.1001/jamainternmed.2016.2257. https://psnet.ahrq.gov/issue/when-less-better-physicians-are-afraid-not-intervene Bia…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40011/psn-pdf
    November 17, 2010 - Quality of traditional surveillance for public reporting of nosocomial bloodstream infection rates. November 17, 2010 Lin MY, Hota B, Khan YM, et al. Quality of traditional surveillance for public reporting of nosocomial bloodstream infection rates. JAMA. 2010;304(18):2035-41. doi:10.1001/jama.2010.1637. https://p…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46628/psn-pdf
    December 18, 2017 - Residency evaluations—where is the patient voice? December 18, 2017 Tummalapalli SL. Residency Evaluations-Where Is the Patient Voice? JAMA Intern Med. 2017;177(12):1722-1723. doi:10.1001/jamainternmed.2017.6029. https://psnet.ahrq.gov/issue/residency-evaluations-where-patient-voice Residents rarely receive feedba…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46244/psn-pdf
    June 28, 2017 - Changing the narratives for patient safety. June 28, 2017 Pronovost P, Sutcliffe K, Basu L, et al. Changing the narratives for patient safety. Bull World Health Organ. 2017;95(6):478-480. doi:10.2471/BLT.16.178392. https://psnet.ahrq.gov/issue/changing-narratives-patient-safety Mental models represent established …
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42436/psn-pdf
    August 07, 2013 - Office-based physicians are responding to incentives and assistance by adopting and using electronic health records. August 7, 2013 Hsiao C-J, Jha AK, King J, et al. Office-based physicians are responding to incentives and assistance by adopting and using electronic health records. Health Aff (Millwood). 2013;32(8…

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