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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35909/psn-pdf
    October 07, 2008 - Committed to Safety: Ten Case Studies on Reducing Harm to Patients. October 7, 2008 McCarthy D, Blumenthal D. New York, NY: Commonwealth Fund; 2006. https://psnet.ahrq.gov/issue/committed-safety-ten-case-studies-reducing-harm-patients This report presents ten case studies to illustrate interventions that address p…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36795/psn-pdf
    August 26, 2011 - Surgical specimen identification errors: a new measure of quality in surgical care. August 26, 2011 Makary MA, Epstein J, Pronovost P, et al. Surgical specimen identification errors: a new measure of quality in surgical care. Surgery. 2007;141(4):450-5. https://psnet.ahrq.gov/issue/surgical-specimen-identification…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34693/psn-pdf
    February 10, 2011 - Effect of outcome on physician judgments of appropriateness of care. February 10, 2011 Caplan RA, Posner KL, Cheney FW. Effect of outcome on physician judgments of appropriateness of care. JAMA. 1991;265(15):1957-60. https://psnet.ahrq.gov/issue/effect-outcome-physician-judgments-appropriateness-care The authors …
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46319/psn-pdf
    August 09, 2017 - Opioids in Medicare Part D: Concerns About Extreme Use and Questionable Prescribing. August 9, 2017 Office of the Inspector General. Washington, DC: US Department of Health and Human Services; July 2017. Report No. OEI-02-17-00250. https://psnet.ahrq.gov/issue/opioids-medicare-part-d-concerns-about-extreme-use-and…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34013/psn-pdf
    December 22, 2008 - Defining and measuring patient safety. December 22, 2008 Pronovost P, Thompson DA, Holzmueller CG, et al. Defining and measuring patient safety. Crit Care Clin. 2005;21(1):1-19, vii. https://psnet.ahrq.gov/issue/defining-and-measuring-patient-safety This review discusses the increasing demand for improving patient…
  6. psnet.ahrq.gov/issue/making-dialysis-safer-patients-coalition
    April 06, 2022 - Government Resource Making Dialysis Safer for Patients Coalition. Citation Text: Making Dialysis Safer for Patients Coalition. Centers for Disease Control and Prevention. Copy Citation Save Save to your library Print Download PDF Share Face…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72837/psn-pdf
    September 01, 2022 - Project Nurture Engages Pregnant People with Substance Use Disorder, Improves Maternal and Infant Outcomes. Originally published on March 11, 2021 Last updated on March 16, 2021 https://psnet.ahrq.gov/innovation/project-nurture-engages-pregnant-people-substance-use-disorder- improves-maternal-and Summary Project…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38290/psn-pdf
    February 17, 2011 - Revisiting duty-hour limits — IOM recommendations for patient safety and resident education. February 17, 2011 Iglehart JK. Revisiting duty-hour limits--IOM recommendations for patient safety and resident education. N Engl J Med. 2008;359(25):2633-5. doi:10.1056/NEJMp0808736. https://psnet.ahrq.gov/issue/revisitin…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45599/psn-pdf
    July 02, 2017 - Inattentional blindness and failures to rescue the deteriorating patient in critical care, emergency and perioperative settings: four case scenarios. July 2, 2017 Jones A, Johnstone M-J. Inattentional blindness and failures to rescue the deteriorating patient in critical care, emergency and perioperative settings:…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45791/psn-pdf
    September 01, 2018 - Changes in physician practice patterns after implementation of a communication-and-resolution program. September 1, 2018 Helmchen LA, Lambert BL, McDonald TB. Changes in Physician Practice Patterns after Implementation of a Communication-and-Resolution Program. Health Serv Res. 2016;51(Suppl 3):2516-2536. doi:10.…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35511/psn-pdf
    May 31, 2011 - An objective methodology for task analysis and workload assessment in anesthesia providers. May 31, 2011 Weinger M B, Herndon O W, Zornow M H, et al. An Objective Methodology for Task Analysis and Workload Assessment in Anesthesia Providers. Anesthesiology. 2006;80(1):77-92. doi:10.1097/00000542- 199401000-00015. …
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34957/psn-pdf
    February 28, 2011 - Coordinating care across diseases, settings, and clinicians: a key role for the generalist in practice. February 28, 2011 Stille CJ, Jerant A, Bell D, et al. Coordinating care across diseases, settings, and clinicians: a key role for the generalist in practice. Ann Intern Med. 2005;142(8):700-708. https://psnet.ah…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38943/psn-pdf
    November 25, 2009 - Medical error reporting, patient safety, and the physician. November 25, 2009 Anderson B, Stumpf PG, Schulkin J. Medical Error Reporting, Patient Safety, and the Physician. J Patient Saf. 2009;5(3):176-179. doi:10.1097/pts.0b013e3181b320b0. https://psnet.ahrq.gov/issue/medical-error-reporting-patient-safety-and-phy…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35739/psn-pdf
    July 15, 2010 - CT for suspected appendicitis in children: an analysis of diagnostic errors. July 15, 2010 Taylor GA, Callahan MJ, Rodriguez D, et al. CT for suspected appendicitis in children: an analysis of diagnostic errors. Pediatr Radiol. 2006;36(4):331-7. https://psnet.ahrq.gov/issue/ct-suspected-appendicitis-children-analy…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47359/psn-pdf
    October 10, 2018 - Is there evidence of a July effect among patients undergoing hysterectomy surgery? October 10, 2018 Varma S, Mehta A, Hutfless S, et al. Is there evidence of a July effect among patients undergoing hysterectomy surgery? Am J Obstet Gynecol. 2018;219(2):176.e1-176.e9. doi:10.1016/j.ajog.2018.05.033. https://psnet.a…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46544/psn-pdf
    September 12, 2018 - Interventions to improve follow-up of laboratory test results pending at discharge: a systematic review. September 12, 2018 Whitehead NS, Williams L, Meleth S, et al. Interventions to Improve Follow-Up of Laboratory Test Results Pending at Discharge: A Systematic Review. J Hosp Med. 2018. doi:10.12788/jhm.2944. ht…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35218/psn-pdf
    August 07, 2018 - Building a Memory: Preventing Harm, Reducing Risks and Improving Patient Safety. August 7, 2018 Scobie S, Thomson R. London, UK : National Patient Safety Agency; 2005. https://psnet.ahrq.gov/issue/building-memory-preventing-harm-reducing-risks-and-improving-patient-safety Created in 2001 to institute changes in he…
  18. psnet.ahrq.gov/web-mm/patient-safety-and-adherence-self-administered-medications
    September 29, 2011 - Patient Safety and Adherence to Self-Administered Medications Citation Text: Spall H, Van-Spall C, Nieuwlaat R, et al. Patient Safety and Adherence to Self-Administered Medications. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60552/psn-pdf
    June 03, 2020 - Personal protective equipment for preventing highly infectious diseases due to exposure to contaminated body fluids in healthcare staff. June 3, 2020 Verbeek JH, Rajamaki B, Ijaz S, et al. Personal protective equipment for preventing highly infectious diseases due to exposure to contaminated body fluids in healthc…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46060/psn-pdf
    October 31, 2017 - Do hospitals support second victims? Collective insights from patient safety leaders in Maryland. October 31, 2017 Edrees HH, Morlock L, Wu AW. Do Hospitals Support Second Victims? Collective Insights From Patient Safety Leaders in Maryland. Jt Comm J Qual Saf. 2017;43(9):471-483. doi:10.1016/j.jcjq.2017.01.008. h…

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