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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35611/psn-pdf
    June 23, 2010 - Error or "act of God"? A study of patients' and operating room team members' perceptions of error definition, reporting, and disclosure. June 23, 2010 Espin S, Levinson W, Regehr G, et al. Error or "act of God"? A study of patients' and operating room team members' perceptions of error definition, reporting, and d…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39655/psn-pdf
    July 07, 2010 - Errors of diagnosis in pediatric practice: a multisite survey. July 7, 2010 Singh H, Thomas EJ, Wilson L, et al. Errors of diagnosis in pediatric practice: a multisite survey. Pediatrics. 2010;126(1):70-9. doi:10.1542/peds.2009-3218. https://psnet.ahrq.gov/issue/errors-diagnosis-pediatric-practice-multisite-survey…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40548/psn-pdf
    March 23, 2012 - Potentially inappropriate medications defined by STOPP criteria and the risk of adverse drug events in older hospitalized patients. March 23, 2012 Hamilton H, Gallagher P, Ryan C, et al. Potentially inappropriate medications defined by STOPP criteria and the risk of adverse drug events in older hospitalized patien…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40750/psn-pdf
    September 07, 2011 - Are temporary staff associated with more severe emergency department medication errors? September 7, 2011 Pham JC, Andrawis M, Shore AD, et al. Are temporary staff associated with more severe emergency department medication errors? J Healthc Qual. 2011;33(4):9-18. doi:10.1111/j.1945-1474.2010.00116.x. https://psne…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38608/psn-pdf
    January 02, 2017 - Using consumer-based kiosk technology to improve and standardize medication reconciliation in a specialty care setting. January 2, 2017 Lesselroth B, Adams S, Felder R, et al. Using consumer-based kiosk technology to improve and standardize medication reconciliation in a specialty care setting. Jt Comm J Qual Pati…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46892/psn-pdf
    June 13, 2018 - AHRQ National Scorecard on Hospital-Acquired Conditions Updated Baseline Rates and Preliminary Results 2014–2016. June 13, 2018 Rockville, MD: Agency for Healthcare Research and Quality; June 2018. https://psnet.ahrq.gov/issue/ahrq-national-scorecard-hospital-acquired-conditions-updated-baseline-rates- and-prelim…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43707/psn-pdf
    November 26, 2014 - America's Hospitals: Improving Quality and Safety: The Joint Commission's Annual Report 2014. November 26, 2014 Oakbrook Terrace, IL: The Joint Commission; November 2014. https://psnet.ahrq.gov/issue/americas-hospitals-improving-quality-and-safety-joint-commissions-annual- report-2014 This Joint Commission annual…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46827/psn-pdf
    March 14, 2018 - Prevalence and Economic Burden of Medication Errors in the NHS England. March 14, 2018 Elliott RA, Camacho E, Campbell F, et al. Policy Research Unit in Economic Evaluation of Health and Care Interventions. Sheffield, United Kingdom: University of Sheffield and University of York; 2018. https://psnet.ahrq.gov/issu…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43258/psn-pdf
    May 01, 2015 - Interventions employed to improve intrahospital handover: a systematic review. May 1, 2015 Robertson ER, Morgan L, Bird S, et al. Interventions employed to improve intrahospital handover: a systematic review. BMJ Qual Saf. 2014;23(7):600-7. doi:10.1136/bmjqs-2013-002309. https://psnet.ahrq.gov/issue/interventions-…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45473/psn-pdf
    April 24, 2018 - Navigating a ship with a broken compass: evaluating standard algorithms to measure patient safety. April 24, 2018 Hefner JL, Huerta T, McAlearney AS, et al. Navigating a ship with a broken compass: evaluating standard algorithms to measure patient safety. J Am Med Inform Assoc. 2017;24(2):310-315. doi:10.1093/jami…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36174/psn-pdf
    September 29, 2010 - Performance of International Classification of Diseases, 9th Revision, Clinical Modification codes as an adverse drug event surveillance system. September 29, 2010 Hougland P, Xu W, Pickard S, et al. Performance of International Classification Of Diseases, 9th Revision, Clinical Modification codes as an adverse dr…
  12. psnet.ahrq.gov/primer/patient-engagement-and-safety
    August 30, 2023 - Patient Engagement and Safety Citation Text: Patient Engagement and Safety. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pu…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33841/psn-pdf
    September 01, 2017 - It represented substantial progress when electronic health records began to be organized around the
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36364/psn-pdf
    February 14, 2017 - National surveillance of emergency department visits for outpatient adverse drug events. February 14, 2017 Budnitz DS, Pollock DA, Weidenbach KN, et al. National surveillance of emergency department visits for outpatient adverse drug events. JAMA. 2006;296(15):1858-66. https://psnet.ahrq.gov/issue/national-surveil…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37345/psn-pdf
    May 26, 2011 - Impact of computerized prescriber order entry on the incidence of adverse drug events in pediatric inpatients. May 26, 2011 Holdsworth MT, Fichtl RE, Raisch DW, et al. Impact of computerized prescriber order entry on the incidence of adverse drug events in pediatric inpatients. Pediatrics. 2007;120(5):1058-66. htt…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46560/psn-pdf
    January 24, 2019 - The hidden cost of regulation: the administrative cost of reporting serious reportable events. January 24, 2019 Blanchfield BB, Acharya B, Mort E. The Hidden Cost of Regulation: The Administrative Cost of Reporting Serious Reportable Events. Jt Comm J Qual Patient Saf. 2018;44(4):212-218. doi:10.1016/j.jcjq.2017.0…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42154/psn-pdf
    January 07, 2015 - Paper- and computer-based workarounds to electronic health record use at three benchmark institutions. January 7, 2015 Flanagan ME, Saleem JJ, Millitello LG, et al. Paper- and computer-based workarounds to electronic health record use at three benchmark institutions. J Am Med Inform Assoc. 2013;20(e1):e59-66. doi:…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44542/psn-pdf
    December 22, 2018 - The prevalence of medical error related to end-of-life communication in Canadian hospitals: results of a multicentre observational study. December 22, 2018 Heyland DK, Ilan R, Jiang X, et al. The prevalence of medical error related to end-of-life communication in Canadian hospitals: results of a multicentre observ…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39777/psn-pdf
    November 04, 2012 - The Economic Measurement of Medical Errors. November 4, 2012 Shreve J, van Den Bos J, Gray T, Halford M, Rustagi K, Ziemkiewicz E. Schaumburg, IL: The Society of Actuaries; 2010. https://psnet.ahrq.gov/issue/economic-measurement-medical-errors Although the Institute of Medicine's estimate of up to 98,000 deaths ye…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46435/psn-pdf
    August 20, 2018 - Patients' experiences with communication-and-resolution programs after medical injury. August 20, 2018 Moore J, Bismark M, Mello MM. Patients' Experiences With Communication-and-Resolution Programs After Medical Injury. JAMA Intern Med. 2017;177(11):1595-1603. doi:10.1001/jamainternmed.2017.4002. https://psnet.ahr…

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