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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39082/psn-pdf
    January 04, 2010 - Communication practices on 4 Harvard surgical services: a surgical safety collaborative. January 4, 2010 Elbardissi AW, Regenbogen SE, Greenberg CC, et al. Communication practices on 4 Harvard surgical services: a surgical safety collaborative. Ann Surg. 2009;250(6):861-5. doi:10.1097/SLA.0b013e3181afe0db. https:…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41446/psn-pdf
    June 13, 2012 - Concept and development of a discharge alert filter for abnormal laboratory values coupled with computerized provider order entry: a tool for quality improvement and hospital risk management. June 13, 2012 Mathew G, Kho A, Dexter P, et al. Concept and development of a discharge alert filter for abnormal laborator…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42454/psn-pdf
    September 09, 2013 - A perinatal care quality and safety initiative: are there financial rewards for improved quality? September 9, 2013 Kozhimannil KB, Sommerness SA, Rauk P, et al. A perinatal care quality and safety initiative: are there financial rewards for improved quality? Jt Comm J Qual Patient Saf. 2013;39(8):339-48. https://…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43253/psn-pdf
    May 01, 2015 - Interim Report: Review of VHA's Patient Wait Times, Scheduling Practices, and Alleged Patient Deaths at the Phoenix Health Care System. May 1, 2015 Washington, DC: VA Office of the Inspector General; May 28, 2014. Report No. 14-02603-178. https://psnet.ahrq.gov/issue/interim-report-review-vhas-patient-wait-times-s…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41557/psn-pdf
    August 01, 2012 - Signal and noise: applying a laboratory trigger tool to identify adverse drug events among primary care patients. August 1, 2012 Brenner S, Detz A, Lopez A, et al. Signal and noise: applying a laboratory trigger tool to identify adverse drug events among primary care patients. BMJ Qual Saf. 2012;21(8):670-5. doi:1…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43452/psn-pdf
    August 20, 2014 - Electronic health record–related safety concerns: a cross- sectional survey. August 20, 2014 Menon S, Singh H, Meyer AND, et al. Electronic health record-related safety concerns: a cross-sectional survey. J Healthc Risk Manag. 2014;34(1):14-26. doi:10.1002/jhrm.21146. https://psnet.ahrq.gov/issue/electronic-health…
  7. psnet.ahrq.gov/issue/ahrq-quality-indicators
    December 24, 2008 - Measurement Tool/Indicator AHRQ Quality Indicators. Citation Text: AHRQ Quality Indicators. Agency for Healthcare Research and Quality Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin …
  8. psnet.ahrq.gov/web-mm/medication-overdose
    September 01, 2011 - Medication Overdose Citation Text: Kaushal R. Medication Overdose. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RI…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38359/psn-pdf
    May 27, 2010 - A surgical safety checklist to reduce morbidity and mortality in a global population. May 27, 2010 Haynes AB, Weiser TG, Berry WR, et al. A surgical safety checklist to reduce morbidity and mortality in a global population. N Engl J Med. 2009;360(5):491-9. doi:10.1056/NEJMsa0810119. https://psnet.ahrq.gov/issue/su…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43589/psn-pdf
    November 17, 2014 - Exploring new avenues to assess the sharp end of patient safety: an analysis of nationally aggregated peer review data. November 17, 2014 Meeks DW, Meyer AND, Rose B, et al. Exploring new avenues to assess the sharp end of patient safety: an analysis of nationally aggregated peer review data. BMJ Qual Saf. 2014;23…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39549/psn-pdf
    March 22, 2011 - The impact of traditional and smart pump infusion technology on nurse medication administration performance in a simulated inpatient unit. March 22, 2011 Trbovich PL, Pinkney S, Cafazzo JA, et al. The impact of traditional and smart pump infusion technology on nurse medication administration performance in a simul…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43817/psn-pdf
    November 23, 2016 - Developing and evaluating the success of a family activated medical emergency team: a quality improvement report. November 23, 2016 Brady PW, Zix J, Brilli RJ, et al. Developing and evaluating the success of a family activated medical emergency team: a quality improvement report. BMJ Qual Saf. 2015;24(3):203-211. …
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46805/psn-pdf
    September 25, 2018 - Factors associated with hospital admission after outpatient surgery in the Veterans Health Administration. September 25, 2018 Mull HJ, Rosen AK, O'Brien WJ, et al. Factors Associated with Hospital Admission after Outpatient Surgery in the Veterans Health Administration. Health Serv Res. 2018;53(5):3855-3880. doi:10…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47208/psn-pdf
    July 19, 2018 - We will not compete on safety: how children's hospitals have come together to hasten harm reduction. July 19, 2018 Lyren A, Coffey M, Shepherd M, et al. We Will Not Compete on Safety: How Children's Hospitals Have Come Together to Hasten Harm Reduction. Jt Comm J Qual Patient Saf. 2018;44(7):377-388. doi:10.1016/j…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49571/psn-pdf
    October 01, 2008 - Coming Up Short October 1, 2008 Hochberg Z'ev. Coming Up Short. PSNet [internet]. 2008. https://psnet.ahrq.gov/web-mm/coming-short The Case A 12-year-old Hispanic female was seen for a well-child check. The child was delivered 2 months prematurely (likely due to domestic violence) in Puerto Rico. She had an intra…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60362/psn-pdf
    April 13, 2018 - Statewide Telehealth Program Enhances Access to Care, Improves Outcomes for High-Risk Pregnancies in Rural Area June 12, 2020 https://psnet.ahrq.gov/innovation/statewide-telehealth-program-enhances-access-care-improves-outcomes- high-risk Summary Formerly known as the Antenatal and Neonatal Guidelines, Education…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42245/psn-pdf
    July 22, 2013 - 25-Year summary of US malpractice claims for diagnostic errors 1986–2010: an analysis from the National Practitioner Data Bank. July 22, 2013 Tehrani ASS, Lee HW, Mathews SC, et al. 25-Year summary of US malpractice claims for diagnostic errors 1986-2010: an analysis from the National Practitioner Data Bank. BMJ Q…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42151/psn-pdf
    December 21, 2014 - Effect of the 2011 vs 2003 duty hour regulation-compliant models on sleep duration, trainee education, and continuity of patient care among internal medicine house staff: a randomized trial. December 21, 2014 Desai SV, Feldman LS, Brown L, et al. Effect of the 2011 vs 2003 Duty Hour Regulation–Compliant Models on…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45183/psn-pdf
    July 20, 2016 - Assessing the relationship between patient safety culture and EHR strategy. July 20, 2016 Ford E, Silvera GA, Kazley AS, et al. Assessing the relationship between patient safety culture and EHR strategy. Int J Health Care Qual Assur. 2016;29(6):614-27. doi:10.1108/IJHCQA-10-2015-0125. https://psnet.ahrq.gov/issue/…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44342/psn-pdf
    November 03, 2015 - How effective are patient safety initiatives? A retrospective patient record review study of changes to patient safety over time. November 3, 2015 Baines RJ, Langelaan M, de Bruijne M, et al. How effective are patient safety initiatives? A retrospective patient record review study of changes to patient safety over…

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