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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38793/psn-pdf
    August 12, 2016 - Pediatric Quality Indicators Overview. August 12, 2016 Agency for Healthcare Research and Quality https://psnet.ahrq.gov/issue/pediatric-quality-indicators-overview The Agency for Healthcare Research and Quality's (AHRQ) Quality Indicators (QIs) represent quality measures that make use of a hospital's available ad…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865970/psn-pdf
    May 29, 2024 - A scoping review of the methodological approaches used in retrospective chart reviews to validate adverse event rates in administrative data. May 29, 2024 Connolly A, Kirwan M, Matthews A. A scoping review of the methodological approaches used in retrospective chart reviews to validate adverse event rates in admin…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36604/psn-pdf
    June 04, 2024 - Adverse Health Events in Minnesota: Annual Reports. June 4, 2024 St Paul, MN: Minnesota Department of Health. https://psnet.ahrq.gov/issue/adverse-health-events-minnesota-15th-annual-public-report The National Quality Forum has defined 29 never events—patient safety problems that should never occur, such as wrong-…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35001/psn-pdf
    May 22, 2009 - 21st Century Health Information Act of 2005. May 22, 2009 Murphy T; Kennedy P. https://psnet.ahrq.gov/issue/21st-century-health-information-act-2005 This bill, which garnered bipartisan support, proposes developing health information technology networks (known as "Regional Health Information Organizations," or RHI…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73185/psn-pdf
    April 28, 2021 - Balancing patient safety, clinical efficacy, and cybersecurity with clinician partners. April 28, 2021 Schneider J, Wirth A. Balancing patient safety, clinical efficacy, and cybersecurity with clinician partners. Biomed Instrum Technol. 2021;55(1):21-28. doi:10.2345/0899-8205-55.1.21. https://psnet.ahrq.gov/issue/…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852284/psn-pdf
    August 09, 2023 - ‘Medical errors are the third leading cause of death’ and other statistics you should question. August 9, 2023 Jaklevic MC. HealthJournalism.org. July 27, 2023. https://psnet.ahrq.gov/issue/medical-errors-are-third-leading-cause-death-and-other-statistics-you-should- question Published rates of medical errors con…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/862124/psn-pdf
    February 07, 2024 - The TeamSTEPPS for Improving Diagnosis Team Assessment Tool: scale development and psychometric evaluation. February 7, 2024 Ali KJ, Goeschel CA, Eckroade MM, et al. The TeamSTEPPS for Improving Diagnosis Team Assessment Tool: scale development and psychometric evaluation. Jt Comm J Qual Patient Saf. 2024;50(2):95…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853967/psn-pdf
    January 01, 2024 - How different countries respond to adverse events whilst patients' rights are protected. September 27, 2023 Gil-Hernández E, Carrillo I, Tumelty M-E, et al. How different countries respond to adverse events whilst patients’ rights are protected. Med Sci Law. 2024;64(2):96-112. doi:10.1177/00258024231182369. https:…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33591/psn-pdf
    March 15, 2025 - Triggers and Trigger Tools March 15, 2025 Triggers and Trigger Tools. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/triggers-and-trigger-tools PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that they reflect current research and practice in the patient safet…
  10. psnet.ahrq.gov/print/pdf/node/867659
    July 10, 2024 - PSNet Curated Library AHRQ: Agency for Healthcare Research and Quality Rapid Response Systems Curated Library Primers Rapid Response Systems UC Davis PSNet Editorial Team | September, 15 2024 Rapid response teams represent an intuitively simple concept: when a patient demonstrates signs of imminent clinical de…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854251/psn-pdf
    October 04, 2023 - A scoping review exploring the confidence of healthcare professionals in assessing all skin tones. October 4, 2023 Harrison J. A scoping review exploring the confidence of healthcare professionals in assessing all skin tones. Br Paramed J. 2023;8(2):18-28. doi:10.29045/14784726.2023.9.8.2.18. https://psnet.ahrq.go…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853062/psn-pdf
    August 30, 2023 - Quality and safety practices among academic obstetrics and gynecology departments. August 30, 2023 Christopher D, Leininger WM, Beaty L, et al. Quality and safety practices among academic obstetrics and gynecology departments. Am J Med Qual. 2023;38(4):165-173. doi:10.1097/jmq.0000000000000129. https://psnet.ahrq.…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47956/psn-pdf
    June 26, 2019 - Family involvement in managing medications of older patients across transitions of care: a systematic review. June 26, 2019 Manias E, Bucknall T, Hughes C, et al. Family involvement in managing medications of older patients across transitions of care: a systematic review. BMC Geriatr. 2019;19(1):95. doi:10.1186/s12…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34622/psn-pdf
    March 17, 2011 - National Confidential Enquiry into Patient Outcome and Death. March 17, 2011 National Confidential Enquiry into Patient Outcome and Death; NCEPOD https://psnet.ahrq.gov/issue/national-confidential-enquiry-patient-outcome-and-death Launched under the title National Confidential Enquiry into Perioperative Deaths (NC…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45583/psn-pdf
    January 18, 2017 - ASHP IV Adult Continuous Infusions. January 18, 2017 Bethesda, MD: American Society of Health-System Pharmacists; 2016. https://psnet.ahrq.gov/issue/ashp-iv-adult-continuous-infusions Miscalculations of intravenous infusion concentrations can result in patient harm. Representing the first phase of a standards deve…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33914/psn-pdf
    September 29, 2017 - Inpatient Quality Indicators. September 29, 2017 Agency for Healthcare Research and Quality; AHRQ; University of California, San Francisco-Stanford Evidence-based Practice Center. https://psnet.ahrq.gov/issue/inpatient-quality-indicators The Agency for Healthcare Research and Quality's (AHRQ) Quality Indicators (Q…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837501/psn-pdf
    June 22, 2022 - Development and validation of a brief culture-of-safety survey. June 22, 2022 Barnard C, Chung JW, Flaherty V, et al. Development and validation of a brief culture-of-safety survey. Jt Comm J Qual Patient Saf. 2022;48(9):430-438. doi:10.1016/j.jcjq.2022.04.006. https://psnet.ahrq.gov/issue/development-and-validati…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47859/psn-pdf
    May 15, 2019 - The design and conduct of Project RedDE: a cluster- randomized trial to reduce diagnostic errors in pediatric primary care. May 15, 2019 Bundy DG, Singh H, Stein RE, et al. The design and conduct of Project RedDE: A cluster-randomized trial to reduce diagnostic errors in pediatric primary care. Clin Trials. 2019;1…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837070/psn-pdf
    May 11, 2022 - Patient falls in the operating room setting: an analysis of reported safety events. May 11, 2022 Tan J, Krishnan S, Vacanti JC, et al. Patient falls in the operating room setting: an analysis of reported safety events. J Healthc Risk Manag. 2022;42(1):9-14. doi:10.1002/jhrm.21503. https://psnet.ahrq.gov/issue/pati…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47912/psn-pdf
    April 24, 2019 - A systematic literature review and narrative synthesis on the risks of medical discharge letters for patients' safety. April 24, 2019 Schwarz CM, Hoffmann M, Schwarz P, et al. A systematic literature review and narrative synthesis on the risks of medical discharge letters for patients' safety. BMC Health Serv Res. …

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