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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34706/psn-pdf
    December 23, 2012 - Analysing potential harm in Australian general practice: an incident-monitoring study. December 23, 2012 Bhasale AL, Miller GC, Reid SE, et al. Analysing potential harm in Australian general practice: an incident- monitoring study. Med J Aust. 1998;169(2):73-6. https://psnet.ahrq.gov/issue/analysing-potential-harm…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44675/psn-pdf
    July 05, 2016 - Why July matters. July 5, 2016 Petrilli CM, Del Valle J, Chopra V. Why July Matters. Acad Med. 2016;91(7):910-912. doi:10.1097/ACM.0000000000001196. https://psnet.ahrq.gov/issue/why-july-matters Studies have reached conflicting conclusions about whether the "July Effect"—the belief that inpatient mortality increa…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43385/psn-pdf
    August 06, 2014 - Medicines management support to older people: understanding the context of systems failure. August 6, 2014 Rogers S, Martin G, Rai G. Medicines management support to older people: understanding the context of systems failure. BMJ Open. 2014;4(7):e005302. doi:10.1136/bmjopen-2014-005302. https://psnet.ahrq.gov/issu…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36964/psn-pdf
    March 24, 2011 - Patients use an internet technology to report when things go wrong. March 24, 2011 Wasson JH, MacKenzie TA, Hall M. Patients use an internet technology to report when things go wrong. Qual Saf Health Care. 2007;16(3):213-5. https://psnet.ahrq.gov/issue/patients-use-internet-technology-report-when-things-go-wrong …
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34692/psn-pdf
    February 10, 2011 - The economic consequences of medical injuries: implications for a no-fault insurance plan. February 10, 2011 Johnson WG, Brennan TA, Newhouse JP, et al. The economic consequences of medical injuries. Implications for a no-fault insurance plan. JAMA. 1992;267(18):2487-92. https://psnet.ahrq.gov/issue/economic-conse…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44572/psn-pdf
    January 22, 2016 - Can social media be used as a hospital quality improvement tool? January 22, 2016 Lagu T, Goff SL, Craft B, et al. Can social media be used as a hospital quality improvement tool? J Hosp Med. 2016;11(1):52-5. doi:10.1002/jhm.2486. https://psnet.ahrq.gov/issue/can-social-media-be-used-hospital-quality-improvement-t…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837791/psn-pdf
    August 05, 2022 - yield false negatives for a variety of reasons, such as testing too soon after exposure or inadequate sampling
  8. psnet.ahrq.gov/web-mm/false-assumptions-result-missed-pneumothorax-after-bronchoscopy-transbronchial-biopsy
    March 15, 2023 - bronchoscopy not only provides visualization of the lower respiratory tract but can also allow for various sampling
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47331/psn-pdf
    October 17, 2018 - Description and factors associated with missed nursing care in an acute care community hospital. October 17, 2018 Duffy JR, Culp S, Padrutt T. Description and factors associated with missed nursing care in an acute care community hospital. J Nurs Adm. 2018;48(7-8):361-367. doi:10.1097/NNA.0000000000000630. https:/…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35456/psn-pdf
    February 19, 2010 - The working hours of hospital staff nurses and patient safety. February 19, 2010 Rogers AE, Hwang W-T, Scott LD, et al. The working hours of hospital staff nurses and patient safety. Health Aff (Millwood). 2004;23(4):202-212. https://psnet.ahrq.gov/issue/working-hours-hospital-staff-nurses-and-patient-safety This…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45996/psn-pdf
    May 10, 2017 - Evaluation of medication-related clinical decision support alert overrides in the intensive care unit. May 10, 2017 Wong A, Amato MG, Seger DL, et al. Evaluation of medication-related clinical decision support alert overrides in the intensive care unit. J Crit Care. 2017;39:156-161. doi:10.1016/j.jcrc.2017.02.027. …
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37294/psn-pdf
    May 21, 2013 - Improving Hand-Off Communication. May 21, 2013 Oakbrook Terrace lL: Joint Commission Resources; 2007. ISBN 9781599400907. https://psnet.ahrq.gov/issue/improving-hand-communication The process of transferring primary responsibility for patient care is commonly referred to as a handoff. Handoffs are inherently dange…
  13. 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…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45695/psn-pdf
    December 14, 2016 - Significant reduction in preanalytical errors for nonphlebotomy blood draws after implementation of a novel integrated specimen collection module. December 14, 2016 Le RD, Melanson SEF, Petrides AK, et al. Significant Reduction in Preanalytical Errors for Nonphlebotomy Blood Draws After Implementation of a Novel I…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47379/psn-pdf
    November 14, 2018 - Analysis of medication therapy discontinuation orders in new electronic prescriptions and opportunities for implementing CancelRx. November 14, 2018 Yang Y, Ward-Charlerie S, Kashyap N, et al. Analysis of medication therapy discontinuation orders in new electronic prescriptions and opportunities for implementing C…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34651/psn-pdf
    March 04, 2011 - Incidence and types of preventable adverse events in elderly patients: population based review of medical records. March 4, 2011 Thomas EJ, Brennan TA. Incidence and types of preventable adverse events in elderly patients: population based review of medical records. BMJ. 2000;320(7237):741-4. https://psnet.ahrq.g…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47248/psn-pdf
    September 26, 2018 - Frequency and nature of potentially harmful preventable problems in primary care from the patient's perspective with clinician review: a population-level survey in Great Britain. September 26, 2018 Stocks SJ, Donnelly A, Esmail A, et al. Frequency and nature of potentially harmful preventable problems in primary …
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34952/psn-pdf
    November 17, 2011 - Assessing the National Electronic Injury Surveillance System—Cooperative Adverse Drug Event Surveillance Project—six sites, United States, January 1–June 15, 2004. November 17, 2011 Prevention C for DC and. Assessing the National Electronic Injury Surveillance System-Cooperative Adverse Drug Event Surveillance pr…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43710/psn-pdf
    October 06, 2016 - Improving medication administration safety: using naïve observation to assess practice and guide improvements in process and outcomes. October 6, 2016 Donaldson N, Aydin C, Fridman M, et al. Improving medication administration safety: using naïve observation to assess practice and guide improvements in process and…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46656/psn-pdf
    February 07, 2018 - Autopsy interrogation of emergency medicine dispute cases: how often are clinical diagnoses incorrect? February 7, 2018 Liu D, Gan R, Zhang W, et al. Autopsy interrogation of emergency medicine dispute cases: how often are clinical diagnoses incorrect? J Clin Pathol. 2018;71(1):67-71. doi:10.1136/jclinpath-2017-204…

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