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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39368/psn-pdfMay 04, 2010 - Results of the Medications At Transitions and Clinical Handoffs (MATCH) study: an analysis of medication reconciliation errors and risk factors at hospital admission. May 4, 2010 Gleason KM, McDaniel MR, Feinglass J, et al. Results of the Medications At Transitions and Clinical Handoffs (MATCH) Study: An Analysis… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/836780/psn-pdfMarch 23, 2022 - Prescribing errors in post-COVID-19 patients: prevalence, severity, and risk factors in patients visiting a post- COVID-19 outpatient clinic. March 23, 2022 Mahomedradja RF, van den Beukel TO, van den Bos M, et al. Prescribing errors in post - COVID-19 patients: prevalence, severity, and risk factors in patients v… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42502/psn-pdfOctober 07, 2013 - Patient safety in the cardiac operating room: human factors and teamwork: a scientific statement from the American Heart Association. October 7, 2013 Wahr JA, Prager RL, Abernathy JH, et al. Patient Safety in the Cardiac Operating Room: Human Factors and Teamwork. Circulation. 2013;128(10):1139-1169. doi:10.1161/c… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43290/psn-pdfJune 25, 2014 - Unexpectedly long hospital stays as an indicator of risk of unsafe care: an exploratory study. June 25, 2014 Borghans I, Hekkert KD, Ouden L den, et al. Unexpectedly long hospital stays as an indicator of risk of unsafe care: an exploratory study. BMJ Open. 2014;4(6):e004773. doi:10.1136/bmjopen-2013-004773. https… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45437/psn-pdfSeptember 01, 2018 - Decreasing malpractice claims by reducing preventable perinatal harm. September 1, 2018 Riley W, Meredith LW, Price R, et al. Decreasing Malpractice Claims by Reducing Preventable Perinatal Harm. Health Serv Res. 2016;51(suppl 3):2453-2471. doi:10.1111/1475-6773.12551. https://psnet.ahrq.gov/issue/decreasing-malpr… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44081/psn-pdfApril 22, 2015 - Accuracy of harm scores entered into an event reporting system. April 22, 2015 Abbasi T, Adornetto-Garcia D, Johnston PA, et al. Accuracy of harm scores entered into an event reporting system. J Nurs Adm. 2015;45(4):218-225. doi:10.1097/NNA.0000000000000188. https://psnet.ahrq.gov/issue/accuracy-harm-scores-entere… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/845631/psn-pdfMarch 08, 2023 - Evaluation of policies limiting opioid exposure on opioid prescribing and patient pain in opioid-naive patients undergoing elective surgery in a large American health system. March 8, 2023 Rennert L, Howard KA, Walker KB, et al. Evaluation of policies limiting opioid exposure on opioid prescribing and patient pai… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/867335/psn-pdfDecember 11, 2024 - Comparing safety, performance and user perceptions of a patient-specific indication-based prescribing tool with current practice: a mixed methods randomised user testing study. December 11, 2024 Feather C, Clarke J, Appelbaum N, et al. Comparing safety, performance and user perceptions of a patient- specific indi… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72791/psn-pdfMarch 03, 2021 - National and institutional trends in adverse events over time: a systematic review and meta-analysis of longitudinal retrospective patient record review studies. March 3, 2021 Connolly W, Li B, Conroy RM, et al. National and institutional trends in adverse events over time: a systematic review and meta-analysis of… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37114/psn-pdfOctober 04, 2011 - A descriptive study of morbidity and mortality conferences and their conformity to medical incident analysis models: results of the morbidity and mortality conference improvement study, phase 1. October 4, 2011 Aboumatar HJ, Blackledge CG, Dickson C, et al. A descriptive study of morbidity and mortality conference… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45461/psn-pdfJanuary 03, 2017 - Operating room–to-ICU patient handovers: a multidisciplinary human-centered design approach. January 3, 2017 Segall N, Bonifacio AS, Barbeito A, et al. Operating Room-to-ICU Patient Handovers: A Multidisciplinary Human-Centered Design Approach. Jt Comm J Qual Patient Saf. 2016;42(9):400-14. https://psnet.ahrq.gov/… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38308/psn-pdfApril 21, 2010 - Adverse-event-reporting practices by US hospitals: results of a national survey. April 21, 2010 Farley DO, Haviland A, Champagne S, et al. Adverse-event-reporting practices by US hospitals: results of a national survey. Qual Saf Health Care. 2008;17(6):416-23. doi:10.1136/qshc.2007.024638. https://psnet.ahrq.gov/i… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/840141/psn-pdfNovember 16, 2022 - Toward zero harm: Mackenzie Health's journey toward becoming a high reliability organization and eliminating avoidable harm. November 16, 2022 Wilson M-A, Sinno M, Hacker Teper M, et al. Toward zero harm: Mackenzie Health's journey toward becoming a high reliability organization and eliminating avoidable harm. J P… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44878/psn-pdfFebruary 14, 2017 - National cluster-randomized trial of duty-hour flexibility in surgical training. February 14, 2017 Bilimoria KY, Chung JW, Hedges L, et al. National Cluster-Randomized Trial of Duty-Hour Flexibility in Surgical Training. New Engl J Med. 2016;374(8):713-727. doi:10.1056/NEJMoa1515724. https://psnet.ahrq.gov/issue/n… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39336/psn-pdfMarch 21, 2017 - Does teamwork improve performance in the operating room? A multilevel evaluation. March 21, 2017 Weaver SJ, Rosen MA, DiazGranados D, et al. Does teamwork improve performance in the operating room? A multilevel evaluation. Jt Comm J Qual Patient Saf. 2010;36(3):133-42. https://psnet.ahrq.gov/issue/does-teamwork-im… -
psnet.ahrq.gov/web-mm/check-bagsJanuary 03, 2017 - Check the Bags Citation Text: Caldwell M, Dracup KA. Check the Bags. 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 …
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73412/psn-pdfAugust 01, 2022 - “Behavioral Health Vital Signs” Initiative Increases Patient Education and Disclosure about Interpersonal Violence (IPV) June 30, 2021 https://psnet.ahrq.gov/innovation/behavioral-health-vital-signs-initiative-increases-patient-education-and- disclosure Summary The Behavioral Health Vital Signs (BHVS) screener i… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/49740/psn-pdfAugust 21, 2015 - Baffled by Botulinum Toxin August 21, 2015 Sivaraman-Nair KP. Baffled by Botulinum Toxin. PSNet [internet]. 2015. https://psnet.ahrq.gov/web-mm/baffled-botulinum-toxin The Case A 5-year-old boy with a history of transverse myelitis with resultant spasticity of both lower extremities, gait abnormalities, neurogeni… -
Spotlight Case [MONTH] 2003 (ppt file)
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.60_slideshow.pptMay 01, 2004 - Spotlight Case [MONTH] 2003 Spotlight Case May 2004 Too Tight Control: The Risks of Intensive Insulin Therapy Source and Credits This presentation is based on the May 2004 AHRQ WebM&M Spotlight Case in Medicine CME credit is available through the Web site See the full article at http://webmm.ahrq.gov Comm… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/33846/psn-pdfNovember 01, 2017 - The Role of Patient-facing Technologies to Empower Patients and Improve Safety November 1, 2017 Rozenblum R, Bates DW. The Role of Patient-facing Technologies to Empower Patients and Improve Safety. PSNet [internet]. 2017. https://psnet.ahrq.gov/perspective/role-patient-facing-technologies-empower-patients-and-imp…
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