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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45405/psn-pdf
    November 18, 2016 - Relationship between operating room teamwork, contextual factors, and safety checklist performance. November 18, 2016 Singer SJ, Molina G, Li Z, et al. Relationship Between Operating Room Teamwork, Contextual Factors, and Safety Checklist Performance. J Am Coll Surg. 2016;223(4):568-580.e2. doi:10.1016/j.jamcollsu…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47152/psn-pdf
    October 12, 2018 - A quality initiative: a system-wide reduction in serious medication events through targeted simulation training. October 12, 2018 Hebbar KB, Colman N, Williams L, et al. A Quality Initiative: A System-Wide Reduction in Serious Medication Events Through Targeted Simulation Training. Simul Healthc. 2018;13(5):324-330…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42900/psn-pdf
    September 19, 2016 - Suicide attempts and completions on medical-surgical and intensive care units. September 19, 2016 Mills PD, Watts V, Hemphill RR. Suicide attempts and completions on medical-surgical and intensive care units. J Hosp Med. 2014;9(3):182-5. doi:10.1002/jhm.2141. https://psnet.ahrq.gov/issue/suicide-attempts-and-compl…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847717/psn-pdf
    April 19, 2023 - Quality improvement initiative to decrease central line- associated bloodstream infections during the COVID-19 pandemic: a "zero harm" approach. April 19, 2023 Redstone CS, Zadeh M, Wilson M-A, et al. Quality improvement initiative to decrease central line- associated bloodstream infections during the COVID-19 pan…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43074/psn-pdf
    December 18, 2014 - Graded autonomy in medical education—managing things that go bump in the night. December 18, 2014 Halpern S, Detsky AS. Graded autonomy in medical education--managing things that go bump in the night. N Engl J Med. 2014;370(12):1086-1089. doi:10.1056/NEJMp1315408. https://psnet.ahrq.gov/issue/graded-autonomy-medic…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44353/psn-pdf
    November 03, 2015 - Evaluation of symptom checkers for self diagnosis and triage: audit study. November 3, 2015 Semigran HL, Linder JA, Gidengil C, et al. Evaluation of symptom checkers for self diagnosis and triage: audit study. BMJ. 2015;351:h3480. doi:10.1136/bmj.h3480. https://psnet.ahrq.gov/issue/evaluation-symptom-checkers-self…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43263/psn-pdf
    July 16, 2014 - Patient complaints in healthcare systems: a systematic review and coding taxonomy. July 16, 2014 Reader TW, Gillespie A, Roberts J. Patient complaints in healthcare systems: a systematic review and coding taxonomy. BMJ Qual Saf. 2014;23(8):678-689. doi:10.1136/bmjqs-2013-002437. https://psnet.ahrq.gov/issue/patien…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44959/psn-pdf
    March 09, 2016 - Patient, physician, medical assistant, and office visit factors associated with medication list agreement. March 9, 2016 Reedy AB, Yeh JY, Nowacki AS, et al. Patient, Physician, Medical Assistant, and Office Visit Factors Associated With Medication List Agreement. J Patient Saf. 2016;12(1):18-24. doi:10.1097/PTS.0…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866191/psn-pdf
    June 26, 2024 - Quality improvement lessons learned from National Implementation of the "Patient Safety Events in Community Care: Reporting, Investigation, and Improvement Guidebook". June 26, 2024 Sullivan JL, Shin MH, Chan J, et al. Quality improvement lessons learned from National Implementation of the “Patient Safety Events …
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60552/psn-pdf
    June 03, 2020 - Personal protective equipment for preventing highly infectious diseases due to exposure to contaminated body fluids in healthcare staff. June 3, 2020 Verbeek JH, Rajamaki B, Ijaz S, et al. Personal protective equipment for preventing highly infectious diseases due to exposure to contaminated body fluids in healthc…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45730/psn-pdf
    December 14, 2016 - Identification of priorities for improvement of medication safety in primary care: a PRIORITIZE study. December 14, 2016 Car LT, Papachristou N, Gallagher J, et al. Identification of priorities for improvement of medication safety in primary care: a PRIORITIZE study. BMC Fam Pract. 2016;17(1):160. https://psnet.ah…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45065/psn-pdf
    June 01, 2016 - Variation in quality of urgent health care provided during commercial virtual visits. June 1, 2016 Schoenfeld AJ, Davies JM, Marafino BJ, et al. Variation in Quality of Urgent Health Care Provided During Commercial Virtual Visits. JAMA Intern Med. 2016;176(5):635-42. doi:10.1001/jamainternmed.2015.8248. https://ps…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46774/psn-pdf
    April 12, 2019 - Association between handover of anesthesia care and adverse postoperative outcomes among patients undergoing major surgery. April 12, 2019 Jones PM, Cherry RA, Allen BN, et al. Association Between Handover of Anesthesia Care and Adverse Postoperative Outcomes Among Patients Undergoing Major Surgery. JAMA. 2018;319…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45141/psn-pdf
    August 31, 2016 - Patient safety climate strength: a concept that requires more attention. August 31, 2016 Ginsburg LR, Oore DG. Patient safety climate strength: a concept that requires more attention. BMJ Qual Saf. 2016;25(9):680-7. doi:10.1136/bmjqs-2015-004150. https://psnet.ahrq.gov/issue/patient-safety-climate-strength-concept…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39730/psn-pdf
    December 21, 2014 - Surgical case listing accuracy: failure analysis at a high- volume academic medical center. December 21, 2014 Cima RR, Hale C, Kollengode A, et al. Surgical case listing accuracy: failure analysis at a high-volume academic medical center. Arch Surg. 2010;145(7):641-6. doi:10.1001/archsurg.2010.112. https://psnet.a…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43969/psn-pdf
    November 17, 2017 - Transparency when things go wrong: physician attitudes about reporting medical errors to patients, peers, and institutions. November 17, 2017 Bell SK, White AA, Yi JC, et al. Transparency When Things Go Wrong. J Patient Saf. 2015;13(4):243-248. doi:10.1097/pts.0000000000000153. https://psnet.ahrq.gov/issue/transp…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41481/psn-pdf
    September 26, 2012 - Impact of online education on intern behaviour around Joint Commission national patient safety goals: a randomised trial. September 26, 2012 Shaw T, Pernar LI, Peyre S, et al. Impact of online education on intern behaviour around joint commission national patient safety goals: a randomised trial. BMJ Qual Saf. 201…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47102/psn-pdf
    June 26, 2018 - Transition to a new electronic health record and pediatric medication safety: lessons learned in pediatrics within a large academic health system. June 26, 2018 Whalen K, Lynch E, Moawad I, et al. Transition to a new electronic health record and pediatric medication safety: lessons learned in pediatrics within a l…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37910/psn-pdf
    February 28, 2011 - Public reporting of antibiotic timing in patients with pneumonia: lessons from a flawed performance measure. February 28, 2011 Wachter R, Flanders S, Fee C, et al. Public reporting of antibiotic timing in patients with pneumonia: lessons from a flawed performance measure. Ann Intern Med. 2008;149(1):29-32. https:/…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47392/psn-pdf
    January 23, 2019 - Effects of a multifaceted medication reconciliation quality improvement intervention on patient safety: final results of the MARQUIS study. January 23, 2019 Schnipper JL, Mixon A, Stein J, et al. Effects of a multifaceted medication reconciliation quality improvement intervention on patient safety: final results o…

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