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  1. psnet.ahrq.gov/issue/network-patient-safety-databases-chartbook-2019
    October 23, 2019 - Book/Report Network of Patient Safety Databases Chartbook, 2019 Citation Text: Network of Patient Safety Databases Chartbook, 2019 Rockville, MD: Agency for Healthcare Research and Quality; December 2019. AHRQ Pub No 20-0023. Copy Citation Save Save to your librar…
  2. psnet.ahrq.gov/issue/prevalence-and-causes-diagnostic-errors-hospitalized-patients-under-investigation-covid-19
    September 23, 2020 - Study Prevalence and causes of diagnostic errors in hospitalized patients under investigation for COVID-19. Citation Text: Auerbach AD, Astik GJ, O’Leary KJ, et al. Prevalence and causes of diagnostic errors in hospitalized patients under investigation for COVID-19. J Gen Intern Med. 202…
  3. psnet.ahrq.gov/issue/lack-association-between-intraoperative-handoff-care-and-postoperative-complications
    March 14, 2022 - Study Lack of association between intraoperative handoff of care and postoperative complications: a retrospective observational study. Citation Text: O'Reilly-Shah VN, Melanson VG, Sullivan CL, et al. Lack of association between intraoperative handoff of care and postoperative complicat…
  4. psnet.ahrq.gov/issue/closing-loop-process-evaluation-inpatient-care-team-communication
    March 09, 2019 - Study Closing the loop: a process evaluation of inpatient care team communication. Citation Text: Broman KK, Kensinger C, Hart H, et al. Closing the loop: a process evaluation of inpatient care team communication. BMJ Qual Saf. 2017;26(1):30-32. doi:10.1136/bmjqs-2015-004580. Copy Cita…
  5. psnet.ahrq.gov/issue/relationship-between-patient-safety-climate-and-standard-precaution-adherence-systematic
    February 13, 2019 - Review Relationship between patient safety climate and standard precaution adherence: a systematic review of the literature. Citation Text: Hessels AJ, Larson EL. Relationship between patient safety climate and standard precaution adherence: a systematic review of the literature. J Hosp …
  6. psnet.ahrq.gov/issue/medical-error-using-storytelling-and-reflection-impact-error-response-factors-family-medicine
    June 05, 2019 - Study Medical error: using storytelling and reflection to impact error response factors in family medicine residents. Citation Text: Adkins S, Alta’any R, Brar K, et al. Medical error: using storytelling and reflection to impact error response factors in family medicine residents. J Med …
  7. psnet.ahrq.gov/issue/sources-medication-omissions-among-hospitalized-older-adults-polypharmacy
    January 18, 2023 - Study Sources of medication omissions among hospitalized older adults with polypharmacy. Citation Text: Shah AS, Hollingsworth EK, Shotwell MS, et al. Sources of medication omissions among hospitalized older adults with polypharmacy. J Am Geriatr Soc. 2022;70(4):1180-1189. doi:10.1111/jg…
  8. psnet.ahrq.gov/issue/improving-medication-safety-paediatric-hospital-mixed-methods-evaluation-newly-implemented
    August 30, 2023 - Study Improving medication safety in a paediatric hospital: a mixed-methods evaluation of a newly implemented computerised provider order entry system. Citation Text: Improving medication safety in a paediatric hospital: a mixed-methods evaluation of a newly implemented computerised prov…
  9. psnet.ahrq.gov/innovation/cleveland-clinic-pairs-advanced-practice-registered-nurses-and-paramedics-provide-home
    October 30, 2024 - The Cleveland Clinic Pairs Advanced Practice Registered Nurses and Paramedics To Provide Home Visits to Recently Discharged Patients at Highest Risk for Hospital Readmission Save Save to your library Print Download PDF Share Facebook Twitter Linkedin C…
  10. psnet.ahrq.gov/innovation/affordable-housing-community-offers-seniors-onsite-health-care-coordination-and-support
    March 27, 2024 - Federal Interagency Forum on Aging-Related Statistics.
  11. psnet.ahrq.gov/issue/last-person-youd-expect-die-childbirth
    May 03, 2017 - Newspaper/Magazine Article The last person you'd expect to die in childbirth. Citation Text: The last person you'd expect to die in childbirth. Martin N, Montagne R. ProPublica and National Public Radio. May 12, 2017. Copy Citation Save Save to your library …
  12. psnet.ahrq.gov/issue/commentary-sentinel-serious-events-reported-district-health-boards-200607
    March 05, 2008 - Book/Report Commentary on Sentinel & Serious Events Reported by District Health Boards - 2006/07. Citation Text: Commentary on Sentinel & Serious Events Reported by District Health Boards - 2006/07. National Health Epidemiology and Quality Assurance Advisory Committee. Wellington, Ne…
  13. psnet.ahrq.gov/issue/medical-mistakes-are-more-likely-women-and-minorities
    November 01, 2017 - Newspaper/Magazine Article Medical mistakes are more likely in women and minorities. Citation Text: Medical mistakes are more likely in women and minorities. Szabo L. NBC News. January 15, 2024. Copy Citation Save Save to your library Print Download PD…
  14. psnet.ahrq.gov/issue/canada-continues-lag-behind-other-oecd-countries-measures-patient-safety
    March 26, 2014 - Fact Sheet/FAQs Canada continues to lag behind other OECD countries on measures of patient safety Citation Text: Canada continues to lag behind other OECD countries on measures of patient safety Canadian Institute for Health Information. Ottawa, ON: Canadian Institute for Health Informat…
  15. psnet.ahrq.gov/issue/requires-dhss-make-reported-information-about-certain-adverse-events-publicly-available
    January 31, 2018 - Legislation/Case Law Requires DHSS to make reported information about certain adverse events publicly available. Citation Text: Requires DHSS to make reported information about certain adverse events publicly available. 212 New Jersey Legislature. Assembly, No. 4327. June 11, 2017. …
  16. psnet.ahrq.gov/issue/application-global-trigger-tool-systematic-review
    December 06, 2023 - Review The application of the Global Trigger Tool: a systematic review. Citation Text: Hibbert PD, Molloy CJ, Hooper TD, et al. The application of the Global Trigger Tool: a systematic review. Int J Qual Health Care. 2016;28(6):640-649. doi:10.1093/intqhc/mzw115. Copy Citation For…
  17. psnet.ahrq.gov/issue/patient-safety-climate-study-southern-california-healthcare-organizations
    June 26, 2019 - Study Patient safety climate: a study of Southern California healthcare organizations. Citation Text: Avramchuk AS, McGuire SJJ. Patient Safety Climate: A Study of Southern California Healthcare Organizations. J Healthc Manag. 2018;63(3):175-192. doi:10.1097/JHM-D-16-00004. Copy Citati…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50689/psn-pdf
    November 20, 2019 - States Targeting Reduction in Infections via Engagement (STRIVE). November 20, 2019 Ann Intern Med. 2019;171(7_Suppl):s1-s82. https://psnet.ahrq.gov/issue/states-targeting-reduction-infections-engagement-strive The States Targeting Reduction in Infections via Engagement (STRIVE) initiative was 3-year hospital- ba…
  19. psnet.ahrq.gov/issue/investigating-racial-and-ethnic-disparities-maternal-care-system-level-using-patient-safety
    March 29, 2023 - Study Investigating racial and ethnic disparities in maternal care at the system level using patient safety incident reports. Citation Text: Alfred MC, Wilson D, DeForest E, et al. Investigating racial and ethnic disparities in maternal care at the system level using patient safety incid…
  20. psnet.ahrq.gov/issue/scoping-review-real-time-automated-clinical-deterioration-alerts-and-evidence-impacts
    February 16, 2022 - Review A scoping review of real-time automated clinical deterioration alerts and evidence of impacts on hospitalised patient outcomes. Citation Text: Blythe R, Parsons R, White NM, et al. A scoping review of real-time automated clinical deterioration alerts and evidence of impacts on hos…

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