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261. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43255/psn-pdf
     June 18, 2014 - Characterisations of adverse events detected in a university hospital: a 4-year study using the Global Trigger Tool method. June 18, 2014 Rutberg H, Risberg MB, Sjödahl R, et al. Characterisations of adverse events detected in a university hospital: a 4-year study using the Global Trigger Tool method. BMJ Open. 20…

262. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45743/psn-pdf
     June 21, 2017 - Strategies for improving the value of the radiology report: a retrospective analysis of errors in formally over-read studies. June 21, 2017 Kabadi SJ, Krishnaraj A. Strategies for improving the value of the radiology report: a retrospective analysis of errors in formally over-read studies. J Am Coll Radiol. 2017;1…

263. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45768/psn-pdf
     July 02, 2017 - What patients' complaints and praise tell the health practitioner: implications for health care quality. A qualitative research study. July 2, 2017 Mattarozzi K, Sfrisi F, Caniglia F, et al. What patients' complaints and praise tell the health practitioner: implications for health care quality. A qualitative resea…

264. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47426/psn-pdf
     October 13, 2018 - Patient-centered insights: using health care complaints to reveal hot spots and blind spots in quality and safety. October 13, 2018 Gillespie A, Reader TW. Patient-Centered Insights: Using Health Care Complaints to Reveal Hot Spots and Blind Spots in Quality and Safety. Milbank Q. 2018;96(3):530-567. doi:10.1111/14…

265. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45218/psn-pdf
     June 15, 2016 - Patient Safety and Quality Improvement Act of 2005--HHS guidance regarding patient safety work product and providers' external obligations. June 15, 2016 Agency for Healthcare Research and Quality. Fed Regist. 2016;81(100);32655-32660. https://psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-act-2005-hh…

266. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45130/psn-pdf
     July 18, 2018 - Surgical fires: decreasing incidence relies on continued prevention efforts. July 18, 2018 Bruley ME, Arnold TV, Finley E, Deutsch ES, Treadwell JR. PA-PSRS Pa Patient Saf Advis. June 2018;15. https://psnet.ahrq.gov/issue/surgical-fires-decreasing-incidence-relies-continued-prevention-efforts Although surgical fir…

267. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45767/psn-pdf
     April 17, 2017 - Medication errors attributed to health information technology. April 17, 2017 Lawes S, Grissinger M. PA-PSRS Patient Saf Advis. March 2017;14:1-8. https://psnet.ahrq.gov/issue/medication-errors-attributed-health-information-technology The unintended consequences associated with health information technologies for …

268. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35220/psn-pdf
     May 14, 2015 - Patient Safety and Quality Improvement Act of 2005. May 14, 2015 Pub L No. 109-41.  https://psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-act-2005 This bill amends the Public Health Service Act to encourage a culture of safety in health care organizations. The bill, signed into law July 29, 2005…

269. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837692/psn-pdf
     July 20, 2022 - Assessment of changes in visits and antibiotic prescribing during the Agency for Healthcare Research and Quality Safety Program for Improving Antibiotic Use and the COVID-19 Pandemic. July 20, 2022 Keller SC, Caballero TM, Tamma PD, et al. Assessment of changes in visits and antibiotic prescribing during the Agen…

270. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45400/psn-pdf
     August 10, 2016 - ISMP National Vaccine Errors Reporting Program: one in three vaccine errors associated with age-related factors. August 10, 2016 ISMP Medication Safety Alert! Acute Care Edition. July 28, 2016;21:1-6. https://psnet.ahrq.gov/issue/ismp-national-vaccine-errors-reporting-program-one-three-vaccine-errors- associated-a…

271. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37585/psn-pdf
     April 29, 2010 - Medication errors involving patient-controlled analgesia.   April 29, 2010 Hicks RW, Sikirica V, Nelson W, et al. Medication errors involving patient-controlled analgesia. Am J Health Syst Pharm. 2008;65(5):429-40. doi:10.2146/ajhp070194. https://psnet.ahrq.gov/issue/medication-errors-involving-patient-controlled-a…

272. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37992/psn-pdf
     August 20, 2008 - Medication errors reported by US family physicians and their office staff. August 20, 2008 Kuo GM, Phillips RL, Graham D, et al. Medication errors reported by US family physicians and their office staff. Quality and Safety in Health Care. 2008;17(4). doi:10.1136/qshc.2007.024869. https://psnet.ahrq.gov/issue/medic…

273. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45193/psn-pdf
     October 03, 2017 - Choice, transparency, coordination, and quality among direct-to-consumer telemedicine websites and apps treating skin disease. October 3, 2017 Resneck JS, Abrouk M, Steuer M, et al. Choice, Transparency, Coordination, and Quality Among Direct-to- Consumer Telemedicine Websites and Apps Treating Skin Disease. JAMA …

274. CPS Annual Reports. | PSNet
     psnet.ahrq.gov/issue/cps-annual-reports
     March 25, 2009 - Book/Report CPS Annual Reports. Citation Text: Center for Patient Safety. Copy Citation Save Save to your library Print Share Facebook Twitter Linkedin Copy URL April 9, 2014 Center for Patient Safety. Pa…

275. Common Formats for Patient Safety Data Collection: Diagnostic Safety 1.0. | PSNet
     psnet.ahrq.gov/issue/common-formats-patient-safety-data-collection-diagnostic-safety-10
     October 06, 2021 - Press Release/Announcement Common Formats for Patient Safety Data Collection: Diagnostic Safety 1.0. Citation Text: The Agency for Healthcare Research and Quality. Fed Register. 2021;86(103): 29263-29264. Copy Citation Save Save to your library Print …

276. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46700/psn-pdf
     November 19, 2018 - Promising practices for improving hospital patient safety culture. November 19, 2018 Campione J, Famolaro T. Promising Practices for Improving Hospital Patient Safety Culture. Jt Comm J Qual Patient Saf. 2018;44(1):23-32. doi:10.1016/j.jcjq.2017.09.001. https://psnet.ahrq.gov/issue/promising-practices-improving-ho…

277. Coming up for Err: Missed Diagnosis in a Patient with Recurrent Pneumothorax | PSNet
     psnet.ahrq.gov/web-mm/coming-err-missed-diagnosis-patient-recurrent-pneumothorax
     December 14, 2022 - Users may contribute by submitting a case at the following link:  https://psnet.ahrq.gov/webmm/submit-case … BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation Submit

278. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73455/psn-pdf
     June 30, 2021 - https://psnet.ahrq.gov/webmm/submit-case.  … https://psnet.ahrq.gov/webmm/submit-case https://doi.org/10.1038/nrn3403 11.

279. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36346/psn-pdf
     April 11, 2011 - Incidence and nature of adverse events during pediatric sedation/anesthesia for procedures outside the operating room: report from the Pediatric Sedation Research Consortium. April 11, 2011 Cravero JP, Blike G, Beach M, et al. Incidence and nature of adverse events during pediatric sedation/anesthesia for procedu…

280. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44338/psn-pdf
     November 23, 2015 - Medicare and Medicaid programs; reform of requirements for long-term care facilities; proposed rule. November 23, 2015 Washington, DC: US Department of Health and Human Services. Baltimore, MD: Centers for Medicare & Medicaid Services. Fed Register. July 16, 2015;80:42167-42269. https://psnet.ahrq.gov/issue/medica…