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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46920/psn-pdf
    August 08, 2018 - Identification and characterization of failures in infectious agent transmission precaution practices in hospitals: a qualitative study. August 8, 2018 Krein SL, Mayer J, Harrod M, et al. Identification and Characterization of Failures in Infectious Agent Transmission Precaution Practices in Hospitals: A Qualitati…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39264/psn-pdf
    February 03, 2010 - Changing cardiac arrest and hospital mortality rates through a medical emergency team takes time and constant review. February 3, 2010 Santamaria J, Tobin A, Holmes J. Changing cardiac arrest and hospital mortality rates through a medical emergency team takes time and constant review. Crit Care Med. 2010;38(2):445…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837418/psn-pdf
    June 15, 2022 - Diagnostic trajectories in primary care at 12 months: an observational cohort study. June 15, 2022 Fontil V, Khoong EC, Lyles C, et al. Diagnostic trajectories in primary care at 12 months: an observational cohort study. Jt Comm J Qual Patient Saf. 2022;48(8):395-402. doi:10.1016/j.jcjq.2022.04.010. https://psnet.…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47278/psn-pdf
    August 15, 2018 - Drawing boundaries: the difficulty in defining clinical reasoning. August 15, 2018 Young M, Thomas A, Lubarsky S, et al. Drawing Boundaries: The Difficulty in Defining Clinical Reasoning. Acad Med. 2018;93(7):990-995. doi:10.1097/ACM.0000000000002142. https://psnet.ahrq.gov/issue/drawing-boundaries-difficulty-defi…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47099/psn-pdf
    May 16, 2018 - Defense Health Agency Should Improve Tracking of Serious Adverse Medical Events and Monitoring of Required Follow-up. May 16, 2018 Washington, DC: United States Government Accountability Office; April 2018. Publication GAO-18-378. https://psnet.ahrq.gov/issue/defense-health-agency-should-improve-tracking-serious-a…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44498/psn-pdf
    December 04, 2016 - State-mandated hospital infection reporting is not associated with decreased pediatric health care–associated infections. December 4, 2016 Rinke ML, Bundy DG, Abdullah F, et al. State-Mandated Hospital Infection Reporting Is Not Associated With Decreased Pediatric Health Care-Associated Infections. J Patient Saf. …
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45823/psn-pdf
    May 09, 2017 - The effect of prescriber education on medication-related patient harm in the hospital: a systematic review. May 9, 2017 Bos JM, van den Bemt PMLA, de Smet PAGM, et al. The effect of prescriber education on medication- related patient harm in the hospital: a systematic review. Br J Clin Pharmacol. 2017;83(5):953-961…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44968/psn-pdf
    January 23, 2017 - Financial incentives and mortality: taking pay for performance a step too far. January 23, 2017 Gupta K, Wachter R, Kachalia A. Financial incentives and mortality: taking pay for performance a step too far. BMJ Qual Saf. 2017;26(2):164-168. doi:10.1136/bmjqs-2015-004835. https://psnet.ahrq.gov/issue/financial-ince…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44282/psn-pdf
    June 12, 2018 - Standardized competencies for parenteral nutrition prescribing: The American Society for Parenteral and Enteral Nutrition Model. June 12, 2018 Guenter P, Boullata JI, Ayers P, et al. Standardized Competencies for Parenteral Nutrition Prescribing: The American Society for Parenteral and Enteral Nutrition Model. Nut…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45138/psn-pdf
    May 25, 2016 - Improving Weekend Out Of Hours Surgical Handover (WOOSH). May 25, 2016 Boyer M, Tappenden J, Peter M. Improving Weekend Out Of hours Surgical Handover (WOOSH). BMJ Qual Improv Rep. 2016;5(1):1-4. doi:10.1136/bmjquality.u209552.w4190. https://psnet.ahrq.gov/issue/improving-weekend-out-hours-surgical-handover-woosh …
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44780/psn-pdf
    May 09, 2017 - Improving anesthesiologists' ability to speak up in the operating room: a randomized controlled experiment of a simulation-based intervention and a qualitative analysis of hurdles and enablers. May 9, 2017 Raemer DB, Kolbe M, Minehart RD, et al. Improving Anesthesiologists’ Ability to Speak Up in the Operating Ro…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46933/psn-pdf
    April 04, 2018 - Pain states, the opioid epidemic, and the role of radiologists. April 4, 2018 Jones MR, Kaye AD, Manchikanti L, et al. Pain States, the Opioid Epidemic, and the Role of Radiologists. Curr Pain Headache Rep. 2018;22(3):20. doi:10.1007/s11916-018-0672-x. https://psnet.ahrq.gov/issue/pain-states-opioid-epidemic-and-r…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838930/psn-pdf
    October 26, 2022 - Artificial Intelligence in Health Care: Benefits and Challenges of Machine Learning Technologies for Medical Diagnostics. October 26, 2022 Washington DC: United States Government Accountability Office and National Academy of Medicine;  September 2022. Report no. GAO-22-104629. https://psnet.ahrq.gov/issue/ar…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38993/psn-pdf
    January 04, 2010 - Relationship between call light use and response time and inpatient falls in acute care settings. January 4, 2010 Tzeng H-M, Yin C-Y. Relationship between call light use and response time and inpatient falls in acute care settings. J Clin Nurs. 2009;18(23):3333-41. doi:10.1111/j.1365-2702.2009.02916.x. https://psn…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47574/psn-pdf
    November 21, 2018 - The architecture of safety: an emerging priority for improving patient safety. November 21, 2018 Joseph A, Henriksen K, Malone E. The Architecture Of Safety: An Emerging Priority For Improving Patient Safety. Health Aff (Millwood). 2018;37(11):1884-1891. doi:10.1377/hlthaff.2018.0643. https://psnet.ahrq.gov/issue/…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35159/psn-pdf
    January 02, 2017 - Medication reconciliation in acute care: ensuring an accurate drug regimen on admission and discharge. January 2, 2017 Rodehaver C, Fearing D. Medication reconciliation in acute care: ensuring an accurate drug regimen on admission and discharge. Jt Comm J Qual Patient Saf. 2005;31(7):406-13. https://psnet.ahrq.gov…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47068/psn-pdf
    June 25, 2018 - The need for closed-loop systems for management of abnormal test results. June 25, 2018 Zuccotti G, Samal L, Maloney FL, et al. The Need for Closed-Loop Systems for Management of Abnormal Test Results. Ann Intern Med. 2018;168(11):820-821. doi:10.7326/M17-2425. https://psnet.ahrq.gov/issue/need-closed-loop-systems…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46176/psn-pdf
    October 04, 2017 - Incidence and severity of prescribing errors in parenteral nutrition for pediatric inpatients at a neonatal and pediatric intensive care unit. October 4, 2017 Hermanspann T, Schoberer M, Robel-Tillig E, et al. Incidence and Severity of Prescribing Errors in Parenteral Nutrition for Pediatric Inpatients at a Neonat…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838315/psn-pdf
    October 12, 2022 - Contributors to diagnostic error or delay in the acute care setting: a survey of clinical stakeholders. October 12, 2022 Redmond S, Barwise A, Zornes S, et al. Contributors to diagnostic error or delay in the acute care setting: a survey of clinical stakeholders. Health Serv Insights. 2022;15:117863292211235. doi:…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60753/psn-pdf
    August 05, 2020 - A qualitative exploration of mental health service user and carer perspectives on safety issues in UK mental health services. August 5, 2020 Berzins K, Baker J, Louch G, et al. A qualitative exploration of mental health service user and carer perspectives on safety issues in UK mental health services. Health Expec…

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