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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47509/psn-pdf
    December 21, 2018 - Prevalence and predictors of delayed clinical diagnosis of Type 2 diabetes: a longitudinal cohort study. December 21, 2018 Gopalan A, Mishra P, Alexeeff SE, et al. Prevalence and predictors of delayed clinical diagnosis of Type 2 diabetes: a longitudinal cohort study. Diabet Med. 2018;35(12):1655-1662. doi:10.1111/…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43628/psn-pdf
    October 29, 2014 - Factors associated with post-intensive care unit adverse events: a clinical validation study. October 29, 2014 Elliott M, Page K, Worrall-Carter L. Factors associated with post-intensive care unit adverse events: a clinical validation study. Nurs Crit Care. 2014;19(5):228-35. doi:10.1111/nicc.12091. https://psnet.…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45374/psn-pdf
    April 24, 2018 - Two-year longitudinal assessment of physicians' perceptions after replacement of a longstanding homegrown electronic health record: does a J-curve of satisfaction really exist? April 24, 2018 Hanauer DA, Branford GL, Greenberg G, et al. Two-year longitudinal assessment of physicians' perceptions after replacement…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73116/psn-pdf
    April 07, 2021 - Communication on safe caregiving between community nurse case managers and family caregivers. April 7, 2021 Macías-Colorado ME, Rodríguez-Pérez M, Rojas-Ocaña MJ, et al. Communication on safe caregiving between community nurse case managers and family caregivers. Healthcare (Basel). 2021;9(2):205. doi:10.3390/heal…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73141/psn-pdf
    April 14, 2021 - Investigating hospital supervision: a case study of regulatory inspectors' roles as potential co-creators of resilience. April 14, 2021 Øyri SF, Braut GS, Macrae C, et al. Investigating Hospital Supervision: A Case Study of Regulatory Inspectors’ Roles as Potential Co-creators of Resilience. J Patient Saf. 2021;17…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74760/psn-pdf
    February 09, 2022 - We're all in this together: how COVID-19 revealed the co- construction of mindful organising and organisational reliability. February 9, 2022 Vogus TJ, Wilson AD, Randall KH, et al. We’re all in this together: how COVID-19 revealed the co- construction of mindful organising and organisational reliability. BMJ Qual…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34829/psn-pdf
    April 06, 2011 - Use of medical emergency team responses to reduce hospital cardiopulmonary arrests. April 6, 2011 Devita MA, Braithwaite RS, Mahidhara R, et al. Use of medical emergency team responses to reduce hospital cardiopulmonary arrests. Qual Saf Health Care. 2004;13(4):251-4. https://psnet.ahrq.gov/issue/use-medical-emerg…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837698/psn-pdf
    July 20, 2022 - White patients’ physical responses to healthcare treatments are influenced by provider race and gender. July 20, 2022 Howe LC, Hardebeck EJ, Eberhardt JL, et al. White patients’ physical responses to healthcare treatments are influenced by provider race and gender. Proc Natl Acad Sci USA. 2022;119(27):e2007717119. …
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836966/psn-pdf
    April 20, 2022 - Performance variability in perioperative sentinel events: report on a nationwide data set. April 20, 2022 Reijmerink IM, Bos K, Leistikow IP, et al. Performance variability in perioperative sentinel events: report on a nationwide data set. Br J Surg. 2022;109(7):573-575. doi:10.1093/bjs/znac067. https://psnet.ahrq…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47250/psn-pdf
    September 26, 2018 - Hospital-acquired infections under pay-for-performance systems: an administrative perspective on management and change. September 26, 2018 Vokes RA, Bearman G, Bazzoli GJ. Hospital-Acquired Infections Under Pay-for-Performance Systems: an Administrative Perspective on Management and Change. Curr Infect Dis Rep. 20…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74199/psn-pdf
    January 01, 2022 - Association of differences in treatment intensification, missed visits, and scheduled follow-up interval with racial or ethnic disparities in blood pressure control. December 22, 2021 Fontil V, Pacca L, Bellows BK, et al. Association of differences in treatment intensification, missed visits, and scheduled follow-…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73283/psn-pdf
    May 19, 2021 - Assessment of overuse of medical tests and treatments at US hospitals using Medicare claims. May 19, 2021 Chalmers K, Smith P, Garber J, et al. Assessment of overuse of medical tests and treatments at US hospitals using Medicare claims. JAMA Netw Open. 2021;4(4):e218075. doi:10.1001/jamanetworkopen.2021.8075. htt…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45596/psn-pdf
    January 09, 2018 - More holes than cheese. What prevents the delivery of effective, high quality, and safe healthcare in England? January 9, 2018 Hignett S, Lang A, Pickup L, et al. More holes than cheese. What prevents the delivery of effective, high quality and safe health care in England? Ergonomics. 2018;61(1):5-14. doi:10.1080/…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60232/psn-pdf
    April 15, 2020 - Sustaining innovations in complex health care environments: a multiple-case study of rapid response teams. April 15, 2020 Stolldorf DP, Havens DS, Jones CB. Sustaining innovations in complex health care environments: a multiple-case study of rapid response teams. J Patient Saf. 2020;16(1). doi:10.1097/pts.0000000…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72575/psn-pdf
    January 01, 2021 - Missing the near miss: recognizing valuable learning opportunities in radiation oncology. December 16, 2020 Kundu P, Jung OS, Valle LF, et al. Missing the near miss: recognizing valuable learning opportunities in radiation oncology. Pract Radiat Oncol. 2021;11(3):e256-e262. doi:10.1016/j.prro.2020.09.007. https://…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47034/psn-pdf
    May 16, 2018 - Disruptive physician behavior: the importance of recognition and intervention and its impact on patient safety. May 16, 2018 John PR, Heitt MC. Disruptive Physician Behavior: The Importance of Recognition and Intervention and Its Impact on Patient Safety. J Hosp Med. 2018;13(3):210-212. doi:10.12788/jhm.2945. htt…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45159/psn-pdf
    June 15, 2016 - Opioid abuse in chronic pain—misconceptions and mitigation strategies. June 15, 2016 Volkow ND, McLellan T. Opioid Abuse in Chronic Pain--Misconceptions and Mitigation Strategies. New Engl J Med. 2016;374(13):1253-1263. doi:10.1056/NEJMra1507771. https://psnet.ahrq.gov/issue/opioid-abuse-chronic-pain-misconception…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45501/psn-pdf
    October 28, 2016 - Effectiveness of continuous or intermittent vital signs monitoring in preventing adverse events on general wards: a systematic review and meta-analysis. October 28, 2016 Cardona-Morrell M, Prgomet M, Turner RM, et al. Effectiveness of continuous or intermittent vital signs monitoring in preventing adverse events o…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47952/psn-pdf
    January 01, 2020 - Overlooked guide wire: a multicomplicated Swiss Cheese Model example. Analysis of a case and review of the literature. May 15, 2019 Thonon H, Espeel F, Frederic F, et al. Overlooked guide wire: a multicomplicated Swiss Cheese Model example. Analysis of a case and review of the literature. Acta Clin Belg. 2020;75(3…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34795/psn-pdf
    December 23, 2008 - Preventable adverse drug events in hospitalized patients: a comparative study of intensive care and general care units. December 23, 2008 Cullen DJ, Sweitzer BJ, Bates DW, et al. Preventable adverse drug events in hospitalized patients. Crit Care Med. 1997;25(8):1289-1297. doi:10.1097/00003246-199708000-00014. ht…

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