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psnet.ahrq.gov/node/34949/psn-pdf
June 23, 2009 - A randomized, controlled trial evaluating the impact of a
computerized rounding and sign-out system on continuity
of care and resident work hours.
June 23, 2009
Van Eaton EG, Horvath KD, Lober WB, et al. A randomized, controlled trial evaluating the impact of a
computerized rounding and sign-out system on continui…
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psnet.ahrq.gov/node/842765/psn-pdf
January 18, 2023 - Patient identification of diagnostic safety blindspots and
participation in "good catches" through shared visit
notes.
January 18, 2023
Bell SK, Bourgeois FC, Dong J, et al. Patient identification of diagnostic safety blindspots and participation
in "good catches" through shared visit notes. Milbank Q. 2022;100(4)…
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psnet.ahrq.gov/node/47845/psn-pdf
April 24, 2019 - Differential safety between top-ranked cancer hospitals
and their affiliates for complex cancer surgery.
April 24, 2019
Hoag JR, Resio BJ, Monsalve AF, et al. Differential Safety Between Top-Ranked Cancer Hospitals and
Their Affiliates for Complex Cancer Surgery. JAMA Netw Open. 2019;2(4):e191912.
doi:10.1001/jama…
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psnet.ahrq.gov/node/866900/psn-pdf
October 09, 2024 - Defects in value associated with hospital-acquired
conditions: how improving quality could save U.S.
healthcare $50 billion.
October 9, 2024
Padula WV, Pronovost PJ. Defects in value associated with hospital-acquired conditions: how improving
quality could save U.S. healthcare $50 billion. J Patient Saf. 2024;20(7…
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psnet.ahrq.gov/node/860424/psn-pdf
January 10, 2024 - National survey of patient safety experiences in hospital
medicine during the COVID-19 pandemic.
January 10, 2024
Carter D, Rosen A, Applebaum JR, et al. National survey of patient safety experiences in hospital medicine
during the COVID-19 pandemic. Jt Comm J Qual Patient Saf. 2024;50(4):260-268.
doi:10.1016/j.jc…
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psnet.ahrq.gov/node/44658/psn-pdf
November 18, 2015 - The relationship between registered nurses and nursing
home quality: an integrative review (2008–2014).
November 18, 2015
Dellefield ME, Castle NG, McGilton KS, et al. The Relationship Between Registered Nurses and Nursing
Home Quality: An Integrative Review (2008-2014). Nurs Econ. 2015;33(2):95-108, 116.
https://…
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psnet.ahrq.gov/node/73676/psn-pdf
September 08, 2021 - Organizational readiness to change as a leverage point
for improving safety: a national nursing home survey.
September 8, 2021
Quach ED, Kazis LE, Zhao S, et al. Organizational readiness to change as a leverage point for improving
safety: a national nursing home survey. BMC Health Serv Res. 2021;21(1):842. doi:10.1…
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psnet.ahrq.gov/node/38935/psn-pdf
March 01, 2017 - Leadership committed to safety.
December 23, 2016
Sentinel Event Alert. August 27, 2009;(43):1-3.
https://psnet.ahrq.gov/issue/leadership-committed-safety
Despite the past decade's focus on improving patient safety, most health care organizations are still striving
to achieve high reliability status—consistently p…
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psnet.ahrq.gov/node/858164/psn-pdf
December 13, 2023 - Risk-adjusted cumulative sum for early detection of
hospitals with excess perioperative mortality.
December 13, 2023
Chen VW, Chidi AP, Dong Y, et al. Risk-adjusted cumulative sum for early detection of hospitals with
excess perioperative mortality. JAMA Surg. 2023;158(11):1176. doi:10.1001/jamasurg.2023.3673.
htt…
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psnet.ahrq.gov/web-mm/updates-management-high-risk-pulmonary-embolism
December 02, 2020 - the United States. ( 1-3 ) The cost associated with caring for patients with PE is high; a 2013 study suggests
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psnet.ahrq.gov/node/837215/psn-pdf
July 08, 2022 - decision to obtain non-
acute MRI/MRA imaging rather than acute CT angiography and perfusion imaging suggests
-
psnet.ahrq.gov/node/865984/psn-pdf
May 29, 2024 - Fatal Oversight: Misdiagnosis of Nocturnal Chest Pain
with Elevated D-dimer.
May 29, 2024
Agusala V, Deen J, Schaefer S. Fatal Oversight: Misdiagnosis of Nocturnal Chest Pain with Elevated D-
dimer. PSNet [internet]. 2024.
https://psnet.ahrq.gov/web-mm/fatal-oversight-misdiagnosis-nocturnal-chest-pain-elevated-d-d…
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psnet.ahrq.gov/node/49871/psn-pdf
August 10, 2019 - are not good predictors of
obstruction and are generally not recommended when the initial evaluation suggests
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psnet.ahrq.gov/web-mm/environmental-safety-or
May 19, 2015 - The PRECEDE model ( 19 ) suggests that successful behavioral interventions for adults should include
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psnet.ahrq.gov/node/73953/psn-pdf
October 27, 2021 - implement deprescribing practices in clinical settings, the Institute for Healthcare
Improvement (IHI) suggests
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psnet.ahrq.gov/node/49693/psn-pdf
October 01, 2013 - transgender.(4) A recent
study that drew from four national and two state-level population-based surveys suggests
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psnet.ahrq.gov/sites/default/files/2022-05/final_cme_reviewed_-_spotlight_missing_a_large_vessel_occlusion_stroke_04.14.2022_-_copy.pdf
January 01, 2022 - decision to obtain non-acute MRI/MRA imaging rather than acute CT
angiography and perfusion imaging suggests
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psnet.ahrq.gov/web-mm/missing-large-vessel-occlusion-stroke-patient-history-seizures
August 31, 2022 - decision to obtain non-acute MRI/MRA imaging rather than acute CT angiography and perfusion imaging suggests
-
psnet.ahrq.gov/node/60323/psn-pdf
May 13, 2020 - Artificial intelligence versus clinicians: systematic review
of design, reporting standards, and claims of deep
learning studies.
May 13, 2020
Nagendran M, Chen Y, Lovejoy CA, et al. Artificial intelligence versus clinicians: systematic review of
design, reporting standards, and claims of deep learning studies. BM…
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psnet.ahrq.gov/node/73206/psn-pdf
May 05, 2021 - Treatment patterns and clinical outcomes after the
introduction of the Medicare Sepsis Performance Measure
(SEP-1).
May 5, 2021
Barbash IJ, Davis BS, Yabes JG, et al. Treatment patterns and clinical outcomes after the introduction of
the Medicare Sepsis Performance Measure (SEP-1). Ann Intern Med. 2021;174(7):927-…