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  1. psnet.ahrq.gov/issue/videos-simulated-after-action-reviews-training-resource-support-social-and-inclusive-learning
    May 22, 2024 - Commentary Videos of simulated after action reviews: a training resource to support social and inclusive learning from patient safety events. Citation Text: McCarthy SE, Hogan C, Jenkins L, et al. Videos of simulated after action reviews: a training resource to support social and inclusi…
  2. psnet.ahrq.gov/issue/standardizing-patient-safety-event-reporting-between-care-delivered-or-purchased-veterans
    June 26, 2024 - Study Standardizing patient safety event reporting between care delivered or purchased by the Veterans Health Administration (VHA). Citation Text: Rosen AK, Beilstein-Wedel E, Chan J, et al. Standardizing patient safety event reporting between care delivered or purchased by the Veterans …
  3. psnet.ahrq.gov/issue/origin-adverse-drug-events-us-hospitals-2011
    January 11, 2017 - Book/Report Origin of Adverse Drug Events in US Hospitals, 2011. Citation Text: Origin of Adverse Drug Events in US Hospitals, 2011. Weiss AJ, Elixhauser A, Bae J, Encinosa W. HCUP Statistical Brief #158. Rockville, MD: Agency for Healthcare Research and Quality; September 2013.  …
  4. psnet.ahrq.gov/issue/prescribing-safely-children
    September 03, 2014 - Review Prescribing safely for children. Citation Text: Sinha Y, Cranswick NE. Prescribing safely for children. J Paediatr Child Health. 2007;43(3):112-6. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …
  5. psnet.ahrq.gov/issue/medmarx-data-report-chartbook-medication-error-findings-perioperative-settings-1998-2005
    August 24, 2015 - Book/Report Medmarx Data Report: A Chartbook of Medication-Error Findings from the Perioperative Settings from 1998-2005. Citation Text: Medmarx Data Report: A Chartbook of Medication-Error Findings from the Perioperative Settings from 1998-2005. Hicks RW, Becker SC, Cousins DD. Rock…
  6. psnet.ahrq.gov/issue/attending-work-hour-restrictions-it-time
    November 28, 2012 - Commentary Attending work hour restrictions: is it time? Citation Text: Hyman NH. Attending work hour restrictions: is it time? Arch Surg. 2009;144(1):7-8. doi:10.1001/archsurg.2008.518. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML End…
  7. psnet.ahrq.gov/issue/association-hospital-public-quality-reporting-electronic-health-record-medication-safety
    October 21, 2020 - Study Association of hospital public quality reporting with electronic health record medication safety performance. Citation Text: Holmgren AJ, Bates DW. Association of hospital public quality reporting with electronic health record medication safety performance. JAMA Netw Open. 2021;4(9…
  8. psnet.ahrq.gov/issue/new-evidence-based-estimate-patient-harms-associated-hospital-care
    October 19, 2022 - Review A new, evidence-based estimate of patient harms associated with hospital care. Citation Text: James JT. A new, evidence-based estimate of patient harms associated with hospital care. J Patient Saf. 2013;9(3):122-128. doi:10.1097/PTS.0b013e3182948a69. Copy Citation Format: …
  9. psnet.ahrq.gov/issue/hospital-covid-19-burden-and-adverse-event-rates
    June 22, 2022 - Study Hospital COVID-19 burden and adverse event rates. Citation Text: Metersky ML, Rodrick D, Ho S-Y, et al. Hospital COVID-19 burden and adverse event rates. JAMA Netw Open. 2024;7(11):e2442936. doi:10.1001/jamanetworkopen.2024.42936. Copy Citation Format: DOI Google Scho…
  10. psnet.ahrq.gov/issue/experiential-learning-through-local-implementation-national-chief-resident-quality-and
    November 16, 2022 - Commentary Experiential learning through local implementation of a national chief resident in quality and patient safety curriculum. Citation Text: Ronan MV, Menon A, Swamy L, et al. Experiential Learning Through Local Implementation of a National Chief Resident in Quality and Patient Sa…
  11. psnet.ahrq.gov/issue/stop-orders-reduce-inappropriate-urinary-catheterization-hospitalized-patients-randomized
    February 23, 2022 - Study Stop orders to reduce inappropriate urinary catheterization in hospitalized patients: a randomized controlled trial. Citation Text: Loeb M, Hunt D, O'Halloran K, et al. Stop orders to reduce inappropriate urinary catheterization in hospitalized patients: a randomized controlled t…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837785/psn-pdf
    August 05, 2022 - Emergence of Application-based Healthcare August 5, 2022 Marvel FA, Dowell P, Mossburg SE. Emergence of Application-based Healthcare. PSNet [internet]. 2022. https://psnet.ahrq.gov/perspective/emergence-application-based-healthcare Introduction The demand for digital healthcare, including both telemedicine and hea…
  13. psnet.ahrq.gov/perspective/beyond-pandemic-creating-total-systems-safety
    August 30, 2023 - One trend that I hope we’ll sustain is the shift to rapid communities of learning across local, regional
  14. psnet.ahrq.gov/issue/activating-knowledge-patient-safety-practices-canadian-academic-policy-partnership
    January 08, 2015 - Commentary Activating knowledge for patient safety practices: a Canadian academic-policy partnership. Citation Text: Harrison MB, Nicklin W, Owen M, et al. Activating knowledge for patient safety practices: a Canadian academic-policy partnership. Worldviews Evid Based Nurs. 2012;9(1):4…
  15. psnet.ahrq.gov/issue/medical-trainees-formal-and-informal-incident-reporting-across-five-hospital-academic-medical
    May 10, 2016 - Study Medical trainees' formal and informal incident reporting across a five-hospital academic medical center. Citation Text: Logio LS, Ramanujam R. Medical trainees' formal and informal incident reporting across a five-hospital academic medical center. Jt Comm J Qual Patient Saf. 2010;3…
  16. psnet.ahrq.gov/issue/predictors-warfarin-associated-adverse-events-hospitalized-patients-opportunities-prevent
    August 03, 2016 - Review Predictors of warfarin-associated adverse events in hospitalized patients: opportunities to prevent patient harm. Citation Text: Metersky M, Eldridge N, Wang Y, et al. Predictors of warfarin-associated adverse events in hospitalized patients: Opportunities to prevent patient harm.…
  17. psnet.ahrq.gov/issue/association-between-license-status-and-medication-errors
    June 18, 2014 - Study Association between license status and medication errors. Citation Text: Conroy S. Association between licence status and medication errors. Arch Dis Child. 2011;96(3):305-6. doi:10.1136/adc.2010.191940. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote…
  18. psnet.ahrq.gov/issue/opioid-prescribing-united-states-and-after-centers-disease-control-and-preventions-2016
    November 17, 2021 - Study Classic Opioid prescribing in the United States before and after the Centers for Disease Control and Prevention's 2016 opioid guideline. Citation Text: Bohnert ASB, Guy GP, Losby JL. Opioid prescribing in the United States before and after the Centers for …
  19. psnet.ahrq.gov/issue/association-between-hospital-performance-patient-safety-and-30-day-mortality-and-unplanned
    June 22, 2022 - Study Association between hospital performance on patient safety and 30-day mortality and unplanned readmission for Medicare fee-for-service patients with acute myocardial infarction. Citation Text: Wang Y, Eldridge N, Metersky ML, et al. Association Between Hospital Performance on Patie…
  20. psnet.ahrq.gov/issue/2020-pennsylvania-patient-safety-reporting-analysis-serious-events-and-incidents-nations
    July 06, 2022 - Study 2020 Pennsylvania Patient Safety Reporting: an analysis of serious events and incidents from the nation’s largest event reporting database. Citation Text: Kepner S, Jones RM. 2020 Pennsylvania Patient Safety Reporting: an analysis of serious events and incidents from the nation’s l…

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