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  1. psnet.ahrq.gov/issue/resident-attitudes-regarding-impact-80-duty-hours-work-standards
    August 24, 2015 - Study Resident attitudes regarding the impact of the 80–duty-hours work standards. Citation Text: Zonia SC, 2nd RJLB, Stommel M, et al. Resident attitudes regarding the impact of the 80-duty-hours work standards. J Am Osteopath Assoc. 2005;105(7):307-313. https://www.degruyter.com/docu…
  2. psnet.ahrq.gov/issue/cost-effectiveness-electronic-medication-ordering-and-administration-system-reducing-adverse
    June 01, 2012 - Study Cost-effectiveness of an electronic medication ordering and administration system in reducing adverse drug events. Citation Text: Wu RC, Laporte A, Ungar WJ. Cost-effectiveness of an electronic medication ordering and administration system in reducing adverse drug events. J Eval …
  3. psnet.ahrq.gov/issue/evaluating-patient-safety-indicators-how-well-do-they-perform-veterans-health-administration
    April 01, 2010 - Study Evaluating the Patient Safety Indicators: how well do they perform on Veterans Health Administration data? Citation Text: Rosen AK, Rivard PE, Zhao S, et al. Evaluating the patient safety indicators: how well do they perform on Veterans Health Administration data? Med Care. 2005;…
  4. psnet.ahrq.gov/issue/multidisciplinary-hospital-teams-improve-patient-outcomes-review
    February 03, 2011 - Review Multidisciplinary in-hospital teams improve patient outcomes: a review. Citation Text: Epstein NE. Multidisciplinary in-hospital teams improve patient outcomes: A review. Surg Neurol Int. 2014;5(Suppl 7):S295-303. doi:10.4103/2152-7806.139612. Copy Citation Format: D…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846458/psn-pdf
    March 22, 2024 - National Healthcare Quality and Disparities Report Chartbook on Patient Safety. March 22, 2024 Rockville, MD: Agency for Healthcare Research and Quality; March 2024. AHRQ Pub. No. 23-0046. https://psnet.ahrq.gov/issue/national-healthcare-quality-and-disparities-report-chartbook-patient-safety-0 The Network of Pati…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60193/psn-pdf
    July 01, 2022 - Improving Diagnosis and Treatment of Maternal Sepsis. April 1, 2020 Stanford, CA; California Maternal Quality Care Collaborative: July 1, 2022.  https://psnet.ahrq.gov/issue/improving-diagnosis-and-treatment-maternal-sepsis This toolkit focuses on identification of, and rapid response to, sepsis in obstetric p…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50759/psn-pdf
    December 18, 2019 - The lurking danger in the “business case” for patient safety December 18, 2019 Millenson ML. Health Affairs Blog. December 2, 2019. https://psnet.ahrq.gov/issue/lurking-danger-business-case-patient-safety The two decades since To Err Is Human was published have raised and addressed a myriad of concerns affecting …
  8. psnet.ahrq.gov/issue/national-analysis-ed-presentations-early-pregnancy-and-complications-implications-post-roe
    September 07, 2016 - Study A national analysis of ED presentations for early pregnancy and complications: implications for post-Roe America. Citation Text: Goodwin G, Marra E, Ramdin C, et al. A national analysis of ED presentations for early pregnancy and complications: implications for post-Roe America. Am…
  9. psnet.ahrq.gov/issue/impact-nationwide-prospective-drug-utilization-review-program-improve-prescribing-safety
    May 17, 2017 - Study Impact of a nationwide prospective drug utilization review program to improve prescribing safety of potentially inappropriate medications in older adults: an interrupted time series with segmented regression analysis. Citation Text: Jang S, Jeong S, Kang E, et al. Impact of a natio…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40135/psn-pdf
    October 03, 2017 - A pinpoint beam strays invisibly, harming instead of healing. October 3, 2017 Bogdanich W; Rebelo K. https://psnet.ahrq.gov/issue/pinpoint-beam-strays-invisibly-harming-instead-healing This article explores inaccuracy of dosage, lack of protocol adherence, and absence of transparency as trends that hinder learnin…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43646/psn-pdf
    January 01, 2021 - Patient Safety Systems Chapter. January 1, 2021 In: 2021 Comprehensive Accreditation Manual for Hospitals. CAMH. Oakbrook Terrace, IL: Joint Commission; January 2021:PS1-PS46. https://psnet.ahrq.gov/issue/patient-safety-systems-chapter This chapter provides information about how organizations can re-design existin…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50553/psn-pdf
    October 16, 2019 - Impact of an electronic health record transition on chemotherapy error reporting October 16, 2019 Hess E, Palmer SE, Stivers A, et al. Impact of an electronic health record transition on chemotherapy error reporting. J Oncol Pharm Pract. 2019:1078155219870590. doi:10.1177/1078155219870590. https://psnet.ahrq.gov/i…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867524/psn-pdf
    January 15, 2025 - Longitudinal analysis of culture of patient safety survey results in surgical departments. January 15, 2025 Butler LR, Lashani S, Mitchell C, et al. Longitudinal analysis of culture of patient safety survey results in surgical departments. Front Health Serv. 2024;4:1419248. doi:10.3389/frhs.2024.1419248. https://p…
  14. psnet.ahrq.gov/issue/i-wish-i-had-seen-test-result-earlier-dissatisfaction-test-result-management-systems-primary
    February 15, 2011 - Study "I wish I had seen this test result earlier!": dissatisfaction with test result management systems in primary care. Citation Text: Poon EG, Gandhi TK, Sequist TD, et al. "I wish I had seen this test result earlier!": Dissatisfaction with test result management systems in primary ca…
  15. psnet.ahrq.gov/issue/double-checking-administration-medicines-what-evidence-systematic-review
    June 18, 2014 - Review Double checking the administration of medicines: what is the evidence? A systematic review. Citation Text: Alsulami Z, Conroy S, Choonara I. Double checking the administration of medicines: what is the evidence? A systematic review. Arch Dis Child. 2012;97(9):833-7. doi:10.1136/a…
  16. psnet.ahrq.gov/issue/orthopaedic-error-index-development-and-application-novel-national-indicator-assessing
    July 18, 2016 - Study The Orthopaedic Error Index: development and application of a novel national indicator for assessing the relative safety of hospital care using a cross-sectional approach. Citation Text: Panesar SS, Netuveli G, Carson-Stevens A, et al. The orthopaedic error index: development and…
  17. psnet.ahrq.gov/issue/researching-adverse-events-hospital-deaths-good-way-describe-patient-safety-hospitals
    March 18, 2013 - Study Is researching adverse events in hospital deaths a good way to describe patient safety in hospitals: a retrospective patient record review study. Citation Text: Baines RJ, Langelaan M, de Bruijne M, et al. Is researching adverse events in hospital deaths a good way to describe pati…
  18. psnet.ahrq.gov/issue/using-inpatient-hospital-discharge-data-monitor-patient-safety-events
    March 02, 2011 - Study Using inpatient hospital discharge data to monitor patient safety events. Citation Text: Taylor JA, Pandian RS, Mao L, et al. Using inpatient hospital discharge data to monitor patient safety events. J Healthc Risk Manag. 2013;32(4):26-33. doi:10.1002/jhrm.21107. Copy Citation …
  19. psnet.ahrq.gov/issue/narrative-feedback-or-personnel-about-safety-their-surgical-practice-and-after-surgical
    May 09, 2018 - Study Narrative feedback from OR personnel about the safety of their surgical practice before and after a surgical safety checklist intervention. Citation Text: Alidina S, Hur H-C, Berry WR, et al. Narrative feedback from OR personnel about the safety of their surgical practice before an…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837979/psn-pdf
    August 31, 2022 - Maternal Health Research Centers of Excellence (U54 Clinical Trial Optional). August 31, 2022 National Institutes of Health.  August 11, 2022. RFA-HD-23-035. https://psnet.ahrq.gov/issue/maternal-health-research-centers-excellence-u54-clinical-trial-optional Maternity care is increasingly being recognized as …

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