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  1. psnet.ahrq.gov/innovation/veterans-health-administration-stratification-tool-opioid-risk-mitigation-storm-shows
    October 30, 2024 - Veterans Health Administration Stratification Tool for Opioid Risk Mitigation (STORM) Shows Promise for Targeting Prevention Interventions to Reduce Mortality in Patients Who Are Prescribed Opioids Save Save to your library Print Download PDF Share Facebook Twitte…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42250/psn-pdf
    June 03, 2013 - A long-term follow-up evaluation of electronic health record prescribing safety. June 3, 2013 Abramson EL, Malhotra S, Osorio N, et al. A long-term follow-up evaluation of electronic health record prescribing safety. J Am Med Inform Assoc. 2013;20(e1):e52-8. doi:10.1136/amiajnl-2012-001328. https://psnet.ahrq.gov/…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37818/psn-pdf
    April 30, 2012 - ASHP national survey of pharmacy practice in hospital settings: prescribing and transcribing—2007. April 30, 2012 Pedersen CA, Schneider PJ, Scheckelhoff DJ. ASHP national survey of pharmacy practice in hospital settings: prescribing and transcribing--2007. Am J Health Syst Pharm. 2008;65(9):827-43. doi:10.2146/aj…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35462/psn-pdf
    February 18, 2011 - Effect of the transformation of the Veterans Affairs Health Care System on the quality of care. February 18, 2011 Jha AK, Perlin JB, Kizer KW, et al. Effect of the transformation of the Veterans Affairs Health Care System on the quality of care. N Engl J Med. 2003;348(22):2218-27. https://psnet.ahrq.gov/issue/effe…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46583/psn-pdf
    December 18, 2017 - Safer paediatric surgical teams: a 5-year evaluation of crew resource management implementation and outcomes. December 18, 2017 Savage C, Gaffney A, Hussain-Alkhateeb L, et al. Safer paediatric surgical teams: A 5-year evaluation of crew resource management implementation and outcomes. Int J Health Care Qual. 2017…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47946/psn-pdf
    May 22, 2019 - Vital signs: pregnancy-related deaths, United States, 2011-2015, and strategies for prevention, 13 states, 2013- 2017. May 22, 2019 Petersen EE, Davis NL, Goodman D, et al. Vital Signs: Pregnancy-Related Deaths, United States, 2011- 2015, and Strategies for Prevention, 13 States, 2013-2017. MMWR Morb Mortal Wkly R…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40341/psn-pdf
    November 30, 2016 - Hospital Survey on Patient Safety Culture: 2011 User Comparative Database Report. November 30, 2016 Sorra J, Famolaro T, Dyer N, et al. Rockville, MD: Agency for Healthcare Research and Quality; April 2011. AHRQ Publication No. 11-0030. https://psnet.ahrq.gov/issue/hospital-survey-patient-safety-culture-2011-user-…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46720/psn-pdf
    January 23, 2019 - Persistent opioid use among pediatric patients after surgery. January 23, 2019 Harbaugh CM, Lee JS, Hu HM, et al. Persistent Opioid Use Among Pediatric Patients After Surgery. Pediatrics. 2018;141(1):e20172439. doi:10.1542/peds.2017-2439. https://psnet.ahrq.gov/issue/persistent-opioid-use-among-pediatric-patients-…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40776/psn-pdf
    September 14, 2011 - Nursing Home Survey on Patient Safety Culture: 2011 User Comparative Database Report. September 14, 2011 Sorra J, Famolaro T, Dyer N, Khanna K, Nelson D. Rockville, MD: Agency for Healthcare Research and Quality; August 2011. AHRQ Publication No. 11-0071. https://psnet.ahrq.gov/issue/nursing-home-survey-patient-sa…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35855/psn-pdf
    October 25, 2013 - HealthGrades Quality Study: Third Annual Patient Safety in American Hospitals Study. October 25, 2013 Denver, CO: HealthGrades; 2006. https://psnet.ahrq.gov/issue/healthgrades-quality-study-third-annual-patient-safety-american-hospitals- study This third annual report on the safety of hospitalized Medicare patien…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39598/psn-pdf
    September 20, 2011 - A July spike in fatal medication errors: a possible effect of new medical residents. September 20, 2011 Phillips DP, Barker GEC. A July spike in fatal medication errors: a possible effect of new medical residents. J Gen Intern Med. 2010;25(8):774-9. doi:10.1007/s11606-010-1356-3. https://psnet.ahrq.gov/issue/july-…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36246/psn-pdf
    October 21, 2010 - Tracking rates of patient safety indicators over time: lessons from the Veterans Administration. October 21, 2010 Rosen AK, Zhao S, Rivard PE, et al. Tracking rates of Patient Safety Indicators over time: lessons from the Veterans Administration. Med Care. 2006;44(9):850-61. https://psnet.ahrq.gov/issue/tracking-r…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38570/psn-pdf
    April 22, 2009 - Factors influencing incident reporting in surgical care. April 22, 2009 Kreckler S, Catchpole K, McCulloch P, et al. Factors influencing incident reporting in surgical care. Qual Saf Health Care. 2009;18(2):116-20. doi:10.1136/qshc.2008.026534. https://psnet.ahrq.gov/issue/factors-influencing-incident-reporting-sur…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47550/psn-pdf
    November 21, 2018 - Nurses' and patients' appraisals show patient safety in hospitals remains a concern. November 21, 2018 Aiken LH, Sloane DM, Barnes H, et al. Nurses' And Patients' Appraisals Show Patient Safety In Hospitals Remains A Concern. Health Aff (Millwood). 2018;37(11):1744-1751. doi:10.1377/hlthaff.2018.0711. https://psne…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42474/psn-pdf
    September 19, 2015 - A new, evidence-based estimate of patient harms associated with hospital care. September 19, 2015 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. https://psnet.ahrq.gov/issue/new-evidence-based-estimate-pat…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46431/psn-pdf
    November 22, 2017 - Prescription Opioids: Medicare Needs to Expand Oversight Efforts to Reduce the Risk of Harm. November 22, 2017 Washington, DC: United States Government Accountability Office; October 2017. Publication GAO-18-15. https://psnet.ahrq.gov/issue/prescription-opioids-medicare-needs-expand-oversight-efforts-reduce-risk- …
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42087/psn-pdf
    March 06, 2013 - 'Matching Michigan': a 2-year stepped interventional programme to minimise central venous catheter-blood stream infections in intensive care units in England. March 6, 2013 Bion J, Richardson A, Hibbert P, et al. 'Matching Michigan': a 2-year stepped interventional programme to minimise central venous catheter-blo…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43132/psn-pdf
    April 23, 2014 - Hospital Survey on Patient Safety Culture: 2014 User Comparative Database Report. April 23, 2014 Sorra J, Famolaro T, Yount ND, et al. Rockville, MD: Agency for Healthcare Research and Quality; March 2014. AHRQ Publication No. 14-0019-EF. https://psnet.ahrq.gov/issue/hospital-survey-patient-safety-culture-2014-use…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41101/psn-pdf
    October 16, 2012 - System-related interventions to reduce diagnostic errors: a narrative review. October 16, 2012 Singh H, Graber ML, Kissam SM, et al. System-related interventions to reduce diagnostic errors: a narrative review. BMJ Qual Saf. 2012;21(2):160-170. doi:10.1136/bmjqs-2011-000150. https://psnet.ahrq.gov/issue/system-rel…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41669/psn-pdf
    November 26, 2014 - Patient safety perceptions of primary care providers after implementation of an electronic medical record system. November 26, 2014 McGuire MJ, Noronha G, Samal L, et al. Patient safety perceptions of primary care providers after implementation of an electronic medical record system. J Gen Intern Med. 2013;28(2):18…

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