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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45375/psn-pdf
    September 27, 2016 - Association of a web-based handoff tool with rates of medical errors. September 27, 2016 Mueller SK, Yoon CS, Schnipper JL. Association of a Web-Based Handoff Tool With Rates of Medical Errors. JAMA Intern Med. 2016;176(9):1400-2. doi:10.1001/jamainternmed.2016.4258. https://psnet.ahrq.gov/issue/association-web-ba…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/850160/psn-pdf
    June 07, 2023 - The Ohio Maternal Safety Quality Improvement Project: initial results of a statewide perinatal hypertension quality improvement initiative implemented during the COVID-19 pandemic. June 7, 2023 Schneider P, Lorenz A, Menegay MC, et al. The Ohio Maternal Safety Quality Improvement Project: initial results of a sta…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47173/psn-pdf
    June 06, 2018 - Pediatric ADHD medication exposures reported to US poison control centers. June 6, 2018 King SA, Casavant MJ, Spiller HA, et al. Pediatric ADHD Medication Exposures Reported to US Poison Control Centers. Pediatrics. 2018;141(6). doi:10.1542/peds.2017-3872. https://psnet.ahrq.gov/issue/pediatric-adhd-medication-exp…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41795/psn-pdf
    September 07, 2016 - Drug shortage-associated increase in catheter-related blood stream infection in children. September 7, 2016 Ralls MW, Blackwood A, Arnold MA, et al. Drug shortage-associated increase in catheter-related blood stream infection in children. Pediatrics. 2012;130(5):e1369-73. doi:10.1542/peds.2011-3894. https://psnet.…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838239/psn-pdf
    October 05, 2022 - Emotional exhaustion among US health care workers before and during the COVID-19 pandemic, 2019-2021. October 5, 2022 Sexton JB, Adair KC, Proulx J, et al. Emotional exhaustion among US health care workers before and during the COVID-19 pandemic, 2019-2021. JAMA Netw Open. 2022;5(9):e2232748. doi:10.1001/jamanetwo…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46910/psn-pdf
    January 23, 2019 - Taking the heat or taking the temperature? A qualitative study of a large-scale exercise in seeking to measure for improvement, not blame. January 23, 2019 Armstrong N, Brewster L, Tarrant C, et al. Taking the heat or taking the temperature? A qualitative study of a large-scale exercise in seeking to measure for i…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40695/psn-pdf
    December 31, 2014 - Factors contributing to an increase in duplicate medication order errors after CPOE implementation. December 31, 2014 Wetterneck TB, Walker JM, Blosky MA, et al. Factors contributing to an increase in duplicate medication order errors after CPOE implementation. J Am Med Inform Assoc. 2011;18(6):774-782. doi:10.113…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45780/psn-pdf
    March 15, 2017 - Overdose risk in young children of women prescribed opioids. March 15, 2017 Finkelstein Y, Macdonald EM, Gonzalez A, et al. Overdose Risk in Young Children of Women Prescribed Opioids. Pediatrics. 2017;139(3). doi:10.1542/peds.2016-2887. https://psnet.ahrq.gov/issue/overdose-risk-young-children-women-prescribed-op…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42068/psn-pdf
    April 09, 2013 - Wisdom through adversity: learning and growing in the wake of an error. April 9, 2013 Plews-Ogan M, Owens JE, May NB. Wisdom through adversity: learning and growing in the wake of an error. Patient Educ Couns. 2013;91(2):236-42. doi:10.1016/j.pec.2012.12.006. https://psnet.ahrq.gov/issue/wisdom-through-adversity-l…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41986/psn-pdf
    January 23, 2013 - Slow progress on meeting hospital safety standards: learning from the Leapfrog Group's efforts. January 23, 2013 Moran J, Scanlon D. Slow progress on meeting hospital safety standards: learning from the Leapfrog Group's efforts. Health Aff (Millwood). 2013;32(1):27-35. doi:10.1377/hlthaff.2011.0056. https://psnet.…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39083/psn-pdf
    April 01, 2010 - Emergency physician perceptions of patient safety risks. April 1, 2010 Sklar DP, Crandall CS, Zola T, et al. Emergency physician perceptions of patient safety risks. Ann Emerg Med. 2010;55(4):336-40. doi:10.1016/j.annemergmed.2009.08.020. https://psnet.ahrq.gov/issue/emergency-physician-perceptions-patient-safety-r…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73130/psn-pdf
    January 01, 2022 - Improving peripherally inserted central catheter appropriateness and reducing device-related complications: a quasiexperimental study in 52 Michigan hospitals. April 14, 2021 Chopra V, O'Malley M, Horowitz J, et al. Improving peripherally inserted central catheter appropriateness and reducing device-related compl…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44694/psn-pdf
    November 10, 2016 - America's Hospitals: Improving Quality and Safety—The Joint Commission's Annual Report 2015. November 10, 2016 Oakbrook Terrace, IL: The Joint Commission; November 2015. https://psnet.ahrq.gov/issue/americas-hospitals-improving-quality-and-safety-joint-commissions-annual- report-2015 The annual report from The Jo…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60176/psn-pdf
    April 01, 2020 - Health and social care-associated harm amongst vulnerable children in primary care: mixed methods analysis of national safety reports. April 1, 2020 Omar A, Rees P, Cooper A, et al. Health and social care-associated harm amongst vulnerable children in primary care: mixed methods analysis of national safety reports…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45839/psn-pdf
    February 07, 2018 - Mortality trends after a voluntary checklist-based surgical safety collaborative. February 7, 2018 Haynes AB, Edmondson L, Lipsitz S, et al. Mortality Trends After a Voluntary Checklist-based Surgical Safety Collaborative. Ann Surg. 2017;266(6):923-929. doi:10.1097/SLA.0000000000002249. https://psnet.ahrq.gov/issu…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44974/psn-pdf
    April 12, 2019 - Medicare letters to curb overprescribing of controlled substances had no detectable effect on providers. April 12, 2019 Sacarny A, Yokum D, Finkelstein A, et al. Medicare Letters To Curb Overprescribing Of Controlled Substances Had No Detectable Effect On Providers. Health Aff (Millwood). 2016;35(3):471-9. doi:10.…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37945/psn-pdf
    July 26, 2010 - A survey of hospital quality improvement activities. July 26, 2010 Cohen AB, Restuccia JD, Shwartz M, et al. A survey of hospital quality improvement activities. Med Care Res Rev. 2008;65(5):571-95. doi:10.1177/1077558708318285. https://psnet.ahrq.gov/issue/survey-hospital-quality-improvement-activities The Instit…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44491/psn-pdf
    February 23, 2018 - Changes in burnout and satisfaction with work-life balance in physicians and the general US working population between 2011 and 2014. February 23, 2018 Shanafelt TD, Hasan O, Dyrbye LN, et al. Changes in Burnout and Satisfaction With Work-Life Balance in Physicians and the General US Working Population Between 201…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43531/psn-pdf
    September 17, 2014 - The role of hospital managers in quality and patient safety: a systematic review. September 17, 2014 Parand A, Dopson S, Renz A, et al. The role of hospital managers in quality and patient safety: a systematic review. BMJ Open. 2014;4(9):e005055. doi:10.1136/bmjopen-2014-005055. https://psnet.ahrq.gov/issue/role-h…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38434/psn-pdf
    June 15, 2011 - Trends in healthcare incident reporting and relationship to safety and quality data in acute hospitals: results from the National Reporting and Learning System. June 15, 2011 Hutchinson A, Young TA, Cooper KL, et al. Trends in healthcare incident reporting and relationship to safety and quality data in acute hospi…

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