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8381. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39499/psn-pdf
      January 03, 2017 - Caring for our own: deploying a systemwide second victim rapid response team. January 3, 2017 Scott SD, Hirschinger LE, Cox KR, et al. Caring for our own: deploying a systemwide second victim rapid response team. Jt Comm J Qual Saf. 2010;36(5):233-240. https://psnet.ahrq.gov/issue/caring-our-own-deploying-systemwi…

8382. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45126/psn-pdf
      December 22, 2018 - Implementation of prescription drug monitoring programs associated with reductions in opioid-related death rates. December 22, 2018 Patrick SW, Fry CE, Jones TF, et al. Implementation of prescription drug monitoring programs associated with reductions in opioid-related death rates. Health Aff (Millwood). 2016;35(7)…

8383. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73156/psn-pdf
      April 21, 2021 - Increasing naloxone prescribing in the emergency department through education and electronic medical record work-aids. April 21, 2021 Funke M, Kaplan MC, Glover H, et al. Increasing naloxone prescribing in the emergency department through education and electronic medical record work-aids. Jt Comm J Qual Patient Sa…

8384. 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…

8385. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36836/psn-pdf
      January 29, 2015 - Learning from Bristol: The Report of the Public Inquiry into Children's Heart Surgery at the Bristol Royal Infirmary 1984--1995. January 29, 2015 Bristol Royal Infirmary Inquiry; The Stationery Office. London, England: Crown Copyright; 2002. https://psnet.ahrq.gov/issue/learning-bristol-report-public-inquiry-child…

8386. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36979/psn-pdf
      February 28, 2011 - Changes in outcomes for internal medicine inpatients after work-hour regulations. February 28, 2011 Horwitz LI, Kosiborod M, Lin Z, et al. Changes in outcomes for internal medicine inpatients after work-hour regulations. Ann Intern Med. 2007;147(2):97-103. https://psnet.ahrq.gov/issue/changes-outcomes-internal-med…

8387. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37961/psn-pdf
      May 05, 2010 - Does the Leapfrog program help identify high-quality hospitals? May 5, 2010 Jha AK, Orav J, Ridgway AB, et al. Does the Leapfrog program help identify high-quality hospitals? Jt Comm J Qual Patient Saf. 2008;34(6):318-325. https://psnet.ahrq.gov/issue/does-leapfrog-program-help-identify-high-quality-hospitals The…

8388. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47526/psn-pdf
      January 16, 2019 - US national trends in pediatric deaths from prescription and illicit opioids, 1999–2016. January 16, 2019 Gaither JR, Shabanova V, Leventhal JM. US National Trends in Pediatric Deaths From Prescription and Illicit Opioids, 1999-2016. JAMA Netw Open. 2018;1(8):e186558. doi:10.1001/jamanetworkopen.2018.6558. https:…

8389. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40473/psn-pdf
      July 02, 2011 - A systematic review of failures in handoff communication during intrahospital transfers. July 2, 2011 Ong M-S, Coiera E. A systematic review of failures in handoff communication during intrahospital transfers. Jt Comm J Qual Patient Saf. 2011;37(6):274-284. https://psnet.ahrq.gov/issue/systematic-review-failures-h…

8390. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45959/psn-pdf
      June 29, 2017 - Impact of the Opioid Safety Initiative on opioid-related prescribing in veterans. June 29, 2017 Lin LA, Bohnert ASB, Kerns RD, et al. Impact of the Opioid Safety Initiative on opioid-related prescribing in veterans. Pain. 2017;158(5):833-839. doi:10.1097/j.pain.0000000000000837. https://psnet.ahrq.gov/issue/impact…

8391. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73707/psn-pdf
      September 15, 2021 - Inpatient telemedicine and new models of care during COVID-19: hospital design strategies to enhance patient and staff safety. September 15, 2021 Pilosof NP, Barrett M, Oborn E, et al. Inpatient telemedicine and new models of care during COVID-19: hospital design strategies to enhance patient and staff safety. Int…

8392. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/859300/psn-pdf
      January 01, 2024 - Patient safety in remote primary care encounters: multimethod qualitative study combining Safety I and Safety II analysis. December 20, 2023 Payne R, Clarke A, Swann N, et al. Patient safety in remote primary care encounters: multimethod qualitative study combining Safety I and Safety II analysis. BMJ Qual Saf. 20…

8393. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45979/psn-pdf
      April 05, 2017 - Healthcare system-wide implementation of opioid-safety guideline recommendations: the case of urine drug screening and opioid-patient suicide- and overdose- related events in the Veterans Health Administration. April 5, 2017 Brennan PL, Del Re AC, Henderson PT, et al. Healthcare system-wide implementation of opioi…

8394. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44249/psn-pdf
      February 12, 2019 - Community Pharmacy Survey on Patient Safety Culture 2015 User Comparative Database Report. February 12, 2019 Famolaro T, Yount N, Sorra J, et al. Rockville, MD: Agency for Healthcare Research and Quality; June 2015. AHRQ Publication No. 15-0041-EF. https://psnet.ahrq.gov/issue/community-pharmacy-survey-patient-saf…

8395. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44683/psn-pdf
      June 21, 2016 - Physician spending and subsequent risk of malpractice claims: observational study. June 21, 2016 Jena AB, Schoemaker L, Bhattacharya J, et al. Physician spending and subsequent risk of malpractice claims: observational study. BMJ. 2015;351:h5516. doi:10.1136/bmj.h5516. https://psnet.ahrq.gov/issue/physician-spendi…

8396. 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…

8397. 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…

8398. 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…

8399. 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.…

8400. 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…