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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50586/psn-pdf
    October 23, 2019 - AHRQ Health Information Technology Research: 2018 Year in Review. … October 23, 2019 AHRQ Health Information Technology Research: 2018 Year in Review. … September 2019 https://psnet.ahrq.gov/issue/ahrq-health-information-technology-research-2018-year-review … https://psnet.ahrq.gov/issue/ahrq-health-information-technology-research-2018-year-review
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39322/psn-pdf
    February 24, 2010 - Complications and death at the start of the new academic year: is there a July phenomenon? … Complications and death at the start of the new academic year: is there a July phenomenon? … https://psnet.ahrq.gov/issue/complications-and-death-start-new-academic-year-there-july-phenomenon Trauma … patients admitted in the early weeks of the academic year were in fact more likely to experience in- … also found an increase in anesthesia-related errors associated with the beginning of the academic year
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40597/psn-pdf
    August 10, 2011 - Improving follow-up of high-risk psychiatry outpatients at resident year-end transfer. … Improving follow-up of high-risk psychiatry outpatients at resident year- end transfer. … https://psnet.ahrq.gov/issue/improving-follow-high-risk-psychiatry-outpatients-resident-year-end-transfer … This study required outgoing residents to explicitly identify their high-risk patients as part of a year-end … https://psnet.ahrq.gov/issue/improving-follow-high-risk-psychiatry-outpatients-resident-year-end-transfer
  4. psnet.ahrq.gov/issue/patient-safety-movement-foundation
    January 01, 2020 - organization shares best practices to align and optimize efforts toward eliminating patient harm by the year … Safer Workplace October 31, 2023 Medical errors kill thousands of people each year
  5. psnet.ahrq.gov/issue/classifying-errors-preventable-and-potentially-preventable-trauma-deaths-9-year-review-using
    November 27, 2012 - Classifying errors in preventable and potentially preventable trauma deaths: a 9-year … Classifying errors in preventable and potentially preventable trauma deaths: a 9-year review using the … Classifying errors in preventable and potentially preventable trauma deaths: a 9-year review using the
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47237/psn-pdf
    January 01, 2020 - First-year analysis of the Operating Room Black Box study. … First-year Analysis of the Operating Room Black Box Study. … https://psnet.ahrq.gov/issue/first-year-analysis-operating-room-black-box-study Analysis of errors in … https://psnet.ahrq.gov/issue/first-year-analysis-operating-room-black-box-study https://psnet.ahrq.gov
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847729/psn-pdf
    April 19, 2023 - STAMP: a 5-year project to reduce paediatric prescribing errors. … STAMP: a 5-year project to reduce paediatric prescribing errors. … https://psnet.ahrq.gov/issue/stamp-5-year-project-reduce-paediatric-prescribing-errors Pediatric patients … https://psnet.ahrq.gov/issue/stamp-5-year-project-reduce-paediatric-prescribing-errors https://psnet.ahrq.gov
  8. psnet.ahrq.gov/issue/fall-prevention-hospitals-training-program
    May 01, 2017 - The toolkit draws from a 2-year pilot project that achieved sustained improvements for organizations … December 24, 2008 AHRQ Health Information Technology Research: 2018 Year in Review.
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836823/psn-pdf
    March 30, 2022 - Five-year audit of adherence to an anaesthesia pre- induction checklist. … year audit of adherence to an anaesthesia pre?induction checklist. … https://psnet.ahrq.gov/issue/five-year-audit-adherence-anaesthesia-pre-induction-checklist Pre-procedure … https://psnet.ahrq.gov/issue/five-year-audit-adherence-anaesthesia-pre-induction-checklist https://psnet.ahrq.gov
  10. psnet.ahrq.gov/issue/two-year-longitudinal-assessment-physicians-perceptions-after-replacement-longstanding
    December 31, 2014 - Study Two-year longitudinal assessment of physicians' perceptions after replacement … Two-year longitudinal assessment of physicians' perceptions after replacement of a longstanding homegrown … Two-year longitudinal assessment of physicians' perceptions after replacement of a longstanding homegrown
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838146/psn-pdf
    September 21, 2022 - HSIB Maternity Investigation Programme Year in Review 2021/22. … https://psnet.ahrq.gov/issue/hsib-maternity-investigation-programme-year-review-202122-summary- highlights-themes-and … https://psnet.ahrq.gov/issue/hsib-maternity-investigation-programme-year-review-202122-summary-highlights-themes-and … https://psnet.ahrq.gov/issue/hsib-maternity-investigation-programme-year-review-202122-summary-highlights-themes-and
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60039/psn-pdf
    March 11, 2020 - A 25-year-old teacher died after waiting hours at the ER. She's not the only one who saw delays. … https://psnet.ahrq.gov/issue/25-year-old-teacher-died-after-waiting-hours-er-shes-not-only-one-who-saw … https://psnet.ahrq.gov/issue/25-year-old-teacher-died-after-waiting-hours-er-shes-not-only-one-who-saw-delays … https://psnet.ahrq.gov/issue/25-year-old-teacher-died-after-waiting-hours-er-shes-not-only-one-who-saw-delays
  13. psnet.ahrq.gov/issue/quality-journey-ascension-health-how-weve-prevented-least-1500-avoidable-deaths-year-and-aim
    June 06, 2018 - The quality 'journey' at Ascension Health: how we've prevented at least 1,500 avoidable deaths a year—and … The quality 'journey' at Ascension Health: how we've prevented at least 1,500 avoidable deaths a year … The quality 'journey' at Ascension Health: how we've prevented at least 1,500 avoidable deaths a year
  14. psnet.ahrq.gov/issue/developing-open-disclosure-strategies-medical-error-using-simulation-final-year-medical
    September 29, 2018 - Developing open disclosure strategies to medical error using simulation in final-year … Developing open disclosure strategies to medical error using simulation in final-year medical students … Developing open disclosure strategies to medical error using simulation in final-year medical students
  15. psnet.ahrq.gov/issue/implementing-pre-operative-checklist-increase-patient-safety-1-year-follow-personnel
    October 19, 2012 - Study Implementing a pre-operative checklist to increase patient safety: a 1-year … Implementing a pre-operative checklist to increase patient safety: a 1-year follow-up of personnel attitudes … Implementing a pre-operative checklist to increase patient safety: a 1-year follow-up of personnel attitudes
  16. psnet.ahrq.gov/issue/four-year-impact-alert-notification-system-closed-loop-communication-critical-test-results
    June 21, 2016 - Study Four-year impact of an alert notification system on closed-loop communication … Four-year impact of an alert notification system on closed-loop communication of critical test results … Four-year impact of an alert notification system on closed-loop communication of critical test results
  17. psnet.ahrq.gov/issue/harmful-medication-errors-children-5-year-analysis-data-usps-medmarxr-program
    July 12, 2010 - Study Harmful medication errors in children: a 5-year analysis of data from the USP's … Harmful medication errors in children: a 5-year analysis of data from the USP's MEDMARX program. … Harmful medication errors in children: a 5-year analysis of data from the USP's MEDMARX program.
  18. psnet.ahrq.gov/issue/out-hospital-medication-errors-6-year-analysis-national-poison-data-system
    September 08, 2010 - Study Out-of-hospital medication errors: a 6-year analysis of the national poison … Out-of-hospital medication errors: a 6-year analysis of the national poison data system. … Out-of-hospital medication errors: a 6-year analysis of the national poison data system.
  19. psnet.ahrq.gov/issue/six-year-audit-cardiac-arrests-and-medical-emergency-team-calls-australian-outer-metropolitan
    October 29, 2008 - Study Six year audit of cardiac arrests and medical emergency team calls in an Australian … Six year audit of cardiac arrests and medical emergency team calls in an Australian outer metropolitan … Six year audit of cardiac arrests and medical emergency team calls in an Australian outer metropolitan
  20. psnet.ahrq.gov/issue/do-we-know-what-foundation-year-doctors-think-about-patient-safety-incident-reporting
    April 12, 2017 - Study Do we know what foundation year doctors think about patient safety incident … Do we know what foundation year doctors think about patient safety incident reporting? … Do we know what foundation year doctors think about patient safety incident reporting?

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