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psnet.ahrq.gov/issue/notification-abnormal-lab-test-results-electronic-medical-record-do-any-safety-concerns
April 04, 2011 - Study
Classic
Notification of abnormal lab test results in an electronic medical record: do any safety concerns remain?
Citation Text:
Singh H, Thomas EJ, Sittig DF, et al. Notification of abnormal lab test results in an electronic medical record: do any safet…
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psnet.ahrq.gov/node/837745/psn-pdf
July 27, 2022 - Making electronic health records both SAFER and
SMARTER.
July 27, 2022
Johnson KB, Stead WW. Making electronic health records both SAFER and SMARTER. JAMA.
2022;328(6):523-524. doi:10.1001/jama.2022.12243.
https://psnet.ahrq.gov/issue/making-electronic-health-records-both-safer-and-smarter
Electronic health recor…
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psnet.ahrq.gov/node/50644/psn-pdf
November 06, 2019 - Hearing: Broken Promises: Assessing VA’s Systems for
Protecting Veterans from Clinical Harm.
November 6, 2019
US House of Representatives Committee on Veterans Affairs Subcommittee on Oversight and
Investigations. 116th Cong, 1st Sess (2019).
https://psnet.ahrq.gov/issue/hearing-broken-promises-assessing-vas-syste…
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psnet.ahrq.gov/node/47827/psn-pdf
February 27, 2019 - Improving Usability, Safety and Patient Outcomes With
Health Information Technology.
February 27, 2019
Lau F, Bartle-Clar JA, Bliss G, et al, eds. Stud Health Technol Inform. 2019;257:1-539. ISBN:
9781614999508.
https://psnet.ahrq.gov/issue/improving-usability-safety-and-patient-outcomes-health-information-technol…
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psnet.ahrq.gov/node/47695/psn-pdf
June 14, 2019 - No shortcuts to safer opioid prescribing.
June 14, 2019
Dowell D, Haegerich T, Chou R. No Shortcuts to Safer Opioid Prescribing. N Engl J Med.
2019;380(24):2285-2287. doi:10.1056/NEJMp1904190.
https://psnet.ahrq.gov/issue/no-shortcuts-safer-opioid-prescribing
Improving opioid prescribing is a complex challenge tha…
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psnet.ahrq.gov/node/60801/psn-pdf
August 12, 2020 - Targeting zero harm: a stretch goal that risks breaking the
spring.
August 12, 2020
Meddings J, Saint S, Lilford RJ, et al. Targeting zero harm: a stretch goal that risks breaking the spring.
NEJM Catal Innov Care Deliv. 2020;1(4). doi:10.1056/cat.20.0354.
https://psnet.ahrq.gov/issue/targeting-zero-harm-stretch-g…
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psnet.ahrq.gov/node/44014/psn-pdf
March 20, 2019 - Patient Centered Medical Home Resource Center: Quality
and Safety.
March 20, 2019
Agency for Healthcare Research and Quality.
https://psnet.ahrq.gov/issue/patient-centered-medical-home-resource-center-quality-and-safety
The Patient Centered Medical Home (PCMH) concept reorganizes primary care services to ensure th…
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psnet.ahrq.gov/node/74118/psn-pdf
January 01, 2022 - From HRO to HERO: making health equity a core system
capability.
November 24, 2021
Moy E, Hausmann LRM, Clancy CM. From HRO to HERO: making health equity a core system capability.
Am J Med Qual. 2022;37(1):81-83. doi:10.1097/jmq.0000000000000020.
https://psnet.ahrq.gov/issue/hro-hero-making-health-equity-core-syst…
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psnet.ahrq.gov/node/38876/psn-pdf
April 04, 2011 - Reality check for checklists.
April 4, 2011
Bosk CL, Dixon-Woods M, Goeschel CA, et al. Reality check for checklists. Lancet. 2009;374(9688):444-5.
https://psnet.ahrq.gov/issue/reality-check-checklists
Discussing the impact of checklists in the broader context of frontline care, the authors emphasize that
achievin…
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psnet.ahrq.gov/node/36566/psn-pdf
January 10, 2007 - Department of Defense Health Care Quality.
January 10, 2007
Washington DC: Office of the Assistant Secretary of Defense; Tricare Management Activity: 2011.
https://psnet.ahrq.gov/issue/department-defense-health-care-quality
This report series discusses activities and achievements of the U.S. Department of Defense's…
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psnet.ahrq.gov/node/37647/psn-pdf
March 26, 2008 - Complying with the 2008 national patient safety goals.
March 26, 2008
Catalano K, Fickenscher K. Complying with the 2008 National Patient Safety Goals. AORN J.
2008;87(3):547-56. doi:10.1016/j.aorn.2007.12.029.
https://psnet.ahrq.gov/issue/complying-2008-national-patient-safety-goals
This article reviews the Joint…
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psnet.ahrq.gov/primer/high-reliability
January 29, 2020 - High Reliability
Citation Text:
High Reliability. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
Downl…
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psnet.ahrq.gov/node/60669/psn-pdf
July 08, 2020 - Participation in a system-thinking simulation experience
changes adverse event reporting.
July 8, 2020
Sanko JS, Mckay M. Participation in a system-thinking simulation experience changes adverse event
reporting. Simul Healthc. 2020;15(3):167-171. doi:10.1097/sih.0000000000000473.
https://psnet.ahrq.gov/issue/parti…
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psnet.ahrq.gov/node/60949/psn-pdf
September 23, 2020 - Why accountability sharing in health care organizational
cultures means patients are probably safer.
September 23, 2020
Eng DM, Schweikart SJ. AMA J Ethics. 2020;22(9):e779-e783.
https://psnet.ahrq.gov/issue/why-accountability-sharing-health-care-organizational-cultures-means-
patients-are-probably
The recognitio…
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psnet.ahrq.gov/node/838030/psn-pdf
September 07, 2022 - Rethinking use of air-safety principles to reduce fatal
hospital errors.
September 7, 2022
Rethinking use of air-safety principles to reduce fatal hospital errors.
doi:10.1377/forefront.20220824.965364.
https://psnet.ahrq.gov/issue/rethinking-use-air-safety-principles-reduce-fatal-hospital-errors
The safety of co…
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psnet.ahrq.gov/node/838637/psn-pdf
October 19, 2022 - Patient safety and legal regulations: a total-scale analysis
of the scientific literature.
October 19, 2022
Yeung AWK, Kletecka-Pulker M, Klager E, et al. Patient safety and legal regulations: a total-scale analysis
of the scientific literature. J Patient Saf. 2022;18(7):e1116-e1123. doi:10.1097/pts.000000000000104…
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psnet.ahrq.gov/node/73148/psn-pdf
April 14, 2021 - 10 Leadership mindsets for high reliability organizations.
How to empower caregivers and engage patients in
patient safety.
April 14, 2021
Jurecko L. Consult QD. March 16, 2021.
https://psnet.ahrq.gov/issue/10-leadership-mindsets-high-reliability-organizations-how-empower-caregivers-
and-engage
Leadership a…
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psnet.ahrq.gov/node/34137/psn-pdf
February 06, 2018 - Anesthesia Patient Safety Foundation.
February 6, 2018
P.O. Box 6668, Rochester, MN 55903.
https://psnet.ahrq.gov/issue/anesthesia-patient-safety-foundation
The Anesthesia Patient Safety Foundation's (APSF) mission is to ensure that no patient is harmed by the
effects of anesthesia. To achieve that mission, APSF s…
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psnet.ahrq.gov/node/35538/psn-pdf
March 29, 2010 - Identifying medical errors: developing consensus on
classifications and consequences.
March 29, 2010
Hobgood C; Eaton J; Weiner BJ.
https://psnet.ahrq.gov/issue/identifying-medical-errors-developing-consensus-classifications-and-
consequences
The investigators surveyed a panel of experts to determine if they coul…
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psnet.ahrq.gov/node/36631/psn-pdf
January 05, 2017 - Leadership strategies of medical school deans to
promote quality and safety.
January 5, 2017
Griner PF. Leadership strategies of medical school deans to promote quality and safety. Jt Comm J Qual
Patient Saf. 2007;33(2):63-72.
https://psnet.ahrq.gov/issue/leadership-strategies-medical-school-deans-promote-quality…