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psnet.ahrq.gov/node/60224/psn-pdf
April 15, 2020 - Information transfer at hospital discharge: a systematic
review.
April 15, 2020
Kattel S, Manning DM, Erwin PJ, et al. Information transfer at hospital discharge: a systematic review. J
Patient Saf. 2020;16(1):e25-e33. doi:10.1097/pts.0000000000000248.
https://psnet.ahrq.gov/issue/information-transfer-hospital-dis…
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psnet.ahrq.gov/node/836724/psn-pdf
March 09, 2022 - When no news is bad news: improving diagnostic testing
communication through patient engagement.
March 9, 2022
Zomerlei T, Carraher A, Chao A, et al. When no news is bad news: improving diagnostic testing
communication through patient engagement. J Patient Saf Risk Manage. 2021;26(5):221-224.
doi:10.1177/251604352…
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psnet.ahrq.gov/node/847050/psn-pdf
April 05, 2023 - CHaMP: A model for building a center to support health
care worker well-being after experiencing an adverse
event.
April 5, 2023
McIntosh MS, Garvan C, Kalynych CJ, et al. CHaMP: A model for building a center to support health care
worker well-being after experiencing an adverse event. Jt Comm J Qual Patient Saf. …
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psnet.ahrq.gov/node/46086/psn-pdf
August 30, 2017 - Quality and Safety in Nursing: a Competency Approach to
Improving Outcomes, Second Edition.
August 30, 2017
Sherwood G, Barnsteiner J, eds. Hoboken, NJ: Wiley-Blackwell; 2017. ISBN: 9781119151678.
https://psnet.ahrq.gov/issue/quality-and-safety-nursing-competency-approach-improving-outcomes-second-
edition
The Cr…
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psnet.ahrq.gov/node/45868/psn-pdf
January 31, 2018 - Increasing trainee reporting of adverse events with
monthly, trainee-directed review of adverse events.
January 31, 2018
Smith A, Hatoun J, Moses J. Increasing Trainee Reporting of Adverse Events With Monthly Trainee-
Directed Review of Adverse Events. Acad Pediatr. 2017;17(8):902-906. doi:10.1016/j.acap.2017.01.00…
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psnet.ahrq.gov/node/34784/psn-pdf
June 24, 2015 - The potential for improved teamwork to reduce medical
errors in the emergency department.
June 24, 2015
Risser DT, Rice MM, Salisbury ML, et al. The potential for improved teamwork to reduce medical errors in
the emergency department. Ann Emerg Med. 2005;34(3):373-383. doi:10.1016/s0196-0644(99)70134-4.
https://ps…
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psnet.ahrq.gov/node/47002/psn-pdf
April 25, 2018 - Making Health Care Safer in Ambulatory Care Settings
and Long Term Care Facilities (R18).
April 25, 2018
Rockville, MD: Agency for Healthcare Research and Quality; April 10, 2018. PA-18-750.
https://psnet.ahrq.gov/issue/making-health-care-safer-ambulatory-care-settings-and-long-term-care-
facilities-r18
Research …
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psnet.ahrq.gov/node/50389/psn-pdf
September 25, 2019 - must not simply try to avoid the use of nonanalytic, pattern recognition
decision-making but instead aim
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psnet.ahrq.gov/node/865708/psn-pdf
May 01, 2024 - Missed nursing care in surgical care- a hazard to patient
safety: a quantitative study within the inCHARGE
programme.
May 1, 2024
Edfeldt K, Nyholm L, Jangland E, et al. Missed nursing care in surgical care– a hazard to patient safety: a
quantitative study within the inCHARGE programme. BMC Nurs. 2024;23(1):233. d…
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psnet.ahrq.gov/node/866353/psn-pdf
July 24, 2024 - A clinical pharmacist-led transitions of care program for
veterans with two planned care transitions (hospital to
skilled care and skilled care to home) amid the COVID-19
pandemic.
July 24, 2024
Scannell GA, Bevan DJ, Cowan A, et al. A clinical pharmacist-led transitions of care program for veterans
with two plan…
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psnet.ahrq.gov/issue/australian-patient-safety-foundation
March 06, 2005 - Web Resource
Multi-use Website
Published March 6, 2005
Australian Patient Safety Foundation.
Australian Patient Safety Foundation
Topics
Approach to Improving Safety
Error Reporting
Roo…
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psnet.ahrq.gov/issue/possible-dose-counter-errors-asmanex-twisthaler
March 11, 2015 - Government Resource
Possible dose-counter errors with the Asmanex Twisthaler.
Citation Text:
Food and Drug Administration; FDA
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psnet.ahrq.gov/node/38157/psn-pdf
October 22, 2008 - Contributing factors identified by hospital incident report
narratives.
October 22, 2008
Nuckols TK, Bell DS, Paddock SM, et al. Contributing factors identified by hospital incident report
narratives. Qual Saf Health Care. 2008;17(5):368-72. doi:10.1136/qshc.2007.023721.
https://psnet.ahrq.gov/issue/contributing-f…
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psnet.ahrq.gov/node/34907/psn-pdf
August 03, 2009 - Physicians' views of interventions to reduce medical
errors: does evidence of effectiveness matter?
August 3, 2009
Rosen AB, Blendon RJ, DesRoches CM, et al. Physicians' views of interventions to reduce medical errors:
does evidence of effectiveness matter? Acad Med. 2005;80(2):189-92.
https://psnet.ahrq.gov/issue…
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psnet.ahrq.gov/node/35028/psn-pdf
May 27, 2011 - Medication errors and adverse drug events in pediatric
inpatients.
May 27, 2011
Kaushal R, Bates DW, Landrigan C, et al. Medication errors and adverse drug events in pediatric
inpatients. JAMA. 2001;285(16):2114-20.
https://psnet.ahrq.gov/issue/medication-errors-and-adverse-drug-events-pediatric-inpatients
This p…
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psnet.ahrq.gov/node/45218/psn-pdf
June 15, 2016 - Patient Safety and Quality Improvement Act of 2005--HHS
guidance regarding patient safety work product and
providers' external obligations.
June 15, 2016
Agency for Healthcare Research and Quality. Fed Regist. 2016;81(100);32655-32660.
https://psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-act-2005-hh…
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psnet.ahrq.gov/node/45879/psn-pdf
July 02, 2017 - A hybrid methodology for modeling risk of adverse
events in complex health-care settings.
July 2, 2017
Kazemi R, Mosleh A, Dierks M. A Hybrid Methodology for Modeling Risk of Adverse Events in Complex
Health-Care Settings. Risk Anal. 2017;37(3):421-440. doi:10.1111/risa.12702.
https://psnet.ahrq.gov/issue/hybrid-m…
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psnet.ahrq.gov/node/38347/psn-pdf
May 24, 2015 - Using Telehealth to Improve Quality and Safety: Findings
from the AHRQ Portfolio.
May 24, 2015
Dixon BE, Hook JM, McGowan JJ, for AHRQ National Resource Center for Health IT. Rockville, MD:
Agency for Healthcare Research and Quality; December 2008. AHRQ Publication No. 09-0012-EF.
https://psnet.ahrq.gov/issue/usin…
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psnet.ahrq.gov/node/848817/psn-pdf
May 10, 2023 - Impact of patient safety climate on infection prevention
practices and healthcare worker and patient outcomes.
May 10, 2023
Hessels AJ, Guo J, Johnson CT, et al. Impact of patient safety climate on infection prevention practices
and healthcare worker and patient outcomes. Am J Infect Control. 2023;51(5):482-489.
d…
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psnet.ahrq.gov/node/50863/psn-pdf
February 05, 2020 - Patient safety in inpatient mental health settings: a
systematic review.
February 5, 2020
Thibaut BI, Dewa LH, Ramtale SC, et al. Patient safety in inpatient mental health settings: a systematic
review. BMJ Open. 2019;9(12):e030230. doi:10.1136/bmjopen-2019-030230.
https://psnet.ahrq.gov/issue/patient-safety-inpat…