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psnet.ahrq.gov/node/46565/psn-pdf
January 23, 2019 - Closing the Loop: A Guide to Safer Ambulatory Referrals
in the EHR Era.
January 23, 2019
Institute for Healthcare Improvement, National Patient Safety Foundation. Cambridge, MA: Institute for
Healthcare Improvement; 2017.
https://psnet.ahrq.gov/issue/closing-loop-guide-safer-ambulatory-referrals-ehr-era
Missed an…
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psnet.ahrq.gov/node/73282/psn-pdf
January 01, 2022 - Effects of a refined evidence-based toolkit and mentored
implementation on medication reconciliation at 18
hospitals: results of the MARQUIS2 study.
May 19, 2021
Schnipper JL, Reyes Nieva H, Mallouk M, et al. Effects of a refined evidence-based toolkit and mentored
implementation on medication reconciliation at 18…
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psnet.ahrq.gov/node/34889/psn-pdf
March 04, 2011 - Effect of electronic health records in ambulatory care:
retrospective, serial, cross sectional study.
March 4, 2011
Garrido T, Jamieson L, Zhou Y, et al. Effect of electronic health records in ambulatory care: retrospective,
serial, cross sectional study. BMJ. 2005;330(7491):581.
https://psnet.ahrq.gov/issue/effec…
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psnet.ahrq.gov/node/44948/psn-pdf
February 14, 2017 - Safer Healthcare: Strategies for the Real World.
February 14, 2017
Vincent C, Amalberti R. New York, NY: SpringerOpen; 2016
https://psnet.ahrq.gov/issue/safer-healthcare-strategies-real-world
Written by two leaders in the patient safety field, Charles Vincent and Rene Amalberti, this book is available
for free dow…
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psnet.ahrq.gov/node/34886/psn-pdf
February 03, 2011 - Potentially inappropriate medication use among elderly
home care patients in Europe.
February 3, 2011
Fialová D, Topinková E, Gambassi G, et al. Potentially inappropriate medication use among elderly home
care patients in Europe. JAMA. 2005;293(11):1348-58.
https://psnet.ahrq.gov/issue/potentially-inappropriate-me…
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psnet.ahrq.gov/node/44804/psn-pdf
November 18, 2016 - The Safer Delivery of Surgical Services Program (S3):
explaining its differential effectiveness and exploring
implications for improving quality in complex systems.
November 18, 2016
Flynn LC, McCulloch P, Morgan LJ, et al. The Safer Delivery of Surgical Services Program (S3): Explaining
Its Differential Effective…
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psnet.ahrq.gov/node/867438/psn-pdf
January 08, 2025 - Safety management within the scope of teaching practical
clinical skills: framing errors for cardiopulmonary
resuscitation training - a multi-arm randomized controlled
equivalence trial.
January 8, 2025
Schmidt M, Schauwinhold MT, Loeffler LAK, et al. Safety management within the scope of teaching
practical clini…
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psnet.ahrq.gov/node/866191/psn-pdf
June 26, 2024 - Quality improvement lessons learned from National
Implementation of the "Patient Safety Events in
Community Care: Reporting, Investigation, and
Improvement Guidebook".
June 26, 2024
Sullivan JL, Shin MH, Chan J, et al. Quality improvement lessons learned from National Implementation of
the “Patient Safety Events …
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psnet.ahrq.gov/node/47727/psn-pdf
January 23, 2019 - Improving resident and fellow engagement in patient
safety through a graduate medical education incentive
program.
January 23, 2019
Turner DA, Bae J, Cheely G, et al. Improving Resident and Fellow Engagement in Patient Safety Through
a Graduate Medical Education Incentive Program. J Gen Intern Care. 2018;10(6):671…
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psnet.ahrq.gov/node/840141/psn-pdf
November 16, 2022 - Toward zero harm: Mackenzie Health's journey toward
becoming a high reliability organization and eliminating
avoidable harm.
November 16, 2022
Wilson M-A, Sinno M, Hacker Teper M, et al. Toward zero harm: Mackenzie Health's journey toward
becoming a high reliability organization and eliminating avoidable harm. J P…
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psnet.ahrq.gov/node/46560/psn-pdf
January 24, 2019 - The hidden cost of regulation: the administrative cost of
reporting serious reportable events.
January 24, 2019
Blanchfield BB, Acharya B, Mort E. The Hidden Cost of Regulation: The Administrative Cost of Reporting
Serious Reportable Events. Jt Comm J Qual Patient Saf. 2018;44(4):212-218.
doi:10.1016/j.jcjq.2017.0…
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psnet.ahrq.gov/node/60178/psn-pdf
April 01, 2020 - Rate of preventable mortality in hospitalized patients: a
systematic review and meta-analysis.
April 1, 2020
Rodwin BA, Bilan VP, Merchant NB, et al. Rate of preventable mortality in hospitalized patients: a
systematic review and meta-analysis. J Gen Intern Med. 2020;35(7):2099-2106. doi:10.1007/s11606-019-
05592-…
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psnet.ahrq.gov/issue/improving-pain-management-hospitalized-medical-patients
May 01, 2023 - Toolkit
Improving Pain Management for Hospitalized Medical Patients.
Citation Text:
Society of Hospital Medicine. Improving Pain Management for Hospitalized Medical Patients.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RI…
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psnet.ahrq.gov/node/41725/psn-pdf
January 01, 2013 - Improving patient handovers from hospital to primary
care: a systematic review.
October 3, 2012
Hesselink G, Schoonhoven L, Barach P, et al. Improving patient handovers from hospital to primary care: a
systematic review. Ann Intern Med. 2013;157(6):417. doi:10.7326/0003-4819-157-6-201209180-00006.
https://psnet.ah…
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psnet.ahrq.gov/node/42351/psn-pdf
June 19, 2013 - Integrating patient safety and clinical pharmacy services
into the care of a high-risk, ambulatory population: a
collaborative approach.
June 19, 2013
Robbins CM, Stillwell T, Johnson D, et al. Integrating Patient Safety and Clinical Pharmacy Services Into
the Care of a High-Risk, Ambulatory Population. J Patient …
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psnet.ahrq.gov/node/34792/psn-pdf
January 01, 2011 - Physician knowledge, attitudes, and behavior related to
reporting adverse drug events.
July 10, 2008
Rogers AS, Israel E, Smith CR, et al. Physician Knowledge, Attitudes, and Behavior Related to Reporting
Adverse Drug Events. Arch Intern Med. 2011;148(7):1596-1600.
doi:10.1001/archinte.1988.00380070090021.
https:…
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psnet.ahrq.gov/node/45137/psn-pdf
May 18, 2016 - Less is more: a project to reduce the number of PIMs
(potentially inappropriate medications) on an elderly care
ward.
May 18, 2016
Aung TH, Beck AJ, Siese T, et al. Less is more: a project to reduce the number of PIMs (potentially
inappropriate medications) on an elderly care ward. BMJ Qual Improv Rep. 2016;5(1).
…
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psnet.ahrq.gov/node/44822/psn-pdf
September 04, 2016 - A cluster randomized trial of interventions to improve
work conditions and clinician burnout in primary care:
results from the Healthy Work Place (HWP) study.
September 4, 2016
Linzer M, Poplau S, Grossman E, et al. A Cluster Randomized Trial of Interventions to Improve Work
Conditions and Clinician Burnout in Pri…
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psnet.ahrq.gov/node/35436/psn-pdf
September 15, 2009 - Hospital nurse staffing and patient mortality, emotional
exhaustion, and job dissatisfaction.
September 15, 2009
Halm M, Peterson M, Kandels M, et al. Hospital nurse staffing and patient mortality, emotional exhaustion,
and job dissatisfaction. Clin Nurse Spec. 2005;19(5):241-254.
https://psnet.ahrq.gov/issue/hosp…
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psnet.ahrq.gov/node/845357/psn-pdf
March 29, 2023 - Reducing hospital harm: establishing a command centre
to foster situational awareness.
March 29, 2023
Collins B. Reducing hospital harm: establishing a command centre to foster situational awareness. Healthc
Q. 2022;25(2):75-81. doi:10.12927/hcq.2022.26885.
https://psnet.ahrq.gov/innovation/reducing-hospital-harm-…