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psnet.ahrq.gov/node/41775/psn-pdf
December 18, 2014 - Measuring adverse events and levels of harm in pediatric
inpatients with the Global Trigger Tool.
December 18, 2014
Kirkendall E, Kloppenborg E, Papp J, et al. Measuring adverse events and levels of harm in pediatric
inpatients with the Global Trigger Tool. Pediatrics. 2012;130(5):e1206-14. doi:10.1542/peds.2012-01…
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psnet.ahrq.gov/node/43851/psn-pdf
March 13, 2015 - Systematic review of the effectiveness of strategies to
encourage patients to remind healthcare professionals
about their hand hygiene.
March 13, 2015
Davis R, Parand A, Pinto A, et al. Systematic review of the effectiveness of strategies to encourage
patients to remind healthcare professionals about their hand hy…
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psnet.ahrq.gov/node/43448/psn-pdf
August 20, 2014 - Cost-benefit analysis of a medical emergency team in a
children's hospital.
August 20, 2014
Bonafide CP, Localio R, Song L, et al. Cost-benefit analysis of a medical emergency team in a children's
hospital. Pediatrics. 2014;134(2):235-41. doi:10.1542/peds.2014-0140.
https://psnet.ahrq.gov/issue/cost-benefit-analys…
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psnet.ahrq.gov/node/45461/psn-pdf
January 03, 2017 - Operating room–to-ICU patient handovers: a
multidisciplinary human-centered design approach.
January 3, 2017
Segall N, Bonifacio AS, Barbeito A, et al. Operating Room-to-ICU Patient Handovers: A Multidisciplinary
Human-Centered Design Approach. Jt Comm J Qual Patient Saf. 2016;42(9):400-14.
https://psnet.ahrq.gov/…
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psnet.ahrq.gov/issue/patient-safety-17
April 30, 2024 - Newsletter/Journal
Patient Safety.
Citation Text:
Patient Safety. Harrisburg, PA: Patient Safety Authority. ISSN 2641-4716.
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psnet.ahrq.gov/node/46704/psn-pdf
December 04, 2018 - Surveying care teams after in-hospital deaths to identify
preventable harm and opportunities to improve advance
care planning.
December 4, 2018
Lucier D, Folcarelli P, Totte C, et al. Surveying Care Teams after in-Hospital Deaths to Identify Preventable
Harm and Opportunities to Improve Advance Care Planning. Jt C…
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psnet.ahrq.gov/periodic-issue/periodic-issue-382
March 15, 2023 - March 15, 2023 Weekly Issue
PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly
Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient
safety literature, news, conferences, reports,…
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psnet.ahrq.gov/issue/empowered-patient-coalition
October 26, 2022 - Multi-use Website
Empowered Patient Coalition.
Citation Text:
Empowered Patient Coalition. Email: info@EmpoweredPatientCoalition.org.
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psnet.ahrq.gov/node/33610/psn-pdf
April 01, 2005 - Through these sites—AHRQ WebM&M and AHRQ PSNet—our aim is to provide a rich exposure to cases,
commentaries
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psnet.ahrq.gov/node/38077/psn-pdf
January 31, 2011 - Building physician work hour regulations from first
principles and best evidence.
January 31, 2011
Volpp KG, Landrigan CP. Building physician work hour regulations from first principles and best evidence.
JAMA. 2008;300(10):1197-9. doi:10.1001/jama.300.10.1197.
https://psnet.ahrq.gov/issue/building-physician-work-…
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psnet.ahrq.gov/node/44346/psn-pdf
March 18, 2016 - Developing a primary care patient measure of safety (PC
PMOS): a modified Delphi process and face validity
testing.
March 18, 2016
Hernan AL, Giles SJ, O'Hara JK, et al. Developing a primary care patient measure of safety (PC PMOS): a
modified Delphi process and face validity testing. BMJ Qual Saf. 2016;25(4):273-…
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psnet.ahrq.gov/node/43263/psn-pdf
July 16, 2014 - Patient complaints in healthcare systems: a systematic
review and coding taxonomy.
July 16, 2014
Reader TW, Gillespie A, Roberts J. Patient complaints in healthcare systems: a systematic review and
coding taxonomy. BMJ Qual Saf. 2014;23(8):678-689. doi:10.1136/bmjqs-2013-002437.
https://psnet.ahrq.gov/issue/patien…
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psnet.ahrq.gov/node/44959/psn-pdf
March 09, 2016 - Patient, physician, medical assistant, and office visit
factors associated with medication list agreement.
March 9, 2016
Reedy AB, Yeh JY, Nowacki AS, et al. Patient, Physician, Medical Assistant, and Office Visit Factors
Associated With Medication List Agreement. J Patient Saf. 2016;12(1):18-24.
doi:10.1097/PTS.0…
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psnet.ahrq.gov/node/46404/psn-pdf
December 07, 2017 - Preventable and mitigable adverse events in cancer care:
measuring risk and harm across the continuum.
December 7, 2017
Lipitz-Snyderman A, Pfister D, Classen D, et al. Preventable and mitigable adverse events in cancer care:
measuring risk and harm across the continuum. Cancer. 2017;123(23):4728-4736. doi:10.1002/…
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psnet.ahrq.gov/node/49698/psn-pdf
December 01, 2013 - Taking advantage of the opportunities will help us meet the goals of the "triple aim":
improved care … The triple aim: a golden opportunity for geriatrics. J Am Geriatr Soc. 2013;61:1808-
1809.
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psnet.ahrq.gov/node/42039/psn-pdf
December 31, 2014 - Enhancing patient safety and quality of care by improving
the usability of electronic health record systems:
recommendations from AMIA.
December 31, 2014
Middleton B, Bloomrosen M, Dente MA, et al. Enhancing patient safety and quality of care by improving the
usability of electronic health record systems: recommen…
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psnet.ahrq.gov/node/46313/psn-pdf
December 21, 2017 - Patient outcomes in dose reduction or discontinuation of
long-term opioid therapy: a systematic review.
December 21, 2017
Frank JW, Lovejoy TI, Becker WC, et al. Patient Outcomes in Dose Reduction or Discontinuation of Long-
Term Opioid Therapy: A Systematic Review. Ann Intern Med. 2017;167(3):181-191. doi:10.7326/…
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psnet.ahrq.gov/node/46394/psn-pdf
August 29, 2018 - Sustained user engagement in health information
technology: the long road from implementation to system
optimization of computerized physician order entry and
clinical decision support systems for prescribing in
hospitals in England.
August 29, 2018
Cresswell K, Lee L, Mozaffar H, et al. Sustained User Engagement…
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psnet.ahrq.gov/node/46747/psn-pdf
June 06, 2018 - Tackling ambulatory safety risks through patient
engagement: what 10,000 patients and families say about
safety-related knowledge, behaviors, and attitudes after
reading visit notes.
June 6, 2018
Bell SK, Folcarelli P, Fossa A, et al. Tackling Ambulatory Safety Risks Through Patient Engagement: What
10,000 Patien…
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psnet.ahrq.gov/issue/what-return-investment-implementation-crew-resource-management-program-academic-medical-0
October 09, 2019 - Journal Article
Published October 9, 2019
What Is the Return on Investment for Implementation of a Crew Resource Management Program at an Academic Medical Center?
Moffatt-Bruce SD, Hefner JL, Mekhjian H, et al. American journal of medical quality : the official journal of the American College of Medical Quality . 20…