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psnet.ahrq.gov/node/853064/psn-pdf
August 30, 2023 - Barriers and facilitators to implementing interventions for
reducing avoidable hospital readmission: systematic
review of qualitative studies.
August 30, 2023
Fu BQ, Zhong CCW, Wong CHL, et al. Barriers and facilitators to implementing interventions for reducing
avoidable hospital readmission: systematic review of…
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psnet.ahrq.gov/node/836915/psn-pdf
April 13, 2022 - Workarounds in electronic health record systems and the
revised Sociotechnical Electronic Health Record
Workaround Analysis Framework: scoping review.
April 13, 2022
Blijleven V, Hoxha F, Jaspers MWM. Workarounds in electronic health record systems and the revised
sociotechnical Electronic Health Record workaround…
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psnet.ahrq.gov/node/845630/psn-pdf
March 08, 2023 - The effect of transitions intervention to ensure patient
safety and satisfaction when transferred from hospital to
home health care-a systematic review.
March 8, 2023
Oksholm T, Gissum KR, Hunskår I, et al. The effect of transitions intervention to ensure patient safety and
satisfaction when transferred from hospi…
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psnet.ahrq.gov/node/837031/psn-pdf
May 04, 2022 - Indicators for implementation outcome monitoring of
reporting and learning systems in hospitals: an
underestimated need for patient safety.
May 4, 2022
Kuske S, Willmeroth T, Schneider J, et al. Indicators for implementation outcome monitoring of reporting
and learning systems in hospitals: an underestimated need …
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psnet.ahrq.gov/node/73567/psn-pdf
August 04, 2021 - Pharmacist-led educational interventions provided to
healthcare providers to reduce medication errors: a
systematic review and meta-analysis.
August 4, 2021
Jaam M, Naseralallah LM, Hussain TA, et al. Pharmacist-led educational interventions provided to
healthcare providers to reduce medication errors: a systemati…
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psnet.ahrq.gov/node/837304/psn-pdf
June 01, 2022 - Does standardisation improve post-operative anaesthesia
handoffs? Meta-analyses on provider, patient,
organisational, and handoff outcomes.
June 1, 2022
Lazzara EH, Simonson RJ, Gisick LM, et al. Does standardisation improve post-operative anaesthesia
handoffs? Meta-analyses on provider, patient, organisational, a…
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psnet.ahrq.gov/node/836822/psn-pdf
March 30, 2022 - Leveraging a safety event management system to
improve organizational learning and safety culture.
March 30, 2022
Dawson R, Saulnier T, Campbell A, et al. Leveraging a safety event management system to improve
organizational learning and safety culture. Hosp Pediatr. 2022;12(4):407-417. doi:10.1542/hpeds.2021-
006…
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psnet.ahrq.gov/node/73563/psn-pdf
August 04, 2021 - Understanding complaints made about surgical
departments in a UK district general hospital.
August 4, 2021
Claydon O, Keeler B, Khanna A. Understanding complaints made about surgical departments in a UK
district general hospital. Int J Qual Health Care. 2021;33(3). doi:10.1093/intqhc/mzab095.
https://psnet.ahrq.go…
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psnet.ahrq.gov/node/73413/psn-pdf
June 23, 2021 - Interventions to reduce pediatric prescribing errors in
professional healthcare settings: a systematic review of
the last decade.
June 23, 2021
Koeck JA, Young NJ, Kontny U, et al. Interventions to Reduce Pediatric Prescribing Errors in Professional
Healthcare Settings: A Systematic Review of the Last Decade. Pedi…
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psnet.ahrq.gov/node/72657/psn-pdf
January 20, 2021 - Establishing a multi-institutional quality and patient
safety consortium: collaboration across affiliates in a
community-based medical school.
January 20, 2021
Hillman E, Paul J, Neustadt M, et al. Establishing a multi-institutional quality and patient safety consortium:
collaboration across affiliates in a commun…
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psnet.ahrq.gov/node/74264/psn-pdf
January 19, 2022 - Characteristics of critical incident reporting systems in
primary care: an international survey.
January 19, 2022
Höcherl A, Lüttel D, Schütze D, et al. Characteristics of critical incident reporting systems in primary care:
an international survey. J Patient Saf. 2022;18(1):e85-e91. doi:10.1097/pts.000000000000070…
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psnet.ahrq.gov/node/838252/psn-pdf
October 05, 2022 - A longitudinal study of a multifaceted intervention to
reduce newborn falls while preserving rooming-in on a
mother-baby unit.
October 5, 2022
Whatley C, Schlogl J, Whalen BL, et al. A longitudinal study of a multifaceted intervention to reduce
newborn falls while preserving rooming-in on a mother-baby unit. Jt Co…
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psnet.ahrq.gov/node/867443/psn-pdf
January 08, 2025 - Investigating the impact of a pharmacist intervention on
inappropriate prescribing practices at hospital admission
and discharge in older patients: a secondary outcome
analysis from a randomized controlled trial.
January 8, 2025
Garcia BH, Omma KK, Småbrekke L, et al. Investigating the impact of a pharmacist inter…
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psnet.ahrq.gov/node/866643/psn-pdf
September 04, 2024 - Three scans are better than two for follow-up: an
automatic method for finding missed and misidentified
lesions in cross-sectional follow-up of oncology patients.
September 4, 2024
Joskowicz L, Di Veroli B, Lederman R, et al. Three scans are better than two for follow-up: an automatic
method for finding missed and…
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psnet.ahrq.gov/node/867082/psn-pdf
November 06, 2024 - Learning in radiation oncology: 12-month experience with
a new incident learning system.
November 6, 2024
Crouch K, Adamson L, Beldham?Collins R, et al. Learning in radiation oncology: 12?month experience with
a new incident learning system. J Med Radiat Sci. 2024;Epub Sep 15. doi:10.1002/jmrs.823.
https://psnet.a…
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psnet.ahrq.gov/node/867087/psn-pdf
January 01, 2025 - The impact of surgical complications on obstetricians'
and gynecologists' wellbeing and coping mechanisms as
second victims.
November 6, 2024
Collings R, Potter C, Gebski V, et al. The impact of surgical complications on obstetricians’ and
gynecologists’ well-being and coping mechanisms as second victims. Am J Obs…
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psnet.ahrq.gov/node/866584/psn-pdf
August 28, 2024 - Raising the barcode: improving medication safety
behaviours through a behavioural science-informed
feedback intervention. A quality improvement project and
difference-in-difference analysis.
August 28, 2024
Grailey K, Brazier A, Franklin BD, et al. Raising the barcode: improving medication safety behaviours
throu…
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psnet.ahrq.gov/node/867013/psn-pdf
October 23, 2024 - Reducing automated dispensing cabinet overrides in the
peri-anesthesia care unit: a quality improvement project.
October 23, 2024
Franciscovich CD, Bieniek A, Dunn K, et al. Reducing automated dispensing cabinet overrides in the peri-
anesthesia care unit: a quality improvement project. Jt Comm J Qual Patient Saf. …
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psnet.ahrq.gov/node/46384/psn-pdf
November 14, 2018 - Peggy Lillis Foundation.
November 14, 2018
266 12th Street #6, Brooklyn, NY 11215.
https://psnet.ahrq.gov/issue/peggy-lillis-foundation
Clostridium difficile infections are considered a serious hospital-acquired infection. This grassroots
foundation employs educational, policy, and advocacy strategies aimed at red…
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psnet.ahrq.gov/node/34870/psn-pdf
April 18, 2016 - Unintended medication discrepancies at the time of
hospital admission.
April 18, 2016
Cornish PL, Knowles SR, Marchesano R, et al. Unintended medication discrepancies at the time of hospital
admission. Arch Intern Med. 2005;165(4):424-9.
https://psnet.ahrq.gov/issue/unintended-medication-discrepancies-time-hospita…