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psnet.ahrq.gov/issue/check-your-medicines-tips-taking-medicines-safely
September 04, 2018 - Government Resource
Check Your Medicines: Tips for Taking Medicines Safely.
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April 23, 2012
This 5-point checklist provides consu…
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psnet.ahrq.gov/node/45199/psn-pdf
June 15, 2016 - Towards safer transitions: a curriculum to teach and
assess hospital-to-hospice handoffs.
June 15, 2016
Darrah NJ, O'Connor NR. Toward Safer Transitions: A Curriculum to Teach and Assess Hospital-to-
Hospice Handoffs. J Pain Symptom Manage. 2016;51(6):959-962.e2.
doi:10.1016/j.jpainsymman.2016.01.012.
https://psn…
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psnet.ahrq.gov/node/73391/psn-pdf
June 16, 2021 - Facilitators and barriers of care transitions - comparing
the perspectives of hospital and community healthcare
staff.
June 16, 2021
Carman E-M, Fray M, Waterson P. Facilitators and barriers of care transitions - comparing the perspectives
of hospital and community healthcare staff. Appl Ergon. 2021;93:103339.
do…
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psnet.ahrq.gov/node/74855/psn-pdf
February 23, 2022 - Patient safety when receiving telephone advice in primary
care - a Swedish qualitative interview study.
February 23, 2022
Berntsson K, Eliasson M, Beckman L. Patient safety when receiving telephone advice in primary care – a
Swedish qualitative interview study. BMC Nurs. 2022;21(1):24. doi:10.1186/s12912-021-00796-…
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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/854627/psn-pdf
October 18, 2023 - Implementing strategies to prevent home medication
administration errors in children with medical complexity.
October 18, 2023
Shaikh U, Kim JM, Yin SH. Implementing strategies to prevent home medication administration errors in
children with medical complexity. Clin Pediatr (Phila). 2023;20(18):6788. doi:10.1177/0…
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psnet.ahrq.gov/issue/drug-errors-are-dangerous-preventable
March 27, 2024 - Newspaper/Magazine Article
Drug errors are dangerous but preventable.
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September 8, 2010
This newspaper article describes steps p…
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psnet.ahrq.gov/node/47902/psn-pdf
April 24, 2019 - Recommendations from a national panel on quality
improvement in obstetrics.
April 24, 2019
Lefebvre G, Calder LA, De Gorter R, et al. Recommendations From a National Panel on Quality
Improvement in Obstetrics. J Obstet Gynaecol Can. 2019;41(5):653-659. doi:10.1016/j.jogc.2019.02.011.
https://psnet.ahrq.gov/issue/r…
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psnet.ahrq.gov/node/47680/psn-pdf
January 16, 2019 - Perioperative medication errors: uncovering risk from
behind the drapes.
January 16, 2019
Cierniak KH, Gaunt MJ, Grissinger M. PA-PSRS Patient Saf Advis. 2018;15(4):1-17.
https://psnet.ahrq.gov/issue/perioperative-medication-errors-uncovering-risk-behind-drapes
The operating room environment harbors particular pat…
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psnet.ahrq.gov/node/47993/psn-pdf
May 15, 2019 - Using near-miss events to improve MRI safety in a large
academic centre.
May 15, 2019
Goolsarran N, Martinez J, Garcia C. Using near-miss events to improve MRI safety in a large academic
centre. BMJ Open Qual. 2019;8(2):e000593. doi:10.1136/bmjoq-2018-000593.
https://psnet.ahrq.gov/issue/using-near-miss-events-imp…
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psnet.ahrq.gov/node/44755/psn-pdf
November 18, 2016 - Effect of patient-centred bedside rounds on hospitalised
patients' decision control, activation and satisfaction with
care.
November 18, 2016
O'Leary KJ, Killarney A, Hansen LO, et al. Effect of patient-centred bedside rounds on hospitalised
patients' decision control, activation and satisfaction with care. BMJ Qu…
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psnet.ahrq.gov/node/48178/psn-pdf
January 01, 2020 - ACR guidance document on MR safe practices: updates
and critical information 2019.
August 14, 2019
ACR Committee on MR Safety, Greenberg TD, Hoff MN, Gilk TB, et al. J Magn Reson Imaging.
2020;51(2):331-338.
https://psnet.ahrq.gov/issue/acr-guidance-document-mr-safe-practices-updates-and-critical-inform…
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psnet.ahrq.gov/node/47195/psn-pdf
September 12, 2018 - Diagnostic discordance, health information exchange,
and inter-hospital transfer outcomes: a population study.
September 12, 2018
Usher M, Sahni N, Herrigel D, et al. Diagnostic discordance, health information exchange, and inter-
hospital transfer outcomes: a population study. J Gen Intern Med. 2018;33(9):1447-145…
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psnet.ahrq.gov/node/44599/psn-pdf
December 09, 2015 - Association between day of delivery and obstetric
outcomes: observational study.
December 9, 2015
Palmer WL, Bottle A, Aylin P. Association between day of delivery and obstetric outcomes: observational
study. BMJ. 2015;351:h5774. doi:10.1136/bmj.h5774.
https://psnet.ahrq.gov/issue/association-between-day-delivery-…
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psnet.ahrq.gov/issue/affordable-health-care-floridians-act
January 15, 2025 - Legislation/Regulation
Affordable Health Care for Floridians Act.
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August 27, 2008
Established the patient safety center in the st…
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psnet.ahrq.gov/node/43628/psn-pdf
October 29, 2014 - Factors associated with post-intensive care unit adverse
events: a clinical validation study.
October 29, 2014
Elliott M, Page K, Worrall-Carter L. Factors associated with post-intensive care unit adverse events: a
clinical validation study. Nurs Crit Care. 2014;19(5):228-35. doi:10.1111/nicc.12091.
https://psnet.…
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psnet.ahrq.gov/node/863749/psn-pdf
March 06, 2024 - Improving situation awareness to advance patient
outcomes: a systematic literature review.
March 6, 2024
Alqarrain Y, Roudsari A, Courtney KL, et al. Improving situation awareness to advance patient outcomes: a
systematic literature review. Comput Inform Nurs. 2024;42(4):277-288.
doi:10.1097/cin.0000000000001112.
…
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psnet.ahrq.gov/node/73438/psn-pdf
June 30, 2021 - Implementation of patient safety structures and
processes in the patient-centered medical home.
June 30, 2021
Oberlander T, Scholle SH, Marsteller JA, et al. Implementation of patient safety structures and processes in
the patient-centered medical home. J Healthc Qual. 2021;43(6):324-339.
doi:10.1097/jhq.000000000…
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psnet.ahrq.gov/node/844538/psn-pdf
February 15, 2023 - Patient safety implications of wearing a face mask for
prevention in the era of COVID-19 pandemic: a systematic
review and consensus recommendations.
February 15, 2023
Balestracci B, La Regina M, Di Sessa D, et al. Patient safety implications of wearing a face mask for
prevention in the era of COVID-19 pandemic: a…
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psnet.ahrq.gov/node/47376/psn-pdf
November 02, 2018 - Assessing information sources to elucidate diagnostic
process errors in radiologic imaging—a human factors
framework.
November 2, 2018
Cochon L, Lacson R, Wang A, et al. Assessing information sources to elucidate diagnostic process errors
in radiologic imaging - a human factors framework. J Am Med Info Asso. 2018;…