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psnet.ahrq.gov/node/44174/psn-pdf
January 06, 2016 - Team training for safer birth.
January 6, 2016
Cornthwaite K, Alvarez M, Siassakos D. Team training for safer birth. Best Pract Res Clin Obstet Gynaecol.
2015;29(8):1044-1057. doi:10.1016/j.bpobgyn.2015.03.020.
https://psnet.ahrq.gov/issue/team-training-safer-birth
Obstetric care is considered a high-risk environm…
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psnet.ahrq.gov/node/47081/psn-pdf
September 02, 2018 - Beyond Dr. Google: the evidence on consumer-facing
digital tools for diagnosis.
September 2, 2018
Millenson ML, Baldwin JL, Zipperer L, et al. Beyond Dr. Google: the evidence on consumer-facing digital
tools for diagnosis. Diagnosis (Berl). 2018;5(3):95-105. doi:10.1515/dx-2018-0009.
https://psnet.ahrq.gov/issue/b…
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psnet.ahrq.gov/node/36122/psn-pdf
January 05, 2017 - Using an MET service to manage hemorrhage post-
percutaneous liver biopsy.
January 5, 2017
Jones D, Bellomo R, Leong T. Using an MET service to manage hemorrhage post-percutaneous liver
biopsy. Jt Comm J Qual Patient Saf. 2006;32(8):459-62, 417.
https://psnet.ahrq.gov/issue/using-met-service-manage-hemorrhage-post…
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psnet.ahrq.gov/node/34570/psn-pdf
March 07, 2005 - Measuring the Success of the Regional Medication Safety
Program for Hospitals.
March 7, 2005
Pelczarski K, Fricker M, Morris J. Philadelphia, PA: Health Care Improvement Foundation; 2005.
https://psnet.ahrq.gov/issue/measuring-success-regional-medication-safety-program-hospitals
The Regional Medication Safety Prog…
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psnet.ahrq.gov/node/42556/psn-pdf
August 28, 2013 - Findings and Lessons From the Improving Quality
Through Clinician Use of Health IT Grant Initiative.
August 28, 2013
Rockville, MD: Agency for Healthcare Research and Quality. May 2013. AHRQ Publication No 13-0042-EF.
https://psnet.ahrq.gov/issue/findings-and-lessons-improving-quality-through-clinician-use-health-i…
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psnet.ahrq.gov/node/33661/psn-pdf
December 01, 2007 - Care Transitions
December 1, 2007
Kripalani S. Care Transitions. PSNet [internet]. 2007.
https://psnet.ahrq.gov/perspective/care-transitions
Perspective
Hospital discharge is often viewed as the end of an acute medical event. Goodbyes are said as patients
pack their belongings and return home. Physicians scratch …
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psnet.ahrq.gov/node/73425/psn-pdf
June 23, 2021 - A qualitative study of what care workers do to provide
patient safety at home through telecare.
June 23, 2021
Stokke R, Melby L, Isaksen J, et al. A qualitative study of what care workers do to provide patient safety at
home through telecare. BMC Health Serv Res. 2021;21(1):553. doi:10.1186/s12913-021-06556-4.
htt…
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psnet.ahrq.gov/node/60867/psn-pdf
September 02, 2020 - Clarifying radiology's role in safety events: a 5-year
retrospective common cause analysis of safety events at
a pediatric hospital.
September 2, 2020
Khalatbari H, Menashe SJ, Otto RK, et al. Clarifying radiology’s role in safety events: a 5-year retrospective
common cause analysis of safety events at a pediatric…
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psnet.ahrq.gov/node/853969/psn-pdf
September 27, 2023 - Perceptions of chief clinical information officers on the
state of electronic health records systems interoperability
in NHS England: a qualitative interview study.
September 27, 2023
Li E, Lounsbury O, Clarke J, et al. Perceptions of chief clinical information officers on the state of electronic
health records sy…
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psnet.ahrq.gov/node/60866/psn-pdf
January 01, 2022 - Association of implementation and social network factors
with patient safety culture in medical homes: a
coincidence analysis.
September 2, 2020
Dy SM, Acton RM, Yuan CT, et al. Association of implementation and social network factors with patient
safety culture in medical homes: a coincidence analysis. J Patient …
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psnet.ahrq.gov/node/60645/psn-pdf
July 01, 2020 - How health care systems let our patients down: a
systematic review into suicide deaths.
July 1, 2020
Wyder M, Ray MK, Roennfeldt H, et al. How health care systems let our patients down: a systematic review
into suicide deaths. Int J Qual Health Care. 2020;32(5):285-291. doi:10.1093/intqhc/mzaa011.
https://psnet.ah…
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psnet.ahrq.gov/node/74229/psn-pdf
January 12, 2022 - A simulation systems testing program using HFMEA
methodology can effectively identify and mitigate latent
safety threats for a new on-site helipad.
January 12, 2022
Holmes J, Chipman M, Barbour T, et al. A simulation systems testing program using HFMEA methodology
can effectively identify and mitigate latent safet…
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psnet.ahrq.gov/node/72530/psn-pdf
January 01, 2021 - A realist synthesis of pharmacist-conducted medication
reviews in primary care after leaving hospital: what works
for whom and why?
December 2, 2020
Luetsch K, Rowett D, Twigg MJ. A realist synthesis of pharmacist-conducted medication reviews in primary
care after leaving hospital: what works for whom and why? BMJ…
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psnet.ahrq.gov/node/72637/psn-pdf
January 13, 2021 - Identifying factors leading to harm in English general
practices: a mixed-methods study based on patient
experiences integrating structural equation modeling and
qualitative content analysis.
January 13, 2021
Ricci-Cabello I, Gangannagaripalli J, Mounce LTA, et al. Identifying Factors Leading to Harm in English
G…
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psnet.ahrq.gov/node/852750/psn-pdf
August 23, 2023 - Cognitive biases and moral characteristics of healthcare
workers and their treatment approach for persons with
advanced dementia in acute care settings.
August 23, 2023
Erel M, Marcus E-L, DeKeyser Ganz F. Cognitive biases and moral characteristics of healthcare workers
and their treatment approach for persons wit…
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psnet.ahrq.gov/node/849332/psn-pdf
May 24, 2023 - Analysis of reported suicide safety events among
veterans who received treatment through Department of
Veterans Affairs-contracted community care.
May 24, 2023
Riblet NB, Soncrant C, Mills PD, et al. Analysis of reported suicide safety events among veterans who
received treatment through Department of Veterans Aff…
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psnet.ahrq.gov/issue/african-partnerships-patient-safety
April 30, 2024 - Multi-use Website
African Partnerships for Patient Safety.
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November 11, 2009
This Web site establishes a forum for hospitals in E…
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psnet.ahrq.gov/node/866699/psn-pdf
September 11, 2024 - AHRQ-Funded Patient Safety Project Highlights:
Improving Patient Safety by Enhancing Medication Safety.
September 11, 2024
Ahrq-Funded Patient Safety Project Highlights: Improving Patient Safety By Enhancing Medication Safety.
Rockville, MD: Agency for Healthcare Research and Quality; 2024. AHRQ Publication No. 24-…
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psnet.ahrq.gov/node/34982/psn-pdf
July 14, 2010 - Development of the ICU safety reporting system.
July 14, 2010
Wu AW, Holzmueller CG, Lubomski LH, et al. J Patient Saf. 2005;1(1):23-32.
https://psnet.ahrq.gov/issue/development-icu-safety-reporting-system
This AHRQ-funded study describes the development of a Web-based, voluntary, and anonymous reporting
system. T…
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psnet.ahrq.gov/node/46006/psn-pdf
May 03, 2017 - Creating a Pediatric Joint Council to promote patient
safety and quality, governance, and accountability across
Johns Hopkins Medicine.
May 3, 2017
Rosen MA, Mueller BU, Milstone AM, et al. Creating a Pediatric Joint Council to Promote Patient Safety
and Quality, Governance, and Accountability Across Johns Hopkins…