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psnet.ahrq.gov/node/72741/psn-pdf
February 17, 2021 - The I-READI quality and safety framework: a health
system’s response to airway complications in
mechanically ventilated patients with Covid-19.
February 17, 2021
Ginestra JC, Atkins JH, Mikkelsen ME, et al. The I-READI Quality and Safety Framework: a health
system’s response to airway complications in mechanically…
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psnet.ahrq.gov/node/47564/psn-pdf
December 05, 2018 - Challenges and opportunities for improving patient safety
through human factors and systems engineering.
December 5, 2018
Carayon P, Wooldridge A, Hose B-Z, et al. Challenges And Opportunities For Improving Patient Safety
Through Human Factors And Systems Engineering. Health Aff (Millwood). 2018;37(11):1862-1869.
…
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psnet.ahrq.gov/node/41996/psn-pdf
July 03, 2014 - Effects of duty hour restrictions on core competencies,
education, quality of life, and burnout among general
surgery interns.
July 3, 2014
Antiel RM, Reed DA, Van Arendonk K, et al. Effects of duty hour restrictions on core competencies,
education, quality of life, and burnout among general surgery interns. JAMA …
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psnet.ahrq.gov/node/44517/psn-pdf
October 21, 2015 - Electronic health record challenges, workarounds, and
solutions observed in practices integrating behavioral
health and primary care.
October 21, 2015
Cifuentes M, Davis M, Fernald D, et al. Electronic Health Record Challenges, Workarounds, and Solutions
Observed in Practices Integrating Behavioral Health and Prim…
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psnet.ahrq.gov/node/45349/psn-pdf
July 27, 2016 - An insurer's care transition program emphasizes
medication reconciliation, reduces readmissions and
costs.
July 27, 2016
Polinski JM, Moore JM, Kyrychenko P, et al. An Insurer's Care Transition Program Emphasizes Medication
Reconciliation, Reduces Readmissions And Costs. Health Aff (Millwood). 2016;35(7):1222-9.
…
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psnet.ahrq.gov/node/41774/psn-pdf
October 24, 2012 - Health information technology and its effects on hospital
costs, outcomes, and patient safety.
October 24, 2012
Encinosa W, Bae J. Health information technology and its effects on hospital costs, outcomes, and patient
safety. Inquiry. 2011;48(4):288-303.
https://psnet.ahrq.gov/issue/health-information-technology-a…
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psnet.ahrq.gov/node/43681/psn-pdf
June 03, 2016 - Learning from failure: the need for independent safety
investigation in healthcare.
June 3, 2016
Macrae C, Vincent CA. Learning from failure: the need for independent safety investigation in healthcare. J
R Soc Med. 2014;107(11):439-443. doi:10.1177/0141076814555939.
https://psnet.ahrq.gov/issue/learning-failure-n…
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psnet.ahrq.gov/node/45963/psn-pdf
March 22, 2017 - Call to Action: Preventable Health Care Harm Is a Public
Health Crisis and Patient Safety Requires a Coordinated
Public Health Response.
March 22, 2017
Boston, MA: National Patient Safety Foundation; March 2017.
https://psnet.ahrq.gov/issue/call-action-preventable-health-care-harm-public-health-crisis-and-patient-…
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psnet.ahrq.gov/node/38579/psn-pdf
February 18, 2011 - Transitions of Care Consensus Policy Statement
American College of Physicians-Society of General
Internal Medicine-Society of Hospital Medicine-American
Geriatrics Society-American College of Emergency
Physicians-Society of Academic Emergency Medicine.
February 18, 2011
Snow V, Beck D, Budnitz T, et al. Transitio…
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psnet.ahrq.gov/node/46830/psn-pdf
May 30, 2018 - A call to bridge across silos during care transitions.
May 30, 2018
Sheikh F, Gathecha E, Bellantoni M, et al. A Call to Bridge Across Silos during Care Transitions. Jt Comm
J Qual Patient Saf. 2018;44(5):270-278. doi:10.1016/j.jcjq.2017.10.006.
https://psnet.ahrq.gov/issue/call-bridge-across-silos-during-care-tran…
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psnet.ahrq.gov/node/34083/psn-pdf
June 30, 2011 - Handoff strategies in settings with high consequences for
failure: lessons for health care operations.
June 30, 2011
Patterson ES. Handoff strategies in settings with high consequences for failure: lessons for health care
operations. Int J Qual Health Care. 2004;16(2):125-132. doi:10.1093/intqhc/mzh026.
https://ps…
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psnet.ahrq.gov/node/39645/psn-pdf
August 03, 2010 - Monitoring and reducing central line-associated
bloodstream infections: a national survey of state
hospital associations.
August 3, 2010
Murphy DJ, Needham DM, Goeschel CA, et al. Monitoring and reducing central line-associated
bloodstream infections: a national survey of state hospital associations. Am J Med Qual…
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psnet.ahrq.gov/node/44202/psn-pdf
June 10, 2015 - Medication reconciliation to facilitate transitions of care
after hospitalization.
June 10, 2015
Liu VC, Garwood CL. Medication reconciliation to facilitate transitions of care after hospitalization. Am J
Health Syst Pharm. 2015;72(9):690-693. doi:10.2146/ajhp140133.
https://psnet.ahrq.gov/issue/medication-reconci…
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psnet.ahrq.gov/node/33660/psn-pdf
December 01, 2007 - their ability to take in new information probably do need
someone—whether you label that person a coordinator
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psnet.ahrq.gov/node/74049/psn-pdf
January 01, 2022 - The critical role of health information technology in the
safe integration of behavioral health and primary care to
improve patient care.
November 10, 2021
Segal M, Giuffrida P, Possanza L, et al. The critical role of health information technology in the safe
integration of behavioral health and primary care to im…
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psnet.ahrq.gov/node/45365/psn-pdf
August 03, 2016 - Workarounds and test results follow-up in electronic
health record–based primary care.
August 3, 2016
Menon S, Murphy DR, Singh H, et al. Workarounds and Test Results Follow-up in Electronic Health
Record-Based Primary Care. Appl Clin Inform. 2016;7(2):543-559. doi:10.4338/ACI-2015-10-RA-0135.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/45484/psn-pdf
December 04, 2016 - High prevalence of medication discrepancies between
home health referrals and Centers for Medicare and
Medicaid Services home health certification and plan of
care and their potential to affect safety of vulnerable
elderly adults.
December 4, 2016
Brody AA, Gibson B, Tresner-Kirsch D, et al. High Prevalence of Me…
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psnet.ahrq.gov/node/38569/psn-pdf
May 20, 2009 - Reducing health care hazards: lessons from the
Commercial Aviation Safety Team.
May 20, 2009
Pronovost P, Goeschel CA, Olsen KL, et al. Reducing health care hazards: lessons from the commercial
aviation safety team. Health Aff (Millwood). 2009;28(3):w479-89. doi:10.1377/hlthaff.28.3.w479.
https://psnet.ahrq.gov/is…
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psnet.ahrq.gov/node/46657/psn-pdf
December 16, 2017 - Diagnostic accuracy of pediatric teledermatology using
parent-submitted photographs: a randomized clinical trial.
December 16, 2017
O'Connor DM, Jew OS, Perman MJ, et al. Diagnostic Accuracy of Pediatric Teledermatology Using Parent-
Submitted Photographs: A Randomized Clinical Trial. JAMA Dermatol. 2017;153(12):12…
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psnet.ahrq.gov/node/47487/psn-pdf
November 07, 2018 - Comparative, cross-sectional study of the format, content
and timing of medication safety letters issued in Canada,
the USA and the UK.
November 7, 2018
Bjerre LM, Parlow S, de Launay D, et al. Comparative, cross-sectional study of the format, content and
timing of medication safety letters issued in Canada, the U…