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psnet.ahrq.gov/node/44974/psn-pdf
April 12, 2019 - Medicare letters to curb overprescribing of controlled
substances had no detectable effect on providers.
April 12, 2019
Sacarny A, Yokum D, Finkelstein A, et al. Medicare Letters To Curb Overprescribing Of Controlled
Substances Had No Detectable Effect On Providers. Health Aff (Millwood). 2016;35(3):471-9.
doi:10.…
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psnet.ahrq.gov/node/38563/psn-pdf
March 23, 2011 - Market-based control mechanisms for patient safety.
March 23, 2011
Coiera E, Braithwaite J. Market-based control mechanisms for patient safety. Qual Saf Health Care.
2009;18(2):99-103. doi:10.1136/qshc.2007.025833.
https://psnet.ahrq.gov/issue/market-based-control-mechanisms-patient-safety
Efforts to improve patie…
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psnet.ahrq.gov/node/37771/psn-pdf
June 29, 2011 - Effect of crew resource management training in a
multidisciplinary obstetrical setting.
June 29, 2011
Haller G, Garnerin P, Morales M-A, et al. Effect of crew resource management training in a multidisciplinary
obstetrical setting. Int J Qual Health Care. 2008;20(4):254-63. doi:10.1093/intqhc/mzn018.
https://psnet…
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psnet.ahrq.gov/node/37114/psn-pdf
October 04, 2011 - A descriptive study of morbidity and mortality
conferences and their conformity to medical incident
analysis models: results of the morbidity and mortality
conference improvement study, phase 1.
October 4, 2011
Aboumatar HJ, Blackledge CG, Dickson C, et al. A descriptive study of morbidity and mortality conference…
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psnet.ahrq.gov/node/41225/psn-pdf
March 29, 2012 - The impact of perioperative catastrophes on
anesthesiologists: results of a national survey.
March 29, 2012
Gazoni FM, Amato PE, Malik ZM, et al. The impact of perioperative catastrophes on anesthesiologists:
results of a national survey. Anesth Analg. 2012;114(3):596-603. doi:10.1213/ANE.0b013e318227524e.
https:/…
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psnet.ahrq.gov/node/41176/psn-pdf
March 02, 2012 - Weekend hospitalization and additional risk of death: an
analysis of inpatient data.
March 2, 2012
Freemantle N, Richardson M, Wood J, et al. Weekend hospitalization and additional risk of death: An
analysis of inpatient data. J R Soc Med. 2012;105(2). doi:10.1258/jrsm.2012.120009.
https://psnet.ahrq.gov/issue/wee…
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psnet.ahrq.gov/node/60181/psn-pdf
April 01, 2020 - Adapting rapid assessment procedures for
implementation research using a team-based approach to
analysis: a case example of patient quality and safety
interventions in the ICU.
April 1, 2020
Holdsworth LM, Safaeinili N, Winget M, et al. Adapting rapid assessment procedures for implementation
research using a team…
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psnet.ahrq.gov/node/47467/psn-pdf
January 21, 2019 - Application of electronic trigger tools to identify targets
for improving diagnostic safety.
January 21, 2019
Murphy DR, Meyer AN, Sittig DF, et al. Application of electronic trigger tools to identify targets for improving
diagnostic safety. BMJ Qual Saf. 2019;28(2):151-159. doi:10.1136/bmjqs-2018-008086.
https://…
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psnet.ahrq.gov/node/36909/psn-pdf
January 05, 2017 - Medical team training: applying crew resource
management in the Veterans Health Administration.
January 5, 2017
Dunn EJ, Mills PD, Neily J, et al. Medical team training: applying crew resource management in the
Veterans Health Administration. Jt Comm J Qual Patient Saf. 2007;33(6):317-325.
https://psnet.ahrq.gov/i…
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psnet.ahrq.gov/node/46766/psn-pdf
January 17, 2018 - What hinders the uptake of computerized decision
support systems in hospitals? A qualitative study and
framework for implementation.
January 17, 2018
Liberati EG, Ruggiero F, Galuppo L, et al. What hinders the uptake of computerized decision support
systems in hospitals? A qualitative study and framework for imple…
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psnet.ahrq.gov/node/847934/psn-pdf
April 26, 2023 - The Measurement of Patient Safety primer describes the framework
for measuring patient safety based
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psnet.ahrq.gov/primer/burnout
November 20, 2024 - most accepted definition from the 11 th Revision of the International Classification of Diseases 2 describes
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psnet.ahrq.gov/node/47640/psn-pdf
March 20, 2019 - Self-reported adherence to high reliability practices
among participants in the Children's Hospitals' Solutions
for Patient Safety Collaborative.
March 20, 2019
Randall KH, Slovensky D, Weech-Maldonado R, et al. Self-reported adherence to high reliability practices
among participants in the Children's Hospitals' S…
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psnet.ahrq.gov/node/39721/psn-pdf
September 20, 2011 - Physicians' perceptions, preparedness for reporting, and
experiences related to impaired and incompetent
colleagues.
September 20, 2011
DesRoches CM, Rao SR, Fromson J, et al. Physicians' perceptions, preparedness for reporting, and
experiences related to impaired and incompetent colleagues. JAMA. 2010;304(2):187-…
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psnet.ahrq.gov/node/46851/psn-pdf
January 23, 2019 - To care is human—collectively confronting the clinician-
burnout crisis.
January 23, 2019
Dzau VJ, Kirch DG, Nasca TJ. To Care Is Human — Collectively Confronting the Clinician-Burnout Crisis.
New Engl J Med. 2018;378(4):312-314. doi:10.1056/nejmp1715127.
https://psnet.ahrq.gov/issue/care-human-collectively-confro…
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psnet.ahrq.gov/node/45652/psn-pdf
June 29, 2017 - Increases in drug and opioid overdose deaths—United
States, 2000–2015.
June 29, 2017
Rudd RA, Seth P, David F, et al. Increases in Drug and Opioid-Involved Overdose Deaths - United States,
2010-2015. MMWR Morb Mortal Wkly Rep. 2016;65(50-51):1445-1452. doi:10.15585/mmwr.mm655051e1.
https://psnet.ahrq.gov/issue/inc…
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psnet.ahrq.gov/node/43280/psn-pdf
November 30, 2016 - Medical Office Survey on Patient Safety Culture: 2014
User Comparative Database Report.
November 30, 2016
Sorra J, Famolaro T, Yount ND, et al. Rockville, MD: Agency for Healthcare Research and Quality; June
2014. Report No. 14-0032-EF.
https://psnet.ahrq.gov/issue/medical-office-survey-patient-safety-culture-2014…
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psnet.ahrq.gov/node/45314/psn-pdf
September 01, 2018 - The "Seven Pillars" response to patient safety incidents:
effects on medical liability processes and outcomes.
September 1, 2018
Lambert BL, Centomani NM, Smith KM, et al. The "Seven Pillars" Response to Patient Safety Incidents:
Effects on Medical Liability Processes and Outcomes. Health Serv Res. 2016;51(suppl 3)…
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psnet.ahrq.gov/node/45541/psn-pdf
September 28, 2016 - Is there evidence for a better health care for cancer
patients after a second opinion? A systematic review.
September 28, 2016
Ruetters D, Keinki C, Schroth S, et al. Is there evidence for a better health care for cancer patients after a
second opinion? A systematic review. J Cancer Res Clin Oncol. 2016;142(7):1521…
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psnet.ahrq.gov/node/39489/psn-pdf
June 11, 2010 - What happens between visits? Adverse and potential
adverse events among a low-income, urban, ambulatory
population with diabetes.
June 11, 2010
Sarkar U, Handley MA, Gupta R, et al. What happens between visits? Adverse and potential adverse
events among a low-income, urban, ambulatory population with diabetes. Qua…