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psnet.ahrq.gov/node/47183/psn-pdf
May 11, 2019 - Incorporation of quality and safety principles in
maintenance of certification: a qualitative analysis of
American Board of Medical Specialties member boards.
May 11, 2019
Davis JJ, Price DW, Kraft W, et al. Incorporation of Quality and Safety Principles in Maintenance of
Certification: A Qualitative Analysis of A…
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psnet.ahrq.gov/node/72785/psn-pdf
July 22, 2024 - Using Innovative Digital Healthcare Solutions to Improve
Quality at the Point of Care (R21/R33 - Clinical Trial
Optional).
July 22, 2024
Rockville, MD: Agency for Healthcare Research and Quality; July 19, 2024. PA-24-266.
https://psnet.ahrq.gov/issue/using-innovative-digital-healthcare-solutions-improve-qual…
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psnet.ahrq.gov/node/45727/psn-pdf
August 03, 2017 - Evidence-based guidelines for fatigue risk management in
EMS: formulating research questions and selecting
outcomes.
August 3, 2017
Patterson D, Higgins S, Lang ES, et al. Evidence-Based Guidelines for Fatigue Risk Management in EMS:
Formulating Research Questions and Selecting Outcomes. Prehosp Emerg Care. 2017;2…
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psnet.ahrq.gov/node/837846/psn-pdf
August 17, 2022 - Quality measures for patients at risk of adverse outcomes
in the Veterans Health Administration: expert panel
recommendations.
August 17, 2022
Chang ET, Newberry S, Rubenstein LV, et al. Quality Measures for Patients at Risk of Adverse Outcomes
in the Veterans Health Administration. JAMA Network Open. 2022;5(8):e2…
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psnet.ahrq.gov/node/73485/psn-pdf
July 14, 2021 - The RCA ReCAst: a root cause analysis simulation for the
interprofessional clinical learning environment.
July 14, 2021
Ziemba JB, Berns JS, Huzinec JG, et al. The RCA ReCAst: a root cause analysis simulation for the
interprofessional clinical learning environment. Acad Med. 2021;96(7):997-1001.
doi:10.1097/acm.00…
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psnet.ahrq.gov/node/47447/psn-pdf
February 22, 2019 - Identifying health information technology related safety
event reports from patient safety event report databases.
February 22, 2019
Fong A, Adams KT, Gaunt MJ, et al. Identifying health information technology related safety event reports
from patient safety event report databases. J Biomed Inform. 2018;86:135-142.…
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psnet.ahrq.gov/node/37513/psn-pdf
March 02, 2008 - Early prognostic value of the medical emergency team
calling criteria in patients admitted to intensive care from
the emergency department.
March 2, 2008
Etter R, Ludwig R, Lersch F, et al. Early prognostic value of the medical emergency team calling criteria in
patients admitted to intensive care from the emergen…
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psnet.ahrq.gov/node/72635/psn-pdf
January 13, 2021 - Conducting safety research safely: a policy-based
approach for conducting research with peer review
protected material.
January 13, 2021
Myers LC, Blumenthal K, Phadke NA, et al. Conducting Safety Research Safely: A Policy-Based Approach
for Conducting Research with Peer Review Protected Material. Jt Comm J Qual P…
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psnet.ahrq.gov/node/60303/psn-pdf
May 06, 2020 - Using safety culture results to guide the merger of four
general practices in the UK.
May 6, 2020
Lockwood AM, Proulx J, Hill M, et al. Using safety culture results to guide the merger of four general
practices in the UK. BMJ Open Qual. 2020;9(1):e000860. doi:10.1136/bmjoq-2019-000860.
https://psnet.ahrq.gov/issue…
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psnet.ahrq.gov/node/45763/psn-pdf
December 19, 2017 - Expanded pharmacy technician roles: accepting verbal
prescriptions and communicating prescription transfers.
December 19, 2017
Frost TP, Adams AJ. Expanded pharmacy technician roles: Accepting verbal prescriptions and
communicating prescription transfers. Res Social Adm Pharm. 2017;13(6):1191-1195.
doi:10.1016/j.s…
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psnet.ahrq.gov/node/48126/psn-pdf
August 14, 2019 - Designing and pilot testing of a leadership intervention to
improve quality and safety in nursing homes and home
care (the SAFE-LEAD intervention).
August 14, 2019
Johannessen T, Ree E, Strømme T, et al. Designing and pilot testing of a leadership intervention to
improve quality and safety in nursing homes and hom…
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psnet.ahrq.gov/node/38596/psn-pdf
April 29, 2009 - Closing the safety loop: evaluation of the National Patient
Safety Agency's guidance regarding wristband
identification of hospital inpatients.
April 29, 2009
Sevdalis N, Norris B, Ranger C, et al. Closing the safety loop: evaluation of the National Patient Safety
Agency's guidance regarding wristband identificati…
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psnet.ahrq.gov/node/73867/psn-pdf
September 22, 2021 - A dynamic risk management approach for reducing harm
from invasive bedside procedures performed during
residency.
September 22, 2021
Warm E, Ahmad Y, Kinnear B, et al. A dynamic risk management approach for reducing harm from
invasive bedside procedures performed during residency. Acad Med. 2021;96(9):1268-1275.
…
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psnet.ahrq.gov/node/46412/psn-pdf
October 11, 2017 - Team-based care: the changing face of cardiothoracic
surgery.
October 11, 2017
Crawford TC, Conte J, Sanchez JA. Team-Based Care: The Changing Face of Cardiothoracic Surgery.
Surg Clin North Am. 2017;97(4):801-810. doi:10.1016/j.suc.2017.03.003.
https://psnet.ahrq.gov/issue/team-based-care-changing-face-cardiothor…
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psnet.ahrq.gov/node/61101/psn-pdf
November 04, 2020 - Investigation into Management of Venous
Thromboembolism Risk in Patients Following
Thrombolysis for an Acute Stroke.
November 4, 2020
Farnborough, UK; Healthcare Safety Investigation Branch. October 2020
https://psnet.ahrq.gov/issue/investigation-management-venous-thromboembolism-risk-patients-following-
thrombol…
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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/44523/psn-pdf
January 01, 2016 - Electronic health record-based triggers to detect adverse
events after outpatient orthopaedic surgery.
December 16, 2015
Menendez ME, Janssen SJ, Ring D. Electronic health record-based triggers to detect adverse events after
outpatient orthopaedic surgery. BMJ Qual Saf. 2016;25(1):25-30. doi:10.1136/bmjqs-2015-0043…
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psnet.ahrq.gov/node/46421/psn-pdf
November 08, 2017 - A novel ICU hand-over tool: the glass door of the patient
room.
November 8, 2017
Wessman BT, Sona C, Schallom M. A Novel ICU Hand-Over Tool: The Glass Door of the Patient Room. J
Intensive Care Med. 2017;32(8):514-519. doi:10.1177/0885066616653947.
https://psnet.ahrq.gov/issue/novel-icu-hand-over-tool-glass-door-p…
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psnet.ahrq.gov/node/867396/psn-pdf
December 18, 2024 - Mental Health Inpatient Settings: Creating Conditions for
the Delivery of Safe and Therapeutic Care to Adults.
December 18, 2024
Mental Health Inpatient Settings: Creating Conditions For The Delivery Of Safe And Therapeutic Care To
Adults. Health Services Safety Investigations Body; October 2024.
https://psnet.ahr…
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psnet.ahrq.gov/web-mm/case-mistaken-intubation
July 01, 2016 - the de facto "home" for advance directives and POLSTs and, as such, carry the responsibility for developing