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psnet.ahrq.gov/node/852271/psn-pdf
August 09, 2023 - Redesign of health care systems to reduce diagnostic
errors: leveraging human experience and artificial
intelligence.
August 9, 2023
Abid MH. Redesign of health care systems to reduce diagnostic errors: leveraging human experience and
artificial intelligence. J Clin Outcomes Manag. 2023;30(3):67-70. doi:10.12788/j…
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psnet.ahrq.gov/node/73217/psn-pdf
May 05, 2021 - Assessing patients 2019 experiences with medical injury
reconciliation processes: item generation for a novel
survey questionnaire.
May 5, 2021
Schulz-Moore JS, Bismark M, Jenkinson C, et al. Assessing patients 2019 experiences with medical injury
reconciliation processes: item generation for a novel survey questi…
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psnet.ahrq.gov/node/47027/psn-pdf
June 19, 2018 - Overdiagnosis and overtreatment as a quality problem:
insights from healthcare improvement research.
June 19, 2018
Armstrong N. Overdiagnosis and overtreatment as a quality problem: insights from healthcare improvement
research. BMJ Qual Saf. 2018;27(7):571-575. doi:10.1136/bmjqs-2017-007571.
https://psnet.ahrq.go…
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psnet.ahrq.gov/node/36743/psn-pdf
June 16, 2011 - Measuring safety culture in the ambulatory setting: The
Safety Attitudes Questionnaire—Ambulatory Version.
June 16, 2011
Modak I, Sexton B, Lux TR, et al. Measuring safety culture in the ambulatory setting: the safety attitudes
questionnaire--ambulatory version. J Gen Intern Med. 2007;22(1):1-5.
https://psnet.ahrq…
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psnet.ahrq.gov/node/73183/psn-pdf
April 28, 2021 - Hearing impairment and the amelioration of avoidable
medical error: a cross-sectional survey.
April 28, 2021
Henn P, O’Tuathaigh C, Keegan D, et al. Hearing impairment and the amelioration of avoidable medical
error: a cross-sectional survey. J Patient Saf. 2021;17(3):e155-e160. doi:10.1097/pts.0000000000000298.
h…
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psnet.ahrq.gov/node/38334/psn-pdf
January 14, 2009 - Adverse Events in Hospitals: State Reporting Systems.
January 14, 2009
Levinson DR. Washington, DC: US Department of Health and Human Services, Office of the Inspector
General; December 2008. Report No. OEI-06-07-00471.
https://psnet.ahrq.gov/issue/adverse-events-hospitals-state-reporting-systems
The Tax Relief an…
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psnet.ahrq.gov/node/35451/psn-pdf
January 05, 2017 - Closing the loop: follow-up and feedback in a patient
safety program.
January 5, 2017
Gandhi TK, Graydon-Baker E, Huber CN, et al. Closing the loop: follow-up and feedback in a patient safety
program. Jt Comm J Qual Patient Saf. 2005;31(11):614-21.
https://psnet.ahrq.gov/issue/closing-loop-follow-and-feedback-pati…
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psnet.ahrq.gov/node/44865/psn-pdf
July 11, 2017 - Changes in efficiency and safety culture after integration
of an I-PASS-supported handoff process.
July 11, 2017
Sheth S, McCarthy E, Kipps AK, et al. Changes in Efficiency and Safety Culture After Integration of an I-
PASS-Supported Handoff Process. PEDIATRICS. 2016;137(2). doi:10.1542/peds.2015-0166.
https://psn…
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psnet.ahrq.gov/node/836778/psn-pdf
March 23, 2022 - Medication errors and processes to reduce them in care
homes in the United Kingdom: a scoping review.
March 23, 2022
Irons MW, Auta A, Portlock JC, et al. Medication errors and processes to reduce them in care homes in the
United Kingdom: a scoping review. Home Health Care Serv Q. 2022;41(2):91-123.
doi:10.1080/01…
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psnet.ahrq.gov/node/846760/psn-pdf
March 29, 2023 - Electronic health record-based prediction models for in-
hospital adverse drug event diagnosis or prognosis: a
systematic review.
March 29, 2023
Yasrebi-de Kom IAR, Dongelmans DA, de Keizer NF, et al. Electronic health record-based prediction
models for in-hospital adverse drug event diagnosis or prognosis: a syst…
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psnet.ahrq.gov/node/836807/psn-pdf
March 30, 2022 - Preventing delayed and missed care by applying artificial
intelligence to trigger radiology imaging follow-up.
March 30, 2022
Domingo J, Galal G, Huang J. Preventing delayed and missed care by applying artificial intelligence to
trigger radiology imaging follow-up. NEJM Catal Innov Care Deliv. 2022;3(4).
https://p…
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psnet.ahrq.gov/node/38566/psn-pdf
April 15, 2009 - Contributions by the Agency for Healthcare Research and
Quality and Grantees.
April 15, 2009
Health Serv Res. 2009 Apr;44(2 Pt 2):623-776.
https://psnet.ahrq.gov/issue/contributions-agency-healthcare-research-and-quality-and-grantees
This special series of articles highlights the progress and current state of pati…
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psnet.ahrq.gov/node/837148/psn-pdf
May 18, 2022 - Assessing quality of older persons' emergency
transitions between long-term and acute care settings: a
proof-of-concept study.
May 18, 2022
Tate K, McLane P, Reid C, et al. Assessing quality of older persons’ emergency transitions between long-
term and acute care settings: a proof-of-concept study. BMJ Open Qual.…
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psnet.ahrq.gov/node/34845/psn-pdf
June 30, 2011 - The JCAHO patient safety event taxonomy: a
standardized terminology and classification schema for
near misses and adverse events.
June 30, 2011
Chang A, Schyve PM, Croteau RJ, et al. The JCAHO patient safety event taxonomy: a standardized
terminology and classification schema for near misses and adverse events. In…
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psnet.ahrq.gov/node/44971/psn-pdf
June 01, 2016 - Chemotherapy errors: a call for a standardized approach
to measurement and reporting.
June 1, 2016
Lennes IT, Bohlen N, Park ER, et al. Chemotherapy Errors: A Call for a Standardized Approach to
Measurement and Reporting. J Oncol Pract. 2016;12(4):e495-501. doi:10.1200/JOP.2015.008995.
https://psnet.ahrq.gov/issue…
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psnet.ahrq.gov/node/47911/psn-pdf
April 03, 2019 - Second victims need emotional support after adverse
events: even in a just safety culture.
April 3, 2019
Schrøder K, Lamont RF, Jørgensen JS, et al. Second victims need emotional support after adverse events:
even in a just safety culture. BJOG. 2019;126(4):440-442. doi:10.1111/1471-0528.15529.
https://psnet.ahrq.…
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psnet.ahrq.gov/node/38309/psn-pdf
December 23, 2016 - Safely implementing health information and converging
technologies.
December 23, 2016
Safely implementing health information and converging technologies. Sentinel event alert. 2008;(42):1-4.
https://psnet.ahrq.gov/issue/safely-implementing-health-information-and-converging-technologies
As health information techno…
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psnet.ahrq.gov/node/38054/psn-pdf
July 05, 2013 - Ticket to ride: reducing handoff risk during hospital
patient transport.
July 5, 2013
Pesanka DA, Greenhouse PK, Rack LL, et al. Ticket to ride: reducing handoff risk during hospital patient
transport. J Nurs Care Qual. 2009;24(2):109-15. doi:10.1097/01.NCQ.0000347446.98299.b5.
https://psnet.ahrq.gov/issue/ticket-…
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psnet.ahrq.gov/node/44228/psn-pdf
September 04, 2016 - Bridging the gap: a framework and strategies for
integrating the quality and safety mission of teaching
hospitals and graduate medical education.
September 4, 2016
Tess A, Vidyarthi A, Yang J, et al. Bridging the Gap: A Framework and Strategies for Integrating the Quality
and Safety Mission of Teaching Hospitals a…
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psnet.ahrq.gov/node/74027/psn-pdf
November 03, 2021 - Staffing levels and nursing-sensitive patient outcomes:
umbrella review and qualitative study.
November 3, 2021
Blume KS, Dietermann K, Kirchner?Heklau U, et al. Staffing levels and nursing?sensitive patient outcomes:
umbrella review and qualitative study. Health Serv Res. 2021;56(5):885-907. doi:10.1111/1475-
677…