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psnet.ahrq.gov/node/837299/psn-pdf
June 01, 2022 - A new index for obstetrics safety and quality of care:
integrating cesarean delivery rates with maternal and
neonatal outcomes.
June 1, 2022
Ramani S, Halpern TA, Akerman M, et al. A new index for obstetrics safety and quality of care: integrating
cesarean delivery rates with maternal and neonatal outcomes. Am J O…
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psnet.ahrq.gov/node/38449/psn-pdf
March 04, 2009 - A model for increasing patient safety in the intensive care
unit: increasing the implementation rates of proven safety
measures.
March 4, 2009
Krimsky WS, Mroz IB, McIlwaine JK, et al. A model for increasing patient safety in the intensive care unit:
increasing the implementation rates of proven safety measures. Q…
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psnet.ahrq.gov/node/38455/psn-pdf
January 02, 2017 - Clinical triggers: an alternative to a rapid response team.
January 2, 2017
Moldenhauer K, Sabel A, Chu ES, et al. Clinical triggers: an alternative to a rapid response team. Jt Comm
J Qual Patient Saf. 2009;35(3):164-74.
https://psnet.ahrq.gov/issue/clinical-triggers-alternative-rapid-response-team
A national cam…
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psnet.ahrq.gov/node/46932/psn-pdf
April 22, 2018 - Hospital Survey on Patient Safety Culture: 2018 User
Database Report.
April 22, 2018
Famolaro T, Yount N, Hare, R, et al. Rockville, MD: Agency for Healthcare Research and Quality; March
2018. AHRQ Publication No. 18-0025-EF.
https://psnet.ahrq.gov/issue/hospital-survey-patient-safety-culture-2018-user-database-re…
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psnet.ahrq.gov/node/39641/psn-pdf
September 20, 2011 - Adherence to Surgical Care Improvement Project
measures and the association with postoperative
infections.
September 20, 2011
Stulberg JJ, Delaney CP, Neuhauser D, et al. Adherence to surgical care improvement project measures
and the association with postoperative infections. JAMA. 2010;303(24):2479-85.
doi:10.1…
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psnet.ahrq.gov/node/44004/psn-pdf
September 01, 2016 - Impact of computerized physician order entry alerts on
prescribing in older patients.
September 1, 2016
Lester PE, Rios-Rojas L, Islam S, et al. Impact of computerized physician order entry alerts on prescribing
in older patients. Drugs Aging. 2015;32(3):227-33. doi:10.1007/s40266-015-0244-2.
https://psnet.ahrq.go…
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psnet.ahrq.gov/node/39951/psn-pdf
October 27, 2010 - Making inpatient medication reconciliation patient
centered, clinically relevant and implementable: a
consensus statement on key principles and necessary
first steps.
October 27, 2010
Greenwald JL, Halasyamani L, Greene J, et al. Making inpatient medication reconciliation patient centered,
clinically relevant and…
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psnet.ahrq.gov/node/47671/psn-pdf
January 01, 2019 - Racial, ethnic, and socioeconomic disparities in patient
safety events for hospitalized children.
December 19, 2018
Stockwell DC, Landrigan CP, Toomey SL, et al. Racial, Ethnic, and Socioeconomic Disparities in Patient
Safety Events for Hospitalized Children. Hosp Pediatr. 2019;9(1):1-5. doi:10.1542/hpeds.2018-0131…
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psnet.ahrq.gov/node/45329/psn-pdf
April 24, 2018 - State legal restrictions and prescription-opioid use
among disabled adults.
April 24, 2018
Meara E, Horwitz JR, Powell W, et al. State Legal Restrictions and Prescription-Opioid Use among
Disabled Adults. N Engl J Med. 2016;375(1):44-53. doi:10.1056/NEJMsa1514387.
https://psnet.ahrq.gov/issue/state-legal-restricti…
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psnet.ahrq.gov/node/42577/psn-pdf
December 31, 2014 - Estimating the information gap between emergency
department records of community medication compared
to on-line access to the community-based pharmacy
records.
December 31, 2014
Tamblyn R, Poissant L, Huang A, et al. Estimating the information gap between emergency department
records of community medication compa…
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psnet.ahrq.gov/node/74853/psn-pdf
February 24, 2022 - The Top Six: standardized safety practices in U.S. Army
Medical Department treatment facilities worldwide.
February 24, 2022
Hartstein B, Munante M, Toor PA. The Top Six: Standardized safety practices in U.S. Army Medical
Department treatment facilities worldwide. NEJM Catal Innov Care Deliv. 2022;3(2):e1-e20.
doi…
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psnet.ahrq.gov/node/43475/psn-pdf
July 18, 2016 - A cross-sectional analysis investigating organizational
factors that influence near-miss error reporting among
hospital pharmacists.
July 18, 2016
Patterson ME, Pace HA. A Cross-sectional Analysis Investigating Organizational Factors That Influence
Near-Miss Error Reporting Among Hospital Pharmacists. J Patient Sa…
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psnet.ahrq.gov/node/42653/psn-pdf
January 07, 2015 - Exploring the sociotechnical intersection of patient safety
and electronic health record implementation.
January 7, 2015
Meeks DW, Takian A, Sittig DF, et al. Exploring the sociotechnical intersection of patient safety and
electronic health record implementation. J Am Med Inform Assoc. 2014;21(e1):e28-e34.
doi:10.…
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psnet.ahrq.gov/node/847718/psn-pdf
April 19, 2023 - Effect of a Veterans Health Administration mandate to
case review patients with opioid prescriptions on
mortality among patients with opioid use disorder: a
secondary analysis of the STORM randomized control
trial.
April 19, 2023
Auty SG, Barr KD, Frakt AB, et al. Effect of a Veterans Health Administration mandat…
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psnet.ahrq.gov/node/46396/psn-pdf
August 15, 2018 - An ethnographic study of health information technology
use in three intensive care units.
August 15, 2018
Leslie M, Paradis E, Gropper MA, et al. An Ethnographic Study of Health Information Technology Use in
Three Intensive Care Units. Health Serv Res. 2017;52(4):1330-1348. doi:10.1111/1475-6773.12466.
https://psn…
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psnet.ahrq.gov/node/39986/psn-pdf
November 10, 2010 - Impact of health information technology interventions to
improve medication laboratory monitoring for ambulatory
patients: a systematic review.
November 10, 2010
Fischer SH, Tjia J, Field T. Impact of health information technology interventions to improve medication
laboratory monitoring for ambulatory patients: a…
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psnet.ahrq.gov/node/865531/psn-pdf
April 10, 2024 - Implicit bias and patient care: mitigating bias, preventing
harm.
April 10, 2024
Barber Doucet H, Wilson T, Vrablik L, et al. Implicit bias and patient care: mitigating bias, preventing harm.
MedEdPORTAL. 2023;19:11343. doi:10.15766/mep_2374-8265.11343.
https://psnet.ahrq.gov/innovation/implicit-bias-and-patient-c…
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psnet.ahrq.gov/node/39337/psn-pdf
May 07, 2014 - Clinical and economic outcomes attributable to health
care–associated sepsis and pneumonia.
May 7, 2014
Eber MR, Laxminarayan R, Perencevich E, et al. Clinical and economic outcomes attributable to health
care-associated sepsis and pneumonia. Arch Intern Med. 2010;170(4):347-53.
doi:10.1001/archinternmed.2009.509.…
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psnet.ahrq.gov/web-mm/falling-through-crack-bedrails
February 19, 2020 - physiological falls can be prevented by following these three steps: properly screening for fall risks, developing
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psnet.ahrq.gov/node/39104/psn-pdf
February 16, 2011 - Is there a relationship between high-quality performance
in major teaching hospitals and residents' knowledge of
quality and patient safety?
February 16, 2011
Pingleton SK, Horak BJ, Davis DA, et al. Is there a relationship between high-quality performance in major
teaching hospitals and residents' knowledge of qu…