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psnet.ahrq.gov/node/35978/psn-pdf
May 27, 2011 - The impact of prescribing safety alerts for elderly persons
in an electronic medical record: an interrupted time series
evaluation.
May 27, 2011
Smith DH, Perrin N, Feldstein AC, et al. The impact of prescribing safety alerts for elderly persons in an
electronic medical record: an interrupted time series evaluatio…
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psnet.ahrq.gov/node/74267/psn-pdf
January 19, 2022 - Support opportunities for second victims lessons
learned: a qualitative study of the top 20 US News and
World Report Honor Roll Hospitals.
January 19, 2022
Marr R, Goyal A, Quinn M, et al. Support opportunities for second victims lessons learned: a qualitative
study of the top 20 US News and World Report Honor Rol…
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psnet.ahrq.gov/node/60245/psn-pdf
April 22, 2020 - Unprecedented solutions for extraordinary times: helping
long-term care settings deal with the COVID-19 pandemic.
April 22, 2020
Gaur S, Dumyati G, Nace DA, et al. Unprecedented solutions for extraordinary times: helping long-term
care settings deal with the COVID-19 pandemic. Infect Control Hosp Epidemiol. 2020;41…
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psnet.ahrq.gov/node/837311/psn-pdf
June 01, 2022 - Effects of healthcare organization actions and policies
related to COVID-19 on perceived organizational support
among U.S. internists: a national study.
June 1, 2022
Sonis J, Pathman DE, Read S, et al. Effects of healthcare organization actions and policies related to
COVID-19 on perceived organizational support a…
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psnet.ahrq.gov/node/40129/psn-pdf
January 12, 2011 - Medical error disclosure training: evidence for values-
based ethical environments.
January 12, 2011
Rathert C, Phillips W. Medical Error Disclosure Training: Evidence for Values-Based Ethical Environments.
Journal of Business Ethics. 2010;97(3). doi:10.1007/s10551-010-0520-3.
https://psnet.ahrq.gov/issue/medical-…
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psnet.ahrq.gov/node/41647/psn-pdf
July 02, 2014 - Seen through their eyes: residents' reflections on the
cognitive and contextual components of diagnostic errors
in medicine.
July 2, 2014
Ogdie AR, Reilly JB, Pang WG, et al. Seen through their eyes: residents' reflections on the cognitive and
contextual components of diagnostic errors in medicine. Acad Med. 2012;…
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psnet.ahrq.gov/node/42047/psn-pdf
March 18, 2013 - Do you have to re-examine to reconsider your diagnosis?
Checklists and cardiac exam.
March 18, 2013
Sibbald M, de Bruin A, Cavalcanti RB, et al. Do you have to re-examine to reconsider your diagnosis?
Checklists and cardiac exam. BMJ Qual Saf. 2013;22(4):333-8. doi:10.1136/bmjqs-2012-001537.
https://psnet.ahrq.gov…
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psnet.ahrq.gov/node/43072/psn-pdf
November 21, 2016 - Physician attitudes toward family-activated medical
emergency teams for hospitalized children.
November 21, 2016
Paciotti B, Roberts KE, Tibbetts KM, et al. Physician attitudes toward family-activated medical emergency
teams for hospitalized children. Jt Comm J Qual Patient Saf. 2014;40(4):187-192.
https://psnet.a…
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psnet.ahrq.gov/node/43450/psn-pdf
May 06, 2015 - Advances in the Prevention and Control of HAIs.
May 6, 2015
Battles JB, Cleeman JI, Kahn KL, Weinberg DA, eds. Rockville, MD: Agency for Healthcare Research and
Quality; June 2014. AHRQ Publication No. 14-0003.
https://psnet.ahrq.gov/issue/advances-prevention-and-control-hais
Health care–associated infections (HAI…
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psnet.ahrq.gov/node/39598/psn-pdf
September 20, 2011 - A July spike in fatal medication errors: a possible effect
of new medical residents.
September 20, 2011
Phillips DP, Barker GEC. A July spike in fatal medication errors: a possible effect of new medical residents.
J Gen Intern Med. 2010;25(8):774-9. doi:10.1007/s11606-010-1356-3.
https://psnet.ahrq.gov/issue/july-…
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psnet.ahrq.gov/node/35853/psn-pdf
May 20, 2015 - What practices will most improve safety? Evidence-based
medicine meets patient safety.
May 20, 2015
Leape L, Berwick DM, Bates DW. What practices will most improve safety? Evidence-based medicine
meets patient safety. JAMA. 2002;288(4):501-7.
https://psnet.ahrq.gov/issue/what-practices-will-most-improve-safety-evi…
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psnet.ahrq.gov/node/36246/psn-pdf
October 21, 2010 - Tracking rates of patient safety indicators over time:
lessons from the Veterans Administration.
October 21, 2010
Rosen AK, Zhao S, Rivard PE, et al. Tracking rates of Patient Safety Indicators over time: lessons from the
Veterans Administration. Med Care. 2006;44(9):850-61.
https://psnet.ahrq.gov/issue/tracking-r…
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psnet.ahrq.gov/node/37776/psn-pdf
January 31, 2011 - Barcoded medication administration: a last line of
defense.
January 31, 2011
Cescon DW, Etchells E. Barcoded medication administration: a last line of defense. JAMA.
2008;299(18):2200-2. doi:10.1001/jama.299.18.2200.
https://psnet.ahrq.gov/issue/barcoded-medication-administration-last-line-defense
Barcoding techn…
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www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/chapter2.html
August 01, 2022 - Designing Consumer Reporting Systems for Patient Safety Events
Chapter 2. Conceptual Framework and Design
Previous Page Next Page
Table of Contents
Designing Consumer Reporting Systems for Patient Safety Events
Executive Summary
Chapter 1. Background
Chapter 2. Conceptual Framework and Design …
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psnet.ahrq.gov/node/37446/psn-pdf
January 06, 2017 - How useful are voluntary medication error reports? The
case of warfarin-related medication errors.
January 6, 2017
Zhan C, Smith SR, Keyes MA, et al. How useful are voluntary medication error reports? The case of
warfarin-related medication errors. Jt Comm J Qual Patient Saf. 2008;34(1):36-45.
https://psnet.ahrq.g…
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P1T5-Sample_Timeline_Phase_1.doc
May 01, 2014 - Comprehensive Antibiogram Toolkit: Phase 1
Sample Timeline
Task complete
Year
Months
1
2
3
4
5
6
7
8
9
10
11
12
Task 1: Assessment and Planning
Complete the Nursing Home Readiness and Resources Assessment
Distribute the Prescribing Clinici…
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psnet.ahrq.gov/node/60987/psn-pdf
October 07, 2020 - Process failures that increase the risk of infection
through respiratory droplets: a study of patient safety
events reported by hospitals across Pennsylvania.
October 7, 2020
Harper A, Kukielka E, Jones RM. Process failures that increase the risk of infection through respiratory
droplets: a study of patient safety…
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www.ahrq.gov/antibiotic-use/long-term-care/best-practices/respiratory-assess.html
June 01, 2021 - Assessment and Management of the Resident With a Suspected Respiratory Tract Infection
After viewing or presenting this presentation, viewers will be able to—
Recognize the signs and symptoms of a suspected respiratory tract infection and how to differentiate acute bacterial pneumonia.
Identify indicat…
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psnet.ahrq.gov/node/50775/psn-pdf
January 01, 2021 - Content analysis of patient safety incident reports for
older adult patient transfers, handovers, and discharges:
do they serve organizations, staff, or patients?
January 8, 2020
Scott J, Dawson P, Heavey E, et al. Content analysis of patient safety incident reports for older adult
patient transfers, handovers, an…
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psnet.ahrq.gov/node/50800/psn-pdf
January 01, 2021 - Hacking teamwork in health care: addressing adverse
effects of ad hoc team composition in critical care
medicine.
January 15, 2020
McLeod PL, Cunningham QW, DiazGranados D, et al. Hacking teamwork in health care: Addressing
adverse effects of ad hoc team composition in critical care medicine. Health Care Manag Rev…