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psnet.ahrq.gov/node/39797/psn-pdf
September 20, 2011 - Liability claims and costs before and after implementation
of a medical error disclosure program.
September 20, 2011
Kachalia A, Kaufman SR, Boothman RC, et al. Liability claims and costs before and after implementation of
a medical error disclosure program. Ann Intern Med. 2010;153(4):213-21. doi:10.7326/0003-4819…
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psnet.ahrq.gov/node/41789/psn-pdf
September 01, 2016 - Drug–drug interactions that should be non-interruptive in
order to reduce alert fatigue in electronic health records.
September 1, 2016
Phansalkar S, van der Sijs H, Tucker AD, et al. Drug-drug interactions that should be non-interruptive in
order to reduce alert fatigue in electronic health records. J Am Med Infor…
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psnet.ahrq.gov/node/43915/psn-pdf
September 27, 2017 - The quality of hospital work environments and missed
nursing care is linked to heart failure readmissions: a
cross-sectional study of US hospitals.
September 27, 2017
Carthon MB, Lasater KB, Sloane DM, et al. The quality of hospital work environments and missed nursing
care is linked to heart failure readmissions:…
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psnet.ahrq.gov/node/37768/psn-pdf
April 27, 2010 - The wisdom and justice of not paying for "preventable
complications."
April 27, 2010
Pronovost P, Goeschel CA, Wachter R. The wisdom and justice of not paying for "preventable
complications". JAMA. 2008;299(18):2197-9. doi:10.1001/jama.299.18.2197.
https://psnet.ahrq.gov/issue/wisdom-and-justice-not-paying-prevent…
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www.ahrq.gov/research/findings/nhqrdr/chartbooks/carecoordination/trends.html
June 01, 2018 - Chartbook on Care Coordination
Trends in Care Coordination Measures
Previous Page Next Page
Table of Contents
Chartbook on Care Coordination
Acknowledgments
Care Coordination
Trends in Care Coordination Measures
Transitions of Care
Preventable Emergency Department Visits
Potentially Avoi…
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psnet.ahrq.gov/node/43076/psn-pdf
June 17, 2014 - Inpatient safety outcomes following the 2011 residency
work-hour reform.
June 17, 2014
Block L, Jarlenski M, Wu AW, et al. Inpatient safety outcomes following the 2011 residency work-hour
reform. J Hosp Med. 2014;9(6). doi:10.1002/jhm.2171.
https://psnet.ahrq.gov/issue/inpatient-safety-outcomes-following-2011-resi…
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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/37622/psn-pdf
May 26, 2011 - Effect of computer order entry on prevention of serious
medication errors in hospitalized children.
May 26, 2011
Walsh KE, Landrigan CP, Adams WG, et al. Effect of computer order entry on prevention of serious
medication errors in hospitalized children. Pediatrics. 2008;121(3):e421-e427. doi:10.1542/peds.2007-
022…
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psnet.ahrq.gov/node/42900/psn-pdf
September 19, 2016 - Suicide attempts and completions on medical-surgical
and intensive care units.
September 19, 2016
Mills PD, Watts V, Hemphill RR. Suicide attempts and completions on medical-surgical and intensive care
units. J Hosp Med. 2014;9(3):182-5. doi:10.1002/jhm.2141.
https://psnet.ahrq.gov/issue/suicide-attempts-and-compl…
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www.ahrq.gov/patient-safety/resources/simulation-issue-brief6.html
July 01, 2024 - Simulation To Improve Patient Safety: Getting Started
Additional Benefits of Simulation
Previous Page Next Page
Table of Contents
Simulation To Improve Patient Safety: Getting Started
Introduction
Leverage Patient Safety Infrastructure
Use Simulation To Adopt and Adapt Best Practices
Use Sim…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/probabilistic-thinking1.html
September 01, 2022 - Improved Diagnostic Accuracy Through Probability-Based Diagnosis
Introduction
Previous Page Next Page
Table of Contents
Improved Diagnostic Accuracy Through Probability-Based Diagnosis
Introduction
Fundamental Concepts for Understanding Probability
Probability and the Diagnostic Pathway
Futu…
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psnet.ahrq.gov/node/40092/psn-pdf
December 22, 2010 - The value of adding a verbal report to written handoffs on
early readmission following prolonged respiratory failure.
December 22, 2010
Hess DR, Tokarczyk A, O'Malley M, et al. The value of adding a verbal report to written handoffs on early
readmission following prolonged respiratory failure. Chest. 2010;138(6):14…
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www.ahrq.gov/hai/quality/tools/cauti-ltc/improve.html
March 01, 2017 - Improve Safety Culture
Long-Term-Care Safety Toolkit Modules
Comprises six modules (available in English and Spanish) that describe how to apply CUSP for long-term care resident safety. They support learning and implementation efforts to improve safety culture and practices in long term care facilities. The…
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psnet.ahrq.gov/node/35854/psn-pdf
February 09, 2011 - Safe but sound: patient safety meets evidence-based
medicine.
February 9, 2011
Shojania KG, Duncan BW, McDonald KM, et al. Safe but Sound. JAMA. 2003;288(4):508-513.
doi:10.1001/jama.288.4.508.
https://psnet.ahrq.gov/issue/safe-sound-patient-safety-meets-evidence-based-medicine
This commentary summarizes the work…
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psnet.ahrq.gov/node/39365/psn-pdf
May 25, 2010 - Electronic prescribing improves medication safety in
community-based office practices.
May 25, 2010
Kaushal R, Kern LM, Barrón Y, et al. Electronic Prescribing Improves Medication Safety in Community-
Based Office Practices. J Gen Intern Med. 2010;25(6). doi:10.1007/s11606-009-1238-8.
https://psnet.ahrq.gov/issue/…
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psnet.ahrq.gov/node/47296/psn-pdf
September 24, 2018 - The cost of quality: an academic health center's annual
costs for its quality and patient safety infrastructure.
September 24, 2018
Blanchfield BB, Demehin AA, Cummings CT, et al. The cost of quality: an academic health center's annual
costs for its quality and patient safety infrastructure. Jt Comm J Qual Patient …
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psnet.ahrq.gov/node/42118/psn-pdf
March 20, 2013 - Simulation exercises as a patient safety strategy: a
systematic review.
March 20, 2013
Schmidt E, Goldhaber-Fiebert SN, Ho LA, et al. Simulation exercises as a patient safety strategy: a
systematic review. Ann Intern Med. 2013;158(5 Pt 2):426-32. doi:10.7326/0003-4819-158-5-201303051-
00010.
https://psnet.ahrq.go…
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psnet.ahrq.gov/node/46471/psn-pdf
March 20, 2018 - Diagnostic errors in primary care pediatrics: Project
RedDE.
March 20, 2018
Rinke ML, Singh H, Heo M, et al. Diagnostic Errors in Primary Care Pediatrics: Project RedDE. Acad Peds.
2018;18(2):220-227. doi:10.1016/j.acap.2017.08.005.
https://psnet.ahrq.gov/issue/diagnostic-errors-primary-care-pediatrics-project-red…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/supporting/board-checklist.docx
May 01, 2017 - AHRQ Safety Program for Perinatal Care: Board Checklist
AHRQ Safety Program for Perinatal Care
Board Checklist
Who should use this tool: Senior leaders
Checklist Items
Leader Responsible
Date Initiated
1. Set an organization aim of annually assessing the safety and teamwork climate.
2. Improve the safet…