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psnet.ahrq.gov/node/45681/psn-pdf
January 25, 2017 - Economic evaluation of quality improvement
interventions for bloodstream infections related to central
catheters: a systematic review.
January 25, 2017
Nuckols TK, Keeler E, Morton SC, et al. Economic Evaluation of Quality Improvement Interventions for
Bloodstream Infections Related to Central Catheters: A Systema…
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psnet.ahrq.gov/node/46112/psn-pdf
December 21, 2017 - Analysis of variations in the display of drug names in
computerized prescriber-order-entry systems.
December 21, 2017
Quist AJL, Hickman T-TT, Amato MG, et al. Analysis of variations in the display of drug names in
computerized prescriber-order-entry systems. American Journal of Health-System Pharmacy. 2017;74(7).
…
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psnet.ahrq.gov/node/44476/psn-pdf
September 26, 2016 - The impact of interruptions on the duration of nursing
interventions: a direct observation study in an academic
emergency department.
September 26, 2016
Cole G, Stefanus D, Gardner H, et al. The impact of interruptions on the duration of nursing interventions: a
direct observation study in an academic emergency de…
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psnet.ahrq.gov/node/46015/psn-pdf
August 15, 2018 - Patient mortality during unannounced accreditation
surveys at US hospitals.
August 15, 2018
Barnett ML, Olenski AR, Jena AB. Patient Mortality During Unannounced Accreditation Surveys at US
Hospitals. JAMA Intern Med. 2017;177(5):693-700. doi:10.1001/jamainternmed.2016.9685.
https://psnet.ahrq.gov/issue/patient-mo…
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psnet.ahrq.gov/node/38628/psn-pdf
May 13, 2009 - Fast forward rounds: an effective method for teaching
medical students to transition patients safely across care
settings.
May 13, 2009
Ouchida K, LoFaso VM, Capello CF, et al. Fast forward rounds: an effective method for teaching medical
students to transition patients safely across care settings. J Am Geriatr So…
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psnet.ahrq.gov/node/47716/psn-pdf
June 26, 2019 - Magnitude and modifiers of the weekend effect in hospital
admissions: a systematic review and meta-analysis.
June 26, 2019
Chen Y-F, Armoiry X, Higenbottam C, et al. Magnitude and modifiers of the weekend effect in hospital
admissions: a systematic review and meta-analysis. BMJ Open. 2019;9(6):e025764. doi:10.1136/…
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psnet.ahrq.gov/node/44346/psn-pdf
March 18, 2016 - Developing a primary care patient measure of safety (PC
PMOS): a modified Delphi process and face validity
testing.
March 18, 2016
Hernan AL, Giles SJ, O'Hara JK, et al. Developing a primary care patient measure of safety (PC PMOS): a
modified Delphi process and face validity testing. BMJ Qual Saf. 2016;25(4):273-…
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psnet.ahrq.gov/node/46599/psn-pdf
August 20, 2018 - Effect of standardized handoff curriculum on improved
clinician preparedness in the intensive care unit: a
stepped-wedge cluster randomized clinical trial.
August 20, 2018
Parent B, LaGrone LN, Albirair MT, et al. Effect of Standardized Handoff Curriculum on Improved Clinician
Preparedness in the Intensive Care Un…
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psnet.ahrq.gov/node/41283/psn-pdf
April 11, 2012 - Clinical diagnoses and autopsy findings: discrepancies in
critically ill patients.
April 11, 2012
Tejerina E, Esteban A, Fernández-Segoviano P, et al. Clinical diagnoses and autopsy findings:
discrepancies in critically ill patients*. Crit Care Med. 2012;40(3):842-6.
doi:10.1097/CCM.0b013e318236f64f.
https://psne…
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psnet.ahrq.gov/node/40941/psn-pdf
April 13, 2016 - Medication administration quality and health information
technology: a national study of US hospitals.
April 13, 2016
Appari A, Carian EK, Johnson E, et al. Medication administration quality and health information technology:
a national study of US hospitals. J Am Med Inform Assoc. 2012;19(3):360-7. doi:10.1136/ami…
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psnet.ahrq.gov/node/47058/psn-pdf
August 20, 2018 - The first U.S. study on nurses' evidence-based practice
competencies indicates major deficits that threaten
healthcare quality, safety, and patient outcomes.
August 20, 2018
Melnyk BM, Gallagher-Ford L, Zellefrow C, et al. The First U.S. Study on Nurses' Evidence-Based Practice
Competencies Indicates Major Deficit…
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psnet.ahrq.gov/node/39071/psn-pdf
November 04, 2009 - Identification of patient information corruption in the
intensive care unit: using a scoring tool to direct quality
improvements in handover.
November 4, 2009
Pickering BW, Hurley K, Marsh B. Identification of patient information corruption in the intensive care unit:
using a scoring tool to direct quality improve…
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psnet.ahrq.gov/node/48176/psn-pdf
July 31, 2019 - Duration of second victim symptoms in the aftermath of a
patient safety incident and association with the level of
patient harm: a cross-sectional study in the Netherlands.
July 31, 2019
Vanhaecht K, Seys D, Schouten L, et al. Duration of second victim symptoms in the aftermath of a patient
safety incident and ass…
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psnet.ahrq.gov/node/47735/psn-pdf
June 24, 2019 - The Financial and Human Cost of Medical Error... and
How Massachusetts Can Lead the Way on Patient Safety.
June 24, 2019
Boston, MA: Betsy Lehman Center for Patient Safety; June 2019.
https://psnet.ahrq.gov/issue/financial-and-human-cost-medical-error-and-how-massachusetts-can-lead-
way-patient-safety
The Betsy L…
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psnet.ahrq.gov/node/38741/psn-pdf
June 24, 2009 - Frequency of failure to inform patients of clinically
significant outpatient test results.
June 24, 2009
Casalino LP, Dunham D, Chin MH, et al. Frequency of failure to inform patients of clinically significant
outpatient test results. Arch Intern Med. 2009;169(12):1123-9. doi:10.1001/archinternmed.2009.130.
https:…
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psnet.ahrq.gov/node/45556/psn-pdf
June 29, 2017 - Readmission rates after passage of the Hospital
Readmissions Reduction Program: a pre–post analysis.
June 29, 2017
Wasfy JH, Zigler CM, Choirat C, et al. Readmission Rates After Passage of the Hospital Readmissions
Reduction Program: A Pre-Post Analysis. Ann Intern Med. 2017;166(5):324-331. doi:10.7326/M16-0185.
h…
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psnet.ahrq.gov/node/47812/psn-pdf
April 17, 2019 - Are more experienced clinicians better able to tolerate
uncertainty and manage risks? A vignette study of
doctors in three NHS emergency departments in England.
April 17, 2019
Lawton R, Robinson O, Harrison R, et al. Are more experienced clinicians better able to tolerate uncertainty
and manage risks? A vignette s…
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psnet.ahrq.gov/node/44545/psn-pdf
December 20, 2017 - Work conditions, mental workload and patient care
quality: a multisource study in the emergency
department.
December 20, 2017
Weigl M, Müller A, Holland S, et al. Work conditions, mental workload and patient care quality: a
multisource study in the emergency department. BMJ Qual Saf. 2016;25(7):499-508. doi:10.113…
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psnet.ahrq.gov/node/45118/psn-pdf
January 23, 2017 - Cluster randomized trial to evaluate the impact of team
training on surgical outcomes.
January 23, 2017
Duclos A, Peix JL, Piriou V, et al. Cluster randomized trial to evaluate the impact of team training on
surgical outcomes. Br J Surg. 2016;103(13):1804-1814. doi:10.1002/bjs.10295.
https://psnet.ahrq.gov/issue/c…
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psnet.ahrq.gov/node/38145/psn-pdf
March 04, 2011 - Validity of selected AHRQ Patient Safety Indicators based
on VA National Surgical Quality Improvement program
data.
March 4, 2011
Romano PS, Mull HJ, Rivard PE, et al. Validity of selected AHRQ patient safety indicators based on VA
National Surgical Quality Improvement Program data. Health Serv Res. 2009;44(1):182…