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psnet.ahrq.gov/issue/prescription-opioid-use-misuse-and-use-disorders-us-adults-2015-national-survey-drug-use-and
October 17, 2012 - Study
Classic
Prescription opioid use, misuse, and use disorders in U.S. adults: 2015 National Survey on Drug Use and Health.
Citation Text:
Han B, Compton WM, Blanco C, et al. Prescription opioid use, misuse, and use disorders in U.S. adults: 2015 National Surv…
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psnet.ahrq.gov/issue/patient-related-factors-associated-increased-risk-being-reported-case-preventable-harm-first
October 09, 2019 - Study
Patient-related factors associated with an increased risk of being a reported case of preventable harm in first-line health care: a case-control study
Citation Text:
Fernholm R, Holzmann MJ, Wachtler C, et al. Patient-related factors associated with an increased risk of being a rep…
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psnet.ahrq.gov/issue/patients-and-families-teachers-mixed-methods-assessment-collaborative-learning-model-medical
July 12, 2017 - Study
Patients and families as teachers: a mixed methods assessment of a collaborative learning model for medical error disclosure and prevention.
Citation Text:
Langer T, Martinez W, Browning DM, et al. Patients and families as teachers: a mixed methods assessment of a collaborative lea…
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psnet.ahrq.gov/issue/association-between-end-rotation-resident-transition-care-and-mortality-among-hospitalized
August 15, 2018 - Study
Association between end-of-rotation resident transition in care and mortality among hospitalized patients.
Citation Text:
Denson JL, Jensen A, Saag HS, et al. Association Between End-of-Rotation Resident Transition in Care and Mortality Among Hospitalized Patients. JAMA. 2016;316(2…
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psnet.ahrq.gov/node/46637/psn-pdf
December 06, 2017 - Instituting vincristine minibag administration: an
innovative strategy using simulation to enhance
chemotherapy safety.
December 6, 2017
Corbitt N, Malick L, Nishioka J, et al. Instituting Vincristine Minibag Administration: An Innovative Strategy
Using Simulation to Enhance Chemotherapy Safety. J Infus Nurs. 2017…
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psnet.ahrq.gov/node/44373/psn-pdf
August 12, 2015 - Healthcare Utilizing Deliberate Discussion Linking Events
(HUDDLE): a systematic review.
August 12, 2015
Glymph DC, Olenick M, Barbera S, et al. Healthcare Utilizing Deliberate Discussion Linking Events
(HUDDLE): A Systematic Review. AANA J. 2015;83(3):183-188.
https://psnet.ahrq.gov/issue/healthcare-utilizing-del…
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psnet.ahrq.gov/node/43336/psn-pdf
July 09, 2014 - Pharmacists in pharmacovigilance: can increased
diagnostic opportunity in community settings translate to
better vigilance?
July 9, 2014
Rutter P, Brown D, Howard J, et al. Pharmacists in pharmacovigilance: can increased diagnostic
opportunity in community settings translate to better vigilance? Drug Saf. 2014;37(…
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psnet.ahrq.gov/node/849136/psn-pdf
May 17, 2023 - Using morbidity and mortality conferences to drive
quality improvement and reduce errors.
May 17, 2023
Lai B, Horn J, Wilkinson J, et al. Fam Pract Manag. 2023;30(2):13-17.
https://psnet.ahrq.gov/issue/using-morbidity-and-mortality-conferences-drive-quality-improvement-and-
reduce-errors
Morbidity and mortality (…
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psnet.ahrq.gov/node/837204/psn-pdf
May 25, 2022 - Resident physicians' advice seeking and error making: a
social networks approach.
May 25, 2022
Katz-Navon T, Naveh E. Resident physicians' advice seeking and error making: a social networks
approach. Health Care Manage Rev. 2022;47(3):e41-e49. doi:10.1097/hmr.0000000000000333.
https://psnet.ahrq.gov/issue/resident…
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psnet.ahrq.gov/node/46270/psn-pdf
April 16, 2018 - Impact of a restraint management bundle on restraint use
in an intensive care unit.
April 16, 2018
Hall DK, Zimbro KS, Maduro RS, et al. Impact of a Restraint Management Bundle on Restraint Use in an
Intensive Care Unit. J Nurs Care Qual. 2018;33(2):143-148. doi:10.1097/NCQ.0000000000000273.
https://psnet.ahrq.gov…
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psnet.ahrq.gov/node/836809/psn-pdf
March 30, 2022 - Pharmacist transition-of-care services improve patient
satisfaction and decrease hospital readmissions.
March 30, 2022
March KL, Peters MJ, Finch CK, et al. J Pharm Pract. 2022;35(1):86-93.
https://psnet.ahrq.gov/issue/pharmacist-transition-care-services-improve-patient-satisfaction-and-decrease-
hospital
Tr…
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psnet.ahrq.gov/node/45645/psn-pdf
November 16, 2016 - Simulated settings; powerful arenas for learning patient
safety practices and facilitating transference to clinical
practice. A mixed method study.
November 16, 2016
Reime MH, Johnsgaard T, Kvam FI, et al. Simulated settings; powerful arenas for learning patient safety
practices and facilitating transference to cl…
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psnet.ahrq.gov/node/849123/psn-pdf
May 17, 2023 - Maximizing student potential: lessons for pharmacy
programs from the patient safety movement.
May 17, 2023
Abebe E, Bao A, Kokkinias P, et al. Maximizing student potential: lessons for pharmacy programs from the
patient safety movement. Explor Res Clin Soc Pharm. 2023;9:100216. doi:10.1016/j.rcsop.2022.100216.
htt…
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psnet.ahrq.gov/node/36118/psn-pdf
September 24, 2010 - Implementing patient safety practices in small ambulatory
care settings.
September 24, 2010
Schauberger CW, Larson P. Implementing patient safety practices in small ambulatory care settings. Jt
Comm J Qual Patient Saf. 2006;32(8):419-425.
https://psnet.ahrq.gov/issue/implementing-patient-safety-practices-small-amb…
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psnet.ahrq.gov/node/44587/psn-pdf
December 09, 2015 - Morbidity and mortality conference in emergency
medicine residencies and the culture of safety.
December 9, 2015
Aaronson E, Wittels KA, Nadel ES, et al. Morbidity and Mortality Conference in Emergency Medicine
Residencies and the Culture of Safety. West J Emerg Med. 2015;16(6):810-7.
doi:10.5811/westjem.2015.8.26…
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psnet.ahrq.gov/node/47564/psn-pdf
December 05, 2018 - Challenges and opportunities for improving patient safety
through human factors and systems engineering.
December 5, 2018
Carayon P, Wooldridge A, Hose B-Z, et al. Challenges And Opportunities For Improving Patient Safety
Through Human Factors And Systems Engineering. Health Aff (Millwood). 2018;37(11):1862-1869.
…
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psnet.ahrq.gov/node/44903/psn-pdf
September 27, 2016 - What would you ideally do if there were no targets? An
ethnographic study of the unintended consequences of
top-down governance in two clinical settings.
September 27, 2016
Allard J, Bleakley A. What would you ideally do if there were no targets? An ethnographic study of the
unintended consequences of top-down gov…
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psnet.ahrq.gov/node/47423/psn-pdf
January 27, 2019 - A health system–wide initiative to decrease opioid-related
morbidity and mortality.
January 27, 2019
Weiner SG, Price CN, Atalay AJ, et al. A Health System-Wide Initiative to Decrease Opioid-Related
Morbidity and Mortality. Jt Comm J Qual Patient Saf. 2019;45(1):3-13. doi:10.1016/j.jcjq.2018.07.003.
https://psnet.…
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psnet.ahrq.gov/node/47186/psn-pdf
October 24, 2018 - Quality, Value, and Patient Safety in Orthopedic Surgery.
October 24, 2018
Azar FM, ed. Orthop Clin North Am. 2018;49(4):A1-A8,389-552.
https://psnet.ahrq.gov/issue/quality-value-and-patient-safety-orthopedic-surgery
Quality and value have intersecting influence on the safety of health care. Articles in this specia…
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psnet.ahrq.gov/node/46480/psn-pdf
October 29, 2017 - Coaching the debriefer: peer coaching to improve
debriefing quality in simulation programs.
October 29, 2017
Cheng A, Grant V, Huffman J, et al. Coaching the Debriefer: Peer Coaching to Improve Debriefing Quality
in Simulation Programs. Simul Healthc. 2017;12(5):319-325. doi:10.1097/SIH.0000000000000232.
https://p…