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www.ahrq.gov/cpi/about/nac/pcortf-snac/grumbach.html
November 01, 2022 - Subcommittee Member: Kevin Grumbach
Kevin Grumbach, M.D.
Hellman Endowed Professor and Chair
Department of Family and Community Medicine
University of California, San Francisco
Kevin Grumbach, M.D., is the Hellman Endowed Professor of Family and Community Medicine and chair of the Department of Family an…
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psnet.ahrq.gov/node/38902/psn-pdf
November 13, 2009 - Out-of-hospital medication errors: a 6-year analysis of the
national poison data system.
November 13, 2009
Shah K, Barker KA. Out-of-hospital medication errors: a 6-year analysis of the national poison data system.
Pharmacoepidemiol Drug Saf. 2009;18(11):1080-5. doi:10.1002/pds.1823.
https://psnet.ahrq.gov/issue/o…
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psnet.ahrq.gov/node/42923/psn-pdf
September 26, 2017 - Assessing the state of safe medication practices using
the ISMP Medication Safety Self Assessment for
Hospitals: 2000 and 2011.
September 26, 2017
Vaida AJ, Lamis RL, Smetzer JL, et al. Assessing the State of Safe Medication Practices Using the ISMP
Medication Safety Self Assessment ® for Hospitals: 2000 and 2011.…
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psnet.ahrq.gov/node/47261/psn-pdf
August 15, 2018 - The association between professional burnout and
engagement with patient safety culture and outcomes: a
systematic review.
August 15, 2018
Mossburg SE, Himmelfarb CD. The Association Between Professional Burnout and Engagement With
Patient Safety Culture and Outcomes: A Systematic Review. J Patient Saf. 2018;17(8)…
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psnet.ahrq.gov/node/39082/psn-pdf
January 04, 2010 - Communication practices on 4 Harvard surgical
services: a surgical safety collaborative.
January 4, 2010
Elbardissi AW, Regenbogen SE, Greenberg CC, et al. Communication practices on 4 Harvard surgical
services: a surgical safety collaborative. Ann Surg. 2009;250(6):861-5.
doi:10.1097/SLA.0b013e3181afe0db.
https:…
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psnet.ahrq.gov/node/44958/psn-pdf
March 09, 2016 - The Sepsis Early Recognition and Response Initiative
(SERRI).
March 9, 2016
Jones SL, Ashton CM, Kiehne L, et al. The Sepsis Early Recognition and Response Initiative (SERRI). Jt
Comm J Qual Patient Saf. 2016;42(3):122-138.
https://psnet.ahrq.gov/issue/sepsis-early-recognition-and-response-initiative-serri
Early …
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psnet.ahrq.gov/node/45279/psn-pdf
September 27, 2016 - Does clinical supervision of health professionals improve
patient safety? A systematic review and meta-analysis.
September 27, 2016
Snowdon DA, Hau R, Leggat SG, et al. Does clinical supervision of health professionals improve patient
safety? A systematic review and meta-analysis. Int J Qual Health Care. 2016;28(4)…
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psnet.ahrq.gov/node/45385/psn-pdf
January 03, 2017 - Viewing prevention of catheter-associated urinary tract
infection as a system: using systems engineering and
human factors engineering in a quality improvement
project in an academic medical center.
January 3, 2017
Rhee C, Phelps E, Meyer B, et al. Viewing Prevention of Catheter-Associated Urinary Tract Infection …
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psnet.ahrq.gov/node/42938/psn-pdf
February 12, 2014 - Successful implementation of a unit-based quality nurse
to reduce central line-associated bloodstream infections.
February 12, 2014
Thom KA, Li S, Custer M, et al. Successful implementation of a unit-based quality nurse to reduce central
line-associated bloodstream infections. Am J Infect Control. 2014;42(2):139-43…
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psnet.ahrq.gov/node/37166/psn-pdf
February 03, 2011 - Mortality among hospitalized Medicare beneficiaries in
the first 2 years following ACGME resident duty hour
reform.
February 3, 2011
Meltzer DO, Arora VM. Evaluating Resident Duty Hour Reforms. JAMA. 2007;298(9).
doi:10.1001/jama.298.9.1055.
https://psnet.ahrq.gov/issue/mortality-among-hospitalized-medicare-benef…
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psnet.ahrq.gov/node/74050/psn-pdf
November 10, 2021 - Health disparities: impact of health disparities and
treatment decision-making biases on cancer adverse
effects among black cancer survivors.
November 10, 2021
Vo J, Gillman A, Mitchell K, et al. Health disparities: impact of health disparities and treatment decision-
making biases on cancer adverse effects among …
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psnet.ahrq.gov/node/865532/psn-pdf
April 10, 2024 - Let us to the TWISST; Plan, Simulate, Study and Act.
April 10, 2024
Colman N, Hebbar KB. Let us to the TWISST; Plan, Simulate, Study and Act. Pediatr Qual Saf.
2023;8(4):e664. doi:10.1097/pq9.0000000000000664.
https://psnet.ahrq.gov/innovation/let-us-twisst-plan-simulate-study-and-act
In situ simulation can identi…
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psnet.ahrq.gov/node/42483/psn-pdf
January 22, 2014 - What patients think doctors know: beliefs about provider
knowledge as barriers to safe medication use.
January 22, 2014
Serper M, McCarthy D, Patzer RE, et al. What patients think doctors know: beliefs about provider
knowledge as barriers to safe medication use. Patient Educ Couns. 2013;93(2):306-11.
doi:10.1016/j…
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psnet.ahrq.gov/node/42007/psn-pdf
May 23, 2013 - Leaders' and followers' individual experiences during the
early phase of simulation-based team training: an
exploratory study.
May 23, 2013
Meurling L, Hedman L, Felländer-Tsai L, et al. Leaders' and followers' individual experiences during the
early phase of simulation-based team training: an exploratory study. B…
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psnet.ahrq.gov/node/854623/psn-pdf
January 01, 2025 - Do junior doctors make more prescribing errors than
experienced doctors when prescribing electronically
using a computerised physician order entry system
combined with a clinical decision support system? A
cross-sectional study.
October 18, 2023
Kalfsvel L, Wilkes S, van der Kuy H, et al. Do junior doctors make m…
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psnet.ahrq.gov/node/40601/psn-pdf
September 29, 2017 - A policy-based intervention for the reduction of
communication breakdowns in inpatient surgical care:
results from a Harvard surgical safety collaborative.
September 29, 2017
Arriaga AF, Elbardissi AW, Regenbogen SE, et al. A policy-based intervention for the reduction of
communication breakdowns in inpatient surg…
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psnet.ahrq.gov/node/38871/psn-pdf
August 19, 2009 - Effect of medication reconciliation with and without
patient counseling on the number of pharmaceutical
interventions among patients discharged from the
hospital.
August 19, 2009
Karapinar-Carkit F, Borgsteede SD, Zoer J, et al. Effect of medication reconciliation with and without
patient counseling on the number…
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/pwySqzgjuy5APEattjjbKj
April 01, 2009 - Counseling and Interventions to Prevent Tobacco Use and Tobacco-Caused Disease in Adults and Pregnant Women: Clinical Summary
COUNSELING AND INTERVENTIONS TO PREVENT TOBACCO USE AND
TOBACCO-CAUSED DISEASE IN ADULTS AND PREGNANT WOMEN
CLINICAL SUMMARY OF U.S. PREVENTIVE SERVICES TASK FORCE RECOMMENDATION
P…
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digital.ahrq.gov/principal-investigator/weiner-saul
January 01, 2023 - Weiner, Saul
Effect of electronic health record clinical decision support on contextualization of care: A randomized clinical trial.
Citation
Weiner SJ, Schwartz A, Weaver F, Galanter W, Olender S, Kochendorfer K, Binns-Calvey A, Saini R, Iqbal S, Diaz M, Michelfelder A, Varke…
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psnet.ahrq.gov/node/43723/psn-pdf
October 03, 2017 - Shining a Light: Safer Health Care Through Transparency.
October 3, 2017
Boston, MA: National Patient Safety Foundation Lucian Leape Institute; January 2015.
https://psnet.ahrq.gov/issue/shining-light-safer-health-care-through-transparency
Health care has historically treated data as something to be safeguarded rat…