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psnet.ahrq.gov/node/47849/psn-pdf
August 14, 2019 - The effect of external inspections on safety in acute
hospitals in the National Health Service in England: a
controlled interrupted time-series analysis.
August 14, 2019
Castro-Avila A, Bloor K, Thompson C. The effect of external inspections on safety in acute hospitals in the
National Health Service in England: A…
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psnet.ahrq.gov/node/844550/psn-pdf
September 01, 2012 - The effect of a Lean quality improvement implementation
program on surgical pathology specimen accessioning
and gross preparation error frequency.
September 1, 2012
Smith ML, Wilkerson T, Grzybicki DM, et al. The effect of a Lean quality improvement implementation
program on surgical pathology specimen accessionin…
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psnet.ahrq.gov/node/838304/psn-pdf
October 12, 2022 - The effect of a system-level tiered huddle system on
reporting patient safety events: an interrupted time series
analysis.
October 12, 2022
Adapa K, Ivester T, Shea CM, et al. The effect of a system-level tiered huddle system on reporting patient
safety events: an interrupted time series analysis. Jt Comm J Qual P…
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psnet.ahrq.gov/node/851352/psn-pdf
July 12, 2023 - Identifying a list of healthcare 'never events' to effect
system change: a systematic review and narrative
synthesis.
July 12, 2023
Bowman CL, De Gorter R, Zaslow J, et al. Identifying a list of healthcare ‘never events’ to effect system
change: a systematic review and narrative synthesis. BMJ Open Qual. 2023;12(2…
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psnet.ahrq.gov/node/73917/psn-pdf
October 06, 2021 - Reporting of health information technology system-
related patient safety incidents: the effects of
organizational justice.
October 6, 2021
Gluschkoff K, Kaihlanen A, Palojoki S, et al. Reporting of health information technology system-related
patient safety incidents: the effects of organizational justice. Safety…
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psnet.ahrq.gov/node/866398/psn-pdf
July 31, 2024 - An effective program to reduce malpractice claims and
payments in a large orthopaedic practice.
July 31, 2024
Doub TW, Hickson GB, Casey VF, et al. An effective program to reduce malpractice claims and payments
in a large orthopaedic practice. J Bone Joint Surg Am. 2024;106(14):1286-1292. doi:10.2106/jbjs.23.00973.…
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psnet.ahrq.gov/node/45665/psn-pdf
February 22, 2017 - Comparative effectiveness of a serious game and an e-
module to support patient safety knowledge and
awareness.
February 22, 2017
Dankbaar MEW, Richters O, Kalkman CJ, et al. Comparative effectiveness of a serious game and an e-
module to support patient safety knowledge and awareness. BMC Med Educ. 2017;17(1):30.…
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psnet.ahrq.gov/node/33577/psn-pdf
September 15, 2024 - Duty Hours and Patient Safety
September 15, 2024
Duty Hours and Patient Safety. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/duty-hours-and-patient-safety
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current research and practice in the …
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psnet.ahrq.gov/node/36181/psn-pdf
February 17, 2011 - The silent epidemic--the health effects of illiteracy.
February 17, 2011
Marcus EN. The silent epidemic--the health effects of illiteracy. N Engl J Med. 2006;355(4):339-41.
https://psnet.ahrq.gov/issue/silent-epidemic-health-effects-illiteracy
The author illustrates how low literacy can affect patient care and desc…
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psnet.ahrq.gov/node/41108/psn-pdf
August 02, 2012 - Effective discharge communication in the emergency
department.
August 2, 2012
Samuels-Kalow ME, Stack AM, Porter SC. Effective discharge communication in the emergency
department. Ann Emerg Med. 2012;60(2):152-9. doi:10.1016/j.annemergmed.2011.10.023.
https://psnet.ahrq.gov/issue/effective-discharge-communication-…
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psnet.ahrq.gov/node/35655/psn-pdf
February 03, 2011 - Effects of sleep inertia on cognition.
February 3, 2011
Wertz AT, Ronda JM, Czeisler CA, et al. Effects of sleep inertia on cognition. JAMA. 2006;295(2):163-4.
https://psnet.ahrq.gov/issue/effects-sleep-inertia-cognition
This research letter reports on sleep inertia and how it can affect cognitive performance for i…
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psnet.ahrq.gov/node/35472/psn-pdf
September 21, 2009 - Clinical alarms: improving efficiency and effectiveness.
September 21, 2009
Phillips J, Barnsteiner JH. Clinical alarms: improving efficiency and effectiveness. Crit Care Nurs Q.
2005;28(4):317-323.
https://psnet.ahrq.gov/issue/clinical-alarms-improving-efficiency-and-effectiveness
The authors outline a process fo…
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psnet.ahrq.gov/issue/failure-mode-and-effect-analysis-technique-prevent-chemotherapy-errors
May 30, 2008 - Commentary
Failure mode and effect analysis: a technique to prevent chemotherapy errors.
Citation Text:
Sheridan-Leos N, Schulmeister L, Hartranft S. Failure mode and effect analysis: a technique to prevent chemotherapy errors. Clin J Oncol Nurs. 2006;10(3):393-8.
Copy Citation
F…
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psnet.ahrq.gov/web-mm/forgotten-radiographic-read
June 07, 2016 - The Forgotten Radiographic Read
Citation Text:
Coil CJ, Witt MD. The Forgotten Radiographic Read. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7…
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psnet.ahrq.gov/node/40344/psn-pdf
May 25, 2011 - Effective surgical safety checklist implementation.
May 25, 2011
Conley DM, Singer SJ, Edmondson L, et al. Effective surgical safety checklist implementation. J Am Coll
Surg. 2011;212(5):873-9. doi:10.1016/j.jamcollsurg.2011.01.052.
https://psnet.ahrq.gov/issue/effective-surgical-safety-checklist-implementation
Th…
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psnet.ahrq.gov/perspective/conversation-david-juurlink-md-phd
May 22, 2017 - Unfortunately the message that we could use opioids safely and effectively in the long term, without
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psnet.ahrq.gov/issue/what-do-we-really-know-about-crew-resource-management-healthcare-umbrella-review-crew
September 29, 2021 - Review
What do we really know about crew resource management in healthcare?: An umbrella review on crew resource management and its effectiveness.
Citation Text:
Buljac-Samardzic M, Dekker-van Doorn CM, Maynard MT. What do we really know about crew resource management in healthcare?: An …
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psnet.ahrq.gov/issue/effects-health-information-technology-patient-outcomes-systematic-review
December 03, 2018 - Review
Classic
Effects of health information technology on patient outcomes: a systematic review.
Citation Text:
Brenner SK, Kaushal R, Grinspan Z, et al. Effects of health information technology on patient outcomes: a systematic review. J Am Med Inform Assoc. 2…
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psnet.ahrq.gov/issue/effect-pharmacy-based-centralized-intravenous-admixture-service-prevalence-medication-errors
December 01, 2021 - Study
Effect of a pharmacy-based centralized intravenous admixture service on the prevalence of medication errors: a before-and-after study.
Citation Text:
Jessurun JG, Hunfeld NGM, Van Rosmalen J, et al. Effect of a pharmacy-based centralized intravenous admixture service on the prevale…
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psnet.ahrq.gov/issue/effect-medication-reconciliation-and-without-patient-counseling-number-pharmaceutical
May 26, 2021 - Study
Effect of medication reconciliation with and without patient counseling on the number of pharmaceutical interventions among patients discharged from the hospital.
Citation Text:
Karapinar-Carkit F, Borgsteede SD, Zoer J, et al. Effect of medication reconciliation with and without p…