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psnet.ahrq.gov/node/74111/psn-pdf
November 24, 2021 - Impact of the WHO Surgical Safety Checklist relative to its
design and intended use: a systematic review and meta-
meta-analysis.
November 24, 2021
Sotto KT, Burian BK, Brindle ME. Impact of the WHO Surgical Safety Checklist relative to its design and
intended use: a systematic review and meta-meta-analysis. J Am …
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psnet.ahrq.gov/node/47167/psn-pdf
May 30, 2018 - AHRQ Health Information Technology Division's 2017
Annual Report.
May 30, 2018
Rockville, MD: Agency for Healthcare Research and Quality; April 2018. AHRQ Publication No. 18-0028-
EF.
https://psnet.ahrq.gov/issue/ahrq-health-information-technology-divisions-2017-annual-report
Health care has worked to enhance use…
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psnet.ahrq.gov/node/45298/psn-pdf
April 22, 2017 - The problem with root cause analysis.
April 22, 2017
Peerally MF, Carr S, Waring J, et al. The problem with root cause analysis. BMJ Qual Saf. 2017;26(5):417-
422. doi:10.1136/bmjqs-2016-005511.
https://psnet.ahrq.gov/issue/problem-root-cause-analysis
Root cause analysis (RCA) is a strategy to investigate incident…
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psnet.ahrq.gov/node/40623/psn-pdf
July 20, 2011 - Policy and practice in the use of root cause analysis to
investigate clinical adverse events: mind the gap.
July 20, 2011
Nicolini D, Waring J, Mengis J. Policy and practice in the use of root cause analysis to investigate clinical
adverse events: mind the gap. Soc Sci Med. 2011;73(2):217-25. doi:10.1016/j.socscime…
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psnet.ahrq.gov/node/39269/psn-pdf
April 01, 2010 - Physicians' beliefs about using EMR and CPOE: in pursuit
of a contextualized understanding of health IT use
behavior.
April 1, 2010
Holden RJ. Physicians' beliefs about using EMR and CPOE: in pursuit of a contextualized understanding of
health IT use behavior. Int J Med Inform. 2010;79(2):71-80. doi:10.1016/j.ijme…
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psnet.ahrq.gov/node/38241/psn-pdf
January 15, 2009 - In chronic condition: experiences of patients with
complex health care needs, in eight countries, 2008.
January 15, 2009
Schoen C, Osborn R, How SKH, et al. In chronic condition: experiences of patients with complex health
care needs, in eight countries, 2008. Health Aff (Millwood). 2009;28(1):w1-16. doi:10.1377/hl…
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psnet.ahrq.gov/node/45867/psn-pdf
April 12, 2017 - The Economics of Patient Safety: Strengthening a Value-
based Approach to Reducing Patient Harm at National
Level.
April 12, 2017
Slawomirski L, Auraaen A, Klazinga N. Organisation for Economic Co-operation and Development: Paris,
France; 2017.
https://psnet.ahrq.gov/issue/economics-patient-safety-strengthening-v…
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psnet.ahrq.gov/node/34662/psn-pdf
December 24, 2008 - User's manual for the IOM's 'Quality Chasm' report.
December 24, 2008
Berwick DM. A user's manual for the IOM's 'Quality Chasm' report. Health Aff (Millwood). 2002;21(3):80-90.
https://psnet.ahrq.gov/issue/users-manual-ioms-quality-chasm-report
Fifteen months after releasing its report on patient safety (To Err Is …
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psnet.ahrq.gov/node/45243/psn-pdf
September 14, 2016 - Incidence of speech recognition errors in the emergency
department.
September 14, 2016
Goss FR, Zhou L, Weiner SG. Incidence of speech recognition errors in the emergency department. Int J
Med Inform. 2016;93:70-73. doi:10.1016/j.ijmedinf.2016.05.005.
https://psnet.ahrq.gov/issue/incidence-speech-recognition-error…
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psnet.ahrq.gov/node/40063/psn-pdf
March 04, 2011 - Challenges in ethics, safety, best practices, and oversight
regarding HIT vendors, their customers, and patients: a
report of an AMIA special task force.
March 4, 2011
Goodman KW, Berner ES, Dente MA, et al. Challenges in ethics, safety, best practices, and oversight
regarding HIT vendors, their customers, and pat…
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psnet.ahrq.gov/node/34083/psn-pdf
June 30, 2011 - Handoff strategies in settings with high consequences for
failure: lessons for health care operations.
June 30, 2011
Patterson ES. Handoff strategies in settings with high consequences for failure: lessons for health care
operations. Int J Qual Health Care. 2004;16(2):125-132. doi:10.1093/intqhc/mzh026.
https://ps…
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psnet.ahrq.gov/node/47405/psn-pdf
January 27, 2019 - Robotic dispensing improves patient safety, inventory
management, and staff satisfaction in an outpatient
hospital pharmacy.
January 27, 2019
Rodriguez-Gonzalez CG, Herranz-Alonso A, Escudero-Vilaplana V, et al. Robotic dispensing improves
patient safety, inventory management, and staff satisfaction in an outpatie…
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psnet.ahrq.gov/node/842773/psn-pdf
January 01, 2009 - Dissemination of Lean methods to improve Pap testing
quality and patient safety.
April 8, 2008
Raab SS, Andrew-JaJa C, Grzybicki DM, et al. Dissemination of Lean methods to improve Pap testing
quality and patient safety. J Low Genit Tract Dis. 2009;12(2):103-110. doi:10.1097/lgt.0b013e31815ae9a1.
https://psnet.ahr…
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psnet.ahrq.gov/node/44120/psn-pdf
November 06, 2015 - Designing highly reliable adverse-event detection
systems to predict subsequent claims.
November 6, 2015
Helmchen LA, Burke ME, Wojtusiak J. Designing highly reliable adverse-event detection systems to predict
subsequent claims. J Healthc Risk Manag. 2015;34(4):7-17. doi:10.1002/jhrm.21167.
https://psnet.ahrq.gov/…
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psnet.ahrq.gov/node/60548/psn-pdf
May 28, 2020 - new technologies, we are always
trying ensure that we are keeping up with the science and applying efficient
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psnet.ahrq.gov/web-mm/outpatient-zebra
January 23, 2020 - Although this was a very limited way of evaluating the patient, it may well have been the most efficient
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psnet.ahrq.gov/node/47273/psn-pdf
September 05, 2018 - Natural language processing and its implications for the
future of medication safety: a narrative review of recent
advances and challenges.
September 5, 2018
Wong A, Plasek JM, Montecalvo SP, et al. Natural Language Processing and Its Implications for the Future
of Medication Safety: A Narrative Review of Recent A…
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psnet.ahrq.gov/node/43287/psn-pdf
July 02, 2014 - Mind the gap between recommendation and
implementation—principles and lessons in the aftermath
of incident investigations: a semi-quantitative and
qualitative study of factors leading to the successful
implementation of recommendations.
July 2, 2014
Wrigstad J, Bergström J, Gustafson P. Mind the gap between recom…
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psnet.ahrq.gov/node/44092/psn-pdf
November 16, 2015 - Does lean management improve patient safety culture?
An extensive evaluation of safety culture in a
radiotherapy institute.
November 16, 2015
Simons P, Houben R, Vlayen A, et al. Does lean management improve patient safety culture? An extensive
evaluation of safety culture in a radiotherapy institute. Eur J Oncol …
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psnet.ahrq.gov/node/37348/psn-pdf
March 28, 2012 - Impact of duty hours restrictions on quality of care and
clinical outcomes.
March 28, 2012
Bhavsar J, Montgomery D, Li J, et al. Impact of duty hours restrictions on quality of care and clinical
outcomes. Am J Med. 2007;120(11):968-74.
https://psnet.ahrq.gov/issue/impact-duty-hours-restrictions-quality-care-and-cl…