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psnet.ahrq.gov/node/72788/psn-pdf
February 24, 2021 - Harmed Patient Alliance.
February 24, 2021
United Kingdom.
https://psnet.ahrq.gov/issue/harmed-patient-alliance
Patients and families that experience medical harm have unique support needs. This organization works to
improve health system and clinician response to harmed patients. Their efforts aim to create a dee…
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psnet.ahrq.gov/node/42030/psn-pdf
April 18, 2013 - Reducing hospital errors: interventions that build safety
culture.
April 18, 2013
Singer SJ, Vogus TJ. Reducing hospital errors: interventions that build safety culture. Annu Rev Public
Health. 2013;34:373-96. doi:10.1146/annurev-publhealth-031912-114439.
https://psnet.ahrq.gov/issue/reducing-hospital-errors-inter…
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psnet.ahrq.gov/node/35951/psn-pdf
June 14, 2011 - Errors in thyroid gland fine-needle aspiration.
June 14, 2011
Raab SS, Vrbin CM, Grzybicki DM, et al. Errors in Thyroid Gland Fine-Needle Aspiration. Am J Clin Pathol.
2007;125(6). doi:10.1309/7rqe37k6439t4pb4.
https://psnet.ahrq.gov/issue/errors-thyroid-gland-fine-needle-aspiration
This AHRQ–funded study used roo…
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digital.ahrq.gov/ahrq-funded-projects/enhancing-patient-matching-support-operational-health-information-exchange/citation/simple
January 01, 2023 - A simple two-step procedure using the Fellegi-Sunter model for frequency-based record linkage.
Citation
Xu H, Li X, Grannis S. A simple two-step procedure using the Fellegi-Sunter model for frequency-based record linkage. J Appl Stat. 2021 May 4;49(11):2789-2804. doi: 10.1080/02664763.2021.1922615. PM…
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digital.ahrq.gov/ahrq-funded-projects/enhancing-patient-matching-support-operational-health-information-exchange/citation/comparison
January 01, 2023 - Comparison of supervised machine learning and probabilistic approaches for record linkage.
Citation
McNutt, A.T., Grannis, S.J., Bo, N., Xu, H., Kasthurirathne, S. N.(2020, March). Comparison of supervised machine learning and probabilistic approaches for record linkage. AMIA Informatics summit 2020 C…
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digital.ahrq.gov/ahrq-funded-projects/enhancing-patient-matching-support-operational-health-information-exchange/citation/framework
January 01, 2023 - A framework for a consistent and reproducible evaluation of manual review for patient matching algorithms.
Citation
Gupta AK, Kasthurirathne SN, Xu H, Li X, Ruppert MM, Harle CA, Grannis SJ. A framework for a consistent and reproducible evaluation of manual review for patient matching algorithms. J Am…
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psnet.ahrq.gov/node/47053/psn-pdf
May 23, 2018 - TeamSTEPPS Canada.
May 23, 2018
Canadian Patient Safety Institute.
https://psnet.ahrq.gov/issue/teamstepps-canada
The TeamSTEPPS program was developed to support effective communication and teamwork skills in
various health care settings. This site supports the Canadian TeamSTEPPS initiative. The program will
pre…
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psnet.ahrq.gov/node/43107/psn-pdf
March 14, 2016 - Researchers' roles in patient safety improvement.
March 14, 2016
Pietikäinen E, Reiman T, Heikkilä J, et al. Researchers' Roles in Patient Safety Improvement. J Patient Saf.
2016;12(1):25-33. doi:10.1097/PTS.0000000000000096.
https://psnet.ahrq.gov/issue/researchers-roles-patient-safety-improvement
Through a self-…
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digital.ahrq.gov/ahrq-funded-projects/enhancing-complex-care-through-integrated-care-coordination-information-system/citation/lessons-building-iccis
January 01, 2023 - A multi-perspective analysis of lessons learned from building an Integrated Care Coordination Information System (ICCIS).
Citation
Dale JA, Behkami NA, Olsen GS, et al. A multi-perspective analysis of lessons learned from building an Integrated Care Coordination Information System (ICCIS). AMIA Annu …
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psnet.ahrq.gov/node/39380/psn-pdf
August 29, 2021 - ASHP guidelines on the safe use of automated dispensing
devices.
August 29, 2021
Cello R, Conley M, Cooley TW, et al. ASHP Guidelines on the Safe Use of Automated Dispensing
Cabinets. Am J Health Syst Pharm. 2021;79(1):e71-e82. doi:10.1093/ajhp/zxab325.
https://psnet.ahrq.gov/issue/ashp-guidelines-safe-use-automat…
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psnet.ahrq.gov/node/39539/psn-pdf
January 13, 2013 - We need leaders: the 48th Annual Rovenstine Lecture.
January 13, 2013
Pronovost P. We need leaders: The 48th Annual Rovenstine Lecture. Anesthesiology. 2010;112(4):779-
785. doi:10.1097/ALN.0b013e3181d32047.
https://psnet.ahrq.gov/issue/we-need-leaders-48th-annual-rovenstine-lecture
Dr. Pronovost provides a histor…
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psnet.ahrq.gov/node/39131/psn-pdf
May 04, 2014 - Sleep deprivation, physician performance, and patient
safety.
May 4, 2014
Olson EJ, Drage LA, Auger R. Sleep deprivation, physician performance, and patient safety. Chest.
2009;136(5):1389-1396. doi:10.1378/chest.08-1952.
https://psnet.ahrq.gov/issue/sleep-deprivation-physician-performance-and-patient-safety
This…
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psnet.ahrq.gov/node/42691/psn-pdf
October 23, 2013 - Patient Safety Investigation report into services at
University Hospital Galway (UHG) and as reflected in the
care provided to Savita Halappanavar.
October 23, 2013
Dublin, Ireland: Health Information and Quality Authority; October 2013.
https://psnet.ahrq.gov/issue/patient-safety-investigation-report-services-uni…
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psnet.ahrq.gov/node/45064/psn-pdf
April 20, 2016 - Making Care Safer.
April 20, 2016
Agency for Healthcare Research and Quality. Priorities in Focus. March 2016.
https://psnet.ahrq.gov/issue/making-care-safer
The National Quality Strategy is part of AHRQ's ongoing efforts to enhance patient safety. This brief
summarizes the results of the Partnership for Patients …
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psnet.ahrq.gov/node/39052/psn-pdf
July 13, 2010 - Improving handoffs in the emergency department.
July 13, 2010
Cheung DS, Kelly JJ, Beach C, et al. Improving handoffs in the emergency department. Ann Emerg Med.
2010;55(2):171-80. doi:10.1016/j.annemergmed.2009.07.016.
https://psnet.ahrq.gov/issue/improving-handoffs-emergency-department
Reviewing the conceptual f…
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psnet.ahrq.gov/node/35386/psn-pdf
January 02, 2017 - Lehigh Valley Hospital: engaging patients and families.
January 2, 2017
Anthony R, Ritter M, Davis R, et al. Lehigh Valley Hospital: engaging patients and families. Jt Comm J Qual
Patient Saf. 2005;31(10):566-72.
https://psnet.ahrq.gov/issue/lehigh-valley-hospital-engaging-patients-and-families
Authors from the 20…
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psnet.ahrq.gov/node/45063/psn-pdf
May 04, 2016 - Value of the pharmacist in the medication reconciliation
process.
May 4, 2016
Splawski J, Minger H. Value of the Pharmacist in the Medication Reconciliation Process. P T.
2016;41(3):176-8.
https://psnet.ahrq.gov/issue/value-pharmacist-medication-reconciliation-process
Medication reconciliation has been shown to r…
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psnet.ahrq.gov/node/43476/psn-pdf
June 27, 2018 - Looking to the future of patient safety.
June 27, 2018
Carr S. Patient Saf Qual Healthc. July/August 2014;11:30-35.
https://psnet.ahrq.gov/issue/looking-future-patient-safety
This magazine article summarizes experts' projections for the patient safety movement in the next 5 years.
Areas discussed include expanding…
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psnet.ahrq.gov/node/42550/psn-pdf
June 27, 2018 - Using Six Sigma to improve patient safety in the
perioperative process.
June 27, 2018
Galli BJ, Riebling N, Paraso C, Lehmann G, Yule M. Patient Saf Qual Healthc. July/August 2013;10:36-41.
https://psnet.ahrq.gov/issue/using-six-sigma-improve-patient-safety-perioperative-process
This magazine article describes how…
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit3-10.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 3.10. Other Training Offered
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Table of Contents
Improving Care Delivery Through Lean: Implementation Case Studies
Introduction to the Case Studies
Case 1. Lakeview Healthcare
Case 2. Central Hospit…