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psnet.ahrq.gov/node/45535/psn-pdf
January 23, 2017 - Surgical specimen management: a descriptive study of
648 adverse events and near misses.
January 23, 2017
Steelman VM, Williams TL, Szekendi MK, et al. Surgical specimen management: a descriptive study of 648
adverse events and near misses. Arch Pathol Lab Med. 2016;140(12):1390-1396.
https://psnet.ahrq.gov/issue/…
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psnet.ahrq.gov/node/47550/psn-pdf
November 21, 2018 - Nurses' and patients' appraisals show patient safety in
hospitals remains a concern.
November 21, 2018
Aiken LH, Sloane DM, Barnes H, et al. Nurses' And Patients' Appraisals Show Patient Safety In Hospitals
Remains A Concern. Health Aff (Millwood). 2018;37(11):1744-1751. doi:10.1377/hlthaff.2018.0711.
https://psne…
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psnet.ahrq.gov/node/42854/psn-pdf
March 20, 2014 - Medication event huddles: a tool for reducing adverse
drug events.
March 20, 2014
Morvay S, Lewe D, Stewart B, et al. Medication event huddles: a tool for reducing adverse drug events. Jt
Comm J Qual Patient Saf. 2014;40(1):39-45.
https://psnet.ahrq.gov/issue/medication-event-huddles-tool-reducing-adverse-drug-eve…
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psnet.ahrq.gov/node/46010/psn-pdf
July 12, 2017 - Changing the medical malpractice system to align with
what we know about patient safety and quality
improvement.
July 12, 2017
Sklar DP. Changing the Medical Malpractice System to Align With What We Know About Patient Safety
and Quality Improvement. Acad Med. 2017;92(7):891-894. doi:10.1097/ACM.0000000000001733.
…
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psnet.ahrq.gov/node/41404/psn-pdf
December 31, 2014 - Effects of an online personal health record on medication
accuracy and safety: a cluster-randomized trial.
December 31, 2014
Schnipper JL, Gandhi TK, Wald JS, et al. Effects of an online personal health record on medication
accuracy and safety: a cluster-randomized trial. J Am Med Inform Assoc. 2012;19(5):728-34.
…
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psnet.ahrq.gov/node/47207/psn-pdf
July 19, 2018 - National quality program achieves improvements in
safety culture and reduction in preventable harms in
community hospitals.
July 19, 2018
Frush K, Chamness C, Olson B, et al. National Quality Program Achieves Improvements in Safety Culture
and Reduction in Preventable Harms in Community Hospitals. Jt Comm J Qual P…
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psnet.ahrq.gov/node/44114/psn-pdf
September 27, 2016 - Advancing the future of patient safety in oncology:
implications of patient safety education on cancer care
delivery.
September 27, 2016
James TA, Goedde M, Bertsch T, et al. Advancing the Future of Patient Safety in Oncology: Implications of
Patient Safety Education on Cancer Care Delivery. J Cancer Educ. 2016;31…
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psnet.ahrq.gov/node/44035/psn-pdf
May 06, 2015 - Insulin pump risks and benefits: a clinical appraisal of
pump safety standards, adverse event reporting, and
research needs: a joint statement of the European
Association for the Study of Diabetes and the American
Diabetes Association Diabetes Technology Working
Group.
May 6, 2015
Heinemann L, Fleming A, Petrie …
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psnet.ahrq.gov/node/45950/psn-pdf
July 18, 2017 - Developing and evaluating an automated all-cause harm
trigger system.
July 18, 2017
Sammer C, Miller S, Jones C, et al. Developing and Evaluating an Automated All-Cause Harm Trigger
System. Jt Comm J Qual Patient Saf. 2017;43(4):155-165. doi:10.1016/j.jcjq.2017.01.004.
https://psnet.ahrq.gov/issue/developing-and-e…
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psnet.ahrq.gov/node/866405/psn-pdf
July 31, 2024 - Analysis of an academic medical center’s corrective
action plan in response to fatal medication error using the
Institute for Safe Medication Practices’ Hierarchy of
Effectiveness.
July 31, 2024
Stolte AR, Siwy YM, Tanios SB, et al. Analysis of an academic medical center’s corrective action plan in
response to fa…
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psnet.ahrq.gov/node/47900/psn-pdf
January 01, 2021 - Is physician mentorship associated with the occurrence
of adverse patient safety events?
April 10, 2019
Harrison R, Sharma A, Lawton R, et al. Is Physician Mentorship Associated With the Occurrence of
Adverse Patient Safety Events? J Patient Saf. 2021;17(8):e1633-e1637.
doi:10.1097/PTS.0000000000000592.
https://p…
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psnet.ahrq.gov/node/60321/psn-pdf
May 13, 2020 - Safely practicing in a new environment: a qualitative
study to inform physician onboarding practices.
May 13, 2020
Lagoo J, Berry WR, Henrich N, et al. Safely practicing in a new environment: a qualitative study to inform
physician onboarding practices. Jt Comm J Qual Patient Saf. 2020;46(6):314-320.
doi:10.1016/j…
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psnet.ahrq.gov/node/41847/psn-pdf
November 28, 2012 - Improving organizational climate for quality and quality of
care: does membership in a collaborative help?
November 28, 2012
Nembhard IM, Northrup V, Shaller D, et al. Improving organizational climate for quality and quality of care:
does membership in a collaborative help? Med Care. 2012;50 Suppl:S74-82.
doi:10.1…
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digital.ahrq.gov/sites/default/files/docs/citation/r01hs021590-ralston-final-report-2017.pdf
January 01, 2017 - Moreover, the effectiveness of such enhanced communication systems
is unclear. … for health design science including: a structured framework to guide data collection
and analysis; enhanced
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psnet.ahrq.gov/node/49707/psn-pdf
April 01, 2014 - HIV-infected
patient treated with inhaled corticosteroids (fluticasone propionate) and low dose ritonavir enhanced
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psnet.ahrq.gov/node/49397/psn-pdf
May 01, 2003 - localizes more than 90% of pleural effusions regardless of the complexity of the
pleural process.(13) The enhanced
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Perry_49.pdf
March 27, 2008 - dispatch, NASA
Space Center) have found many of these same fundamentals in place.40 Features that enhanced
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psnet.ahrq.gov/primer/coronavirus-disease-2019-covid-19-and-safety-older-adults
April 10, 2024 - penalties on more than 3,400 NHs. 57 In August 2020, CMS announced the resumption of routine inspections, enhanced … low-performing NHs or Special Focus Facilities and those in rural areas with fewer resources. 58 This was enhanced … exemplars of rigorous infection control practices and facility resiliency that can serve as a framework for enhanced … Revised COVID-19 Survey Activities, CARES Act Funding, Enhanced Enforcement for Infection Control Deficiencies
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hcup-us.ahrq.gov/db/nation/nis/reports/NIS_2002_Design_Report.jsp
January 01, 2002 - Once again, we have enhanced the nationwide representation of the sample by incorporating data from additional … The additional states have enhanced the representation of the nationwide population. … The three new states in the 2002 NIS have enhanced the nationwide representation of the sample, making … Once again, the nationwide representation of the sample has been enhanced by incorporating data from
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hcup-us.ahrq.gov/db/nation/nis/reports/NIS_2001_Design_Report.jsp
January 01, 2001 - The five new states in the 2001 NIS have enhanced the nationwide representation of the sample, making … The additional states have enhanced the representation of the nationwide population. … The five new states in the 2001 NIS have enhanced the nationwide representation of the sample, making … The five new states in the 2001 NIS have enhanced the nationwide representation of the sample, making