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psnet.ahrq.gov/node/49631/psn-pdf
July 01, 2011 - Interventions for enhancing medication
adherence. Cochrane Database Syst Rev. 2008;2:CD000011.
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psnet.ahrq.gov/primer/strategies-improve-organizational-health-literacy
August 30, 2023 - October 5, 2022
A learning health system agenda for organizational approaches to enhancing
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psnet.ahrq.gov/periodic-issue/weekly-resource
March 25, 2025 - Other Resources
Study
Enhancing
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psnet.ahrq.gov/primer/radiation-safety
September 15, 2024 - Improving the safety of radiation therapy relies in part on similar principles, including enhancing safety
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psnet.ahrq.gov/node/33874/psn-pdf
February 01, 2019 - continuum for individual
patients and populations of patients are critical for improving care, and how enhancing
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psnet.ahrq.gov/node/33644/psn-pdf
December 01, 2006 - over time the collective attention would form a shared meaning system about the use of this list for
enhancing
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psnet.ahrq.gov/node/49510/psn-pdf
May 01, 2006 - Cups of Error
May 1, 2006
Blegen MA, Pepper GA. Cups of Error. PSNet [internet]. 2006.
https://psnet.ahrq.gov/web-mm/cups-error
The Case
An 87-year-old man was 5 days postoperative from a decompressive laminectomy. Although he suffered
from dementia, he remained alert and oriented with only mild short-term memory…
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psnet.ahrq.gov/node/44974/psn-pdf
April 12, 2019 - Medicare letters to curb overprescribing of controlled
substances had no detectable effect on providers.
April 12, 2019
Sacarny A, Yokum D, Finkelstein A, et al. Medicare Letters To Curb Overprescribing Of Controlled
Substances Had No Detectable Effect On Providers. Health Aff (Millwood). 2016;35(3):471-9.
doi:10.…
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psnet.ahrq.gov/node/44411/psn-pdf
May 09, 2017 - Separating residents' inpatient and outpatient
responsibilities: improving patient safety, learning
environments, and relationships with continuity patients.
May 9, 2017
Bates CK, Yang J, Huang GC, et al. Separating Residents' Inpatient and Outpatient Responsibilities:
Improving Patient Safety, Learning Environmen…
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psnet.ahrq.gov/node/43002/psn-pdf
March 12, 2014 - Exposure to media information about a disease can cause
doctors to misdiagnose similar-looking clinical cases.
March 12, 2014
Schmidt HG, Mamede S, Van den Berge K, et al. Exposure to media information about a disease can
cause doctors to misdiagnose similar-looking clinical cases. Acad Med. 2014;89(2):285-91.
doi…
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psnet.ahrq.gov/node/45715/psn-pdf
November 01, 2017 - Feasibility and added value of Executive WalkRounds in
long term care organizations in the Netherlands.
November 1, 2017
van Dusseldorp L, de Waal GH-, Hamers H, et al. Feasibility and Added Value of Executive WalkRounds in
Long Term Care Organizations in the Netherlands. Jt Comm J Qual Patient Saf. 2016;42(12):545…
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psnet.ahrq.gov/node/43571/psn-pdf
October 01, 2014 - The evolving literature on safety WalkRounds: emerging
themes and practical messages.
October 1, 2014
Singer SJ, Tucker AL. The evolving literature on safety WalkRounds: emerging themes and practical
messages: Table 1. BMJ Qual Saf. 2014;23(10). doi:10.1136/bmjqs-2014-003416.
https://psnet.ahrq.gov/issue/evolving-…
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psnet.ahrq.gov/node/45333/psn-pdf
September 21, 2016 - Association of inpatient hospital experience with patient
safety indicators: a cross-sectional, Canadian study.
September 21, 2016
Kemp KA, Santana MJ, Southern DA, et al. Association of inpatient hospital experience with patient safety
indicators: a cross-sectional, Canadian study. BMJ Open. 2016;6(7):e011242. doi…
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psnet.ahrq.gov/node/44972/psn-pdf
February 15, 2017 - The effectiveness of electronic differential diagnoses
(DDX) generators: a systematic review and meta-analysis.
February 15, 2017
Riches N, Panagioti M, Alam R, et al. The Effectiveness of Electronic Differential Diagnoses (DDX)
Generators: A Systematic Review and Meta-Analysis. PLoS One. 2016;11(3):e0148991.
doi:…
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psnet.ahrq.gov/node/45959/psn-pdf
June 29, 2017 - Impact of the Opioid Safety Initiative on opioid-related
prescribing in veterans.
June 29, 2017
Lin LA, Bohnert ASB, Kerns RD, et al. Impact of the Opioid Safety Initiative on opioid-related prescribing in
veterans. Pain. 2017;158(5):833-839. doi:10.1097/j.pain.0000000000000837.
https://psnet.ahrq.gov/issue/impact…
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psnet.ahrq.gov/node/44750/psn-pdf
January 06, 2016 - Simulation in the executive suite: lessons learned for
building patient safety leadership.
January 6, 2016
Rosen MA, Goeschel CA, Che X-X, et al. Simulation in the Executive Suite: Lessons Learned for Building
Patient Safety Leadership. Simul Healthc. 2015;10(6):372-377.
https://psnet.ahrq.gov/issue/simulation-exe…
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psnet.ahrq.gov/node/42947/psn-pdf
February 19, 2014 - Is the skillset obtained in surgical simulation transferable
to the operating theatre?
February 19, 2014
Buckley CE, Kavanagh DO, Traynor O, et al. Is the skillset obtained in surgical simulation transferable to
the operating theatre? Am J Surg. 2014;207(1):146-57. doi:10.1016/j.amjsurg.2013.06.017.
https://psnet.…
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psnet.ahrq.gov/node/42154/psn-pdf
January 07, 2015 - Paper- and computer-based workarounds to electronic
health record use at three benchmark institutions.
January 7, 2015
Flanagan ME, Saleem JJ, Millitello LG, et al. Paper- and computer-based workarounds to electronic health
record use at three benchmark institutions. J Am Med Inform Assoc. 2013;20(e1):e59-66.
doi:…
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psnet.ahrq.gov/node/41813/psn-pdf
July 02, 2014 - The effects of patient handoff characteristics on
subsequent care: a systematic review and areas for future
research.
July 2, 2014
Foster S, Manser T. The effects of patient handoff characteristics on subsequent care: a systematic review
and areas for future research. Acad Med. 2012;87(8):1105-24. doi:10.1097/ACM.…
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psnet.ahrq.gov/node/73240/psn-pdf
May 12, 2021 - Comparison of methods to reduce bias from clinical
prediction models of postpartum depression.
May 12, 2021
Park Y, Hu J, Singh M, et al. Comparison of methods to reduce bias from clinical prediction models of
postpartum depression. JAMA Netw Open. 2021;4(4):e213909. doi:10.1001/jamanetworkopen.2021.3909.
https://…