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psnet.ahrq.gov/node/47343/psn-pdf
April 16, 2019 - Using medicolegal data to support safe medical care: a
contributing factor coding framework.
April 16, 2019
McCleery A, Devenny K, Ogilby C, et al. Using medicolegal data to support safe medical care: A
contributing factor coding framework. J Healthc Risk Manag. 2019;38(4):11-18. doi:10.1002/jhrm.21348.
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November 11, 2015 - Physician motivation: listening to what pay-for-
performance programs and quality improvement
collaboratives are telling us.
November 11, 2015
Herzer KR, Pronovost P. Physician Motivation: Listening to What Pay-for-Performance Programs and
Quality Improvement Collaboratives Are Telling Us. Jt Comm J Qual Patient S…
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January 20, 2016 - Creating a culture of safety around bar-code medication
administration: an evidence-based evaluation framework.
January 20, 2016
Kelly K, Harrington L, Matos P, et al. Creating a Culture of Safety Around Bar-Code Medication
Administration: An Evidence-Based Evaluation Framework. J Nurs Adm. 2016;46(1):30-7.
doi:10…
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April 20, 2022 - The National Imperative to Improve Nursing Home
Quality: Honoring Our Commitment to Residents,
Families, and Staff.
April 20, 2022
National Academies of Sciences, Engineering, and Medicine. Washington, DC: The National Academies
Press; 2022. ISBN: 9780309686259
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psnet.ahrq.gov/node/73087/psn-pdf
March 31, 2021 - Developing open disclosure strategies to medical error
using simulation in final-year medical students: linking
mindset and experiential learning to lifelong reflective
practice.
March 31, 2021
Lane AS, Roberts C. Developing open disclosure strategies to medical error using simulation in final-year
medical studen…
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psnet.ahrq.gov/node/35969/psn-pdf
August 10, 2010 - Systematic review: impact of health information
technology on quality, efficiency, and costs of medical
care.
August 10, 2010
Chaudhry B, Wang J, Wu S, et al. Systematic review: impact of health information technology on quality,
efficiency, and costs of medical care. Ann Intern Med. 2006;144(10):742-52.
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June 12, 2024 - Reducing the risk of delayed colorectal cancer diagnoses
through an ambulatory safety net collaborative.
June 12, 2024
Moyal-Smith R, Elam M, Boulanger J, et al. Reducing the risk of delayed colorectal cancer diagnoses
through an ambulatory safety net collaborative. Jt Comm J Qual Patient Saf. 2024;50(10):690-699.
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January 01, 2021 - Evidence that nurses need to participate in diagnosis:
lessons from malpractice claims.
April 29, 2020
Gleason KT, Jones RM, Rhodes C, et al. Evidence that nurses need to participate in diagnosis: lessons
from malpractice claims. J Patient Saf. 2021;17(8):e959-e963. doi:10.1097/pts.0000000000000621.
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January 01, 2021 - Hospital- and system-wide interventions for health care-
associated infections: a systematic review.
September 16, 2020
Maurer NR, Hogan TH, Walker DM. Hospital- and system-wide interventions for health care-associated
infections: a systematic review. Med Care Res Rev. 2021;78(6):643-659. doi:10.1177/10775587209529…
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August 14, 2019 - Partnering with families and patient advocates: another
line of defense in adverse event surveillance.
August 14, 2019
ISMP Medication Safety Alert! Acute Care Edition. August 1, 2019;24.
https://psnet.ahrq.gov/issue/partnering-families-and-patient-advocates-another-line-defense-adverse-event-
surveillance
Having…
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March 23, 2016 - Health IT Safe Practices. Toolkit for the Safe Use of Copy
and Paste.
March 23, 2016
Partnership for Health IT Patient Safety. Plymouth Meeting, PA: ECRI; February 2016.
https://psnet.ahrq.gov/issue/health-it-safe-practices-toolkit-safe-use-copy-and-paste
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July 02, 2019 - Physicians' perspectives regarding prescription drug
monitoring program use within the Department of
Veterans Affairs: a multi-state qualitative study.
July 2, 2019
Radomski TR, Bixler FR, Zickmund SL, et al. Physicians' Perspectives Regarding Prescription Drug
Monitoring Program Use Within the Department of Veter…
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psnet.ahrq.gov/node/46031/psn-pdf
April 12, 2017 - Chief of Residents for Quality Improvement and Patient
Safety: a recipe for a new role in graduate medical
education.
April 12, 2017
Ferraro K, Zernzach R, Maturo S, et al. Chief of Residents for Quality Improvement and Patient Safety: A
Recipe for a New Role in Graduate Medical Education. Mil Med. 2017;182(3):e17…
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June 24, 2020 - Analysis of lawsuits related to diagnostic errors from
point-of-care ultrasound in internal medicine, paediatrics,
family medicine and critical care in the USA.
June 24, 2020
Reaume M, Farishta M, Costello JA, et al. Analysis of lawsuits related to diagnostic errors from point-of-
care ultrasound in internal medic…
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psnet.ahrq.gov/node/865813/psn-pdf
May 08, 2024 - Quality framework for remote antenatal care: qualitative
study with women, healthcare professionals and system-
level stakeholders.
May 8, 2024
Hinton L, Dakin FH, Kuberska K, et al. Quality framework for remote antenatal care: qualitative study with
women, healthcare professionals and system-level stakeholders. B…
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psnet.ahrq.gov/node/844764/psn-pdf
September 11, 2019 - IV Push Gap Analysis Tool (GAT) helps uncover national
priorities for safe injection practices.
September 11, 2019
ISMP Medication Safety Alert! Acute Care Edition. August 29, 2019;24.
https://psnet.ahrq.gov/issue/iv-push-gap-analysis-tool-gat-helps-uncover-national-priorities-safe-injection-
practices
Mistakes i…
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January 27, 2021 - Will the COVID-19 pandemic transform infection
prevention and control in surgery? Seeking leverage
points for organizational learning.
January 27, 2021
Toccafondi G, Di Marzo F, Sartelli M, et al. Int J Qual Health Care. 2021;33(Supp 1):51-55.
https://psnet.ahrq.gov/issue/will-covid-19-pandemic-…
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February 17, 2017 - Disclosing adverse events to patients: international
norms and trends.
February 17, 2017
Wu AW, McCay L, Levinson W, et al. Disclosing Adverse Events to Patients: International Norms and
Trends. J Patient Saf. 2017;13(1):43-49. doi:10.1097/PTS.0000000000000107.
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October 13, 2018 - An assessment of the impact of just culture on quality
and safety in US hospitals.
October 13, 2018
Edwards MT. An Assessment of the Impact of Just Culture on Quality and Safety in US Hospitals. Am J
Med Qual. 2018;33(5):502-508. doi:10.1177/1062860618768057.
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May 31, 2011 - Improving general practice computer systems for patient
safety: qualitative study of key stakeholders.
May 31, 2011
Avery A, Savelyich BSP, Sheikh A, et al. Improving general practice computer systems for patient safety:
qualitative study of key stakeholders. Qual Saf Health Care. 2007;16(1):28-33.
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