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psnet.ahrq.gov/node/73509/psn-pdf
July 21, 2021 - NHS ‘Learning from Deaths’ reports: a qualitative and
quantitative document analysis of the first year of a
countrywide patient safety programme.
July 21, 2021
Brummell Z, Vindrola-Padros C, Braun D, et al. NHS ‘Learning from Deaths’ reports: a qualitative and
quantitative document analysis of the first year of a …
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psnet.ahrq.gov/node/47448/psn-pdf
October 10, 2018 - Ten principles for more conservative, care-full diagnosis.
October 10, 2018
Schiff G, Martin SA, Eidelman DH, et al. Ten Principles for More Conservative, Care-Full Diagnosis. Ann
Intern Med. 2018;169(9):643-645. doi:10.7326/M18-1468.
https://psnet.ahrq.gov/issue/ten-principles-more-conservative-care-full-diagnosis…
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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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psnet.ahrq.gov/node/866271/psn-pdf
July 10, 2024 - A taxonomy for advancing systematic error analysis in
multi-site electronic health record-based clinical concept
extraction.
July 10, 2024
Fu S, Wang L, He H, et al. A taxonomy for advancing systematic error analysis in multi-site electronic
health record-based clinical concept extraction. J Am Med Inform Assoc. 2…
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psnet.ahrq.gov/node/47044/psn-pdf
April 18, 2018 - Bedside computer vision—moving artificial intelligence
from driver assistance to patient safety.
April 18, 2018
Yeung S, Downing L, Fei-Fei L, et al. Bedside Computer Vision - Moving Artificial Intelligence from Driver
Assistance to Patient Safety. New Engl J Med. 2018;378(14):1271-1273. doi:10.1056/NEJMp1716891.
…
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psnet.ahrq.gov/node/849120/psn-pdf
May 17, 2023 - Systematic literature review on the effectiveness and
safety of paediatric hospital-at-home care as a substitute
for hospital care.
May 17, 2023
Detollenaere J, Van Ingelghem I, Van den Heede K, et al. Systematic literature review on the effectiveness
and safety of paediatric hospital-at-home care as a substitute …
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psnet.ahrq.gov/node/44590/psn-pdf
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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psnet.ahrq.gov/node/60277/psn-pdf
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.
https://psnet.…
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psnet.ahrq.gov/node/60910/psn-pdf
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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psnet.ahrq.gov/node/44857/psn-pdf
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
Electronic health records have potential to improve health …
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psnet.ahrq.gov/node/36457/psn-pdf
May 27, 2011 - Controversies surrounding use of order sets for clinical
decision support in computerized provider order entry.
May 27, 2011
Bobb AM, Payne TH, Gross PA. Viewpoint: controversies surrounding use of order sets for clinical decision
support in computerized provider order entry. J Am Med Inform Assoc. 2007;14(1):41-7.…
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psnet.ahrq.gov/node/45355/psn-pdf
September 28, 2016 - Getting it right for patient safety: specimen collection
process improvement from operating room to pathology.
September 28, 2016
D'Angelo R, Mejabi O. Getting It Right for Patient Safety: Specimen Collection Process Improvement From
Operating Room to Pathology. Am J Clin Pathol. 2016;146(1):8-17. doi:10.1093/ajcp/…
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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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psnet.ahrq.gov/node/867229/psn-pdf
January 01, 2025 - Feasibility of prospective error reporting in home
palliative care: a mixed methods study.
December 4, 2024
Kurahashi AM, Kim G, Parry N, et al. Feasibility of prospective error reporting in home palliative care: a
mixed methods study. Palliat Med. 2025;39(1):22-30. doi:10.1177/02692163241288774.
https://psnet.ahr…
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psnet.ahrq.gov/node/73349/psn-pdf
January 01, 2022 - The calm before the storm: utilizing in situ simulation to
evaluate for preparedness of an alternative care hospital
during COVID-19 pandemic.
June 2, 2021
Petrone G, Brown L, Binder W, et al. The calm before the storm: utilizing in situ simulation to evaluate for
preparedness of an alternative care hospital durin…
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psnet.ahrq.gov/node/46732/psn-pdf
June 07, 2018 - The SAGES Fundamental Use of Surgical Energy program
(FUSE): history, development, and purpose.
June 7, 2018
Fuchshuber P, Schwaitzberg S, Jones D, et al. The SAGES Fundamental Use of Surgical Energy program
(FUSE): history, development, and purpose. Surg Endosc. 2018;32(6):2583-2602. doi:10.1007/s00464-
017-5933-…
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psnet.ahrq.gov/node/45902/psn-pdf
October 13, 2018 - Are informed policies in place to promote safe and usable
EHRs? A cross-industry comparison.
October 13, 2018
Savage EL, Fairbanks RJ, Ratwani RM. Are informed policies in place to promote safe and usable EHRs?
A cross-industry comparison. J Am Med Inform Assoc. 2017;24(4):769-775. doi:10.1093/jamia/ocw185.
https:…
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psnet.ahrq.gov/node/45833/psn-pdf
January 30, 2018 - The impact of electronic medical records on hospital-
acquired adverse safety events: differential effects
between single-source and multiple-source systems.
January 30, 2018
Bae J, Rask KJ, Becker ER. The Impact of Electronic Medical Records on Hospital-Acquired Adverse
Safety Events: Differential Effects Between…
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psnet.ahrq.gov/node/47111/psn-pdf
September 26, 2018 - Inter- and intra-disciplinary collaboration and patient
safety outcomes in U.S. acute care hospital units: a
cross-sectional study.
September 26, 2018
Ma C, Park SH, Shang J. Inter- and intra-disciplinary collaboration and patient safety outcomes in U.S.
acute care hospital units: A cross-sectional study. Int J Nu…
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psnet.ahrq.gov/node/46848/psn-pdf
October 13, 2018 - Identifying what is known about improving operating
room to intensive care handovers: a scoping review.
October 13, 2018
Zjadewicz K, Deemer KS, Coulthard J, et al. Identifying What Is Known About Improving Operating Room
to Intensive Care Handovers: A Scoping Review. Am J Med Qual. 2018;33(5):540-548.
doi:10.1177…