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psnet.ahrq.gov/node/47388/psn-pdf
March 13, 2019 - Artificial intelligence systems for complex decision-
making in acute care medicine: a review.
March 13, 2019
Lynn LA. Artificial intelligence systems for complex decision-making in acute care medicine: a review.
Patient Saf Surg. 2019;13:6. doi:10.1186/s13037-019-0188-2.
https://psnet.ahrq.gov/issue/artificial-in…
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psnet.ahrq.gov/node/47269/psn-pdf
August 15, 2018 - AHRQ Announces Interest in Health Services Research to
Address the Opioids Crisis.
August 15, 2018
Rockville, MD: Agency for Healthcare Research and Quality. Special Emphasis Notice. August 2, 2018.
Publication No. NOT-HS-18-015.
https://psnet.ahrq.gov/issue/ahrq-announces-interest-health-services-research-address…
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psnet.ahrq.gov/node/846760/psn-pdf
March 29, 2023 - Electronic health record-based prediction models for in-
hospital adverse drug event diagnosis or prognosis: a
systematic review.
March 29, 2023
Yasrebi-de Kom IAR, Dongelmans DA, de Keizer NF, et al. Electronic health record-based prediction
models for in-hospital adverse drug event diagnosis or prognosis: a syst…
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psnet.ahrq.gov/node/47980/psn-pdf
May 01, 2019 - Intensive care medicine in 2050: preventing harm.
May 1, 2019
Beet C, Benoit D, Bion J. Intensive care medicine in 2050: preventing harm. Intensive Care Med.
2019;45(4):505-507. doi:10.1007/s00134-018-5353-z.
https://psnet.ahrq.gov/issue/intensive-care-medicine-2050-preventing-harm
This commentary discusses curren…
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psnet.ahrq.gov/node/38566/psn-pdf
April 15, 2009 - Contributions by the Agency for Healthcare Research and
Quality and Grantees.
April 15, 2009
Health Serv Res. 2009 Apr;44(2 Pt 2):623-776.
https://psnet.ahrq.gov/issue/contributions-agency-healthcare-research-and-quality-and-grantees
This special series of articles highlights the progress and current state of pati…
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psnet.ahrq.gov/node/46765/psn-pdf
April 04, 2018 - Advancing perinatal patient safety through application of
safety science principles using health IT.
April 4, 2018
Webb J, Sorensen A, Sommerness SA, et al. Advancing perinatal patient safety through application of
safety science principles using health IT. BMC Med Inform Decis Mak. 2017;17(1):176.
doi:10.1186/s12…
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psnet.ahrq.gov/node/50655/psn-pdf
January 01, 2020 - Reflections on implementing a hospital-wide provider-
based electronic inpatient mortality review system:
lessons learnt.
November 13, 2019
Mendu ML, Lu Y, Petersen A, et al. Reflections on implementing a hospital-wide provider-based electronic
inpatient mortality review system: lessons learnt. BMJ Qual Saf. 2020;…
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psnet.ahrq.gov/node/840151/psn-pdf
November 16, 2022 - Unintended consequences of patient online access to
health records: a qualitative study in UK primary care.
November 16, 2022
Turner A, Morris R, McDonagh L, et al. Unintended consequences of patient online access to health
records: a qualitative study in UK primary care. Br J Gen Pract. 2022;73(726):e67-e74.
doi:…
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psnet.ahrq.gov/node/72798/psn-pdf
March 03, 2021 - Perceptual gaps between clinicians and technologists on
health information technology-related errors in hospitals:
observational study.
March 3, 2021
Ndabu T, Mulgund P, Sharman R, et al. Perceptual gaps between clinicians and technologists on health
information technology-related errors in hospitals: observationa…
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psnet.ahrq.gov/node/60352/psn-pdf
January 01, 2021 - Stakeholders in safety: patient reports on unsafe clinical
behaviors distinguish hospital mortality rates.
May 20, 2020
Reader TW, Gillespie A. Stakeholders in safety: patient reports on unsafe clinical behaviors distinguish
hospital mortality rates. J Appl Psychol. 2021;106(3):439-451. doi:10.1037/apl0000507.
htt…
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psnet.ahrq.gov/node/74127/psn-pdf
December 01, 2021 - Effectiveness of using simulation in the development of
clinical reasoning in undergraduate nursing students: a
systematic review.
December 1, 2021
Theobald KA, Tutticci N, Ramsbotham J, et al. Effectiveness of using simulation in the development of
clinical reasoning in undergraduate nursing students: a systemati…
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psnet.ahrq.gov/node/45962/psn-pdf
April 24, 2018 - Bridging leadership roles in quality and patient safety:
experience of 6 US academic medical centers.
April 24, 2018
Myers JS, Tess A, McKinney K, et al. Bridging Leadership Roles in Quality and Patient Safety: Experience
of 6 US Academic Medical Centers. J Grad Med Educ. 2017;9(1):9-13. doi:10.4300/JGME-D-16-00065…
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psnet.ahrq.gov/node/46903/psn-pdf
December 04, 2018 - Salzburg Global Seminar Session 565—Better Health
Care: How Do We Learn About Improvement?
December 4, 2018
Massoud MR, Kimble LE, Goldmann D, eds. Int J Qual Health Care. 2018;30(suppl 1):1-41.
https://psnet.ahrq.gov/issue/salzburg-global-seminar-session-565-better-health-care-how-do-we-learn-
about-improvement
…
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psnet.ahrq.gov/node/60052/psn-pdf
March 18, 2020 - Analysis of pharmacist-identified medication-related
problems at two United Kingdom hospitals: a prospective
observational study.
March 18, 2020
Geeson C, Wei L, Franklin BD. Analysis of pharmacist-identified medication-related problems at two United
Kingdom hospitals: a prospective observational study. Int J Phar…
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psnet.ahrq.gov/node/45830/psn-pdf
June 27, 2018 - Performance of vascular exposure and fasciotomy among
surgical residents before and after training compared with
experts.
June 27, 2018
Mackenzie CF, Garofalo E, Puche A, et al. Performance of Vascular Exposure and Fasciotomy Among
Surgical Residents Before and After Training Compared With Experts. JAMA Surg. 2017…
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psnet.ahrq.gov/node/35577/psn-pdf
April 06, 2011 - Safety culture assessment in community pharmacy:
development, face validity, and feasibility of the
Manchester Patient Safety Assessment Framework.
April 6, 2011
Ashcroft DM, Morecroft C, Parker D, et al. Safety culture assessment in community pharmacy:
development, face validity, and feasibility of the Manchester…
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psnet.ahrq.gov/node/61046/psn-pdf
October 21, 2020 - The effect of implementing bar-code medication
administration in an emergency department on
medication administration errors and nursing
satisfaction.
October 21, 2020
Owens K, Palmore M, Penoyer D, et al. The effect of implementing bar-code medication administration in
an emergency department on medication admin…
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psnet.ahrq.gov/node/867382/psn-pdf
December 18, 2024 - Pharmacists’ perceptions of error reporting systems.
December 18, 2024
Hartt CM, Weigand H, MacDonald AJ, et al. Pharmacists’ perceptions of error reporting systems. J Patient
Saf Risk Manag. 2024;29(6):268-273. doi:10.1177/25160435241288287.
https://psnet.ahrq.gov/issue/pharmacists-perceptions-error-reporting-syst…
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psnet.ahrq.gov/node/46182/psn-pdf
June 28, 2017 - What we know about designing an effective improvement
intervention (but too often fail to put into practice).
June 28, 2017
Marshall M, de Silva D, Cruickshank L, et al. What we know about designing an effective improvement
intervention (but too often fail to put into practice). BMJ Qual Saf. 2016;26(7). doi:10.113…
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psnet.ahrq.gov/node/46357/psn-pdf
May 17, 2018 - Safe labeling practices to minimize medication errors in
anesthesia: 5 case reports and review of the literature.
May 17, 2018
Prakash S, Mullick P, Kumar A, et al. Safe Labeling Practices to Minimize Medication Errors in Anesthesia.
A & A Practice. 2017;10(10). doi:10.1213/xaa.0000000000000680.
https://psnet.ahrq…