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psnet.ahrq.gov/node/44926/psn-pdf
January 23, 2017 - How might health services capture patient-reported safety
concerns in a hospital setting? An exploratory pilot study
of three mechanisms.
January 23, 2017
O'Hara JK, Armitage G, Reynolds C, et al. How might health services capture patient-reported safety
concerns in a hospital setting? An exploratory pilot study o…
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psnet.ahrq.gov/node/47619/psn-pdf
April 08, 2019 - A decade of health information technology usability
challenges and the path forward.
April 8, 2019
Ratwani RM, Reider J, Singh H. A Decade of Health Information Technology Usability Challenges and the
Path Forward. JAMA. 2019;321(8):743-744. doi:10.1001/jama.2019.0161.
https://psnet.ahrq.gov/issue/decade-health-in…
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psnet.ahrq.gov/node/45935/psn-pdf
September 29, 2017 - Radiology research in quality and safety: current trends
and future needs.
September 29, 2017
Zygmont ME, Itri JN, Rosenkrantz AB, et al. Radiology Research in Quality and Safety: Current Trends and
Future Needs. Acad Radiol. 2017;24(3):263-272. doi:10.1016/j.acra.2016.07.021.
https://psnet.ahrq.gov/issue/radiolog…
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psnet.ahrq.gov/node/845300/psn-pdf
March 01, 2023 - The impact of medication reconciliation and review in
patients using oral chemotherapy.
March 1, 2023
Darcis E, Germeys J, Stragier M, et al. The impact of medication reconciliation and review in patients using
oral chemotherapy. J Oncol Pharm Pract. 2023;29(2):270-275. doi:10.1177/10781552211066959.
https://psnet…
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psnet.ahrq.gov/node/43194/psn-pdf
May 21, 2014 - Communicating doses of pediatric liquid medicines to
parents/caregivers: a comparison of written dosing
directions on prescriptions with labels applied by
dispensed pharmacy.
May 21, 2014
Shah R, Blustein L, Kuffner E, et al. Communicating doses of pediatric liquid medicines to
parents/caregivers: a comparison of…
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psnet.ahrq.gov/node/46141/psn-pdf
May 17, 2017 - Ethical dilemma in missed melanoma: what to tell the
patient and other providers.
May 17, 2017
Vangipuram R, Horner ME, Menter A. Ethical dilemma in missed melanoma: What to tell the patient and
other providers. J Am Acad Dermatol. 2017;76(2):365-367. doi:10.1016/j.jaad.2016.08.030.
https://psnet.ahrq.gov/issue/et…
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psnet.ahrq.gov/node/841759/psn-pdf
December 21, 2022 - Sources of nurse-sensitive inpatient safety improvement.
December 21, 2022
Dynan L, Smith RB. Sources of nurse?sensitive inpatient safety improvement. Health Serv Res.
2022;57(6):1235-1246. doi:10.1111/1475-6773.13979.
https://psnet.ahrq.gov/issue/sources-nurse-sensitive-inpatient-safety-improvement
Nurses play a …
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psnet.ahrq.gov/node/37309/psn-pdf
January 05, 2012 - Adverse drug events in hospitalized cardiac patients.
January 5, 2012
Fanikos J, Cina J, Baroletti S, et al. Adverse drug events in hospitalized cardiac patients. Am J Cardiol.
2007;100(9):1465-9.
https://psnet.ahrq.gov/issue/adverse-drug-events-hospitalized-cardiac-patients
This study noted two adverse drug event…
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psnet.ahrq.gov/node/60152/psn-pdf
March 25, 2020 - Errors during resuscitation: the impact of perceived
authority on delivery of care.
March 25, 2020
Delaloye NJ, Tobler K, O?Neill T, et al. Errors during resuscitation: the impact of perceived authority on
delivery of care. J Patient Saf. 2020;16(1). doi:10.1097/pts.0000000000000359.
https://psnet.ahrq.gov/issue/e…
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psnet.ahrq.gov/node/837670/psn-pdf
July 13, 2022 - The evidence base for US Joint Commission hospital
accreditation standards: cross sectional study.
July 13, 2022
Ibrahim SA, Reynolds KA, Poon E, et al. The evidence base for US joint commission hospital accreditation
standards: cross sectional study. BMJ. 2022;377:e063064. doi:10.1136/bmj-2020-063064.
https://psn…
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psnet.ahrq.gov/node/73194/psn-pdf
April 28, 2021 - CLER Report of Findings 2021: Subprotocol for Operative
and Procedural Areas.
April 28, 2021
Kuhn CM, Newton RC, Damewood MD, et al, on behalf of the CLER Evaluation Committee, the CLER
Operative and Procedural Subprotocol National Advisory Group, and the CLER Program. Chicago, IL:
Accreditation Council for Gradua…
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psnet.ahrq.gov/node/45745/psn-pdf
August 02, 2017 - Emergency diagnosis of cancer and previous general
practice consultations: insights from linked patient
survey data.
August 2, 2017
Abel GA, Mendonca SC, McPhail S, et al. Emergency diagnosis of cancer and previous general practice
consultations: insights from linked patient survey data. Br J Gen Pract. 2017;67(65…
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psnet.ahrq.gov/node/60676/psn-pdf
July 15, 2020 - Northeastern University Hospital Surge Capacity Planning
Model: Bed, Ventilator, and PPE 1-30 Day Demand.
July 15, 2020
Rockville, MD; Agency for Healthcare Research and Quality: 2020.
https://psnet.ahrq.gov/issue/northeastern-university-hospital-surge-capacity-planning-model-bed-ventilator-
and-ppe-1-30
The COVI…
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psnet.ahrq.gov/node/44186/psn-pdf
November 10, 2015 - A comprehensive method to develop a checklist to
increase safety of intra-hospital transport of critically ill
patients.
November 10, 2015
Brunsveld-Reinders AH, Arbous S, Kuiper SG, et al. A comprehensive method to develop a checklist to
increase safety of intra-hospital transport of critically ill patients. Crit…
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psnet.ahrq.gov/node/866951/psn-pdf
October 16, 2024 - Toward a responsible future: recommendations for AI-
enabled clinical decision support.
October 16, 2024
Labkoff S, Oladimeji B, Kannry J, et al. Toward a responsible future: recommendations for AI-enabled
clinical decision support. J Am Med Inform Assoc. 2024;31(11):2730-2739. doi:10.1093/jamia/ocae209.
https://p…
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psnet.ahrq.gov/node/40435/psn-pdf
July 22, 2011 - How does context affect interventions to improve patient
safety? An assessment of evidence from studies of five
patient safety practices and proposals for research.
July 22, 2011
Ovretveit JC, Shekelle PG, Dy SM, et al. How does context affect interventions to improve patient safety?
An assessment of evidence from…
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psnet.ahrq.gov/node/74079/psn-pdf
December 02, 2020 - Impact of digitally acquired peer diagnostic input on
diagnostic confidence in outpatient cases: a pragmatic
randomized trial.
December 2, 2020
Khoong EC, Fontil V, Rivadeneira NA, et al. Impact of digitally acquired peer diagnostic input on diagnostic
confidence in outpatient cases: a pragmatic randomized trial. …
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psnet.ahrq.gov/node/44839/psn-pdf
February 03, 2016 - Engaging frontline staff in performance improvement: the
American Organization of Nurse Executives
implementation of Transforming Care at the Bedside
collaborative.
February 3, 2016
Needleman J, Pearson ML, Upenieks V, et al. Engaging Frontline Staff in Performance Improvement: The
American Organization of Nurse …
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psnet.ahrq.gov/node/838930/psn-pdf
October 26, 2022 - Artificial Intelligence in Health Care: Benefits and
Challenges of Machine Learning Technologies for Medical
Diagnostics.
October 26, 2022
Washington DC: United States Government Accountability Office and National Academy of
Medicine; September 2022. Report no. GAO-22-104629.
https://psnet.ahrq.gov/issue/ar…
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psnet.ahrq.gov/node/841760/psn-pdf
December 21, 2022 - Pursuit of "endpoint diagnoses" as a cognitive forcing
strategy to avoid premature diagnostic closure.
December 21, 2022
Kaplan HM, Birnbaum JF, Kulkarni PA. Pursuit of “endpoint diagnoses” as a cognitive forcing strategy to
avoid premature diagnostic closure. Diagnosis (Berl). 2022;9(4):421-429. doi:10.1515/dx-202…