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psnet.ahrq.gov/node/37226/psn-pdf
December 15, 2011 - Adverse drug events in pediatric outpatients.
December 15, 2011
Kaushal R, Goldmann DA, Keohane C, et al. Adverse drug events in pediatric outpatients. Ambul Pediatr.
2007;7(5):383-9.
https://psnet.ahrq.gov/issue/adverse-drug-events-pediatric-outpatients
The incidence of adverse drug events (ADEs) among children h…
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psnet.ahrq.gov/node/850351/psn-pdf
June 14, 2023 - A novel approach for assessing bias during team-based
clinical decision-making.
June 14, 2023
Pool N, Hebdon M, de Groot E, et al. A novel approach for assessing bias during team-based clinical
decision-making. Front in Public Health. 2023;11:1014773. doi:10.3389/fpubh.2023.1014773.
https://psnet.ahrq.gov/issue/no…
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psnet.ahrq.gov/node/45214/psn-pdf
July 13, 2016 - Recognizing quality improvement and patient safety
activities in academic promotion in departments of
medicine: innovative language in promotion criteria.
July 13, 2016
Staiger TO, Mills LM, Wong BM, et al. Recognizing Quality Improvement and Patient Safety Activities in
Academic Promotion in Departments of Medici…
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psnet.ahrq.gov/node/866317/psn-pdf
July 17, 2024 - BONE break: a hot debrief tool to reduce second victim
syndrome for nurses.
July 17, 2024
Hess A, Flicek T, Watral AT, et al. BONE break: a hot debrief tool to reduce second victim syndrome for
nurses. Jt Comm J Qual Patient Saf. 2024;50(9):673-677. doi:10.1016/j.jcjq.2024.05.005.
https://psnet.ahrq.gov/issue/bone…
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psnet.ahrq.gov/node/862150/psn-pdf
February 07, 2024 - Effectiveness of ChatGPT in clinical pharmacy and the
role of artificial intelligence in medication therapy
management.
February 7, 2024
Roosan D, Padua P, Khan R, et al. Effectiveness of ChatGPT in clinical pharmacy and the role of artificial
intelligence in medication therapy management. J Am Pharm Assoc (2003).…
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psnet.ahrq.gov/node/37640/psn-pdf
April 02, 2008 - An observational analysis of surgical team compliance
with perioperative safety practices after crew resource
management training.
April 2, 2008
France DJ, Leming-Lee S, Jackson T, et al. An observational analysis of surgical team compliance with
perioperative safety practices after crew resource management traini…
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psnet.ahrq.gov/node/36834/psn-pdf
August 26, 2011 - Healthcare climate: a framework for measuring and
improving patient safety.
August 26, 2011
Zohar D, Livne Y, Tenne-Gazit O, et al. Healthcare climate: a framework for measuring and improving
patient safety. Crit Care Med. 2007;35(5):1312-7.
https://psnet.ahrq.gov/issue/healthcare-climate-framework-measuring-and-i…
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psnet.ahrq.gov/node/73074/psn-pdf
March 24, 2021 - In U.S. nursing homes, where Covid-19 killed scores, even
reports of maggots and rape don’t dock five-star ratings.
March 24, 2021
Silver-Greenberg J, Gebeloff R. New York Times. March 13, 2021.
https://psnet.ahrq.gov/issue/us-nursing-homes-where-covid-19-killed-scores-even-reports-maggots-and-
rape-dont-dock-five…
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psnet.ahrq.gov/node/35134/psn-pdf
June 22, 2009 - Introduction of the medical emergency team (MET)
system: a cluster-randomised controlled trial.
June 22, 2009
Hillman K, Chen J, Cretikos M, et al. Introduction of the medical emergency team (MET) system: a cluster-
randomised controlled trial. Lancet. 2005;365(9477):2091-7.
https://psnet.ahrq.gov/issue/introducti…
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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/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/858174/psn-pdf
December 13, 2023 - Anaesthesia clinicians' perception of safety, workload,
anxiety, and stress in a remote hybrid suite compared
with the operating room.
December 13, 2023
Schroeck H, Whitty MA, Martinez-Camblor P, et al. Anaesthesia clinicians' perception of safety, workload,
anxiety, and stress in a remote hybrid suite compared wi…
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psnet.ahrq.gov/node/43496/psn-pdf
November 01, 2016 - Designing and Delivering Whole-Person Transitional
Care: Hospital Guide to Reducing Medicaid
Readmissions.
November 1, 2016
Boutwell A, Bourgoin A , Maxwell J, et al. Rockville, MD: Agency for Healthcare Research and Quality;
September 2016. AHRQ Publication No. 16-0047-EF.
https://psnet.ahrq.gov/issue/designing-…
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psnet.ahrq.gov/node/60660/psn-pdf
July 09, 2020 - Pharmacist-led program to improve transitions from acute
care to skilled nursing facility care.
July 9, 2020
Achilleos M, McEwen J, Hoesly M, et al. Pharmacist-led program to improve transitions from acute care to
skilled nursing facility care. Am J Health Syst Pharm. 2020;77(12). doi:10.1093/ajhp/zxaa090.
https:/…
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psnet.ahrq.gov/node/38026/psn-pdf
March 21, 2017 - Does error and adverse event reporting by physicians and
nurses differ?
March 21, 2017
Rowin EJ, Lucier D, Pauker SG, et al. Does error and adverse event reporting by physicians and nurses
differ? Jt Comm J Qual Patient Saf. 2008;34(9):537-545.
https://psnet.ahrq.gov/issue/does-error-and-adverse-event-reporting-ph…
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psnet.ahrq.gov/node/43957/psn-pdf
June 21, 2015 - Enhancing the effectiveness of team debriefings in
medical simulation: more best practices.
June 21, 2015
Lyons R, Lazzara EH, Benishek LE, et al. Enhancing the effectiveness of team debriefings in medical
simulation: more best practices. Jt Comm J Qual Patient Saf. 2015;41(3):115-125.
https://psnet.ahrq.gov/issue…
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psnet.ahrq.gov/node/866321/psn-pdf
July 17, 2024 - Impact of pharmacist-led discharge medication
reconciliation on error and patient harm prevention at a
large academic medical center.
July 17, 2024
Zheng L, Pon T, Bajorek SA, et al. Impact of pharmacist?led discharge medication reconciliation on error
and patient harm prevention at a large academic medical center…
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psnet.ahrq.gov/node/841485/psn-pdf
December 14, 2022 - Factors causing variation in World Health Organization
surgical safety checklist effectiveness-a rapid scoping
review.
December 14, 2022
Wani MM, Gilbert JHV, Mohammed CA, et al. Factors causing variation in World Health Organization
surgical safety checklist effectiveness-a rapid scoping review. J Patient Saf. 20…
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psnet.ahrq.gov/node/845634/psn-pdf
March 08, 2023 - Compliance with and barriers to implementing the
surgical safety checklist: a mixed-methods study.
March 8, 2023
Aydin Akbuga G, Sürme Y, Esenkaya D. Compliance with and barriers to implementing the surgical safety
checklist: a mixed-methods study. AORN J. 2023;117(2):e1-e10. doi:10.1002/aorn.13861.
https://psnet.…
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psnet.ahrq.gov/node/33759/psn-pdf
October 01, 2012 - A hospital using all of these measures
would, however, only scratch the surface of evaluating the quality