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psnet.ahrq.gov/node/39283/psn-pdf
December 21, 2014 - Parents' medication administration errors: role of dosing
instruments and health literacy.
December 21, 2014
Yin S, Mendelsohn A, Wolf MS, et al. Parents' medication administration errors: role of dosing instruments
and health literacy. Arch Pediatr Adolesc Med. 2010;164(2):181-6. doi:10.1001/archpediatrics.2009.26…
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psnet.ahrq.gov/node/38759/psn-pdf
April 05, 2010 - Perceptions of the impact of a large-scale collaborative
improvement programme: experience in the UK Safer
Patients Initiative.
April 5, 2010
Benn J, Burnett S, Parand A, et al. Perceptions of the impact of a large-scale collaborative improvement
programme: experience in the UK Safer Patients Initiative. J Eval Cl…
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psnet.ahrq.gov/node/60934/psn-pdf
September 23, 2020 - Hospital ward adaptation during the COVID-19 pandemic:
a national survey of academic medical centers.
September 23, 2020
Auerbach AD, O'Leary KJ, Greysen SR, et al. Hospital ward adaptation during the COVID-19 pandemic: a
national survey of academic medical centers. J Hosp Med. 2020;15(8):483-488. doi:10.12788/jhm.…
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psnet.ahrq.gov/node/838238/psn-pdf
October 05, 2022 - Spreading a strategy to prevent suicide after psychiatric
hospitalization: results of a quality improvement spread
initiative.
October 5, 2022
Riblet NB, Varela M, Ashby W, et al. Spreading a strategy to prevent suicide after psychiatric
hospitalization: results of a quality improvement spread initiative. Jt Comm …
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psnet.ahrq.gov/node/839314/psn-pdf
November 02, 2022 - Correlation between the number of patient-reported
adverse events, adverse drug events, and quality of life in
older patients: an observational study.
November 2, 2022
Beerlage-Davids CJ, Ponjee GHM, Vanhommerig JW, et al. Correlation between the number of patient-
reported adverse events, adverse drug events, and…
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psnet.ahrq.gov/node/764402/psn-pdf
March 02, 2022 - A systematic review of methods for medical record
analysis to detect adverse events in hospitalized patients.
March 2, 2022
Klein DO, Rennenberg RJMW, Koopmans RP, et al. A systematic review of methods for medical record
analysis to detect adverse events in hospitalized patients. J Patient Saf. 2021;17(8):e1234-e12…
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psnet.ahrq.gov/node/867091/psn-pdf
November 06, 2024 - Initiative to deprescribe high-risk drugs for older adults
presenting to the emergency department after falls.
November 6, 2024
Selman K, Roberts E, Niznik J, et al. Initiative to deprescribe high?risk drugs for older adults presenting to
the emergency department after falls. J Am Geriatr Soc. 2024;72(Supp 3):s60-s…
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psnet.ahrq.gov/node/866954/psn-pdf
October 16, 2024 - Patient and public involvement in healthcare: a
systematic mapping review of systematic reviews -
identification of current research and possible directions
for future research.
October 16, 2024
Bergholtz J, Wolf A, Crine V, et al. Patient and public involvement in healthcare: a systematic mapping
review of syste…
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psnet.ahrq.gov/node/38660/psn-pdf
November 13, 2009 - Improving medication error reporting in hospice care.
November 13, 2009
Boyer R, McPherson ML, Deshpande G, et al. Improving medication error reporting in hospice care. Am J
Hosp Palliat Care. 2009;26(5):361-7. doi:10.1177/1049909109335145.
https://psnet.ahrq.gov/issue/improving-medication-error-reporting-hospice-c…
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psnet.ahrq.gov/node/73197/psn-pdf
April 28, 2021 - Medical Office Survey: 2020 User Database Report.
April 28, 2021
Famolaro T, Hare R, Thornton S, et al. Surveys on Patient Safety CultureTM (SOPSTM). Rockville,
MD: Agency for Healthcare Research and Quality; March 2020. AHRQ Publication No. 20-0034.
https://psnet.ahrq.gov/issue/medical-office-survey-2020-user…
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psnet.ahrq.gov/node/61116/psn-pdf
November 11, 2020 - Using medication containers during pharmacist
transitional care visits and impact on medication
discrepancies identified and hospital readmission risk.
November 11, 2020
Herges JR, Garrison GM, Mara KC, et al. Using medication containers during pharmacist transitional care
visits and impact on medication discrepan…
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psnet.ahrq.gov/node/50711/psn-pdf
January 01, 2020 - Unscheduled return visits to the emergency department
with ICU admission: a trigger tool for diagnostic error.
December 4, 2019
Aaronson E, Jansson P, Wittbold K, et al. Unscheduled return visits to the emergency department with ICU
admission: A trigger tool for diagnostic error. Am J Emerg Med. 2020;38(8):1584-158…
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psnet.ahrq.gov/node/35524/psn-pdf
October 06, 2016 - Does patient-centered design guarantee patient safety?:
Using human factors engineering to find a balance
between provider and patient needs.
October 6, 2016
France DJ, Throop P, Walczyk B, et al. Does Patient-Centered Design Guarantee Patient Safety? J Patient
Saf. 2008;1(3):145-153. doi:10.1097/01.jps.0000191550…
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psnet.ahrq.gov/node/73282/psn-pdf
January 01, 2022 - Effects of a refined evidence-based toolkit and mentored
implementation on medication reconciliation at 18
hospitals: results of the MARQUIS2 study.
May 19, 2021
Schnipper JL, Reyes Nieva H, Mallouk M, et al. Effects of a refined evidence-based toolkit and mentored
implementation on medication reconciliation at 18…
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psnet.ahrq.gov/node/42818/psn-pdf
October 31, 2014 - Association of note quality and quality of care: a cross-
sectional study.
October 31, 2014
Edwards ST, Neri PM, Volk LA, et al. Association of note quality and quality of care: a cross-sectional
study. BMJ Qual Saf. 2014;23(5):406-13. doi:10.1136/bmjqs-2013-002194.
https://psnet.ahrq.gov/issue/association-note-qu…
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psnet.ahrq.gov/node/42412/psn-pdf
October 07, 2013 - Quality and safety implications of emergency department
information systems.
October 7, 2013
Farley HL, Baumlin KM, Hamedani A, et al. Quality and safety implications of emergency department
information systems. Ann Emerg Med. 2013;62(4):399-407. doi:10.1016/j.annemergmed.2013.05.019.
https://psnet.ahrq.gov/issue/…
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psnet.ahrq.gov/node/844043/psn-pdf
February 08, 2023 - In situ simulation: a strategy to restore patient safety in
intensive care units after the COVID-19 pandemic?
February 8, 2023
Gómez-Pérez V, Escrivá Peiró D, Sancho-Cantus D, et al. In Situ Simulation: A Strategy to Restore Patient
Safety in Intensive Care Units after the COVID-19 Pandemic? Systematic Review. Heal…
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psnet.ahrq.gov/node/35424/psn-pdf
April 09, 2013 - Clinical impact and frequency of anatomic pathology
errors in cancer diagnoses.
April 9, 2013
Raab SS, Grzybicki DM, Janosky JE, et al. Clinical impact and frequency of anatomic pathology errors in
cancer diagnoses. Cancer. 2005;104(10):2205-13.
https://psnet.ahrq.gov/issue/clinical-impact-and-frequency-anatomic-p…
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psnet.ahrq.gov/node/866554/psn-pdf
August 21, 2024 - Multi-team shared expectations tool (MT-SET): an
exercise to improve teamwork across health care teams.
August 21, 2024
Marsteller JA, Rosen MA, Wyskiel R, et al. Multi-team shared expectations tool (MT-SET): an exercise to
improve teamwork across health care teams. Jt Comm J Qual Patient Saf. 2024;50(10):737-744.
…
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psnet.ahrq.gov/node/856583/psn-pdf
January 01, 2024 - Prescription opioid dose reductions and potential adverse
events: a multi-site observational cohort study in diverse
US health systems.
November 29, 2023
Metz VE, Ray GT, Palzes V, et al. Prescription opioid dose reductions and potential adverse events: a
multi-site observational cohort study in diverse US health …