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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/46064/psn-pdf
April 19, 2017 - Prognosis of undiagnosed chest pain: linked electronic
health record cohort study.
April 19, 2017
Jordan KP, Timmis A, Croft P, et al. Prognosis of undiagnosed chest pain: linked electronic health record
cohort study. BMJ. 2017;357:j1194. doi:10.1136/bmj.j1194.
https://psnet.ahrq.gov/issue/prognosis-undiagnosed-ch…
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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/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/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/841484/psn-pdf
December 14, 2022 - Performance of 3 sets of criteria for potentially
inappropriate prescribing in older people to identify
inadequate drug treatment.
December 14, 2022
Wallerstedt SM, Svensson SA, Lönnbro J, et al. Performance of 3 sets of criteria for potentially
inappropriate prescribing in older people to identify inadequate drug…
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psnet.ahrq.gov/node/44328/psn-pdf
August 22, 2015 - Accidents and incidents related to intravenous drug
administration: a pre-post study following implementation
of smart pumps in a teaching hospital.
August 22, 2015
Guérin A, Tourel J, Delage E, et al. Accidents and Incidents Related to Intravenous Drug Administration: A
Pre-Post Study Following Implementation of …
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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/35855/psn-pdf
October 25, 2013 - HealthGrades Quality Study: Third Annual Patient Safety
in American Hospitals Study.
October 25, 2013
Denver, CO: HealthGrades; 2006.
https://psnet.ahrq.gov/issue/healthgrades-quality-study-third-annual-patient-safety-american-hospitals-
study
This third annual report on the safety of hospitalized Medicare patien…
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psnet.ahrq.gov/node/855429/psn-pdf
November 15, 2023 - Effect of complementary interventions to redesign care
on teamwork and quality for hospitalized medical
patients: a pragmatic controlled trial.
November 15, 2023
O’Leary KJ, Johnson JK, Williams MV, et al. Effect of complementary interventions to redesign care on
teamwork and quality for hospitalized medical patie…
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psnet.ahrq.gov/node/851351/psn-pdf
July 12, 2023 - Healthcare workers' experiences of patient safety in the
intensive care unit during the COVID-19 pandemic: a
multicentre qualitative study.
July 12, 2023
Berggren K, Ekstedt M, Joelsson?Alm E, et al. Healthcare workers' experiences of patient safety in the
intensive care unit during the COVID?19 pandemic: a multic…
-
psnet.ahrq.gov/node/44042/psn-pdf
November 03, 2015 - Deployment of rapid response teams by 31 hospitals in a
statewide collaborative.
November 3, 2015
Stolldorf DP, Jones CB. Deployment of rapid response teams by 31 hospitals in a statewide collaborative.
Jt Comm J Qual Patient Saf. 2015;41(4):186-191.
https://psnet.ahrq.gov/issue/deployment-rapid-response-teams-31-…
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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/37453/psn-pdf
March 03, 2011 - Managing the prevention of retained surgical instruments:
what is the value of counting?
March 3, 2011
Egorova NN, Moskowitz A, Gelijns A, et al. Managing the prevention of retained surgical instruments: what
is the value of counting? Ann Surg. 2008;247(1):13-8.
https://psnet.ahrq.gov/issue/managing-prevention-ret…
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psnet.ahrq.gov/node/842430/psn-pdf
September 05, 2018 - The Safety of Intravenous Drug Delivery Systems: Update
on Current Issues Since the 2009 Consensus
Development Conference.
September 5, 2018
Rodriguez R. The Safety of Intravenous Drug Delivery Systems: Update on Current Issues Since the 2009
Consensus Development Conference. Hosp Pharm. 2018;53(6):408-414. doi:10…
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psnet.ahrq.gov/node/50824/psn-pdf
January 22, 2020 - Failure to rescue and 30-day in-hospital mortality in
hospitals with and without crew-resource-management
safety training.
January 22, 2020
Bacon CT, McCoy TP, Henshaw DS. Failure to rescue and 30?day in?hospital mortality in hospitals with
and without crew?resource?management safety training. Res Nurs Health. 201…
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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/45120/psn-pdf
September 11, 2016 - Saving lives: a meta-analysis of team training in
healthcare.
September 11, 2016
Hughes A, Gregory ME, Joseph DL, et al. Saving lives: A meta-analysis of team training in healthcare. J
Appl Psychol. 2016;101(9):1266-304. doi:10.1037/apl0000120.
https://psnet.ahrq.gov/issue/saving-lives-meta-analysis-team-training-…
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psnet.ahrq.gov/node/866405/psn-pdf
July 31, 2024 - Analysis of an academic medical center’s corrective
action plan in response to fatal medication error using the
Institute for Safe Medication Practices’ Hierarchy of
Effectiveness.
July 31, 2024
Stolte AR, Siwy YM, Tanios SB, et al. Analysis of an academic medical center’s corrective action plan in
response to fa…
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psnet.ahrq.gov/node/35572/psn-pdf
February 03, 2011 - The long road to patient safety: a status report on patient
safety systems.
February 3, 2011
Longo DR, Hewett JE, Ge B, et al. The long road to patient safety: a status report on patient safety
systems. JAMA. 2005;294(22):2858-65.
https://psnet.ahrq.gov/issue/long-road-patient-safety-status-report-patient-safety-s…