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psnet.ahrq.gov/node/44668/psn-pdf
January 22, 2016 - Medication safety at the interface: evaluating risks
associated with discharge prescriptions from mental
health hospitals.
January 22, 2016
Keers RN, Williams SD, Vattakatuchery JJ, et al. Medication safety at the interface: evaluating risks
associated with discharge prescriptions from mental health hospitals. J C…
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psnet.ahrq.gov/node/44314/psn-pdf
November 06, 2015 - Unintentional discontinuation of chronic medications for
seniors in nursing homes: evaluation of a national
medication reconciliation accreditation requirement using
a population-based cohort study.
November 6, 2015
Stall NM, Fischer HD, Wu F, et al. Unintentional Discontinuation of Chronic Medications for Seniors…
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psnet.ahrq.gov/node/47450/psn-pdf
March 27, 2019 - A qualitative evaluation of healthcare professionals'
perceptions of adverse events focusing on
communication and teamwork in maternity care.
March 27, 2019
Rönnerhag M, Severinsson E, Haruna M, et al. A qualitative evaluation of healthcare professionals'
perceptions of adverse events focusing on communication and…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.152_slideshow.ppt
June 01, 2007 - Spotlight Case [MONTH] 2003
Spotlight Case June 2007
Beeline to Spine
Source and Credits
This presentation is based on June 2007
AHRQ WebM&M Spotlight Case
See full article at http://webmm.ahrq.gov
CME credit is available online
Commentary by: Gerald W. Smetana, MD, Harvard Medical School, Beth Israel D…
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psnet.ahrq.gov/node/43630/psn-pdf
April 15, 2016 - Evaluation of adverse drug events and medication
discrepancies in transitions of care between hospital
discharge and primary care follow-up.
April 15, 2016
Armor BL, Wight AJ, Carter SM. Evaluation of Adverse Drug Events and Medication Discrepancies in
Transitions of Care Between Hospital Discharge and Primary Car…
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psnet.ahrq.gov/node/43857/psn-pdf
August 02, 2015 - A checklist-based intervention to improve surgical
outcomes in Michigan: evaluation of the Keystone
Surgery program.
August 2, 2015
Reames BN, Krell RW, Campbell D, et al. A checklist-based intervention to improve surgical outcomes in
Michigan: evaluation of the Keystone Surgery program. JAMA Surg. 2015;150(3):208…
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psnet.ahrq.gov/node/36614/psn-pdf
January 14, 2011 - Development and evaluation of a 1-day interclerkship
program for medical students on medical errors and
patient safety.
January 14, 2011
Moskowitz E, Veloski J, Fields SK, et al. Development and evaluation of a 1-day interclerkship program for
medical students on medical errors and patient safety. Am J Med Qual. 2…
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psnet.ahrq.gov/node/38861/psn-pdf
August 26, 2009 - Survey evaluation of the National Patient Safety Agency’s
Root Cause Analysis training programme in England and
Wales: knowledge, beliefs and reported practices.
August 26, 2009
Wallace LM, Spurgeon P, Adams S, et al. Survey evaluation of the National Patient Safety Agency's Root
Cause Analysis training programme …
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psnet.ahrq.gov/node/44818/psn-pdf
February 24, 2018 - Economic evaluation of interventions for prevention of
hospital acquired infections: a systematic review.
February 24, 2018
Arefian H, Vogel M, Kwetkat A, et al. Economic Evaluation of Interventions for Prevention of Hospital
Acquired Infections: A Systematic Review. PLoS One. 2016;11(1):e0146381.
doi:10.1371/jour…
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psnet.ahrq.gov/node/44257/psn-pdf
November 06, 2015 - A systems approach to evaluating ionizing radiation: six
focus areas to improve quality, efficiency, and patient
safety.
November 6, 2015
Perlin JB, Mower L, Bushe C. A systems approach to evaluating ionizing radiation: six focus areas to
improve quality, efficiency, and patient safety. J Healthc Qual. 2015;37(3):…
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psnet.ahrq.gov/node/43085/psn-pdf
March 26, 2014 - A prospective study to evaluate awareness about
medication errors amongst health-care personnel
representing North, East, West Regions of India.
March 26, 2014
Sewal RK, Singh PK, Prakash A, et al. A prospective study to evaluate awareness about medication errors
amongst health-care personnel representing North, E…
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psnet.ahrq.gov/node/37784/psn-pdf
May 27, 2011 - A risk analysis method to evaluate the impact of a
Computerized Provider Order Entry system on patient
safety.
May 27, 2011
Bonnabry P, Despont-Gros C, Grauser D, et al. A risk analysis method to evaluate the impact of a
computerized provider order entry system on patient safety. J Am Med Inform Assoc. 2008;15(4):…
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psnet.ahrq.gov/node/47607/psn-pdf
February 13, 2019 - Infection prevention in long-term care: re-evaluating the
system using a human factors engineering approach.
February 13, 2019
Katz MJ, Gurses AP. Infection prevention in long-term care: re-evaluating the system using a human
factors engineering approach. Infect Control Hosp Epidemiol. 2019;40(1):95-99. doi:10.1017…
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psnet.ahrq.gov/node/47536/psn-pdf
March 09, 2019 - Evaluation of wound photography for remote
postoperative assessment of surgical site infections.
March 9, 2019
Broman KK, Gaskill CE, Faqih A, et al. Evaluation of Wound Photography for Remote Postoperative
Assessment of Surgical Site Infections. JAMA Surg. 2019;154(2):117-124.
doi:10.1001/jamasurg.2018.3861.
htt…
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psnet.ahrq.gov/node/42249/psn-pdf
May 08, 2013 - Is detection of adverse events affected by record review
methodology? An evaluation of the "Harvard Medical
Practice Study" method and the "Global Trigger Tool."
May 8, 2013
Unbeck M, Schildmeijer K, Henriksson P, et al. Is detection of adverse events affected by record review
methodology? an evaluation of the "Ha…
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psnet.ahrq.gov/node/43993/psn-pdf
November 29, 2017 - An evaluation of shared mental models and mutual trust
on general medical units: implications for collaboration,
teamwork, and patient safety.
November 29, 2017
McComb SA, Lemaster M, Henneman EA, et al. An Evaluation of Shared Mental Models and Mutual Trust
on General Medical Units: Implications for Collaboration…
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psnet.ahrq.gov/node/40410/psn-pdf
May 11, 2011 - Evaluation of the role of the critical care pharmacist in
identifying and avoiding or minimizing significant
drug–drug interactions in medical intensive care patients.
May 11, 2011
Rivkin A, Yin H. Evaluation of the role of the critical care pharmacist in identifying and avoiding or
minimizing significant drug-dru…
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psnet.ahrq.gov/node/35328/psn-pdf
May 19, 2015 - Applicability of Healthcare Failure Mode and Effects
Analysis to healthcare epidemiology: evaluation of the
sterilization and use of surgical instruments.
May 19, 2015
Weinstein RA, Linkin DR, Sausman C, et al. Applicability of Healthcare Failure Mode and Effects Analysis
to Healthcare Epidemiology: Evaluation of …
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psnet.ahrq.gov/node/40045/psn-pdf
May 25, 2011 - Evaluation of an evidence-based, nurse-driven checklist
to prevent hospital-acquired catheter-associated urinary
tract infections in intensive care units.
May 25, 2011
Fuchs MA, Sexton DJ, Thornlow D, et al. Evaluation of an evidence-based, nurse-driven checklist to
prevent hospital-acquired catheter-associated ur…
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psnet.ahrq.gov/node/38069/psn-pdf
March 10, 2011 - Evaluating clinical decision support systems: monitoring
CPOE order check override rates in the Department of
Veterans Affairs' computerized patient record system.
March 10, 2011
Lin C-P, Payne TH, Nichol P, et al. Evaluating clinical decision support systems: monitoring CPOE order
check override rates in the Depa…