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psnet.ahrq.gov/node/47748/psn-pdf
June 14, 2019 - The impact of health information technology on the
management and follow-up of test results—a systematic
review.
June 14, 2019
Georgiou A, Li J, Thomas J, et al. The impact of health information technology on the management and
follow-up of test results - a systematic review. J Am Med Inform Assoc. 2019;26(7):678-…
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psnet.ahrq.gov/node/74141/psn-pdf
December 01, 2021 - Incident reporting systems: what will it take to make them
less frustrating and achieve anything useful?
December 1, 2021
Shojania KG. Incident reporting systems: what will it take to make them less frustrating and achieve
anything useful? Jt Comm J Qual Patient Saf. 2021;47(12):755-758. doi:10.1016/j.jcjq.2021.10.…
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psnet.ahrq.gov/node/47349/psn-pdf
January 30, 2019 - Relationship of staff information sharing and advice
networks to patient safety outcomes.
January 30, 2019
Brewer BB, Carley KM, Benham-Hutchins MM, et al. Relationship of Staff Information Sharing and Advice
Networks to Patient Safety Outcomes. J Nurs Adm. 2018;48(9):437-444.
doi:10.1097/NNA.0000000000000646.
ht…
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psnet.ahrq.gov/node/72710/psn-pdf
February 03, 2021 - A poison information centre can provide important
assessment and guidance regarding medication errors in
nursing homes: a prospective cohort study.
February 3, 2021
Vinther S, Bøgevig S, Eriksen KR, et al. A poison information centre can provide important assessment and
guidance regarding medication errors in nurs…
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psnet.ahrq.gov/node/41646/psn-pdf
September 05, 2012 - Interventions to increase clinical incident reporting in
health care.
September 5, 2012
Parmelli E, Flodgren G, Fraser SG, et al. Interventions to increase clinical incident reporting in health care.
Cochrane Database Syst Rev. 2012;8(8):CD005609. doi:10.1002/14651858.cd005609.pub2.
https://psnet.ahrq.gov/issue/in…
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psnet.ahrq.gov/node/73118/psn-pdf
April 07, 2021 - Racial/ethnic disparities in interhospital transfer for
conditions with a mortality benefit to transfer among
patients with Medicare.
April 7, 2021
Shannon EM, Zheng J, Orav EJ, et al. JAMA Network Open. 2021:4(3);e213474.
https://psnet.ahrq.gov/issue/racialethnic-disparities-interhospital-transfer-conditions-mort…
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psnet.ahrq.gov/node/73616/psn-pdf
August 18, 2021 - Do Black and White Patients Experience Similar Rates of
Adverse Safety Events at the Same Hospital?
August 18, 2021
Gangopadhyaya A. Washington DC; Urban Institute: July 2021.
https://psnet.ahrq.gov/issue/do-black-and-white-patients-experience-similar-rates-adverse-safety-events-
same-hospital
Racial inequities h…
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psnet.ahrq.gov/node/859349/psn-pdf
January 01, 2024 - Investigating the influence of selected leadership styles
on patient safety and quality of care: a systematic review
and meta-analysis.
December 20, 2023
Singh A, Yeravdekar R, Jadhav S. Investigating the influence of selected leadership styles on patient safety
and quality of care: a systematic review and meta-an…
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psnet.ahrq.gov/node/46845/psn-pdf
April 16, 2018 - Do final-year medical students have sufficient prescribing
competencies? A systematic literature review.
April 16, 2018
Brinkman DJ, Tichelaar J, Graaf S, et al. Do final-year medical students have sufficient prescribing
competencies? A systematic literature review. Br J Clin Pharmacol. 2018;84(4):615-635.
doi:10.…
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psnet.ahrq.gov/node/43644/psn-pdf
April 22, 2015 - SIMMEON-Prep study: SIMulation of Medication Errors in
ONcology: prevention of antineoplastic preparation
errors.
April 22, 2015
Sarfati L, Ranchon F, Vantard N, et al. SIMMEON-Prep study: SIMulation of Medication Errors in
ONcology: prevention of antineoplastic preparation errors. J Clin Pharm Ther. 2015;40(1):55…
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psnet.ahrq.gov/node/855422/psn-pdf
November 15, 2023 - An exploratory analysis of the association between
hospital quality measures and financial performance.
November 15, 2023
Beauvais B, Dolezel D, Ramamonjiarivelo Z. An exploratory analysis of the association between hospital
quality measures and financial performance. Healthcare (Basel). 2023;11(20):2758.
doi:10.3…
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psnet.ahrq.gov/node/847736/psn-pdf
April 19, 2023 - Deficiencies in Emergent and Outpatient Care of a Patient
with Alcohol Use Disorder at the Richard L. Roudebush
VA Medical Center in Indianapolis, Indiana.
April 19, 2023
Washington, DC: VA Office of the Inspector General; March 29, 2023. Report no. 21-03680-80.
https://psnet.ahrq.gov/issue/deficiencies-emergent-a…
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psnet.ahrq.gov/node/43502/psn-pdf
September 10, 2014 - Catastrophic medical malpractice payouts in the United
States.
September 10, 2014
Bixenstine PJ, Shore AD, Mehtsun WT, et al. Catastrophic Medical Malpractice Payouts in the United
States. J Healthc Qual. 2013;36(4):43-53. doi:10.1111/jhq.12011.
https://psnet.ahrq.gov/issue/catastrophic-medical-malpractice-payouts…
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psnet.ahrq.gov/node/867344/psn-pdf
December 11, 2024 - Exploring the relationship between hospital patient safety
culture and performance on measures of hospital-
acquired conditions.
December 11, 2024
Noghrehchi P, Hefner JL, Stegall H, et al. Exploring the relationship between hospital patient safety culture
and performance on measures of hospital-acquired condition…
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psnet.ahrq.gov/node/867231/psn-pdf
December 04, 2024 - Inequities in inpatient pediatric patient safety events by
category.
December 4, 2024
Pantell MS, Karvonen KL, Porter P, et al. Inequities in inpatient pediatric patient safety events by category.
Hosp Pediatr. 2024;14(12):953-962. doi:10.1542/hpeds.2023-007129.
https://psnet.ahrq.gov/issue/inequities-inpatient-pe…
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psnet.ahrq.gov/node/866442/psn-pdf
August 07, 2024 - Frequency and characteristics of errors by artificial
intelligence (AI) in reading screening mammography: a
systematic review.
August 7, 2024
Zeng A, Houssami N, Noguchi N, et al. Frequency and characteristics of errors by artificial intelligence (AI)
in reading screening mammography: a systematic review. Breast C…
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psnet.ahrq.gov/node/864857/psn-pdf
March 20, 2024 - Safety on the ground: using critical incident technique to
explore the factors influencing medical registrars'
provision of safe care.
March 20, 2024
Ralston K, Smith SE, Kerins J, et al. Safety on the ground: using critical incident technique to explore the
factors influencing medical registrars’ provision of saf…
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psnet.ahrq.gov/node/44165/psn-pdf
May 27, 2015 - Unplanned return to theater: a quality of care and risk
management index?
May 27, 2015
Pujol N, Merrer J, Lemaire B, et al. Unplanned return to theater: A quality of care and risk management
index? Orthop Traumatol Surg Res. 2015;101(4):399-403. doi:10.1016/j.otsr.2015.03.013.
https://psnet.ahrq.gov/issue/unplanne…
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psnet.ahrq.gov/node/45192/psn-pdf
December 04, 2016 - Evidence summary and recommendations for improved
communication during care transitions.
December 4, 2016
Jackson PD, Biggins MS, Cowan L, et al. Evidence Summary and Recommendations for Improved
Communication during Care Transitions. Rehabil Nurs. 2016;41(3):135-48. doi:10.1002/rnj.230.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/837316/psn-pdf
June 01, 2022 - 2022 Updated Results for the AHRQ Surveys on Patient
Safety Culture (SOPS) Diagnostic Safety Supplemental
Items.
June 1, 2022
Famolaro T, Hare R, Tapia A, et al. Rockville, MD: Agency for Healthcare Research and Quality; April
2022. AHRQ Publication No. 22-0027.
https://psnet.ahrq.gov/issue/2022-updated-results-a…