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psnet.ahrq.gov/node/47333/psn-pdf
October 10, 2018 - Changing dynamics of the drug overdose epidemic in the
United States from 1979 through 2016.
October 10, 2018
Jalal H, Buchanich JM, Roberts MS, et al. Changing dynamics of the drug overdose epidemic in the United
States from 1979 through 2016. Science (1979). 2018;361(6408). doi:10.1126/science.aau1184.
https://p…
-
psnet.ahrq.gov/node/45279/psn-pdf
September 27, 2016 - Does clinical supervision of health professionals improve
patient safety? A systematic review and meta-analysis.
September 27, 2016
Snowdon DA, Hau R, Leggat SG, et al. Does clinical supervision of health professionals improve patient
safety? A systematic review and meta-analysis. Int J Qual Health Care. 2016;28(4)…
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psnet.ahrq.gov/node/44176/psn-pdf
August 21, 2015 - Patient and carer identified factors which contribute to
safety incidents in primary care: a qualitative study.
August 21, 2015
Hernan AL, Giles SJ, Fuller J, et al. Patient and carer identified factors which contribute to safety incidents
in primary care: a qualitative study. BMJ Qual Saf. 2015;24(9):583-93. doi:1…
-
psnet.ahrq.gov/node/44388/psn-pdf
October 14, 2015 - Implementation of the Centers for Medicare & Medicaid
Services' nonpayment policy for preventable hospital-
acquired conditions in rural and nonrural US hospitals.
October 14, 2015
Bae S-H, Yoder LH. Implementation of the Centers for Medicare & Medicaid Services' Nonpayment Policy
for Preventable Hospital-Acquired…
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psnet.ahrq.gov/node/47946/psn-pdf
May 22, 2019 - Vital signs: pregnancy-related deaths, United States,
2011-2015, and strategies for prevention, 13 states, 2013-
2017.
May 22, 2019
Petersen EE, Davis NL, Goodman D, et al. Vital Signs: Pregnancy-Related Deaths, United States, 2011-
2015, and Strategies for Prevention, 13 States, 2013-2017. MMWR Morb Mortal Wkly R…
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psnet.ahrq.gov/node/48030/psn-pdf
May 22, 2019 - A culture of openness is associated with lower mortality
rates among 137 English National Health Service acute
trusts.
May 22, 2019
Toffolutti V, Stuckler D. A Culture Of Openness Is Associated With Lower Mortality Rates Among 137
English National Health Service Acute Trusts. Health Aff (Millwood). 2019;38(5):844-…
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psnet.ahrq.gov/node/47134/psn-pdf
March 04, 2019 - Association of hydrocodone schedule change with opioid
prescriptions following surgery.
March 4, 2019
Habbouche J, Lee JS, Steiger R, et al. Association of Hydrocodone Schedule Change With Opioid
Prescriptions Following Surgery. JAMA Surg. 2018;153(12):1111-1119. doi:10.1001/jamasurg.2018.2651.
https://psnet.ahrq.…
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psnet.ahrq.gov/node/43869/psn-pdf
November 03, 2015 - Clinical safety of England's national programme for IT: a
retrospective analysis of all reported safety events 2005
to 2011.
November 3, 2015
Magrabi F, Baker M, Sinha I, et al. Clinical safety of England's national programme for IT: a retrospective
analysis of all reported safety events 2005 to 2011. Int J Med In…
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psnet.ahrq.gov/node/44094/psn-pdf
November 03, 2015 - Intended and unintended effects of large-scale adverse
event disclosure: a controlled before-after analysis of five
large-scale notifications.
November 3, 2015
Wagner TH, Taylor T, Cowgill E, et al. Intended and unintended effects of large-scale adverse event
disclosure: a controlled before-after analysis of five …
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psnet.ahrq.gov/node/45385/psn-pdf
January 03, 2017 - Viewing prevention of catheter-associated urinary tract
infection as a system: using systems engineering and
human factors engineering in a quality improvement
project in an academic medical center.
January 3, 2017
Rhee C, Phelps E, Meyer B, et al. Viewing Prevention of Catheter-Associated Urinary Tract Infection …
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psnet.ahrq.gov/node/40024/psn-pdf
December 21, 2014 - Risk factors and outcomes for foreign body left during a
procedure: analysis of 413 incidents after 1,946,831
operations in children.
December 21, 2014
Camp M, Chang DC, Zhang Y, et al. Risk factors and outcomes for foreign body left during a procedure:
analysis of 413 incidents after 1 946 831 operations in child…
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psnet.ahrq.gov/node/43652/psn-pdf
August 04, 2015 - Do clinicians know which of their patients have central
venous catheters?: A multicenter observational study.
August 4, 2015
Chopra V, Govindan S, Kuhn L, et al. Do clinicians know which of their patients have central venous
catheters?: a multicenter observational study. Ann Intern Med. 2014;161(8):562-7. doi:10.73…
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psnet.ahrq.gov/node/44709/psn-pdf
November 18, 2016 - Lost information during the handover of critically injured
trauma patients: a mixed-methods study.
November 18, 2016
Zakrison TL, Rosenbloom B, McFarlan A, et al. Lost information during the handover of critically injured
trauma patients: a mixed-methods study. BMJ Qual Saf. 2016;25(12):929-936. doi:10.1136/bmjqs-2…
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psnet.ahrq.gov/node/47407/psn-pdf
January 01, 2020 - Resource-based view on safety culture's influence on
hospital performance: the moderating role of electronic
health record implementation.
September 19, 2018
Upadhyay S, Weech-Maldonado R, Lemak CH, et al. Resource-based view on safety culture’s influence on
hospital performance: The moderating role of electronic …
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psnet.ahrq.gov/node/45911/psn-pdf
June 27, 2018 - Use of unsolicited patient observations to identify
surgeons with increased risk for postoperative
complications.
June 27, 2018
Cooper WO, Guillamondegui O, Hines J, et al. Use of Unsolicited Patient Observations to Identify
Surgeons With Increased Risk for Postoperative Complications. JAMA Surg. 2017;152(6):522-5…
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psnet.ahrq.gov/node/44522/psn-pdf
June 21, 2016 - Impact of an electronic alert notification system
embedded in radiologists' workflow on closed-loop
communication of critical results: a time series analysis.
June 21, 2016
Lacson R, O'Connor SD, Sahni A, et al. Impact of an electronic alert notification system embedded in
radiologists' workflow on closed-loop com…
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psnet.ahrq.gov/node/42039/psn-pdf
December 31, 2014 - Enhancing patient safety and quality of care by improving
the usability of electronic health record systems:
recommendations from AMIA.
December 31, 2014
Middleton B, Bloomrosen M, Dente MA, et al. Enhancing patient safety and quality of care by improving the
usability of electronic health record systems: recommen…
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psnet.ahrq.gov/node/46277/psn-pdf
August 15, 2017 - Randomized trial of reducing ambulatory malpractice and
safety risk: results of the Massachusetts PROMISES
Project.
August 15, 2017
Schiff G, Nieva HR, Griswold P, et al. Randomized Trial of Reducing Ambulatory Malpractice and Safety
Risk: Results of the Massachusetts PROMISES Project. Med Care. 2017;55(8):797-805…
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psnet.ahrq.gov/node/38642/psn-pdf
April 30, 2012 - ASHP national survey of pharmacy practice in hospital
settings: dispensing and administration—2008.
April 30, 2012
Pedersen CA, Schneider PJ, Scheckelhoff DJ. ASHP national survey of pharmacy practice in hospital
settings: dispensing and administration--2008. Am J Health Syst Pharm. 2009;66(10):926-46.
doi:10.2146…
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psnet.ahrq.gov/node/42361/psn-pdf
September 19, 2013 - Involvement of patients with cancer in patient safety: a
qualitative study of current practices, potentials and
barriers.
September 19, 2013
Martin HM, Navne LE, Lipczak H. Involvement of patients with cancer in patient safety: a qualitative study
of current practices, potentials and barriers. BMJ Qual Saf. 2013;2…