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psnet.ahrq.gov/node/44798/psn-pdf
November 02, 2016 - From the closest observers of patient care: a thematic
analysis of online narrative reviews of hospitals.
November 2, 2016
Bardach N, Lyndon A, Asteria-Peñaloza R, et al. From the closest observers of patient care: a thematic
analysis of online narrative reviews of hospitals. BMJ Qual Saf. 2016;25(11):889-897. doi:…
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psnet.ahrq.gov/node/847051/psn-pdf
April 05, 2023 - Distractions in the operating room: a survey of the
healthcare team.
April 5, 2023
Nasri B-N, Mitchell JD, Jackson C, et al. Distractions in the operating room: a survey of the healthcare
team. Surg Endosc. 2023;37(3):2316-2325. doi:10.1007/s00464-022-09553-8.
https://psnet.ahrq.gov/issue/distractions-operating-ro…
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psnet.ahrq.gov/node/47574/psn-pdf
November 21, 2018 - The architecture of safety: an emerging priority for
improving patient safety.
November 21, 2018
Joseph A, Henriksen K, Malone E. The Architecture Of Safety: An Emerging Priority For Improving Patient
Safety. Health Aff (Millwood). 2018;37(11):1884-1891. doi:10.1377/hlthaff.2018.0643.
https://psnet.ahrq.gov/issue/…
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psnet.ahrq.gov/node/41947/psn-pdf
January 30, 2013 - Self-reported patient safety competence among new
graduates in medicine, nursing and pharmacy.
January 30, 2013
Ginsburg LR, Tregunno D, Norton PG. Self-reported patient safety competence among new graduates in
medicine, nursing and pharmacy. BMJ Qual Saf. 2013;22(2):147-54. doi:10.1136/bmjqs-2012-001308.
https://…
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psnet.ahrq.gov/node/47258/psn-pdf
January 09, 2019 - The effect of cognitive load and task complexity on
automation bias in electronic prescribing.
January 9, 2019
Lyell D, Magrabi F, Coiera E. The Effect of Cognitive Load and Task Complexity on Automation Bias in
Electronic Prescribing. Hum Factors. 2018;60(7):1008-1021. doi:10.1177/0018720818781224.
https://psnet.…
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psnet.ahrq.gov/node/44419/psn-pdf
September 02, 2015 - Lack of standardisation between specialties for human
factors content in postgraduate training: an analysis of
specialty curricula in the UK.
September 2, 2015
Greig PR, Higham H, Vaux E. Lack of standardisation between specialties for human factors content in
postgraduate training: an analysis of specialty curric…
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psnet.ahrq.gov/node/48094/psn-pdf
June 19, 2019 - New persistent opioid use after postoperative intensive
care in US veterans.
June 19, 2019
Karamchandani K, Pyati S, Bryan W, et al. New Persistent Opioid Use After Postoperative Intensive Care
in US Veterans. JAMA Surg. 2019;154(8):778-780. doi:10.1001/jamasurg.2019.0899.
https://psnet.ahrq.gov/issue/new-persiste…
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psnet.ahrq.gov/node/46707/psn-pdf
October 13, 2018 - Medication errors involving nursing students: a
systematic review.
October 13, 2018
Asensi-Vicente J, Jiménez-Ruiz I, Vizcaya-Moreno F. Medication Errors Involving Nursing Students: A
Systematic Review. Nurse Educ. 2018;43(5):E1-E5. doi:10.1097/NNE.0000000000000481.
https://psnet.ahrq.gov/issue/medication-errors-i…
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psnet.ahrq.gov/node/866114/psn-pdf
June 12, 2024 - Influence of external assessment on quality and safety in
surgery: a qualitative study of surgeons' perspectives.
June 12, 2024
Øyri SF, Wiig S, Tjomsland O. Influence of external assessment on quality and safety in surgery: a
qualitative study of surgeons’ perspectives. BMJ Open Qual. 2024;13(2):e002672. doi:10.11…
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psnet.ahrq.gov/node/866311/psn-pdf
January 01, 2025 - Systematic review of types of safety incidents and the
processes and systems used for safety incident reporting
in care homes.
July 17, 2024
Scott J, Sykes K, Waring J, et al. Systematic review of types of safety incidents and the processes and
systems used for safety incident reporting in care homes. J Adv Nurs. …
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psnet.ahrq.gov/node/44484/psn-pdf
May 04, 2016 - Failure mode and effects analysis: a comparison of two
common risk prioritisation methods.
May 4, 2016
McElroy LM, Khorzad R, Nannicelli AP, et al. Failure mode and effects analysis: a comparison of two
common risk prioritisation methods. BMJ Qual Saf. 2016;25(5):329-336. doi:10.1136/bmjqs-2015-004130.
https://psn…
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psnet.ahrq.gov/node/866105/psn-pdf
June 12, 2024 - Collective intelligence increases diagnostic accuracy in a
general practice setting.
June 12, 2024
Blanchard MD, Herzog SM, Kämmer JE, et al. Collective intelligence increases diagnostic accuracy in a
general practice setting. Med Decis Making. 2024;44(4):451-462. doi:10.1177/0272989x241241001.
https://psnet.ahrq.…
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digital.ahrq.gov/principal-investigator/veline-james
January 01, 2023 - Veline, James
Electronic Prescribing and Decision Support to Improve Rural Primary Care Quality - Final Report
Citation
Veline J. Electronic Prescribing and Decision Support to Improve Rural Primary Care Quality - Final Report. (Prepared by Avera Health under Grant No. R18 HS0…
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psnet.ahrq.gov/node/74273/psn-pdf
January 19, 2022 - Community Living Centers: VA Needs to Strengthen Its
Approach for Addressing Resident Complaints.
January 19, 2022
Washington, DC: United States Government Accountability Office; November 30, 2021. Publication GAO-
22-105142.
https://psnet.ahrq.gov/issue/community-living-centers-va-needs-strengthen-its-approach-ad…
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psnet.ahrq.gov/node/46141/psn-pdf
May 17, 2017 - Ethical dilemma in missed melanoma: what to tell the
patient and other providers.
May 17, 2017
Vangipuram R, Horner ME, Menter A. Ethical dilemma in missed melanoma: What to tell the patient and
other providers. J Am Acad Dermatol. 2017;76(2):365-367. doi:10.1016/j.jaad.2016.08.030.
https://psnet.ahrq.gov/issue/et…
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psnet.ahrq.gov/node/44490/psn-pdf
September 16, 2015 - Implementation of a custom alert to prevent medication-
timing errors associated with computerized prescriber
order entry.
September 16, 2015
Idemoto LM, Williams BL, Ching JM, et al. Implementation of a custom alert to prevent medication-timing
errors associated with computerized prescriber order entry. Am J Heal…
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psnet.ahrq.gov/node/852282/psn-pdf
August 09, 2023 - Implementation of medication reconciliation in outpatient
cancer care.
August 9, 2023
Powis M, Dara C, Macedo A, et al. Implementation of medication reconciliation in outpatient cancer care.
BMJ Open Quality. 2023;12(2):e002211. doi:10.1136/bmjoq-2022-002211.
https://psnet.ahrq.gov/issue/implementation-medication-…
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psnet.ahrq.gov/node/866323/psn-pdf
July 17, 2024 - AHRQ-Funded Patient Safety Project Highlights:
Improving Patient Safety by Enhancing Care
Coordination.
July 17, 2024
Rockville, MD: Agency for Healthcare Research and Quality; June 2024. AHRQ Pub. No. 24-0017-2-EF.
https://psnet.ahrq.gov/issue/ahrq-funded-patient-safety-project-highlights-improving-patient-safety…
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2023-nhqdr-es-rev.pdf
January 01, 2023 - 2023 National Healthcare Quality and Disparities Report
2023
National Healthcare Quality
and Disparities Report
Executive Summary
This document is in the public domain and may be used and reprinted without permission.
Citation of the source is appreciated.
Suggested citation: 2023 National Healthcare Qual…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/5-determining-focus/cahps-ambulatory-care-guide-section-5.pdf
May 01, 2017 - types of data you choose to use for further analysis will depend on the issues you
identified when examining … Examining and testing alternative changes to improve the process. … Do the same in the examining room. If a patient would undress,
you should undress.