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psnet.ahrq.gov/node/844057/psn-pdf
February 08, 2023 - Impact of medical education on patient safety: finding the
signal through the noise.
February 8, 2023
Hwang J, Kelz RR. Impact of medical education on patient safety: finding the signal through the noise. BMJ
Qual Saf. 2023;32(2):61-64. doi:10.1136/bmjqs-2022-015054.
https://psnet.ahrq.gov/issue/impact-medical-edu…
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psnet.ahrq.gov/node/866585/psn-pdf
August 28, 2024 - Sex bias in pain management decisions.
August 28, 2024
Guzikevits M, Gordon-Hecker T, Rekhtman D, et al. Sex bias in pain management decisions. Proc Natl
Acad Sci U S A. 2024;121(33):e2401331121. doi:10.1073/pnas.2401331121.
https://psnet.ahrq.gov/issue/sex-bias-pain-management-decisions
Bias against women is, unf…
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psnet.ahrq.gov/node/47964/psn-pdf
May 15, 2019 - Deaths among opioid users: impact of potential
inappropriate prescribing practices.
May 15, 2019
Jayawardhana J, Abraham AJ, Perri M. Deaths among opioid users: impact of potential inappropriate
prescribing practices. Am J Manag Care. 2019;25(4):e98-e103.
https://psnet.ahrq.gov/issue/deaths-among-opioid-users-impa…
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psnet.ahrq.gov/node/40049/psn-pdf
April 12, 2011 - Field test results of a new ambulatory care Medication
Error and Adverse Drug Event Reporting
System—MEADERS.
April 12, 2011
Hickner J, Zafar A, Kuo GM, et al. Field test results of a new ambulatory care Medication Error and
Adverse Drug Event Reporting System--MEADERS. Ann Fam Med. 2010;8(6):517-25.
doi:10.1370/…
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psnet.ahrq.gov/node/34814/psn-pdf
January 01, 2015 - Prescribing for the elderly. Part I: Sensitivity of the elderly
to adverse drug reactions.
March 28, 2005
Nolan L, O'Malley K. Prescribing for the Elderly Part I: Sensitivity of the Elderly to Adverse Drug
Reactions*. J Am Geriatr Soc. 2015;36(2):142-149. doi:10.1111/j.1532-5415.1988.tb01785.x.
https://psnet.ahrq.…
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psnet.ahrq.gov/node/837191/psn-pdf
May 25, 2022 - Adverse Events in Hospitals: A Quarter of Medicare
Patients Experienced Harm in October 2018.
May 25, 2022
Grimm CA. Washington DC: Office of the Inspector General; May 2022. Report no. OEI-06-18-00400.
https://psnet.ahrq.gov/issue/adverse-events-hospitals-quarter-medicare-patients-experienced-harm-
october-2018
…
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psnet.ahrq.gov/node/44280/psn-pdf
July 15, 2015 - Innovation in practice: a multidisciplinary medication
safety initiative.
July 15, 2015
Eid KA. Innovation in practice: A multidisciplinary medication safety initiative. Nursing. 2015;45(7):14-6.
doi:10.1097/01.NURSE.0000466458.62870.99.
https://psnet.ahrq.gov/issue/innovation-practice-multidisciplinary-medication…
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psnet.ahrq.gov/node/46629/psn-pdf
November 22, 2017 - A piece of my mind. Despite my best intentions.
November 22, 2017
Kahn JS. Despite My Best Intentions. JAMA. 2017;318(17). doi:10.1001/jama.2017.6123.
https://psnet.ahrq.gov/issue/piece-my-mind-despite-my-best-intentions
End-of-life care can be difficult for patients, families, and the care team. This commentary of…
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psnet.ahrq.gov/node/72609/psn-pdf
December 23, 2020 - Covid-19 surge could lead to another drop in patient
visits, doctors fear—and more missed pediatric cancers.
December 23, 2020
Cooney E. StatNews. December 10, 2020.
https://psnet.ahrq.gov/issue/covid-19-surge-could-lead-another-drop-patient-visits-doctors-fear-and-more-
missed-pediatric
Timely and proactive…
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psnet.ahrq.gov/node/853235/psn-pdf
September 06, 2023 - When the lights go down in the delivery room: lessons
from a ransomware attack.
September 6, 2023
Gabbay?Benziv R, Ben?Natan M, Roguin A, et al. When the lights go down in the delivery room: lessons
from a ransomware attack. Int J Gynaecol Obstet. 2023;162(2):562-568. doi:10.1002/ijgo.14687.
https://psnet.ahrq.gov…
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psnet.ahrq.gov/node/46355/psn-pdf
October 09, 2017 - Diagnostic reasoning: an endangered competency in
internal medicine training.
October 9, 2017
Simpkin AL, Vyas JM, Armstrong KA. Diagnostic Reasoning: An Endangered Competency in Internal
Medicine Training. Ann Intern Med. 2017;167(7):507-508. doi:10.7326/M17-0163.
https://psnet.ahrq.gov/issue/diagnostic-reasoning…
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psnet.ahrq.gov/node/72580/psn-pdf
December 16, 2020 - Nurses' perceptions of open disclosure processes in
cancer care: a cross-sectional study.
December 16, 2020
Waller A, Hobden B, Bryant J, et al. Nurses’ perceptions of open disclosure processes in cancer care: a
cross-sectional study. Collegian. 2020;27(5):506-511. doi:10.1016/j.colegn.2020.02.001.
https://psnet.a…
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psnet.ahrq.gov/node/47520/psn-pdf
February 06, 2019 - Improving patient safety in developing countries—moving
towards an integrated approach.
February 6, 2019
Elmontsri M, Banarsee R, Majeed A. Improving patient safety in developing countries - moving towards an
integrated approach. JRSM Open. 2018;9(11):2054270418786112. doi:10.1177/2054270418786112.
https://psnet.a…
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psnet.ahrq.gov/node/47429/psn-pdf
December 05, 2018 - The Fearless Organization: Creating Psychological Safety
in the Workplace for Learning, Innovation, and Growth.
December 5, 2018
Edmondson AC. Hoboken, NJ: John Wiley & Sons, Inc.; 2019. ISBN: 9781119477266.
https://psnet.ahrq.gov/issue/fearless-organization-creating-psychological-safety-workplace-learning-
innova…
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psnet.ahrq.gov/node/842433/psn-pdf
February 15, 2023 - New AHRQ SOPS Workplace Safety Supplemental Item
Set for Nursing Homes.
February 15, 2023
Agency for Healthcare Research and Quality. January 24, 2023.
https://psnet.ahrq.gov/issue/new-ahrq-sops-workplace-safety-supplemental-item-set-nursing-homes
Workplace safety became more apparent during the COVID pandemic as …
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-test-result-communication6.html
July 01, 2024 - Electronic Test Result Communication in the Era of the 21st Century Cures Act
Conclusions
Previous Page Next Page
Table of Contents
Electronic Test Result Communication in the Era of the 21st Century Cures Act
Introduction
Methods
Results
Discussion
Conclusions
References
Appendix A. D…
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www.ahrq.gov/talkingquality/explain/support/index.html
July 01, 2016 - Supporting Consumers in Using Information on Health Care Quality
The ultimate goal for comparative quality reports is for consumers and patients to use them. All of the recommendations in this Web site are intended to help you plan, design, and disseminate your report in a way that maximizes the likelihood th…
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psnet.ahrq.gov/node/866642/psn-pdf
September 04, 2024 - Learning from patient safety incidents: The Green Cross
method.
September 4, 2024
Jacobsen HK, Ballangrud R, Birkeli GH. Learning from patient safety incidents: the Green Cross method.
Nurs Crit Care. 2024;Epub Jun 26. doi:10.1111/nicc.13114.
https://psnet.ahrq.gov/issue/learning-patient-safety-incidents-green-cro…
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psnet.ahrq.gov/node/45670/psn-pdf
November 16, 2016 - Not thinking clearly? Play a game, seriously!
November 16, 2016
Mohan D, Schell J, Angus DC. Not Thinking Clearly? Play a Game, Seriously!. JAMA. 2016;316(18):1867-
1868. doi:10.1001/jama.2016.14174.
https://psnet.ahrq.gov/issue/not-thinking-clearly-play-game-seriously
Heuristics enable experts to build off their …
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psnet.ahrq.gov/node/35159/psn-pdf
January 02, 2017 - Medication reconciliation in acute care: ensuring an
accurate drug regimen on admission and discharge.
January 2, 2017
Rodehaver C, Fearing D. Medication reconciliation in acute care: ensuring an accurate drug regimen on
admission and discharge. Jt Comm J Qual Patient Saf. 2005;31(7):406-13.
https://psnet.ahrq.gov…