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psnet.ahrq.gov/node/35909/psn-pdf
October 07, 2008 - Committed to Safety: Ten Case Studies on Reducing
Harm to Patients.
October 7, 2008
McCarthy D, Blumenthal D. New York, NY: Commonwealth Fund; 2006.
https://psnet.ahrq.gov/issue/committed-safety-ten-case-studies-reducing-harm-patients
This report presents ten case studies to illustrate interventions that address p…
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psnet.ahrq.gov/node/50703/psn-pdf
December 04, 2019 - A systematic review of clinical outcomes associated with
intrahospital transitions
December 4, 2019
Bristol AA, Schneider CE, Lin S-Y, et al. A Systematic Review of Clinical Outcomes Associated With
Intrahospital Transitions. J Healthc Qual. 2019. doi:10.1097/JHQ.0000000000000232.
https://psnet.ahrq.gov/issue/syst…
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psnet.ahrq.gov/node/47002/psn-pdf
April 25, 2018 - Making Health Care Safer in Ambulatory Care Settings
and Long Term Care Facilities (R18).
April 25, 2018
Rockville, MD: Agency for Healthcare Research and Quality; April 10, 2018. PA-18-750.
https://psnet.ahrq.gov/issue/making-health-care-safer-ambulatory-care-settings-and-long-term-care-
facilities-r18
Research …
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psnet.ahrq.gov/node/73373/psn-pdf
January 01, 2022 - State medical board regulation of compounding in
physician offices.
June 9, 2021
Reynolds KA, Hellquist K, Ibrahim SA, et al. State medical board regulation of compounding in physician
offices. Arch Dermatol Res. 2022;314(4):363-367. doi:10.1007/s00403-021-02237-8.
https://psnet.ahrq.gov/issue/state-medical-board-…
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psnet.ahrq.gov/node/38448/psn-pdf
March 04, 2009 - Medication errors: the impact of prescribing and
transcribing errors on preventable harm in hospitalised
patients.
March 4, 2009
van Doormaal JE, van den Bemt PMLA, Mol PGM, et al. Medication errors: the impact of prescribing and
transcribing errors on preventable harm in hospitalised patients. Qual Saf Health Car…
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psnet.ahrq.gov/node/35365/psn-pdf
February 17, 2011 - Accidental deaths, saved lives, and improved quality.
February 17, 2011
Brennan TA, Gawande AA, Thomas EJ, et al. Accidental Deaths, Saved Lives, and Improved Quality. New
England Journal of Medicine. 2005;353(13). doi:10.1056/nejmsb051157.
https://psnet.ahrq.gov/issue/accidental-deaths-saved-lives-and-improved-qua…
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psnet.ahrq.gov/node/60280/psn-pdf
April 29, 2020 - Missed, rationed or unfinished nursing care: a scoping
review of patient outcomes.
April 29, 2020
Kalánková D, Kirwan M, Bartoní?ková D, et al. Missed, rationed or unfinished nursing care: A scoping
review of patient outcomes. J Nurs Manag. 2020;28(8):1783-1797. doi:10.1111/jonm.12978.
https://psnet.ahrq.gov/issue…
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psnet.ahrq.gov/node/60756/psn-pdf
January 01, 2021 - Identifying and encouraging high-quality healthcare: an
analysis of the content and aims of patient letters of
compliment.
August 5, 2020
Gillespie A, Reader TW. Identifying and encouraging high-quality healthcare: an analysis of the content and
aims of patient letters of compliment. BMJ Qual Saf. 2021;30(6):484-4…
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psnet.ahrq.gov/node/47507/psn-pdf
December 21, 2018 - The fate of medicine in the time of AI.
December 21, 2018
Coiera E. The fate of medicine in the time of AI. Lancet. 2018;392(10162):2331-2332. doi:10.1016/S0140-
6736(18)31925-1.
https://psnet.ahrq.gov/issue/fate-medicine-time-ai
Artificial intelligence can improve practice by making synthesized data available in …
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/webinar-012220-intro.pdf
January 22, 2020 - Understanding CAHPS® Surveys: A Primer for New Users - Intro
Understanding CAHPS® Surveys:
A Primer for New Users
A Webcast Presented by the AHRQ CAHPS User Network
January 22, 2020
1:00 – 2:00 pm ET
Need Help?
• No sound from computer speakers?
• Trouble with your connection or
slides not moving?
► Log out …
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psnet.ahrq.gov/node/34075/psn-pdf
December 23, 2008 - Communicating with patients about medical errors: a
review of the literature.
December 23, 2008
Mazor KM, Simon SR, Gurwitz JH. Communicating with patients about medical errors: a review of the
literature. Arch Intern Med. 2004;164(15):1690-7.
https://psnet.ahrq.gov/issue/communicating-patients-about-medical-error…
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psnet.ahrq.gov/node/40096/psn-pdf
December 22, 2010 - Enhancing communication in surgery through team
training interventions: a systematic literature review.
December 22, 2010
Gillespie BM, Chaboyer W, Murray P. Enhancing communication in surgery through team training
interventions: a systematic literature review. AORN J. 2010;92(6):642-57. doi:10.1016/j.aorn.2010.02.…
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psnet.ahrq.gov/node/44027/psn-pdf
April 15, 2015 - Hospital credentialing and privileging of surgeons: a
potential safety blind spot.
April 15, 2015
Pradarelli J, Campbell D, Dimick JB. Hospital credentialing and privileging of surgeons: a potential safety
blind spot. JAMA. 2015;313(13):1313-4. doi:10.1001/jama.2015.1943.
https://psnet.ahrq.gov/issue/hospital-cred…
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psnet.ahrq.gov/node/44898/psn-pdf
November 23, 2016 - Types and patterns of safety concerns in home care:
client and family caregiver perspectives.
November 23, 2016
Tong CE, Sims-Gould J, Martin-Matthews A. Types and patterns of safety concerns in home care: client
and family caregiver perspectives. Int J Qual Health Care. 2016;28(2):214-220.
doi:10.1093/intqhc/mzw0…
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psnet.ahrq.gov/node/47581/psn-pdf
January 09, 2019 - Patient safety in inpatient psychiatry: a remaining frontier
for health policy.
January 9, 2019
Shields MC, Stewart MT, Delaney KR. Patient Safety In Inpatient Psychiatry: A Remaining Frontier For
Health Policy. Health Aff (Millwood). 2018;37(11):1853-1861. doi:10.1377/hlthaff.2018.0718.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/74116/psn-pdf
November 24, 2021 - NCICLE Pathways to Excellence: Expectations for an
Optimal Clinical Learning Environment to Achieve Safe
and High-Quality Patient Care, 2021.
November 24, 2021
Chicago, IL: National Collaborative for Improving the Clinical Learning Environment; 2021. ISBN:
9781945365416.
https://psnet.ahrq.gov/issue/ncicle-pathwa…
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psnet.ahrq.gov/node/42822/psn-pdf
December 18, 2013 - Automated adverse event detection collaborative:
electronic adverse event identification, classification, and
corrective actions across academic pediatric institutions.
December 18, 2013
Stockwell DC, Kirkendall E, Muething S, et al. Automated adverse event detection collaborative: electronic
adverse event identif…
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psnet.ahrq.gov/node/36718/psn-pdf
July 26, 2011 - Causes of errors in the electrocardiographic diagnosis of
atrial fibrillation by physicians.
July 26, 2011
Davidenko JM, Snyder LS. Causes of errors in the electrocardiographic diagnosis of atrial fibrillation by
physicians. J Electrocardiol. 2007;40(5):450-6.
https://psnet.ahrq.gov/issue/causes-errors-electrocard…
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psnet.ahrq.gov/node/46982/psn-pdf
June 13, 2018 - Advances in perioperative quality and safety.
June 13, 2018
Anderson KT, Appelbaum R, Bartz-Kurycki MA, et al. Advances in perioperative quality and safety. Semin
Pediatr Surg. 2018;27(2):92-101. doi:10.1053/j.sempedsurg.2018.02.006.
https://psnet.ahrq.gov/issue/advances-perioperative-quality-and-safety
Clinical s…
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psnet.ahrq.gov/node/46474/psn-pdf
November 08, 2017 - Clearing the Error: Using Public Deliberation to Define
Patient Roles as Partners in the Diagnostic Process.
November 8, 2017
St. Paul, MN: Society to Improve Diagnosis in Medicine, Maxwell School of Citizenship and Public Affairs at
Syracuse University, and Jefferson Center; 2017.
https://psnet.ahrq.gov/issue/cle…