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psnet.ahrq.gov/node/45566/psn-pdf
October 19, 2016 - Partnership for Patients (PfP) Hospital Engagement
Network (HEN) 2.0 Final Report.
October 19, 2016
Chicago, IL: American Hospital Association and Health Research & Educational Trust; September 2016.
https://psnet.ahrq.gov/issue/partnership-patients-pfp-hospital-engagement-network-hen-20-final-report
The Partnersh…
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psnet.ahrq.gov/perspective/conversation-mark-l-graber-md
January 01, 2016 - researchers who are working on the science of measurement.( 7 ) In addition to increasing federal research funds … for study of diagnostic errors, health care systems themselves could fully or partially fund improvement
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psnet.ahrq.gov/node/35909/psn-pdf
October 07, 2008 - New York, NY: Commonwealth Fund; 2006.
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psnet.ahrq.gov/node/37178/psn-pdf
October 06, 2011 - Randomized trial to improve prescribing safety in
ambulatory elderly patients.
October 6, 2011
Raebel MA, Charles J, Dugan J, et al. Randomized trial to improve prescribing safety in ambulatory elderly
patients. J Am Geriatr Soc. 2007;55(7):977-85.
https://psnet.ahrq.gov/issue/randomized-trial-improve-prescribing-…
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psnet.ahrq.gov/node/44677/psn-pdf
June 07, 2016 - Computerised prescribing for safer medication ordering:
still a work in progress.
June 7, 2016
Schiff G, Hickman T-TT, Volk LA, et al. Computerised prescribing for safer medication ordering: still a work
in progress. BMJ Qual Saf. 2016;25(5):315-9. doi:10.1136/bmjqs-2015-004677.
https://psnet.ahrq.gov/issue/comput…
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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/34989/psn-pdf
February 24, 2011 - Laboratory safety monitoring of chronic medications in
ambulatory care settings.
February 24, 2011
Hurley JS, Roberts M, Solberg LI, et al. Brief report: Laboratory safety monitoring of chronic medications in
ambulatory care settings. J Gen Intern Med. 2005;20(4). doi:10.1111/j.1525-1497.2005.40182.x.
https://psne…
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psnet.ahrq.gov/node/35418/psn-pdf
June 14, 2011 - Anatomic pathology databases and patient safety.
June 14, 2011
Raab SS, Grzybicki DM, Zarbo RJ, et al. Anatomic pathology databases and patient safety. Arch Pathol
Lab Med. 2005;129(10):1246-1251.
https://psnet.ahrq.gov/issue/anatomic-pathology-databases-and-patient-safety
This AHRQ-funded project describes the de…
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psnet.ahrq.gov/node/38330/psn-pdf
September 24, 2010 - Medication safety teams' guided implementation of
electronic medication administration records in five
nursing homes.
September 24, 2010
Scott-Cawiezell J, Madsen RW, Pepper GA, et al. Medication safety teams' guided implementation of
electronic medication administration records in five nursing homes. Jt Comm J Qu…
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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/46376/psn-pdf
December 07, 2017 - User-centered collaborative design and development of
an inpatient safety dashboard.
December 7, 2017
Mlaver E, Schnipper JL, Boxer RB, et al. User-Centered Collaborative Design and Development of an
Inpatient Safety Dashboard. Jt Comm J Qual Patient Saf. 2017;43(12):676-685.
doi:10.1016/j.jcjq.2017.05.010.
https…
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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/43715/psn-pdf
November 26, 2014 - An intervention to improve transitions from NICU to
ambulatory care: quasi-experimental study.
November 26, 2014
Moyer VA, Papile L-A, Eichenwald E, et al. An intervention to improve transitions from NICU to ambulatory
care: quasi-experimental study. BMJ Qual Saf. 2014;23(12):e3.
https://psnet.ahrq.gov/issue/inter…
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psnet.ahrq.gov/node/35929/psn-pdf
February 24, 2011 - Hospitalized patients' attitudes about and participation in
error prevention.
February 24, 2011
Waterman AD, Gallagher TH, Garbutt J, et al. Brief report: Hospitalized patients' attitudes about and
participation in error prevention. J Gen Intern Med. 2006;21(4):367-70.
https://psnet.ahrq.gov/issue/hospitalized-pat…
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psnet.ahrq.gov/node/44217/psn-pdf
November 10, 2015 - Assessing the potential adoption and usefulness of
concurrent, action-oriented, electronic adverse drug
event triggers designed for the outpatient setting.
November 10, 2015
Mull HJ, Rosen AK, Shimada SL, et al. Assessing the potential adoption and usefulness of concurrent,
action-oriented, electronic adverse drug…
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psnet.ahrq.gov/node/47305/psn-pdf
March 19, 2019 - Effect of genetic diagnosis on patients with previously
undiagnosed disease.
March 19, 2019
Splinter K, Adams DR, Bacino CA, et al. Effect of Genetic Diagnosis on Patients with Previously
Undiagnosed Disease. New Engl J Med. 2018;379(22):2131-2139. doi:10.1056/NEJMoa1714458.
https://psnet.ahrq.gov/issue/effect-gen…
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psnet.ahrq.gov/node/35456/psn-pdf
February 19, 2010 - The working hours of hospital staff nurses and patient
safety.
February 19, 2010
Rogers AE, Hwang W-T, Scott LD, et al. The working hours of hospital staff nurses and patient safety.
Health Aff (Millwood). 2004;23(4):202-212.
https://psnet.ahrq.gov/issue/working-hours-hospital-staff-nurses-and-patient-safety
This…
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psnet.ahrq.gov/node/44119/psn-pdf
September 19, 2016 - Risk managers' descriptions of programs to support
second victims after adverse events.
September 19, 2016
White AA, Brock DM, McCotter PI, et al. Risk managers' descriptions of programs to support second
victims after adverse events. J Healthc Risk Manag. 2015;34(4):30-40. doi:10.1002/jhrm.21169.
https://psnet.ah…
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psnet.ahrq.gov/node/45570/psn-pdf
December 07, 2016 - Getting the Board on Board: What Your Board Needs to
Know About Quality and Safety, Third Edition.
December 7, 2016
Oak Brook, IL; Joint Commission; 2016. ISBN: 9781599409412.
https://psnet.ahrq.gov/issue/getting-board-board-what-your-board-needs-know-about-quality-and-safety-
third-edition
Engaging hospital lead…
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psnet.ahrq.gov/node/36552/psn-pdf
January 12, 2011 - Toward learning from patient safety reporting systems.
January 12, 2011
Pronovost P, Thompson DA, Holzmueller CG, et al. Toward learning from patient safety reporting systems.
J Crit Care. 2006;21(4):305-15.
https://psnet.ahrq.gov/issue/toward-learning-patient-safety-reporting-systems
This study reports the initia…