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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/49432/psn-pdf
February 09, 2004 - The error in this case reflects poor clinical judgment and a fund of knowledge deficit. … Errors related to
fund of knowledge deficits, inadequate clinical skills, poor clinical judgment, and … The pattern may reflect basic fund of
knowledge and clinical skills deficits that are easily remediable
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psnet.ahrq.gov/web-mm/when-patients-and-providers-speak-different-languages
December 08, 2021 - In addition, health care organizations that receive federal funds—most do in the form of public insurance
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psnet.ahrq.gov/node/47489/psn-pdf
November 21, 2018 - The King's Fund, Alliance Manchester Business School;
September 2018. ISBN: 9781909029880.
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psnet.ahrq.gov/node/47273/psn-pdf
September 05, 2018 - Natural language processing and its implications for the
future of medication safety: a narrative review of recent
advances and challenges.
September 5, 2018
Wong A, Plasek JM, Montecalvo SP, et al. Natural Language Processing and Its Implications for the Future
of Medication Safety: A Narrative Review of Recent A…
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psnet.ahrq.gov/node/47223/psn-pdf
August 14, 2018 - Six Building Blocks: A Team-Based Approach to
Improving Opioid Management in Primary Care.
August 14, 2018
MacColl Center for Health Care Innovation at the Kaiser Permanente of Washington Research Institute,
University of Washington.
https://psnet.ahrq.gov/issue/six-building-blocks-team-based-approach-improving-op…
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psnet.ahrq.gov/node/36378/psn-pdf
October 28, 2010 - Teaching but not learning: how medical residency
programs handle errors.
October 28, 2010
Hoff T, Pohl H, Bartfield J. Teaching but not learning: how medical residency programs handle errors. J
Organ Behav. 2006;27(7). doi:10.1002/job.395.
https://psnet.ahrq.gov/issue/teaching-not-learning-how-medical-residency-pr…
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psnet.ahrq.gov/node/36294/psn-pdf
July 14, 2010 - Care management implementation and patient safety.
July 14, 2010
Alexander JA; Weiner BJ; Baker LC; et al. J Patient Saf. 2006;2(2):83-96.
https://psnet.ahrq.gov/issue/care-management-implementation-and-patient-safety
The Institute of Medicine's Crossing the Quality Chasm report endorsed care management, defined as…
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psnet.ahrq.gov/node/35670/psn-pdf
June 28, 2010 - Quality improvement implementation and hospital
performance on patient safety indicators.
June 28, 2010
Weiner BJ, Alexander JA, Baker LC, et al. Quality improvement implementation and hospital performance
on patient safety indicators. Med Care Res Rev. 2006;63(1):29-57.
https://psnet.ahrq.gov/issue/quality-improv…
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psnet.ahrq.gov/node/38193/psn-pdf
November 05, 2008 - Hospital financial condition and the quality of patient
care.
November 5, 2008
Bazzoli GJ, Chen H-F, Zhao M, et al. Hospital financial condition and the quality of patient care. Health
Econ. 2008;17(8):977-995.
https://psnet.ahrq.gov/issue/hospital-financial-condition-and-quality-patient-care
This AHRQ-funded stu…
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psnet.ahrq.gov/node/36644/psn-pdf
July 10, 2008 - Reporting and disclosing medical errors: pediatricians'
attitudes and behaviors.
July 10, 2008
Garbutt J, Brownstein DR, Klein EJ, et al. Reporting and disclosing medical errors: pediatricians' attitudes
and behaviors. Arch Pediatr Adolesc Med. 2007;161(2):179-85.
https://psnet.ahrq.gov/issue/reporting-and-disclos…
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psnet.ahrq.gov/node/42115/psn-pdf
March 20, 2013 - Medication reconciliation during transitions of care as a
patient safety strategy: a systematic review.
March 20, 2013
Kwan JL, Lo L, Sampson M, et al. Medication reconciliation during transitions of care as a patient safety
strategy: a systematic review. Ann Intern Med. 2013;158(5 Pt 2):397-403. doi:10.7326/0003-4…
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psnet.ahrq.gov/node/35405/psn-pdf
December 14, 2007 - Use of administrative data to find substandard care:
validation of the complications screening program.
December 14, 2007
Weingart SN, Iezzoni LI, Davis RB, et al. Use of Administrative Data to Find Substandard Care. Med Care.
2003;38(8):796-806. doi:10.1097/00005650-200008000-00004.
https://psnet.ahrq.gov/issue/u…
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psnet.ahrq.gov/node/35537/psn-pdf
March 29, 2010 - FDA drug prescribing warnings: is the black box half
empty or half full?
March 29, 2010
Wagner AK, Chan A, Dashevsky I, et al. FDA drug prescribing warnings: is the black box half empty or half
full? Pharmacoepidemiol Drug Saf. 2006;15(6):369-86.
https://psnet.ahrq.gov/issue/fda-drug-prescribing-warnings-black-box…
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psnet.ahrq.gov/node/38566/psn-pdf
April 15, 2009 - Contributions by the Agency for Healthcare Research and
Quality and Grantees.
April 15, 2009
Health Serv Res. 2009 Apr;44(2 Pt 2):623-776.
https://psnet.ahrq.gov/issue/contributions-agency-healthcare-research-and-quality-and-grantees
This special series of articles highlights the progress and current state of pati…
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psnet.ahrq.gov/node/36743/psn-pdf
June 16, 2011 - Measuring safety culture in the ambulatory setting: The
Safety Attitudes Questionnaire—Ambulatory Version.
June 16, 2011
Modak I, Sexton B, Lux TR, et al. Measuring safety culture in the ambulatory setting: the safety attitudes
questionnaire--ambulatory version. J Gen Intern Med. 2007;22(1):1-5.
https://psnet.ahrq…
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psnet.ahrq.gov/node/47554/psn-pdf
November 07, 2018 - Diagnostic Excellence Initiative.
November 7, 2018
Gordon and Betty Moore Foundation.
https://psnet.ahrq.gov/issue/diagnostic-excellence-improving-experience-and-outcomes-patient-care
Missed or delayed diagnoses lead to delays in care and significant preventable harm for patients. Despite
an increasing focus on di…
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psnet.ahrq.gov/node/35476/psn-pdf
February 22, 2010 - taking-pulse-health-care-systems-experiences-patients-health-problems-six-
countries
This Commonwealth Fund-sponsored