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psnet.ahrq.gov/node/46097/psn-pdf
August 09, 2017 - Administering and monitoring high-alert medications in
acute care.
August 9, 2017
Cajanding JMR. Administering and monitoring high-alert medications in acute care. Nurs Stand.
2017;31(47):42-52. doi:10.7748/ns.2017.e10849.
https://psnet.ahrq.gov/issue/administering-and-monitoring-high-alert-medications-acute-care
…
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psnet.ahrq.gov/node/44317/psn-pdf
August 19, 2015 - Use of in-situ simulation to investigate latent safety
threats prior to opening a new emergency department.
August 19, 2015
Medwid K, Smith SW, Gang M. Use of in-situ simulation to investigate latent safety threats prior to opening
a new emergency department. Safety Sci. 2015;77:19-24. doi:10.1016/j.ssci.2015.03.01…
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psnet.ahrq.gov/node/60802/psn-pdf
August 12, 2020 - Race, postoperative complications, and death in
apparently healthy children.
August 12, 2020
Nafiu OO, Mpody C, Kim SS, et al. Race, postoperative complications, and death in apparently healthy
children. Pediatrics. 2020;146(2):e20194113. doi:10.1542/peds.2019-4113.
https://psnet.ahrq.gov/issue/race-postoperative-…
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psnet.ahrq.gov/node/50398/psn-pdf
October 02, 2019 - Sepsis quality in safety-net hospitals: an analysis of
Medicare's SEP-1 performance measure.
October 2, 2019
Barbash IJ, Kahn JM. Sepsis quality in safety-net hospitals: An analysis of Medicare's SEP-1 performance
measure. J Crit Care. 2019;54:88-93. doi:10.1016/j.jcrc.2019.08.009.
https://psnet.ahrq.gov/issue/sep…
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psnet.ahrq.gov/node/48035/psn-pdf
May 29, 2019 - Is the future of medical diagnosis in computer
algorithms?
May 29, 2019
Gruber K. Is the future of medical diagnosis in computer algorithms? Lancet Digit Health. 2019;1(1):e15-
e16. doi:10.1016/s2589-7500(19)30011-1.
https://psnet.ahrq.gov/issue/future-medical-diagnosis-computer-algorithms
Artificial intelligence…
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psnet.ahrq.gov/node/47950/psn-pdf
August 21, 2019 - Safety of care by caregivers of cancer patients.
August 21, 2019
Given BA. Safety of Care by Caregivers of Cancer Patients. Semin Oncol Nurs. 2019;35(4):374-379.
doi:10.1016/j.soncn.2019.06.011.
https://psnet.ahrq.gov/issue/safety-care-caregivers-cancer-patients
Cancer patients often rely on family members or paid…
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psnet.ahrq.gov/node/46013/psn-pdf
January 01, 2018 - The dichotomy of the application of a systems approach
in UK healthcare the challenges and priorities for
implementation.
December 19, 2017
Pickup L, Lang A, Atkinson S, et al. The dichotomy of the application of a systems approach in UK
healthcare the challenges and priorities for implementation. Ergonomics. 2018…
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psnet.ahrq.gov/node/45844/psn-pdf
February 15, 2017 - Responsible e-prescribing needs e-discontinuation.
February 15, 2017
Fischer SH, Rose AJ. Responsible e-Prescribing Needs e-Discontinuation. JAMA. 2017;317(5):469-470.
doi:10.1001/jama.2016.19908.
https://psnet.ahrq.gov/issue/responsible-e-prescribing-needs-e-discontinuation
E-prescribing is a key strategy to impr…
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psnet.ahrq.gov/node/46693/psn-pdf
December 20, 2017 - Coupling policymaking with evaluation—the case of the
opioid crisis.
December 20, 2017
Barnett ML, Gray J, Zink A, et al. Coupling Policymaking with Evaluation - The Case of the Opioid Crisis.
New Engl J Med. 2017;377(24):2306-2309. doi:10.1056/NEJMp1710014.
https://psnet.ahrq.gov/issue/coupling-policymaking-evalu…
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psnet.ahrq.gov/node/44828/psn-pdf
November 18, 2016 - The Healthcare Complaints Analysis Tool: development
and reliability testing of a method for service monitoring
and organisational learning.
November 18, 2016
Gillespie A, Reader TW. The Healthcare Complaints Analysis Tool: development and reliability testing of a
method for service monitoring and organisational l…
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psnet.ahrq.gov/node/46425/psn-pdf
September 13, 2017 - Optimizing Crisis Resource Management to Improve
Patient Safety and Team Performance--A Handbook for
Acute Care Health Professionals.
September 13, 2017
Brindley P, Cardinal P, eds. Ottawa, ON, Canada: Royal College of Physicians and Surgeons of Canada;
2017. ISBN: 9781926588414.
https://psnet.ahrq.gov/issue/opti…
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psnet.ahrq.gov/node/47181/psn-pdf
August 22, 2018 - Critical role of the surgeon–anesthesiologist relationship
for patient safety.
August 22, 2018
Cooper JB. Critical Role of the Surgeon-Anesthesiologist Relationship for Patient Safety. Anesthesiology.
2018;129(3):402-405. doi:10.1097/ALN.0000000000002324.
https://psnet.ahrq.gov/issue/critical-role-surgeon-anesthes…
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psnet.ahrq.gov/node/46522/psn-pdf
October 29, 2017 - Public reporting of surgical outcomes: surgeons,
hospitals, or both?
October 29, 2017
Jha AK. Public Reporting of Surgical Outcomes: Surgeons, Hospitals, or Both? JAMA. 2017;318(15):1429-
1430. doi:10.1001/jama.2017.13815.
https://psnet.ahrq.gov/issue/public-reporting-surgical-outcomes-surgeons-hospitals-or-both
…
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psnet.ahrq.gov/node/47771/psn-pdf
April 24, 2019 - The impact of errors on healthcare professionals in the
critical care setting.
April 24, 2019
Kaur AP, Levinson AT, Monteiro JFG, et al. The impact of errors on healthcare professionals in the critical
care setting. J Crit Care. 2019;52:16-21. doi:10.1016/j.jcrc.2019.03.001.
https://psnet.ahrq.gov/issue/impact-err…
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psnet.ahrq.gov/node/43835/psn-pdf
February 11, 2015 - Doctors' experiences of adverse events in secondary
care: the professional and personal impact.
February 11, 2015
Harrison R, Lawton R, Stewart K. Doctors' experiences of adverse events in secondary care: the
professional and personal impact. Clin Med (Lond). 2014;14(6):585-90. doi:10.7861/clinmedicine.14-6-585.
h…
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psnet.ahrq.gov/node/42915/psn-pdf
January 01, 2016 - Reducing Avoidable Readmissions Effectively campaign:
a statewide collaborative.
February 5, 2014
McCoy KA, Bear-Pfaffendorf K, Foreman JK, et al. Reducing Avoidable Hospital Readmissions Effectively:
A Statewide Campaign. Joint Comm J Qual Patient Saf. 2016;40(5):198-204, AP2. doi:10.1016/s1553-
7250(14)40026-6.
…
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psnet.ahrq.gov/node/837740/psn-pdf
July 27, 2022 - Reducing near miss medication events using an
evidence-based approach.
July 27, 2022
Smith-Love J. Reducing near miss medication events using an evidence-based approach. J Nurs Care
Qual. 2022;37(4):327-333. doi:10.1097/ncq.0000000000000630.
https://psnet.ahrq.gov/issue/reducing-near-miss-medication-events-using-e…
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psnet.ahrq.gov/node/837348/psn-pdf
June 08, 2022 - Does malpractice liability make healthcare safer? Aligning
law and policy with evidence.
June 8, 2022
Saks MJ, Landsman S. Wake Forest J Law Policy. 2022;12:205-257.
https://psnet.ahrq.gov/issue/does-malpractice-liability-make-healthcare-safer-aligning-law-and-policy-
evidence
The malpractice liability sys…
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psnet.ahrq.gov/node/45794/psn-pdf
February 15, 2017 - Teaching the diagnostic process as a model to improve
medical education.
February 15, 2017
Sklar DP. Teaching the Diagnostic Process as a Model to Improve Medical Education. Acad Med.
2017;92(1):1-4. doi:10.1097/ACM.0000000000001481.
https://psnet.ahrq.gov/issue/teaching-diagnostic-process-model-improve-medical-ed…
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psnet.ahrq.gov/node/44675/psn-pdf
July 05, 2016 - Why July matters.
July 5, 2016
Petrilli CM, Del Valle J, Chopra V. Why July Matters. Acad Med. 2016;91(7):910-912.
doi:10.1097/ACM.0000000000001196.
https://psnet.ahrq.gov/issue/why-july-matters
Studies have reached conflicting conclusions about whether the "July Effect"—the belief that inpatient
mortality increa…