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psnet.ahrq.gov/node/60868/psn-pdf
September 02, 2020 - Association between implementing comprehensive
learning collaborative strategies in a statewide
collaborative and changes in hospital safety culture.
September 2, 2020
Yuce TK, Yang AD, Johnson JK, et al. Association between implementing comprehensive learning
collaborative strategies in a statewide collaborative …
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psnet.ahrq.gov/node/836995/psn-pdf
April 27, 2022 - Multifactorial interventions to reduce duration and
variability in delays to identification of serious injury after
falls in hospital inpatients.
April 27, 2022
Saleem J, Sarma D, Wright H, et al. Multifactorial interventions to reduce duration and variability in delays
to identification of serious injury after fa…
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psnet.ahrq.gov/node/72555/psn-pdf
December 09, 2020 - Development and validation of a deep learning model for
detection of allergic reactions using safety event reports
across hospitals.
December 9, 2020
Yang J, Wang L, Phadke NA, et al. Development and validation of a deep learning model for detection of
allergic reactions using safety event reports across hospitals…
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psnet.ahrq.gov/node/60701/psn-pdf
July 22, 2020 - Prevalence and nature of medication errors and
medication-related harm following discharge from
hospital to community settings: a systematic review.
July 22, 2020
Alqenae FA, Steinke DT, Keers RN. Prevalence and nature of medication errors and medication-related
harm following discharge from hospital to community …
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psnet.ahrq.gov/node/73494/psn-pdf
July 14, 2021 - A scoping review of communication tools applicable to
patients and their primary care providers after discharge
from hospital.
July 14, 2021
Spencer RA, Singh Punia H. A scoping review of communication tools applicable to patients and their
primary care providers after discharge from hospital. Patient Educ Couns. …
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psnet.ahrq.gov/node/42942/psn-pdf
February 22, 2024 - Targeted Medication Safety Best Practices for Hospitals.
February 22, 2024
Plymouth Meeting, PA: Institute for Safe Medication Practices; 2024.
https://psnet.ahrq.gov/issue/targeted-medication-safety-best-practices-hospitals
This updated report outlines 22 consensus-based best practices to ensure safe medication ad…
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psnet.ahrq.gov/node/74208/psn-pdf
December 22, 2021 - Early warning systems and rapid response systems for
the prevention of patient deterioration on acute adult
hospital wards.
December 22, 2021
McGaughey J, Fergusson DA, Van Bogaert P, et al. Early warning systems and rapid response systems for
the prevention of patient deterioration on acute adult hospital wards. …
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psnet.ahrq.gov/node/865871/psn-pdf
May 15, 2024 - Delivery at an inadequate level of maternal care is
associated with severe maternal morbidity.
May 15, 2024
Osei-Poku GK, Prentice JC, Easter SR, et al. Delivery at an inadequate level of maternal care is associated
with severe maternal morbidity. Am J Obstet Gynecol. 2024;231(5):e1-546.e520.
doi:10.1016/j.ajog.20…
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psnet.ahrq.gov/node/50748/psn-pdf
December 18, 2019 - Systematic review of interventions to improve safety and
quality of anticoagulant prescribing for therapeutic
indications for hospital inpatients
December 18, 2019
Frazer A, Rowland J, Mudge A, et al. Eur J Clin Pharmacol. 2019;75(12):1645-1657.
https://psnet.ahrq.gov/issue/systematic-review-interventions-imp…
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psnet.ahrq.gov/node/43696/psn-pdf
April 22, 2015 - Electronic surveillance and pharmacist intervention for
vulnerable older inpatients on high-risk medication
regimens.
April 22, 2015
Peterson JF, Kripalani S, Danciu I, et al. Electronic surveillance and pharmacist intervention for vulnerable
older inpatients on high-risk medication regimens. J Am Geriatr Soc. 201…
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psnet.ahrq.gov/node/43769/psn-pdf
December 17, 2014 - Prospective risk analysis and incident reporting for better
pharmaceutical care at paediatric hospital discharge.
December 17, 2014
Kaestli L-Z, Cingria L, Fonzo-Christe C, et al. Prospective risk analysis and incident reporting for better
pharmaceutical care at paediatric hospital discharge. Int J Clin Pharm. 2014…
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psnet.ahrq.gov/node/44716/psn-pdf
April 15, 2016 - An integrative review of patient safety in studies on the
care and safety of patients with communication
disabilities in hospital.
April 15, 2016
Hemsley B, Georgiou A, Hill S, et al. An integrative review of patient safety in studies on the care and
safety of patients with communication disabilities in hospital. …
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psnet.ahrq.gov/node/36333/psn-pdf
July 10, 2008 - The care transitions intervention: results of a randomized
controlled trial.
July 10, 2008
Coleman EA, Parry C, Chalmers S, et al. The care transitions intervention: results of a randomized
controlled trial. Arch Intern Med. 2006;166(17):1822-8.
https://psnet.ahrq.gov/issue/care-transitions-intervention-results-ra…
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psnet.ahrq.gov/node/45965/psn-pdf
April 19, 2017 - Measuring harm and informing quality improvement in the
Welsh NHS: the longitudinal Welsh national adverse
events study.
April 19, 2017
Mayor S, Baines E, Vincent CA, et al. Measuring Harm And Informing Quality Improvement In The Welsh
Nhs: The Longitudinal Welsh National Adverse Events Study. Southampton, UK: NIH…
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psnet.ahrq.gov/node/40093/psn-pdf
May 25, 2011 - Retrospective review of emergency response activations
during a 13-year period at a tertiary care children's
hospital.
May 25, 2011
Wang GS, Erwin N, Zuk J, et al. Retrospective review of emergency response activations during a 13-year
period at a tertiary care children's hospital. J Hosp Med. 2011;6(3):131-5. doi…
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psnet.ahrq.gov/node/44136/psn-pdf
July 16, 2015 - Clostridium Difficile infection in the United States: a
national study assessing preventive practices used and
perceptions of practice evidence.
July 16, 2015
Saint S, Fowler KE, Krein SL, et al. Clostridium Difficile Infection in the United States: A National Study
Assessing Preventive Practices Used and Percepti…
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psnet.ahrq.gov/node/45895/psn-pdf
February 22, 2017 - Opioids for pain management in older adults: strategies
for safe prescribing.
February 22, 2017
Davies PS. Opioids for pain management in older adults. Nurse Pract. 2017;42(2).
doi:10.1097/01.npr.0000511772.62176.10.
https://psnet.ahrq.gov/issue/opioids-pain-management-older-adults-strategies-safe-prescribing
Use…
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psnet.ahrq.gov/node/37674/psn-pdf
June 16, 2011 - An overview of patient safety climate in the VA.
June 16, 2011
Hartmann CW, Rosen AK, Meterko M, et al. An overview of patient safety climate in the VA. Health Serv
Res. 2008;43(4):1263-84. doi:10.1111/j.1475-6773.2008.00839.x.
https://psnet.ahrq.gov/issue/overview-patient-safety-climate-va
Measurement of institut…
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psnet.ahrq.gov/node/47532/psn-pdf
November 29, 2018 - Payment innovations to improve diagnostic accuracy and
reduce diagnostic error.
November 29, 2018
Berenson R, Singh H. Payment Innovations To Improve Diagnostic Accuracy And Reduce Diagnostic Error.
Health Aff (Millwood). 2018;37(11):1828-1835. doi:10.1377/hlthaff.2018.0714.
https://psnet.ahrq.gov/issue/payment-in…
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psnet.ahrq.gov/node/44028/psn-pdf
April 01, 2015 - Alarm system management: evidence-based guidance
encouraging direct measurement of informativeness to
improve alarm response.
April 1, 2015
Rayo MF, Moffatt-Bruce SD. Alarm system management: evidence-based guidance encouraging direct
measurement of informativeness to improve alarm response. BMJ Qual Saf. 2015;24(…