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psnet.ahrq.gov/node/866353/psn-pdf
July 24, 2024 - A clinical pharmacist-led transitions of care program for
veterans with two planned care transitions (hospital to
skilled care and skilled care to home) amid the COVID-19
pandemic.
July 24, 2024
Scannell GA, Bevan DJ, Cowan A, et al. A clinical pharmacist-led transitions of care program for veterans
with two plan…
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September 11, 2013 - Using a patient internet portal to prevent adverse drug
events: a randomized, controlled trial.
September 11, 2013
Weingart SN, Carbo AR, Tess A, et al. Using a Patient Internet Portal to Prevent Adverse Drug Events. J
Patient Saf. 2013;9(3). doi:10.1097/pts.0b013e31829e4b95.
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June 16, 2021 - Safe opioid prescribing: a prognostic machine learning
approach to predicting 30-day risk after an opioid
dispensation in Alberta, Canada.
June 16, 2021
Sharma V, Kulkarni V, Eurich DT, et al. Safe opioid prescribing: a prognostic machine learning approach to
predicting 30-day risk after an opioid dispensation in …
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September 20, 2011 - Effect of point-of-care computer reminders on physician
behaviour: a systematic review.
September 20, 2011
Shojania KG, Jennings A, Mayhew A, et al. Effect of point-of-care computer reminders on physician
behaviour: a systematic review. CMAJ. 2010;182(5):E216-25. doi:10.1503/cmaj.090578.
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June 19, 2019 - Decisions and repercussions of second victim
experiences for mothers in medicine (SAVE DR MoM).
June 19, 2019
Gupta K, Lisker S, Rivadeneira NA, et al. Decisions and repercussions of second victim experiences for
mothers in medicine (SAVE DR MoM). BMJ Qual Saf. 2019;28(7):564-573. doi:10.1136/bmjqs-2018-
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January 01, 2020 - Psychological and psychosomatic symptoms of second
victims of adverse events: a systematic review and meta-
analysis.
May 1, 2019
Busch IM, Moretti F, Purgato M, et al. Psychological and Psychosomatic Symptoms of Second Victims of
Adverse Events. J Patient Saf. 2020;16(2):e61-e74. doi:10.1097/pts.0000000000000589.…
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November 23, 2016 - AHRQ Nursing Home Survey on Patient Safety Culture:
2016 User Comparative Database Report.
November 23, 2016
Famolaro T, Yount ND, Greene, K, Hare R, Thorton S, Sorra J. Rockville, MD: Agency for Healthcare
Research and Quality; October 2016. AHRQ Publication No. 17-0004-EF.
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December 22, 2018 - Implementation of prescription drug monitoring programs
associated with reductions in opioid-related death rates.
December 22, 2018
Patrick SW, Fry CE, Jones TF, et al. Implementation of prescription drug monitoring programs associated
with reductions in opioid-related death rates. Health Aff (Millwood). 2016;35(7)…
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April 21, 2021 - Increasing naloxone prescribing in the emergency
department through education and electronic medical
record work-aids.
April 21, 2021
Funke M, Kaplan MC, Glover H, et al. Increasing naloxone prescribing in the emergency department
through education and electronic medical record work-aids. Jt Comm J Qual Patient Sa…
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psnet.ahrq.gov/issue/e-collection-safety-and-error-prevention-health
June 24, 2020 - Journal Article
E-collection: Safety and Error Prevention in Health.
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May 3, 2017
The increasing implementation of health informati…
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psnet.ahrq.gov/node/48083/psn-pdf
August 07, 2019 - Missed diagnosis of cancer in primary care: insights from
malpractice claims data.
August 7, 2019
Aaronson E, Quinn GR, Wong CI, et al. Missed diagnosis of cancer in primary care: Insights from
malpractice claims data. J Healthc Risk Manag. 2019;39(2):19-29. doi:10.1002/jhrm.21385.
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January 01, 2024 - Effect of contextual factors on the prevalence of
diagnostic errors among patients managed by physicians
of the same specialty: a single-centre retrospective
observational study.
February 8, 2023
Harada Y, Otaka Y, Katsukura S, et al. Effect of contextual factors on the prevalence of diagnostic errors
among patie…
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November 13, 2024 - A virtual breakthrough series collaborative for missed
test results: a stepped-wedge cluster-randomized clinical
trial.
November 13, 2024
Zubkoff L, Zimolzak AJ, Meyer AND, et al. A virtual breakthrough series collaborative for missed test
results: a stepped-wedge cluster-randomized clinical trial. JAMA Netw Open.…
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February 15, 2011 - Medical errors involving trainees: a study of closed
malpractice claims from 5 insurers.
February 15, 2011
Singh H, Thomas EJ, Petersen L, et al. Medical errors involving trainees: a study of closed malpractice
claims from 5 insurers. Arch Intern Med. 2007;167(19):2030-6.
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May 29, 2015 - Cognitive interventions to reduce diagnostic error: a
narrative review.
May 29, 2015
Graber ML, Kissam S, Payne VL, et al. Cognitive interventions to reduce diagnostic error: a narrative
review. BMJ Qual Saf. 2012;21(7):535-557. doi:10.1136/bmjqs-2011-000149.
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January 03, 2017 - Operating room–to-ICU patient handovers: a
multidisciplinary human-centered design approach.
January 3, 2017
Segall N, Bonifacio AS, Barbeito A, et al. Operating Room-to-ICU Patient Handovers: A Multidisciplinary
Human-Centered Design Approach. Jt Comm J Qual Patient Saf. 2016;42(9):400-14.
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November 16, 2016 - Individual surgeon mortality rates: can outliers be
detected? A national utility analysis.
November 16, 2016
Harrison EM, Drake TM, O'Neill S, et al. Individual surgeon mortality rates: can outliers be detected? A
national utility analysis. BMJ Open. 2016;6(10):e012471. doi:10.1136/bmjopen-2016-012471.
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March 05, 2010 - Interventions to improve team effectiveness: a systematic
review.
March 5, 2010
Buljac-Samardzic M, van Doorn CMD-, van Wijngaarden JDH, et al. Interventions to improve team
effectiveness: a systematic review. Health Policy (New York). 2010;94(3):183-95.
doi:10.1016/j.healthpol.2009.09.015.
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July 02, 2011 - A systematic review of failures in handoff communication
during intrahospital transfers.
July 2, 2011
Ong M-S, Coiera E. A systematic review of failures in handoff communication during intrahospital transfers.
Jt Comm J Qual Patient Saf. 2011;37(6):274-284.
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October 23, 2024 - Specialized nurses' role in ensuring patient safety within
the context of telehealth in home care: a scoping review.
October 23, 2024
Vaismoradi M, Rae J, Turunen H, et al. Specialized nurses’ role in ensuring patient safety within the
context of telehealth in home care: a scoping review. Digit Health. 2024;10:2055…