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psnet.ahrq.gov/node/47407/psn-pdf
January 01, 2020 - Resource-based view on safety culture's influence on
hospital performance: the moderating role of electronic
health record implementation.
September 19, 2018
Upadhyay S, Weech-Maldonado R, Lemak CH, et al. Resource-based view on safety culture’s influence on
hospital performance: The moderating role of electronic …
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psnet.ahrq.gov/node/45553/psn-pdf
October 13, 2018 - Computerized prescriber order entry–related patient
safety reports: analysis of 2522 medication errors.
October 13, 2018
Amato MG, Salazar A, Hickman T-TT, et al. Computerized prescriber order entry-related patient safety
reports: analysis of 2522 medication errors. J Am Med Inform Assoc. 2017;24(2):316-322.
doi:1…
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psnet.ahrq.gov/node/47875/psn-pdf
July 19, 2019 - Observer-based tools for non-technical skills assessment
in simulated and real clinical environments in healthcare:
a systematic review.
July 19, 2019
Higham H, Greig PR, Rutherford J, et al. Observer-based tools for non-technical skills assessment in
simulated and real clinical environments in healthcare: a syste…
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psnet.ahrq.gov/node/46299/psn-pdf
September 13, 2017 - Simulation-based assessment of the management of
critical events by board-certified anesthesiologists.
September 13, 2017
Weinger MB, Banerjee A, Burden AR, et al. Simulation-based assessment of the management of critical
events by board-certified anesthesiologists. Anesthesiology. 2017;127(3):475-489.
doi:10.1097…
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psnet.ahrq.gov/node/45360/psn-pdf
July 27, 2016 - Communicating findings of delayed diagnostic evaluation
to primary care providers.
July 27, 2016
Meyer AND, Murphy DR, Singh H. Communicating Findings of Delayed Diagnostic Evaluation to Primary
Care Providers. J Am Board Fam Med. 2016;29(4):469-73. doi:10.3122/jabfm.2016.04.150363.
https://psnet.ahrq.gov/issue/co…
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psnet.ahrq.gov/node/45310/psn-pdf
January 03, 2017 - Minding the gaps: assessing communication outcomes of
electronic preconsultation exchange.
January 3, 2017
Price EL, Sewell JL, Chen AH, et al. Minding the Gaps: Assessing Communication Outcomes of Electronic
Preconsultation Exchange. Jt Comm J Qual Patient Saf. 2016;42(8):341-54.
https://psnet.ahrq.gov/issue/mind…
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psnet.ahrq.gov/node/46797/psn-pdf
March 14, 2018 - Empowering informal caregivers with health information:
OpenNotes as a safety strategy.
March 14, 2018
Chimowitz H, Gerard M, Fossa A, et al. Empowering Informal Caregivers with Health Information:
OpenNotes as a Safety Strategy. Jt Comm J Qual Saf. 2018;44(3):130-136. doi:10.1016/j.jcjq.2017.09.004.
https://psnet…
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psnet.ahrq.gov/node/47203/psn-pdf
October 25, 2018 - Speaking up about care concerns in the ICU: patient and
family experiences, attitudes and perceived barriers.
October 25, 2018
Bell SK, Roche S, Mueller A, et al. Speaking up about care concerns in the ICU: patient and family
experiences, attitudes and perceived barriers. BMJ Qual Saf. 2018;27(11):928-936. doi:10.1…
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psnet.ahrq.gov/node/46515/psn-pdf
December 22, 2018 - A contemporary medicolegal analysis of outpatient
medication management in chronic pain.
December 22, 2018
Abrecht CR, Brovman EY, Greenberg P, et al. A Contemporary Medicolegal Analysis of Outpatient
Medication Management in Chronic Pain. Anesth Analg. 2017;125(5):1761-1768.
doi:10.1213/ANE.0000000000002499.
htt…
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psnet.ahrq.gov/node/45796/psn-pdf
June 29, 2017 - Characteristics of initial prescription episodes and
likelihood of long-term opioid use—United States,
2006–2015.
June 29, 2017
Shah A, Hayes CJ, Martin BC. Characteristics of Initial Prescription Episodes and Likelihood of Long-Term
Opioid Use - United States, 2006-2015. MMWR Morb Mortal Wkly Rep. 2017;66(10):265…
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psnet.ahrq.gov/node/42361/psn-pdf
September 19, 2013 - Involvement of patients with cancer in patient safety: a
qualitative study of current practices, potentials and
barriers.
September 19, 2013
Martin HM, Navne LE, Lipczak H. Involvement of patients with cancer in patient safety: a qualitative study
of current practices, potentials and barriers. BMJ Qual Saf. 2013;2…
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psnet.ahrq.gov/node/40146/psn-pdf
March 02, 2011 - Primary care–relevant interventions to prevent falling in
older adults: a systematic evidence review for the U.S.
Preventive Services Task Force.
March 2, 2011
Michael YL, Whitlock EP, Lin JS, et al. Primary care-relevant interventions to prevent falling in older adults:
a systematic evidence review for the U.S. P…
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psnet.ahrq.gov/web-mm/mismanagement-delirium
February 13, 2014 - At this point, care should have focused on identifying potentially modifiable risk factors for delirium
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psnet.ahrq.gov/web-mm/emr-entry-error-not-so-benign
July 01, 2012 - For example, data displayed in the chart are usually without additional identifying information such
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psnet.ahrq.gov/node/846170/psn-pdf
March 15, 2023 - mitigated
through best practices in medication reconciliation, which is defined as the process of identifying
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psnet.ahrq.gov/web-mm/delayed-diagnosis-endocrinologic-emergencies
November 13, 2024 - January 12, 2022
Hospital-based transfusion error tracking from 2005 to 2010: identifying
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psnet.ahrq.gov/web-mm/slippery-slide-life
January 21, 2017 - Once identified, these instructors need to develop skills in identifying learning objectives for various
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psnet.ahrq.gov/node/837215/psn-pdf
July 08, 2022 - non-contrast cranial CT, administering intravenous thrombolysis for suspected acute
ischemic stroke, and identifying
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psnet.ahrq.gov/web-mm/delayed-management-necrotizing-soft-tissue-infection-who-does-patient-belong
March 31, 2021 - Identifying Risks to Patient Safety In the presented case, there were undoubtedly multiple failures that
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psnet.ahrq.gov/web-mm/hospital-acquired-diabetic-ketoacidosis
October 28, 2020 - Recurrent DKA results in high societal costs - a retrospective study identifying social predictors of