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psnet.ahrq.gov/issue/survey-medication-documentation-hospital-discharge-implications-patient-safety-and-continuity
March 02, 2011 - Study
Survey of medication documentation at hospital discharge: implications for patient safety and continuity of care.
Citation Text:
Grimes T, Delaney T, Duggan C, et al. Survey of medication documentation at hospital discharge: implications for patient safety and continuity of care.…
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psnet.ahrq.gov/node/44568/psn-pdf
October 21, 2015 - Developing and deploying a patient safety program in a
large health care delivery system: you can't fix what you
don't know about.
October 21, 2015
Bagian JP, Lee C, Gosbee J, et al. Developing and deploying a patient safety program in a large health
care delivery system: you can't fix what you don't know about. J…
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psnet.ahrq.gov/node/43521/psn-pdf
November 05, 2014 - From Science to Implementation: AHRQ's Program to
Prevent HAIs—Results and Lessons.
November 5, 2014
Battles JB, Cleeman JI, Kahn KL, Weinberg DA, eds. Am J Infect Control. 2014;42(suppl 10):S189-S296.
https://psnet.ahrq.gov/issue/science-implementation-ahrqs-program-prevent-hais-results-and-lessons
This companion…
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psnet.ahrq.gov/node/47631/psn-pdf
March 27, 2019 - Assessing the effectiveness of engaging patients and
their families in the three-step fall prevention process
across modalities of an evidence-based fall prevention
toolkit: an implementation science study.
March 27, 2019
Duckworth M, Adelman JS, Belategui K, et al. Assessing the Effectiveness of Engaging Patients…
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psnet.ahrq.gov/node/73107/psn-pdf
April 07, 2021 - Crisis checklists in emergency medicine: another step
forward for cognitive aids.
April 7, 2021
Chen Y-YK, Arriaga AF. Crisis checklists in emergency medicine: another step forward for cognitive aids.
BMJ Qual Saf. 2021;30(9):689-693. doi:10.1136/bmjqs-2021-013203.
https://psnet.ahrq.gov/issue/crisis-checklists-em…
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psnet.ahrq.gov/node/44459/psn-pdf
October 06, 2016 - Examining the Relationship Between Health IT and
Ambulatory Care Workflow Redesign.
October 6, 2016
Zheng K, Ciemins EL, Lanham HJ, et al. Rockville, MD: Agency for Healthcare Research and Quality; July
2015. AHRQ Publication No. 15-0058-EF.
https://psnet.ahrq.gov/issue/examining-relationship-between-health-it-and…
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psnet.ahrq.gov/node/45640/psn-pdf
September 01, 2018 - Case outcomes in a communication-and-resolution
program in New York hospitals.
September 1, 2018
Mello MM, Greenberg Y, Senecal SK, et al. Case Outcomes in a Communication-and-Resolution Program
in New York Hospitals. Health Serv Res. 2016;51 Suppl 3:2583-2599. doi:10.1111/1475-6773.12594.
https://psnet.ahrq.gov/i…
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psnet.ahrq.gov/node/36515/psn-pdf
May 27, 2011 - Nurses' perceptions of causes of medication errors and
barriers to reporting.
May 27, 2011
Ulanimo VM, O'Leary-Kelley C, Connolly PM. Nurses' perceptions of causes of medication errors and
barriers to reporting. J Nurs Care Qual. 2007;22(1):28-33.
https://psnet.ahrq.gov/issue/nurses-perceptions-causes-medication-e…
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psnet.ahrq.gov/web-mm/written-signout-it-only-works-if-you-use-right-one
April 24, 2018 - Written Signout: It Only Works If You Use The Right One
Citation Text:
Lewis K, Rosenbluth G. Written Signout: It Only Works If You Use The Right One. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018.
Copy Citation
Format:
…
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psnet.ahrq.gov/node/45706/psn-pdf
September 01, 2018 - Improving communication and resolution following
adverse events using a patient-created simulation
exercise.
September 1, 2018
Gallagher TH, Etchegaray J, Bergstedt B, et al. Improving Communication and Resolution Following
Adverse Events Using a Patient-Created Simulation Exercise. Health Serv Res. 2016;51 Suppl …
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psnet.ahrq.gov/node/837735/psn-pdf
July 27, 2022 - A quality improvement initiative using peer audit and
feedback to improve compliance with the surgical safety
checklist.
July 27, 2022
Fridrich A, Imhof A, Staender S, et al. A quality improvement initiative using peer audit and feedback to
improve compliance. Int J Qual Health Care. 2022;34(3). doi:10.1093/intqhc…
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psnet.ahrq.gov/node/48019/psn-pdf
June 26, 2019 - Please reconcile, not wait a while.
June 26, 2019
Trivedi A, Sharma S, Ajitsaria R, et al. Please reconcile, not wait a while. Arch Dis Child Educ Pract Ed.
2019;105(2):122-126. doi:10.1136/archdischild-2018-316356.
https://psnet.ahrq.gov/issue/please-reconcile-not-wait-while
Medication reconciliation to ensure ac…
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psnet.ahrq.gov/node/855421/psn-pdf
November 15, 2023 - Informatics tools in deprescribing and medication
optimization in older adults: development and
dissemination of VIONE methodology in a high reliability
organization.
November 15, 2023
Winter SG, Sedgwick C, Wallace-Lacey A, et al. Informatics tools in deprescribing and medication
optimization in older adults: de…
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psnet.ahrq.gov/node/36843/psn-pdf
January 05, 2017 - Improving medication reconciliation in the outpatient
setting.
January 5, 2017
Varkey P, Cunningham J, Bisping S. Improving medication reconciliation in the outpatient setting. Jt Comm
J Qual Patient Saf. 2007;33(5):286-92.
https://psnet.ahrq.gov/issue/improving-medication-reconciliation-outpatient-setting
The Jo…
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psnet.ahrq.gov/node/72526/psn-pdf
January 01, 2021 - How effective are electronic medication systems in
reducing medication error rates and associated harm
among hospital inpatients? A systematic review and
meta-analysis.
December 2, 2020
Gates PJ, Hardie R-A, Raban MZ, et al. How effective are electronic medication systems in reducing
medication error rates and as…
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psnet.ahrq.gov/node/47193/psn-pdf
September 05, 2018 - Situation, background, assessment, recommendation
(SBAR) communication tool for handoff in health care- a
narrative review.
September 5, 2018
Shahid S, Thomas S. Situation, background, assessment, recommendation (SBAR) communication tool for
handoff in health care; a narrative review. Saf Health. 2018;4(7). doi:10…
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psnet.ahrq.gov/node/847543/psn-pdf
April 12, 2023 - What works in medication reconciliation: an on-treatment
and site analysis of the MARQUIS2 study.
April 12, 2023
Schnipper JL, Reyes Nieva H, Yoon CS, et al. What works in medication reconciliation: an on-treatment
and site analysis of the MARQUIS2 study. BMJ Qual Saf. 2023;32(8):457-469. doi:10.1136/bmjqs-2022-
0…
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psnet.ahrq.gov/node/38517/psn-pdf
February 17, 2011 - Use of electronic health records in US hospitals.
February 17, 2011
Jha AK, DesRoches CM, Campbell EG, et al. Use of electronic health records in U.S. hospitals.
doi:10.1056/NEJMsa0900592.
https://psnet.ahrq.gov/issue/use-electronic-health-records-us-hospitals
Increasing the use of electronic health records (EHRs)…
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psnet.ahrq.gov/node/45247/psn-pdf
August 15, 2016 - Physician transition of care: benefits of I-PASS and an
electronic handoff system in a community pediatric
residency program.
August 15, 2016
Walia J, Qayumi Z, Khawar N, et al. Physician Transition of Care: Benefits of I-PASS and an Electronic
Handoff System in a Community Pediatric Residency Program. Acad Pediat…
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psnet.ahrq.gov/node/35802/psn-pdf
January 02, 2017 - Reconciliation failures lead to medication errors.
January 2, 2017
Santell JP. Reconciliation failures lead to medication errors. Jt Comm J Qual Patient Saf. 2006;32(4):225-9.
https://psnet.ahrq.gov/issue/reconciliation-failures-lead-medication-errors
Medication reconciliation represents an active effort of hospita…