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psnet.ahrq.gov/node/867590/psn-pdf
January 22, 2025 - Evaluation of Measure Dx, a resource to accelerate
diagnostic safety learning and improvement.
January 22, 2025
Bradford A, Tran A, Ali KJ, et al. Evaluation of Measure Dx, a resource to accelerate diagnostic safety
learning and improvement. J Gen Intern Med. . 2024;Epub Oct 22. doi:10.1007/s11606-024-09132-8.
htt…
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psnet.ahrq.gov/node/837793/psn-pdf
August 10, 2022 - The effect of structured medication review followed by
face-to-face feedback to prescribers on adverse drug
events recognition and prevention in older inpatients - a
multicenter interrupted time series study.
August 10, 2022
Klopotowska JE, Kuks PFM, Wierenga PC, et al. The effect of structured medication review f…
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psnet.ahrq.gov/node/60906/psn-pdf
August 18, 2021 - Global Patient Safety Action Plan 2021-2030: Towards
Eliminating Avoidable Harm in Health Care.
August 18, 2021
Geneva, Switzerland: World Health Organization; 2021. ISBN: 9789240032705.
https://psnet.ahrq.gov/issue/global-patient-safety-action-plan-2021-2030-towards-eliminating-avoidable-
harm-health-care
The Wo…
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psnet.ahrq.gov/node/853620/psn-pdf
September 20, 2023 - Impact of pharmacist-led admission medication
reconciliation on patient outcomes in a large health
system.
September 20, 2023
Kramer JS, Hayley Burgess L, Warren C, et al. Impact of pharmacist-led admission medication
reconciliation on patient outcomes in a large health system. J Patient Saf Risk Manag. 2023;28(6)…
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psnet.ahrq.gov/node/47190/psn-pdf
January 01, 2021 - Disclosure coaching: an ask-tell-ask model to support
clinicians in disclosure conversations.
July 25, 2018
Shapiro J, Robins L, Galowitz P, et al. Disclosure Coaching: An Ask-Tell-Ask Model to Support Clinicians in
Disclosure Conversations. J Patient Saf. 2021;17(8):e1364-e1370. doi:10.1097/PTS.0000000000000491.
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psnet.ahrq.gov/node/35771/psn-pdf
May 27, 2011 - Return on investment for a computerized physician order
entry system.
May 27, 2011
Kaushal R, Jha AK, Franz C, et al. Return on investment for a computerized physician order entry system.
J Am Med Inform Assoc. 2006;13(3):261-6.
https://psnet.ahrq.gov/issue/return-investment-computerized-physician-order-entry-syst…
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psnet.ahrq.gov/node/865585/psn-pdf
April 17, 2024 - Estimating the impact on patient safety of enabling the
digital transfer of patients' prescription information in the
English NHS.
April 17, 2024
Camacho EM, Gavan S, Keers RN, et al. Estimating the impact on patient safety of enabling the digital
transfer of patients’ prescription information in the English NHS. …
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psnet.ahrq.gov/node/40357/psn-pdf
April 06, 2011 - Impact of reduction in working hours for doctors in
training on postgraduate medical education and patients'
outcomes: systematic review.
April 6, 2011
Moonesinghe SR, Lowery J, Shahi N, et al. Impact of reduction in working hours for doctors in training on
postgraduate medical education and patients' outcomes: sy…
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psnet.ahrq.gov/node/38625/psn-pdf
November 19, 2009 - The design of the SAFE or SORRY? study: a cluster
randomised trial on the development and testing of an
evidence based inpatient safety program for the
prevention of adverse events.
November 19, 2009
van Gaal BGI, Schoonhoven L, Hulscher M, et al. The design of the SAFE or SORRY? study: a cluster
randomised trial…
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psnet.ahrq.gov/node/47097/psn-pdf
June 26, 2018 - Patterns of potential opioid misuse and subsequent
adverse outcomes in Medicare, 2008 to 2012.
June 26, 2018
Carey CM, Jena AB, Barnett ML. Patterns of Potential Opioid Misuse and Subsequent Adverse Outcomes
in Medicare, 2008 to 2012. Ann Intern Med. 2018;168(12):837-845. doi:10.7326/M17-3065.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/50865/psn-pdf
February 05, 2020 - Understanding principles of high reliability organizations
through the eyes of VIONE: a clinical program to improve
patient safety by deprescribing potentially inappropriate
medications and reducing polypharmacy.
February 5, 2020
Battar S, Dickerson KRW, Sedgwick C, et al. Understanding principles of high reliabil…
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psnet.ahrq.gov/node/866170/psn-pdf
June 19, 2024 - The World Federation of Chiropractic Global Patient
Safety Task Force: a call to action.
June 19, 2024
Coleman BC, Rubinstein SM, Salsbury SA, et al. The World Federation of Chiropractic Global Patient
Safety Task Force: a call to action. Chiropr Man Therap. 2024;32(1):15. doi:10.1186/s12998-024-00536-1.
https://p…
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psnet.ahrq.gov/node/844051/psn-pdf
February 08, 2023 - Insurance claims for wrong-side, wrong-organ, wrong-
procedure, or wrong-person surgical errors: a
retrospective study for 10 years.
February 8, 2023
Vacheron C-H, Acker A, Autran M, et al. Insurance claims for wrong-side, wrong-organ, wrong-procedure,
or wrong-person surgical errors: a retrospective study for 10 …
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psnet.ahrq.gov/node/837069/psn-pdf
January 01, 2024 - Usability of a human factors-based clinical decision
support in the emergency department: lessons learned
for design and implementation.
May 11, 2022
Salwei ME, Hoonakker PLT, Carayon P, et al. Usability of a human factors-based clinical decision support
in the emergency department: lessons learned for design and …
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psnet.ahrq.gov/node/43787/psn-pdf
June 22, 2016 - Measuring variation in use of the WHO surgical safety
checklist in the operating room: a multicenter prospective
cross-sectional study.
June 22, 2016
Russ S, Rout S, Caris J, et al. Measuring variation in use of the WHO surgical safety checklist in the
operating room: a multicenter prospective cross-sectional stud…
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psnet.ahrq.gov/node/866200/psn-pdf
June 26, 2024 - Does an app a day keep the doctor away? AI symptom
checker applications, entrenched bias, and professional
responsibility.
June 26, 2024
Zawati M'n H, Lang M. Does an app a day keep the doctor away? AI symptom checker applications,
entrenched bias, and professional responsibility. J Med Internet Res. 2024;26:e5034…
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psnet.ahrq.gov/node/72568/psn-pdf
January 01, 2021 - Alternatives to opioid education and a prescription drug
monitoring program cumulatively decreased outpatient
opioid prescriptions.
December 16, 2020
Sigal A, Shah A, Onderdonk A, et al. Alternatives to opioid education and a prescription drug monitoring
program cumulatively decreased outpatient opioid prescriptio…
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psnet.ahrq.gov/node/73182/psn-pdf
April 28, 2021 - Learning from morbidity and mortality conferences: focus
and sustainability of lessons for patient care.
April 28, 2021
de Vos MS, Hamming JF, Marang-van de Mheen PJ. Learning from morbidity and mortality conferences:
focus and sustainability of lessons for patient care. J Patient Saf. 2021;17(3):231-238.
doi:10.1…
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psnet.ahrq.gov/node/72857/psn-pdf
March 17, 2021 - Results and lessons from a hospital-wide initiative
incentivised by delivery system reform to improve
infection prevention and sepsis care.
March 17, 2021
Sreeramoju P, Voy-Hatter K, White C, et al. Results and lessons from a hospital-wide initiative incentivised
by delivery system reform to improve infection prev…
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psnet.ahrq.gov/node/43975/psn-pdf
July 18, 2016 - Influence of the Comprehensive Unit-based Safety
Program in ICUs: evidence from the Keystone ICU project.
July 18, 2016
Hsu Y-J, Marsteller JA. Influence of the Comprehensive Unit-based Safety Program in ICUs: Evidence
From the Keystone ICU Project. Am J Med Qual. 2016;31(4):349-357. doi:10.1177/1062860615571963.
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