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psnet.ahrq.gov/node/40450/psn-pdf
December 21, 2014 - Unit-based care teams and the frequency and quality of
physician–nurse communications.
December 21, 2014
Gordon M, Melvin P, Graham DA, et al. Unit-based care teams and the frequency and quality of physician-
nurse communications. Arch Pediatr Adolesc Med. 2011;165(5):424-8. doi:10.1001/archpediatrics.2011.54.
htt…
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psnet.ahrq.gov/node/45610/psn-pdf
November 01, 2017 - Economic value of pharmacist-led medication
reconciliation for reducing medication errors after
hospital discharge.
November 1, 2017
Najafzadeh M, Schnipper JL, Shrank WH, et al. Economic value of pharmacist-led medication reconciliation
for reducing medication errors after hospital discharge. Am J Manag Care. 201…
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psnet.ahrq.gov/node/37345/psn-pdf
May 26, 2011 - Impact of computerized prescriber order entry on the
incidence of adverse drug events in pediatric inpatients.
May 26, 2011
Holdsworth MT, Fichtl RE, Raisch DW, et al. Impact of computerized prescriber order entry on the
incidence of adverse drug events in pediatric inpatients. Pediatrics. 2007;120(5):1058-66.
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psnet.ahrq.gov/node/864856/psn-pdf
March 20, 2024 - Changes in perceptions of antibiotic stewardship among
neonatal intensive care unit providers over the course of
a learning collaborative: a prospective, multisite, mixed-
methods evaluation.
March 20, 2024
Qureshi N, Kroger J, Zangwill KM, et al. Changes in perceptions of antibiotic stewardship among neonatal
in…
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psnet.ahrq.gov/node/42787/psn-pdf
January 19, 2014 - The effects of electronic prescribing by community-based
providers on ambulatory medication safety.
January 19, 2014
Abramson EL, Pfoh ER, Barrón Y, et al. The effects of electronic prescribing by community-based
providers on ambulatory medication safety. Jt Comm J Qual Patient Saf. 2013;39(12):545-552.
https://ps…
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psnet.ahrq.gov/node/42270/psn-pdf
December 31, 2014 - Relationship between medication event rates and the
Leapfrog computerized physician order entry evaluation
tool.
December 31, 2014
Leung AA, Keohane C, Lipsitz S, et al. Relationship between medication event rates and the Leapfrog
computerized physician order entry evaluation tool. J Am Med Info Asso. 2013;20(e1):…
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psnet.ahrq.gov/node/72519/psn-pdf
December 02, 2020 - Evaluation of a patient-centered fall-prevention tool kit to
reduce falls and injuries: a nonrandomized controlled
trial.
December 2, 2020
Dykes PC, Burns Z, Adelman JS, et al. Evaluation of a patient-centered fall-prevention tool kit to reduce
falls and injuries: a nonrandomized controlled trial. JAMA Netw Open. …
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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/47547/psn-pdf
February 13, 2019 - Prevention of prescription opioid misuse and projected
overdose deaths in the United States.
February 13, 2019
Chen Q, Larochelle MR, Weaver DT, et al. Prevention of Prescription Opioid Misuse and Projected
Overdose Deaths in the United States. JAMA Netw Open. 2019;2(2):e187621.
doi:10.1001/jamanetworkopen.2018.76…
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psnet.ahrq.gov/node/45437/psn-pdf
September 01, 2018 - Decreasing malpractice claims by reducing preventable
perinatal harm.
September 1, 2018
Riley W, Meredith LW, Price R, et al. Decreasing Malpractice Claims by Reducing Preventable Perinatal
Harm. Health Serv Res. 2016;51(suppl 3):2453-2471. doi:10.1111/1475-6773.12551.
https://psnet.ahrq.gov/issue/decreasing-malpr…
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psnet.ahrq.gov/node/45375/psn-pdf
September 27, 2016 - Association of a web-based handoff tool with rates of
medical errors.
September 27, 2016
Mueller SK, Yoon CS, Schnipper JL. Association of a Web-Based Handoff Tool With Rates of Medical
Errors. JAMA Intern Med. 2016;176(9):1400-2. doi:10.1001/jamainternmed.2016.4258.
https://psnet.ahrq.gov/issue/association-web-ba…
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psnet.ahrq.gov/node/41986/psn-pdf
January 23, 2013 - Slow progress on meeting hospital safety standards:
learning from the Leapfrog Group's efforts.
January 23, 2013
Moran J, Scanlon D. Slow progress on meeting hospital safety standards: learning from the Leapfrog
Group's efforts. Health Aff (Millwood). 2013;32(1):27-35. doi:10.1377/hlthaff.2011.0056.
https://psnet.…
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psnet.ahrq.gov/node/44915/psn-pdf
January 01, 2020 - Electronic health record adoption and rates of in-hospital
adverse events.
February 24, 2016
Furukawa MF, Eldridge N, Wang Y, et al. Electronic Health Record Adoption and Rates of In-hospital
Adverse Events. J Patient Saf. 2020;16(2):137-142. doi:10.1097/pts.0000000000000257.
https://psnet.ahrq.gov/issue/electroni…
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psnet.ahrq.gov/node/43393/psn-pdf
July 30, 2014 - Effectiveness of the surgical safety checklist in correcting
errors: a literature review applying Reason's Swiss
cheese model.
July 30, 2014
Collins SJ, Newhouse R, Porter J, et al. Effectiveness of the surgical safety checklist in correcting errors: a
literature review applying Reason's Swiss cheese model. AORN J…
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psnet.ahrq.gov/node/39210/psn-pdf
January 12, 2010 - Can aviation-based team training elicit sustainable
behavioral change?
January 12, 2010
Sax HC, Browne P, Mayewski RJ, et al. Can aviation-based team training elicit sustainable behavioral
change? Arch Surg. 2009;144(12):1133-1137. doi:10.1001/archsurg.2009.207.
https://psnet.ahrq.gov/issue/can-aviation-based-team…
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psnet.ahrq.gov/node/867428/psn-pdf
December 18, 2024 - In Conversation with Patricia Dykes about The Ongoing
Journey to Prevent Patient Falls
December 18, 2024
Dykes PC, Sousane Z, Mossburg SE. In Conversation with Patricia Dykes about The Ongoing Journey to
Prevent Patient Falls. PSNet [internet]. 2024.
https://psnet.ahrq.gov/perspective/conversation-patricia-dykes-a…
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psnet.ahrq.gov/curated-library/opioid-stewardship
December 15, 2024 - Breadcrumb
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Created By: AHRQ
Date Created: January 24, 2025
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psnet.ahrq.gov/issue/checklists-change-communication-about-key-elements-patient-care
November 16, 2022 - Study
Checklists change communication about key elements of patient care.
Citation Text:
Newkirk M, Pamplin JC, Kuwamoto R, et al. Checklists change communication about key elements of patient care. J Trauma Acute Care Surg. 2012;73(2 Suppl 1):S75-82. doi:10.1097/TA.0b013e3182606239.
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psnet.ahrq.gov/issue/posthospital-medication-discrepancies-prevalence-and-contributing-factors
July 10, 2008 - Study
Classic
Posthospital medication discrepancies: prevalence and contributing factors.
Citation Text:
Coleman EA, Smith JD, Raha D, et al. Posthospital medication discrepancies: prevalence and contributing factors. Arch Intern Med. 2005;165(16):1842-1847.
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psnet.ahrq.gov/issue/reconceptualizing-patient-safety-beyond-harm-insights-mixed-methods-qualitative-inquiry
April 19, 2023 - Study
Reconceptualizing patient safety beyond harm: insights from a mixed-methods qualitative inquiry.
Citation Text:
Jeffs L, Kuluski K, Flintoft V, et al. Reconceptualizing patient safety beyond harm: insights from a mixed-methods qualitative inquiry. J Nurs Care Qual. 2024;39(3):226-2…