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psnet.ahrq.gov/node/38455/psn-pdf
January 02, 2017 - Clinical triggers: an alternative to a rapid response team.
January 2, 2017
Moldenhauer K, Sabel A, Chu ES, et al. Clinical triggers: an alternative to a rapid response team. Jt Comm
J Qual Patient Saf. 2009;35(3):164-74.
https://psnet.ahrq.gov/issue/clinical-triggers-alternative-rapid-response-team
A national cam…
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psnet.ahrq.gov/node/38674/psn-pdf
February 17, 2011 - Cost implications of reduced work hours and workloads
for resident physicians.
February 17, 2011
Nuckols TK, Bhattacharya J, Wolman DM, et al. Cost implications of reduced work hours and workloads for
resident physicians. N Engl J Med. 2009;360(21):2202-15. doi:10.1056/NEJMsa0810251.
https://psnet.ahrq.gov/issue/c…
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psnet.ahrq.gov/node/45395/psn-pdf
August 10, 2016 - Adverse inpatient outcomes during the transition to a new
electronic health record system: observational study.
August 10, 2016
Barnett ML, Mehrotra A, Jena AB. Adverse inpatient outcomes during the transition to a new electronic
health record system: observational study. BMJ. 2016;354:i3835. doi:10.1136/bmj.i3835.…
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psnet.ahrq.gov/node/39213/psn-pdf
October 03, 2017 - Using patient safety morbidity and mortality conferences
to promote transparency and a culture of safety.
October 3, 2017
Szekendi MK, Barnard C, Creamer J, et al. Using patient safety morbidity and mortality conferences to
promote transparency and a culture of safety. Jt Comm J Qual Patient Saf. 2010;36(1):3-9.
h…
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psnet.ahrq.gov/node/41812/psn-pdf
November 07, 2012 - Contemporary evidence about hospital strategies for
reducing 30-day readmissions: a national study.
November 7, 2012
Bradley EH, Curry LA, Horwitz LI, et al. Contemporary evidence about hospital strategies for reducing 30-
day readmissions: a national study. J Am Coll Cardiol. 2012;60(7):607-14. doi:10.1016/j.jacc.…
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psnet.ahrq.gov/node/43969/psn-pdf
November 17, 2017 - Transparency when things go wrong: physician attitudes
about reporting medical errors to patients, peers, and
institutions.
November 17, 2017
Bell SK, White AA, Yi JC, et al. Transparency When Things Go Wrong. J Patient Saf. 2015;13(4):243-248.
doi:10.1097/pts.0000000000000153.
https://psnet.ahrq.gov/issue/transp…
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psnet.ahrq.gov/node/848124/psn-pdf
April 26, 2023 - Susan McGrath: There have been a lot of questions about implementing the system besides the alarm
thresholds
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psnet.ahrq.gov/node/866841/psn-pdf
September 23, 2024 - System Approaches to Social Determinants of Health
Screening and Intervention Innovation Summary
September 23, 2024
https://psnet.ahrq.gov/innovation/system-approaches-social-determinants-health-screening-and-
intervention-innovation
Summary
UNC Health is a nonprofit healthcare system of more than 500 clinics and…
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psnet.ahrq.gov/node/33601/psn-pdf
December 15, 2024 - Electronic Health Records
December 15, 2024
Electronic Health Records. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/electronic-health-records
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current research and practice in the patient safet…
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psnet.ahrq.gov/curated-library/value-and-patient-safety
October 30, 2019 - investment (ROI)—accounting for the costs saved by preventing ADEs in relation to the cost of buying and implementing
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psnet.ahrq.gov/web-mm/medication-reconciliation-twist-or-dare-we-say-patch
April 03, 2024 - to identify and correct unintentional medication discrepancies, but also the challenges inherent in implementing
-
psnet.ahrq.gov/perspective/conversation-ann-gaffey-rn-msn-cphrm-and-bruce-spurlock-md
March 30, 2020 - These are very impactful to success in implementing practices.
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psnet.ahrq.gov/node/33851/psn-pdf
January 01, 2017 - In this case, changing staffing patterns or
implementing 7-day access to specific services would not
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.98_slideshow.ppt
June 01, 2005 - highlight medications used in differing doses for different indications
CPOE in place, but merely implementing
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psnet.ahrq.gov/perspective/accountability-patient-safety
January 01, 2018 - work that lies ahead for the field is to develop a sophisticated understanding of the best methods for implementing
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psnet.ahrq.gov/primer/measurement-patient-safety
September 15, 2024 - August 17, 2022
Patient Safety: Hospitals Face Challenges Implementing Evidence-Based
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psnet.ahrq.gov/node/866217/psn-pdf
July 10, 2024 - Health plans
can improve access by adding more providers to their network or implementing programs that
-
psnet.ahrq.gov/node/49390/psn-pdf
February 01, 2003 - Implementing this commonsensical solution is surprisingly complex.
-
psnet.ahrq.gov/node/49716/psn-pdf
August 21, 2014 - directors to establish a protocol requiring some
number of initial peripheral IV attempts prior to implementing
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psnet.ahrq.gov/node/33850/psn-pdf
January 01, 2018 - though attendings and residents agreed on the purpose of a
progress note, the perceived effect of implementing