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psnet.ahrq.gov/node/866531/psn-pdf
August 14, 2024 - The Impact of Artificial Intelligence (AI) on the Safety of
Patients.
August 14, 2024
Institute for Healthcare Improvement. The Impact of Artificial Intelligence (AI) on the Safety of Patients. .
https://psnet.ahrq.gov/issue/impact-artificial-intelligence-ai-safety-patients
Artificial intelligence (AI) is rapidly …
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psnet.ahrq.gov/node/42702/psn-pdf
January 09, 2014 - Developing a quality and safety curriculum for fellows:
lessons learned from a neonatology fellowship program.
January 9, 2014
Gupta M, Ringer S, Tess A, et al. Developing a quality and safety curriculum for fellows: lessons learned
from a neonatology fellowship program. Acad Pediatr. 2014;14(1):47-53. doi:10.1016/…
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psnet.ahrq.gov/node/38469/psn-pdf
March 11, 2009 - Post-discharge medication reviews for patients with heart
failure: a pilot study.
March 11, 2009
Ponniah A, Shakib S, Doecke CJ, et al. Post-discharge medication reviews for patients with heart failure: a
pilot study. Pharm World Sci. 2008;30(6):810-5. doi:10.1007/s11096-008-9230-7.
https://psnet.ahrq.gov/issue/po…
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psnet.ahrq.gov/node/72645/psn-pdf
January 13, 2021 - The plague year. The mistakes and the struggles behind
America’s coronavirus tragedy.
January 13, 2021
Wright L. New Yorker. January 4, 2021;96(463):20-59.
https://psnet.ahrq.gov/issue/plague-year-mistakes-and-struggles-behind-americas-covid-19-tragedy
Uncertainty, misinformation, management gaps, and r…
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psnet.ahrq.gov/node/35433/psn-pdf
November 11, 2015 - Reporting and classification of patient safety events in a
cardiothoracic intensive care unit and cardiothoracic
postoperative care unit.
November 11, 2015
Nast PA, Avidan M, Harris CB, et al. Reporting and classification of patient safety events in a cardiothoracic
intensive care unit and cardiothoracic postopera…
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psnet.ahrq.gov/node/38835/psn-pdf
September 02, 2009 - Impact of a computerized physician order entry system
on compliance with prescription accuracy requirements.
September 2, 2009
Mir C, Gadri A, Zelger GL, et al. Impact of a computerized physician order entry system on compliance with
prescription accuracy requirements. Pharm World Sci. 2009;31(5):596-602. doi:10.10…
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psnet.ahrq.gov/node/40713/psn-pdf
August 24, 2011 - Medication reconciliation: barriers and facilitators from
the perspectives of resident physicians and pharmacists.
August 24, 2011
Boockvar KS, Santos SL, Kushniruk AW, et al. Medication reconciliation: Barriers and facilitators from the
perspectives of resident physicians and pharmacists. J Hosp Med. 2011;6(6). do…
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psnet.ahrq.gov/node/38406/psn-pdf
January 23, 2012 - Enhancing safety reporting in adult ambulatory oncology
with a clinician champion: a practice innovation.
January 23, 2012
Weingart SN, Price J, Duncombe D, et al. Enhancing safety reporting in adult ambulatory oncology with a
clinician champion: a practice innovation. J Nurs Care Qual. 2009;24(3):203-10.
doi:10.1…
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psnet.ahrq.gov/node/39547/psn-pdf
January 19, 2011 - The impact of a tele-ICU on provider attitudes about
teamwork and safety climate.
January 19, 2011
Chu-Weininger MYL, Wueste L, Lucke JF, et al. The impact of a tele-ICU on provider attitudes about
teamwork and safety climate. Qual Saf Health Care. 2010;19(6):e39. doi:10.1136/qshc.2007.024992.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/39036/psn-pdf
October 21, 2009 - Disclosing medical errors to patients: a challenge for
health care professionals and institutions.
October 21, 2009
Levinson W. Disclosing medical errors to patients: a challenge for health care professionals and
institutions. Patient Educ Couns. 2009;76(3):296-9. doi:10.1016/j.pec.2009.07.018.
https://psnet.ahrq.…
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psnet.ahrq.gov/node/43015/psn-pdf
May 29, 2014 - Team-training in healthcare: a narrative synthesis of the
literature.
May 29, 2014
Weaver SJ, Dy SM, Rosen MA. Team-training in healthcare: a narrative synthesis of the literature. BMJ
Qual Saf. 2014;23(5):359-72. doi:10.1136/bmjqs-2013-001848.
https://psnet.ahrq.gov/issue/team-training-healthcare-narrative-synthe…
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psnet.ahrq.gov/node/44016/psn-pdf
November 21, 2016 - Partnering to Improve Quality and Safety: A Framework
for Working With Patient and Family Advisors.
November 21, 2016
Chicago, IL: Health Research & Educational Trust; 2015.
https://psnet.ahrq.gov/issue/partnering-improve-quality-and-safety-framework-working-patient-and-family-
advisors
Patient and family advisor…
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psnet.ahrq.gov/node/43023/psn-pdf
April 16, 2014 - Institutional disclosure: promise and problems.
April 16, 2014
Wolk SW, Sine DM, Paull DE. Institutional disclosure: promise and problems. J Healthc Risk Manag.
2014;33(3):24-32. doi:10.1002/jhrm.21132.
https://psnet.ahrq.gov/issue/institutional-disclosure-promise-and-problems
Using case review and interviews, res…
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psnet.ahrq.gov/node/42828/psn-pdf
December 18, 2013 - Texting while doctoring: a patient safety hazard.
December 18, 2013
Sinsky CA, Beasley JW. Texting while doctoring: a patient safety hazard. Ann Intern Med.
2013;159(11):782-3. doi:10.7326/0003-4819-159-11-201312030-00012.
https://psnet.ahrq.gov/issue/texting-while-doctoring-patient-safety-hazard
This commentary r…
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psnet.ahrq.gov/node/39530/psn-pdf
March 22, 2011 - Surgical adverse outcome reporting as part of routine
clinical care.
March 22, 2011
Kievit J, Krukerink M, van de Mheen PJM-. Surgical adverse outcome reporting as part of routine clinical
care. Qual Saf Health Care. 2010;19(6):e20. doi:10.1136/qshc.2008.027458.
https://psnet.ahrq.gov/issue/surgical-adverse-outcom…
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psnet.ahrq.gov/node/46441/psn-pdf
December 06, 2017 - Reducing delay in diagnosis: multistage recommendation
tracking.
December 6, 2017
Wandtke B, Gallagher S. Reducing Delay in Diagnosis: Multistage Recommendation Tracking. AJR Am J
Roentgenol. 2017;209(5):970-975. doi:10.2214/AJR.17.18332.
https://psnet.ahrq.gov/issue/reducing-delay-diagnosis-multistage-recommendat…
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psnet.ahrq.gov/node/44415/psn-pdf
October 28, 2015 - Medication discrepancies at pediatric hospital discharge.
October 28, 2015
Gattari TB, Krieger LN, Hu HM, et al. Medication Discrepancies at Pediatric Hospital Discharge. Hosp
Pediatr. 2015;5(8):439-45. doi:10.1542/hpeds.2014-0085.
https://psnet.ahrq.gov/issue/medication-discrepancies-pediatric-hospital-discharge
…
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psnet.ahrq.gov/node/45229/psn-pdf
July 13, 2016 - The WakeWings journey: creating a patient safety
program.
July 13, 2016
Mills E. The WakeWings Journey: Creating a Patient Safety Program. AORN J. 2016;103(6):636-9.
doi:10.1016/j.aorn.2016.04.004.
https://psnet.ahrq.gov/issue/wakewings-journey-creating-patient-safety-program
Successful and sustainable implementa…
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psnet.ahrq.gov/node/43684/psn-pdf
November 26, 2014 - Rapid response systems.
November 26, 2014
Hillman KM, Chen J, Jones D. Rapid response systems. Med J Aust. 2014;201(9):519-21.
https://psnet.ahrq.gov/issue/rapid-response-systems
Rapid response systems have been widely accepted as a method to improve outcomes of hospitalized
patients demonstrating signs of rapid d…
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psnet.ahrq.gov/node/72652/psn-pdf
January 20, 2021 - Textbook of Patient Safety and Clinical Risk Management.
January 20, 2021
Donaldson L, Ricciardi W, Sheridan S, Tartaglia R, eds. Springer Nature: Cham Switzerland; 2021. ISBN
9783030594022.
https://psnet.ahrq.gov/issue/textbook-patient-safety-and-clinical-risk-management
Foundations and practical exp…