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psnet.ahrq.gov/node/42436/psn-pdf
August 07, 2013 - Office-based physicians are responding to incentives and
assistance by adopting and using electronic health
records.
August 7, 2013
Hsiao C-J, Jha AK, King J, et al. Office-based physicians are responding to incentives and assistance by
adopting and using electronic health records. Health Aff (Millwood). 2013;32(8…
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psnet.ahrq.gov/node/44871/psn-pdf
April 22, 2016 - Making checklists work: South Carolina's statewide
experiment.
April 22, 2016
Rice S. MAKING CHECKLISTS WORK. Modern healthcare. 2016;46(4):14-6.
https://psnet.ahrq.gov/issue/making-checklists-work-south-carolinas-statewide-experiment
Although checklist implementation as a safety strategy has achieved some success…
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psnet.ahrq.gov/node/40081/psn-pdf
December 21, 2014 - Electronic health record adoption by children's hospitals
in the United States.
December 21, 2014
Nakamura MM, Ferris T, DesRoches CM, et al. Electronic health record adoption by children's hospitals in
the United States. Arch Pediatr Adolesc Med. 2010;164(12):1145-51. doi:10.1001/archpediatrics.2010.234.
https://…
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psnet.ahrq.gov/node/50666/psn-pdf
November 13, 2019 - Over-the-top risky: overuse of ADC overrides, removal of
drugs without an order, and use of non-profiled cabinets.
November 13, 2019
ISMP Medication Safety Alert! Acute Care Edition. October 24, 2019.
https://psnet.ahrq.gov/issue/over-top-risky-overuse-adc-overrides-removal-drugs-without-order-and-use-
non-profile…
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psnet.ahrq.gov/node/764411/psn-pdf
March 02, 2022 - Nowhere is safe: record number of patients contracted
Covid in the hospital in January.
March 2, 2022
Levy R, Vestal AJ. Politico. February 19, 2022.
https://psnet.ahrq.gov/issue/nowhere-safe-record-number-patients-contracted-covid-hospital-january
Transmission of COVID-19 in the health care setting continues to b…
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psnet.ahrq.gov/node/34570/psn-pdf
March 07, 2005 - Measuring the Success of the Regional Medication Safety
Program for Hospitals.
March 7, 2005
Pelczarski K, Fricker M, Morris J. Philadelphia, PA: Health Care Improvement Foundation; 2005.
https://psnet.ahrq.gov/issue/measuring-success-regional-medication-safety-program-hospitals
The Regional Medication Safety Prog…
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psnet.ahrq.gov/node/73489/psn-pdf
July 15, 2021 - A diagnostic time-out to improve differential diagnosis in
pediatric abdominal pain.
July 15, 2021
Kasick RT, Melvin JE, Perera ST, et al. A diagnostic time-out to improve differential diagnosis in pediatric
abdominal pain. Diagnosis (Berl). 2021;8(2):209-217. doi:10.1515/dx-2019-0054.
https://psnet.ahrq.gov/issue…
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psnet.ahrq.gov/node/41721/psn-pdf
October 03, 2012 - Rural inpatient telepharmacy consultation demonstration
for after-hours medication review.
October 3, 2012
Cole SL, Grubbs JH, Din C, et al. Rural inpatient telepharmacy consultation demonstration for after-hours
medication review. Telemed J E Health. 2012;18(7):530-7. doi:10.1089/tmj.2011.0222.
https://psnet.ahrq…
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psnet.ahrq.gov/node/836789/psn-pdf
March 23, 2022 - COVID-19 Focused Inspection Initiative in Healthcare.
March 23, 2022
Occupational Safety and Health Administration. March 2, 2022.
https://psnet.ahrq.gov/issue/covid-19-focused-inspection-initiative-healthcare
The impact of nursing home inspections to ensure the quality and safety of the service environment is…
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psnet.ahrq.gov/node/48067/psn-pdf
June 12, 2019 - Maternal sleepiness and risk of infant drops in the
postpartum period.
June 12, 2019
Bittle MD, Knapp H, Polomano RC, et al. Maternal Sleepiness and Risk of Infant Drops in the Postpartum
Period. Jt Comm J Qual Patient Saf. 2019;45(5):337-347. doi:10.1016/j.jcjq.2018.12.001.
https://psnet.ahrq.gov/issue/maternal-s…
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psnet.ahrq.gov/node/40535/psn-pdf
July 22, 2011 - A framework for classifying patient safety practices:
results from an expert consensus process.
July 22, 2011
Dy SM, Taylor SL, Carr LH, et al. A framework for classifying patient safety practices: results from an
expert consensus process. BMJ Qual Saf. 2011;20(7):618-24. doi:10.1136/bmjqs.2010.049296.
https://psn…
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psnet.ahrq.gov/node/39695/psn-pdf
July 21, 2010 - The impact of the 80-hour work week on appropriate
resident case coverage.
July 21, 2010
Shin S, Britt R, Doviak M, et al. The Impact of the 80-Hour Work Week on Appropriate Resident Case
Coverage. Journal of Surgical Research. 2009;162(1). doi:10.1016/j.jss.2009.12.003.
https://psnet.ahrq.gov/issue/impact-80-hour…
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psnet.ahrq.gov/node/46896/psn-pdf
July 17, 2019 - Apology and unintended harm in global health.
July 17, 2019
Addiss DG, Amon JJ. Apology and Unintended Harm in Global Health. Health Hum Rights. 2019;21(1):19-
32.
https://psnet.ahrq.gov/issue/apology-and-unintended-harm-global-health
Although disclosure and apology for mistakes in medical care are recommended, le…
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psnet.ahrq.gov/node/851461/psn-pdf
July 19, 2023 - Patient safety 2.0: slaying dragons, not just investigating
them.
July 19, 2023
Card AJ. Patient safety 2.0: slaying dragons, not just investigating them. J Patient Saf. 2023;19(6):394-395.
doi:10.1097/pts.0000000000001140.
https://psnet.ahrq.gov/issue/patient-safety-20-slaying-dragons-not-just-investigating-them
…
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psnet.ahrq.gov/node/39263/psn-pdf
February 03, 2010 - Is there a benefit to multidisciplinary rounds in an open
trauma intensive care unit regarding ventilator-associated
pneumonia?
February 3, 2010
Johnson V, Mangram A, Mitchell C, et al. Is there a benefit to multidisciplinary rounds in an open trauma
intensive care unit regarding ventilator-associated pneumonia? A…
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psnet.ahrq.gov/node/37486/psn-pdf
January 23, 2009 - Medication report reduces number of medication errors
when elderly patients are discharged from hospital.
January 23, 2009
Midlöv P, Holmdahl L, Eriksson T, et al. Medication report reduces number of medication errors when
elderly patients are discharged from hospital. Pharm World Sci. 2007;30(1):92-98. doi:10.1007…
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psnet.ahrq.gov/node/43819/psn-pdf
July 16, 2015 - Intercepting wrong-patient orders in a computerized
provider order entry system.
July 16, 2015
Green RA, Hripcsak G, Salmasian H, et al. Intercepting wrong-patient orders in a computerized provider
order entry system. Ann Emerg Med. 2015;65(6):679-686.e1. doi:10.1016/j.annemergmed.2014.11.017.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/74703/psn-pdf
January 26, 2022 - Research to improve diagnosis: time to study the real
world.
January 26, 2022
Ranji SR, Thomas EJ. Research to improve diagnosis: time to study the real world. BMJ Qual Saf.
2022;31(4):255-258. doi:10.1136/bmjqs-2021-014071.
https://psnet.ahrq.gov/issue/research-improve-diagnosis-time-study-real-world
Diagnostic …
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psnet.ahrq.gov/node/46090/psn-pdf
December 22, 2018 - More than a tick box: medical checklist development,
design, and use.
December 22, 2018
Burian BK, Clebone A, Dismukes K, et al. More Than a Tick Box: Medical Checklist Development, Design,
and Use. Anesth Analg. 2018;126(1):223-232. doi:10.1213/ANE.0000000000002286.
https://psnet.ahrq.gov/issue/more-tick-box-medi…
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psnet.ahrq.gov/node/38387/psn-pdf
February 04, 2009 - Obstetrician-gynecologists' opinions about patient safety:
costs and liability remain problems; are mandated reports
a solution?
February 4, 2009
Stumpf PG, Anderson B, Lawrence H, et al. Obstetrician-gynecologists' opinions about patient safety: costs
and liability remain problems; are mandated reports a solution…