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psnet.ahrq.gov/node/45234/psn-pdf
November 18, 2016 - Recommended responsibilities for management of MR
safety.
November 18, 2016
Calamante F, Ittermann B, Kanal E, et al. Recommended responsibilities for management of MR safety. J
Magn Reson Imaging. 2016;44(5):1067-1069. doi:10.1002/jmri.25282.
https://psnet.ahrq.gov/issue/recommended-responsibilities-management-mr…
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psnet.ahrq.gov/node/44940/psn-pdf
September 20, 2016 - Dual-process cognitive interventions to enhance
diagnostic reasoning: a systematic review.
September 20, 2016
Lambe KA, O'Reilly G, Kelly BD, et al. Dual-process cognitive interventions to enhance diagnostic
reasoning: a systematic review. BMJ Qual Saf. 2016;25(10):808-820. doi:10.1136/bmjqs-2015-004417.
https://p…
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psnet.ahrq.gov/node/40672/psn-pdf
September 03, 2011 - Didactic and simulation nontechnical skills team training
to improve perinatal patient outcomes in a community
hospital.
September 3, 2011
Riley W, Davis SE, Miller KK, et al. Didactic and simulation nontechnical skills team training to improve
perinatal patient outcomes in a community hospital. Jt Comm J Qual Pat…
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psnet.ahrq.gov/node/73332/psn-pdf
May 26, 2021 - An evolving hospital quality star rating system from CMS:
aligning the stars.
May 26, 2021
Bilimoria KY, Barnard C. An evolving hospital quality star rating system from CMS: aligning the stars.
JAMA. 2021;325(21):2151-2152. doi:10.1001/jama.2021.6946.
https://psnet.ahrq.gov/issue/evolving-hospital-quality-star-rat…
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psnet.ahrq.gov/node/60842/psn-pdf
August 26, 2020 - Longitudinal medication reconciliation at hospital
admission, discharge and post-discharge.
August 26, 2020
Daliri S, Bouhnouf M, van de Meerendonk HWPC, et al. Longitudinal medication reconciliation at hospital
admission, discharge and post-discharge. Res Social Adm Pharm. 2020;17(4):677-684.
doi:10.1016/j.saphar…
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psnet.ahrq.gov/node/42116/psn-pdf
March 20, 2013 - Rapid response systems as a patient safety strategy: a
systematic review.
March 20, 2013
Winters BD, Weaver SJ, Pfoh ER, et al. Rapid-response systems as a patient safety strategy: a systematic
review. Ann Intern Med. 2013;158(5 Pt 2):417-25. doi:10.7326/0003-4819-158-5-201303051-00009.
https://psnet.ahrq.gov/issu…
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psnet.ahrq.gov/node/43967/psn-pdf
November 16, 2015 - Equipped: overcoming barriers to change to improve
quality of care (theories of change).
November 16, 2015
Lachman P, Runnacles J, Dudley J, et al. Equipped: overcoming barriers to change to improve quality of
care (theories of change). Arch Dis Child Educ Pract Ed. 2015;100(1):13-8. doi:10.1136/archdischild-2013-
…
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psnet.ahrq.gov/node/60929/psn-pdf
September 16, 2020 - Safer Together: A National Action Plan to Advance Patient
Safety.
September 16, 2020
Boston, MA: Institute for Healthcare Improvement: September 2020.
https://psnet.ahrq.gov/issue/national-action-plan-advance-patient-safety
This National Action Plan developed by the National Steering Committee for Pati…
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psnet.ahrq.gov/node/867700/psn-pdf
March 01, 2023 - Toolkit for Reducing Central Line-Associated Blood
Stream Infections.
March 1, 2023
Agency for Healthcare Research and Quality. Toolkit for Reducing Central Line-Associated Blood Stream
Infections. March 2023.
https://psnet.ahrq.gov/issue/toolkit-reducing-central-line-associated-blood-stream-infections
Eliminatin…
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psnet.ahrq.gov/node/72828/psn-pdf
March 10, 2021 - A recurring call to action: every healthcare organization
needs a medication safety officer!
March 10, 2021
ISMP Medication Safety Alert! Acute care edition. February 25, 2021;26(4);1-4.
https://psnet.ahrq.gov/issue/recurring-call-action-every-healthcare-organization-needs-medication-safety-
officer
Leadership ro…
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psnet.ahrq.gov/node/848383/psn-pdf
May 03, 2023 - Burnout in Primary Care: Assessing and Addressing It in
Your Practice.
May 3, 2023
Gerteis J, Booker C, Brach C, et al. Rockville, MD: Agency for Healthcare Research and Quality;
February 2023. AHRQ Publication No. 23-0025.
https://psnet.ahrq.gov/issue/burnout-primary-care-assessing-and-addressing-it-your-pr…
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psnet.ahrq.gov/node/845472/psn-pdf
March 15, 2023 - We spoke
with them about their experience implementing remote patient monitoring (RPM) programs, GW’
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psnet.ahrq.gov/issue/evaluation-association-between-nursing-home-survey-patient-safety-culture-nhsops-measures-and
April 05, 2017 - Study
Evaluation of the association between Nursing Home Survey on Patient Safety culture (NHSOPS) measures and catheter-associated urinary tract infections: results of a national collaborative.
Citation Text:
Smith SN, Greene MT, Mody L, et al. Evaluation of the association between Nurs…
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psnet.ahrq.gov/node/33576/psn-pdf
December 15, 2024 - Wrong-Site, Wrong-Procedure, and Wrong-Patient
Surgery
December 15, 2024
Wrong-Site, Wrong-Procedure, and Wrong-Patient Surgery. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/wrong-site-wrong-procedure-and-wrong-patient-surgery
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editoria…
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psnet.ahrq.gov/node/33562/psn-pdf
September 15, 2024 - Rapid Response Systems
September 15, 2024
Rapid Response Systems. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/rapid-response-systems
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 safety field.…
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psnet.ahrq.gov/node/73654/psn-pdf
September 01, 2021 - CancelRx: a health IT tool to reduce medication
discrepancies in the outpatient setting.
September 1, 2021
Watterson TL, Stone JA, Brown RL, et al. CancelRx: a health IT tool to reduce medication discrepancies in
the outpatient setting. J Am Med Inform Assoc. 2021;28(7):1526-1533. doi:10.1093/jamia/ocab038.
https:…
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psnet.ahrq.gov/node/45016/psn-pdf
April 27, 2016 - Medication safety systems and the important role of
pharmacists.
April 27, 2016
Mansur JM. Medication Safety Systems and the Important Role of Pharmacists. Drugs Aging.
2016;33(3):213-21. doi:10.1007/s40266-016-0358-1.
https://psnet.ahrq.gov/issue/medication-safety-systems-and-important-role-pharmacists
Preventin…
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psnet.ahrq.gov/node/46383/psn-pdf
September 20, 2017 - Prescription Drug Monitoring Programs: Evolution and
Evidence.
September 20, 2017
Weiner J, Bao Y, Meisel Z. LDI/CHERISH Issue Brief. June 2017.
https://psnet.ahrq.gov/issue/prescription-drug-monitoring-programs-evolution-and-evidence
Health care has been exploring a variety of strategies to mitigate the opioid ep…
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psnet.ahrq.gov/node/46289/psn-pdf
January 01, 2021 - Communication training, adverse events, and quality
measures: 2 retrospective database analyses in
Washington State hospitals.
August 9, 2017
Slade IR, Beck SJ, Kramer B, et al. Communication Training, Adverse Events, and Quality Measures: 2
Retrospective Database Analyses in Washington State Hospitals. J Patient …
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psnet.ahrq.gov/node/45997/psn-pdf
April 19, 2017 - Learning through experience: influence of formal and
informal training on medical error disclosure skills in
residents.
April 19, 2017
Wong BM, Coffey M, Nousiainen MT, et al. Learning through experience: influence of formal and informal
training on medical error disclosure skills in residents. J Grad Med Educ. 20…