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psnet.ahrq.gov/node/74704/psn-pdf
January 26, 2022 - Improving self-reported empathy and communication
skills through harm in healthcare response training.
January 26, 2022
Samuels A, Broome ME, McDonald TB, et al. Improving self-reported empathy and communication skills
through harm in healthcare response training. J Patient Saf Risk Manage. 2021;26(6):251-260.
doi…
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psnet.ahrq.gov/node/41456/psn-pdf
September 26, 2016 - Paradoxical effects of a hospital-based, multi-intervention
programme aimed at reducing medication round
interruptions.
September 26, 2016
Tomietto M, Sartor A, Mazzocoli E, et al. Paradoxical effects of a hospital-based, multi-intervention
programme aimed at reducing medication round interruptions. J Nurs Manag. …
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psnet.ahrq.gov/node/867094/psn-pdf
January 01, 2025 - Maximizing the ability of health IT and AI to improve
patient safety.
November 6, 2024
Singh H, Sittig DF, Classen DC. Maximizing the ability of health IT and AI to improve patient safety. JAMA
Intern Med. 2025;185(1):10-12. doi:10.1001/jamainternmed.2024.4343.
https://psnet.ahrq.gov/issue/maximizing-ability-healt…
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psnet.ahrq.gov/node/848110/psn-pdf
April 26, 2023 - Subsequently, the patient suffered
multiple falls despite the nursing staff implementing “fall precautions
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psnet.ahrq.gov/node/50755/psn-pdf
December 18, 2019 - A step-by-step guide to implementing a malnutrition coding
program for adult inpatients.
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psnet.ahrq.gov/node/50611/psn-pdf
October 30, 2019 - The Lost Start Date: an Unknown Risk of E-prescribing
October 30, 2019
Wright A, Schiff G. The Lost Start Date: an Unknown Risk of E-prescribing. PSNet [internet]. 2019.
https://psnet.ahrq.gov/web-mm/lost-start-date-unknown-risk-e-prescribing
Case Objectives
List the most common errors associated with computerized…
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psnet.ahrq.gov/node/72835/psn-pdf
March 10, 2021 - In Conversation With... Libby Hoy and Stephen Hoy
March 10, 2021
In Conversation With.. Libby Hoy and Stephen Hoy. PSNet [internet]. 2021.
https://psnet.ahrq.gov/perspective/conversation-libby-hoy-and-stephen-hoy
Editor’s Note: Libby Hoy, Patient Family Advisor (PFA), is the Founder and CEO of Patient Family
Cente…
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psnet.ahrq.gov/Information/Panel
January 01, 2012 - Browse Author Resources
Technical Expert Panel The AHRQ PSNet Technical Expert Panel (TEP) is a distinguished group of healthcare professionals and subject matter experts dedicated to enhancing patient safety within the healthcare industry. They represent a diverse array of backgrounds, …
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psnet.ahrq.gov/web-mm/triaging-interhospital-transfers
April 12, 2023 - SPOTLIGHT CASE
Triaging Interhospital Transfers
Citation Text:
Mueller SK. Triaging Interhospital Transfers. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
Copy Citation
Format:
Google Scholar BibTeX En…
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psnet.ahrq.gov/node/837064/psn-pdf
May 11, 2022 - Clinic design for safety during the pandemic: safety or
teamwork, can we only pick one?
May 11, 2022
Lim L, Zimring CM, DuBose JR, et al. Clinic design for safety during the pandemic: safety or teamwork, can
we only pick one? HERD. 2022;15(3):28-41. doi:10.1177/19375867221091310.
https://psnet.ahrq.gov/issue/clini…
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psnet.ahrq.gov/node/60960/psn-pdf
September 30, 2020 - COVID-19 pandemic preparation: using simulation for
systems-based learning to prepare the largest healthcare
workforce and system in Canada.
September 30, 2020
Dubé MM, Kaba A, Cronin T, et al. COVID-19 pandemic preparation: using simulation for systems-based
learning to prepare the largest healthcare workforce an…
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psnet.ahrq.gov/node/47638/psn-pdf
February 06, 2019 - Decreasing surgical site infections by developing a high
reliability culture.
February 6, 2019
Pettis AM. Decreasing Surgical Site Infections by Developing a High Reliability Culture. AORN J.
2018;108(6):644-650. doi:10.1002/aorn.12416.
https://psnet.ahrq.gov/issue/decreasing-surgical-site-infections-developing-hi…
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psnet.ahrq.gov/node/38064/psn-pdf
February 23, 2009 - Same system, different outcomes: comparing the
transitions from two paper-based systems to the same
computerized physician order entry system.
February 23, 2009
Niazkhani Z, van der Sijs H, Pirnejad H, et al. Same system, different outcomes: comparing the transitions
from two paper-based systems to the same comput…
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psnet.ahrq.gov/node/837597/psn-pdf
June 29, 2022 - Patient safety informatics: criteria development for
assessing the maturity of digital patient safety in
hospitals.
June 29, 2022
Kutza J-O, Hübner U, Holmgren AJ, et al. Patient safety informatics: criteria development for assessing the
maturity of digital patient safety in hospitals. Stud Health Technol Inform. …
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psnet.ahrq.gov/node/60950/psn-pdf
September 23, 2020 - An effective intervention: limiting opioid prescribing as a
means of reducing opioid analgesic misuse, and
overdose deaths.
September 23, 2020
Fink BC, Uyttebrouck O, Larson RS. An effective intervention: limiting opioid prescribing as a means of
reducing opioid analgesic misuse, and overdose deaths. J Law Med Eth…
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psnet.ahrq.gov/node/866951/psn-pdf
October 16, 2024 - Toward a responsible future: recommendations for AI-
enabled clinical decision support.
October 16, 2024
Labkoff S, Oladimeji B, Kannry J, et al. Toward a responsible future: recommendations for AI-enabled
clinical decision support. J Am Med Inform Assoc. 2024;31(11):2730-2739. doi:10.1093/jamia/ocae209.
https://p…
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psnet.ahrq.gov/node/60985/psn-pdf
October 07, 2020 - Rapid-cycle improvement during the COVID-19 pandemic:
using safety reports to inform incident command.
October 7, 2020
Desai S, Eappen S, Murray K, et al. Rapid-cycle improvement during the COVID-19 pandemic: using safety
reports to inform incident command. Jt Comm J Qual Patient Saf. 2020;46(12):715-714.
doi:10.1…
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psnet.ahrq.gov/node/60974/psn-pdf
September 30, 2020 - Covid-19: Assessing the Risk to Public Protection Posed
by a Doctor as a Result of Concerns about their Practice
during the Pandemic.
September 30, 2020
London, UK: General Medical Council; September 14, 2020.
https://psnet.ahrq.gov/issue/covid-19-assessing-risk-public-protection-posed-doctor-result-concerns-about…
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psnet.ahrq.gov/node/74102/psn-pdf
January 01, 2022 - Workforce planning and safe workload in sterile
compounding hospital pharmacy services.
November 24, 2021
Chaker A, Omair I, Mohamed WH, et al. Workforce planning and safe workload in sterile compounding
hospital pharmacy services. Am J Health Syst Pharm. 2022;79(3):187–192. doi:10.1093/ajhp/zxab379.
https://psnet…
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psnet.ahrq.gov/node/47990/psn-pdf
June 18, 2019 - The admission conference call: a novel approach to
optimizing pediatric emergency department to admitting
floor communication.
June 18, 2019
Hendrickson MA, Schempf EN, Furnival RA, et al. The Admission Conference Call: A Novel Approach to
Optimizing Pediatric Emergency Department to Admitting Floor Communication.…