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psnet.ahrq.gov/node/845348/psn-pdf
February 02, 2012 - Liquid-based Papanicolaou tests in endometrial
carcinoma diagnosis: performance, error root cause
analysis, and quality improvement.
February 2, 2012
Sams SB, Currens HS, Raab SS. Liquid-based Papanicolaou tests in endometrial carcinoma diagnosis:
performance, error root cause analysis, and quality improvement. Am…
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psnet.ahrq.gov/node/60188/psn-pdf
January 01, 2021 - Uncertain diagnoses in a children's hospital: patient
characteristics and outcomes.
April 1, 2020
Sump CA, Marshall TL, Ipsaro AJ, et al. Uncertain diagnoses in a children’s hospital: patient characteristics
and outcomes. Diagnosis. 2021;8(3):353-357. doi:10.1515/dx-2019-0058.
https://psnet.ahrq.gov/issue/uncertai…
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psnet.ahrq.gov/node/72476/psn-pdf
November 18, 2020 - Maintaining perioperative safety in uncertain times:
COVID-19 pandemic response strategies.
November 18, 2020
Mazzola SM, Grous C. Maintaining perioperative safety in uncertain times: COVID-19 pandemic response
strategies. AORN J. 2020;112(4):397-405. doi:10.1002/aorn.13195.
https://psnet.ahrq.gov/issue/maintainin…
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psnet.ahrq.gov/node/47920/psn-pdf
June 18, 2019 - Evaluating the impact of auto-calculation settings on
opioid prescribing at an academic medical center.
June 18, 2019
Crothers G, Edwards DA, Ehrenfeld JM, et al. Evaluating the Impact of Auto-Calculation Settings on Opioid
Prescribing at an Academic Medical Center. Jt Comm J Qual Patient Saf. 2019;45(6):416-422.
…
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psnet.ahrq.gov/issue/marylanddc-patient-safety-coalition
September 28, 2023 - Multi-use Website
Maryland/DC Patient Safety Coalition.
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March 17, 2011
The Maryland Patient Safety Center facilitates the study …
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psnet.ahrq.gov/node/47187/psn-pdf
September 05, 2018 - Supporting clinicians after adverse events: development
of a clinician peer support program.
September 5, 2018
Lane MA, Newman BM, Taylor MZ, et al. Supporting Clinicians After Adverse Events: Development of a
Clinician Peer Support Program. J Patient Saf. 2018;14(3):e56-e60. doi:10.1097/PTS.0000000000000508.
http…
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psnet.ahrq.gov/node/43550/psn-pdf
October 15, 2014 - Contingency planning for electronic health record–based
care continuity: a survey of recommended practices.
October 15, 2014
Sittig DF, Gonzalez D, Singh H. Contingency planning for electronic health record-based care continuity: a
survey of recommended practices. Int J Med Inform. 2014;83(11):797-804.
doi:10.1016…
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psnet.ahrq.gov/node/47293/psn-pdf
October 10, 2018 - Specifications of computerized provider order entry and
clinical decision support systems for cancer patients
undergoing chemotherapy: a systematic review.
October 10, 2018
Rahimi R, Kazemi A, Moghaddasi H, et al. Specifications of Computerized Provider Order Entry and
Clinical Decision Support Systems for Cancer …
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psnet.ahrq.gov/node/851910/psn-pdf
August 02, 2023 - Relationship between in-hospital adverse events and
hospital performance on 30-day all-cause mortality and
readmission for patients with heart failure.
August 2, 2023
Wang Y, Eldridge N, Metersky ML, et al. Relationship between in-hospital adverse events and hospital
performance on 30-Day all-cause mortality and r…
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psnet.ahrq.gov/node/836822/psn-pdf
March 30, 2022 - Leveraging a safety event management system to
improve organizational learning and safety culture.
March 30, 2022
Dawson R, Saulnier T, Campbell A, et al. Leveraging a safety event management system to improve
organizational learning and safety culture. Hosp Pediatr. 2022;12(4):407-417. doi:10.1542/hpeds.2021-
006…
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psnet.ahrq.gov/node/74183/psn-pdf
December 15, 2021 - Identifying safe care processes when GPs work in or
alongside emergency departments: a realist evaluation.
December 15, 2021
Cooper A, Carson-Stevens A, Edwards M, et al. Identifying safe care processes when GPs work in or
alongside emergency departments: a realist evaluation. Br J Gen Pract. 2021;71(713):e931-e940…
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psnet.ahrq.gov/node/45299/psn-pdf
July 20, 2016 - Reducing readmission at an academic medical center:
results of a pharmacy-facilitated discharge counseling
and medication reconciliation program.
July 20, 2016
Zemaitis CT, Morris G, Cabie M, et al. Reducing Readmission at an Academic Medical Center: Results of a
Pharmacy-Facilitated Discharge Counseling and Medic…
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psnet.ahrq.gov/node/41043/psn-pdf
May 24, 2012 - Toward improving patient safety through voluntary peer-
to-peer assessment.
May 24, 2012
Hudson DW, Holzmueller CG, Pronovost P, et al. Toward improving patient safety through voluntary peer-
to-peer assessment. Am J Med Qual. 2012;27(3):201-9. doi:10.1177/1062860611421981.
https://psnet.ahrq.gov/issue/toward-impr…
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psnet.ahrq.gov/node/44519/psn-pdf
December 02, 2015 - Drug-related-problem outcomes and program satisfaction
from a comprehensive brown bag medication review.
December 2, 2015
O'Connell MB, Chang F, Tocco A, et al. Drug-Related-Problem Outcomes and Program Satisfaction from a
Comprehensive Brown Bag Medication Review. J Am Geriatr Soc. 2015;63(9):1900-1905.
doi:10.11…
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psnet.ahrq.gov/node/74141/psn-pdf
December 01, 2021 - Incident reporting systems: what will it take to make them
less frustrating and achieve anything useful?
December 1, 2021
Shojania KG. Incident reporting systems: what will it take to make them less frustrating and achieve
anything useful? Jt Comm J Qual Patient Saf. 2021;47(12):755-758. doi:10.1016/j.jcjq.2021.10.…
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psnet.ahrq.gov/node/48119/psn-pdf
August 07, 2019 - Improving perceptions of patient safety through
standardizing handoffs from the emergency department
to the inpatient setting: a systematic review.
August 7, 2019
Alimenti D, Buydos S, Cunliffe L, et al. Improving perceptions of patient safety through standardizing
handoffs from the emergency department to the inp…
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psnet.ahrq.gov/node/74028/psn-pdf
November 03, 2021 - Survey of nurses' experiences applying The Joint
Commission's medication management titration
standards.
November 3, 2021
Davidson JE, Doran N, Petty A, et al. Survey of nurses' experiences applying The Joint Commission's
medication management titration standards. Am J Crit Care. 2021;30(5):365-374.
doi:10.4037/a…
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psnet.ahrq.gov/node/851358/psn-pdf
July 12, 2023 - Enhancing resident education by embedding
improvement specialists into a quality and safety
curriculum.
July 12, 2023
Levy KL, Grzyb K, Heidemann LA, et al. Enhancing resident education by embedding improvement
specialists into a quality and safety curriculum. J Grad Med Educ. 2023;15(3):348-355. doi:10.4300/jgme-…
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psnet.ahrq.gov/node/60899/psn-pdf
September 09, 2020 - Improving transfusion safety in the operating room with a
barcode scanning system designed specifically for the
surgical environment and existing electronic medical
record systems: an interrupted time series analysis.
September 9, 2020
Vanneman MW, Balakrishna A, Lang AL, et al. Improving Transfusion Safety in the…
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psnet.ahrq.gov/node/851457/psn-pdf
July 19, 2023 - Root causes and preventability of unintentionally retained
foreign objects after surgery: a national expert survey
from Switzerland.
July 19, 2023
Schwappach DLB, Pfeiffer Y. Root causes and preventability of unintentionally retained foreign objects
after surgery: a national expert survey from Switzerland. Patient…