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psnet.ahrq.gov/node/45324/psn-pdf
August 31, 2016 - The problem with medication reconciliation.
August 31, 2016
Pevnick JM, Shane R, Schnipper JL. The problem with medication reconciliation. BMJ Qual Saf.
2016;25(9):726-730. doi:10.1136/bmjqs-2015-004734.
https://psnet.ahrq.gov/issue/problem-medication-reconciliation
Medication reconciliation has demonstrated safet…
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psnet.ahrq.gov/node/836790/psn-pdf
March 23, 2022 - Human Factors In Healthcare.
March 23, 2022
Keebler JR, Salas E, Rosen MA, et al. eds. Hum Factors. 2022;64(1):5-258.
https://psnet.ahrq.gov/issue/human-factors-healthcare
Human factors concepts are central to improvement in high-risk industries and efforts are emerging to
enfold them into health care organization…
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psnet.ahrq.gov/node/46727/psn-pdf
August 21, 2021 - Alliance for Innovation on Maternal Health.
August 21, 2021
American College of Obstetricians and Gynecologists.
https://psnet.ahrq.gov/issue/alliance-innovation-maternal-health
This website provides information from a multidisciplinary collaboration whose mission was to support safe
health care for pregnant and p…
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psnet.ahrq.gov/node/60634/psn-pdf
January 01, 2021 - Quality & safety in the time of coronavirus--design better,
learn faster.
July 1, 2020
Fitzsimons J. Quality and safety in the time of Coronavirus: design better, learn faster. Int J Qual Health
Care. 2021;33(1):mzaa051. doi:10.1093/intqhc/mzaa051.
https://psnet.ahrq.gov/issue/quality-safety-time-coronavirus-desig…
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psnet.ahrq.gov/node/838320/psn-pdf
May 12, 2010 - Regional variations in diagnostic practices.
May 12, 2010
Song Y, Skinner J, Bynum JPW, et al. Regional variations in diagnostic practices. N Engl J Med.
2010;363(1):45-53. doi:10.1056/nejmsa0910881.
https://psnet.ahrq.gov/issue/regional-variations-diagnostic-practices
Improving diagnostic safety is a national pri…
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psnet.ahrq.gov/node/39086/psn-pdf
May 24, 2015 - Psychiatry morbidity and mortality rounds:
implementation and impact.
May 24, 2015
Goldman S, Demaso DR, Kemler B. Psychiatry morbidity and mortality rounds: implementation and impact.
Acad Psychiatry. 2009;33(5):383-8. doi:10.1176/appi.ap.33.5.383.
https://psnet.ahrq.gov/issue/psychiatry-morbidity-and-mortality-r…
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psnet.ahrq.gov/node/838083/psn-pdf
September 14, 2022 - A pause in pediatrics: implementation of a pediatric
diagnostic time-out.
September 14, 2022
Yale SC, Cohen SS, Kliegman RM, et al. A pause in pediatrics: implementation of a pediatric diagnostic
time-out. Diagnosis (Berl). 2022;9(3):348-351. doi:10.1515/dx-2022-0010.
https://psnet.ahrq.gov/issue/pause-pediatrics-…
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psnet.ahrq.gov/perspective/patient-safety-and-health-information-technology-learning-our-mistakes
July 01, 2012 - from patient safety that accepting criticism reflects an optimism that we can do better—and we have improved
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psnet.ahrq.gov/issue/pharmacist-medication-reviews-improve-safety-monitoring-primary-care-patients
April 24, 2018 - Study
Pharmacist medication reviews to improve safety monitoring in primary care patients.
Citation Text:
Gallimore CE, Sokhal D, Schreiter EZ, et al. Pharmacist medication reviews to improve safety monitoring in primary care patients. Fam Syst Health. 2016;34(2):104-113. doi:10.1037/fsh…
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psnet.ahrq.gov/issue/improving-radiology-report-quality-rapidly-notifying-radiologist-report-errors
May 29, 2019 - Study
Improving radiology report quality by rapidly notifying radiologist of report errors.
Citation Text:
Minn MJ, Zandieh AR, Filice RW. Improving Radiology Report Quality by Rapidly Notifying Radiologist of Report Errors. J Digit Imaging. 2015;28(4):492-8. doi:10.1007/s10278-015-9781-…
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psnet.ahrq.gov/issue/using-morbidity-and-mortality-conferences-drive-quality-improvement-and-reduce-errors
February 04, 2015 - Commentary
Using morbidity and mortality conferences to drive quality improvement and reduce errors.
Citation Text:
Using morbidity and mortality conferences to drive quality improvement and reduce errors. Lai B, Horn J, Wilkinson J, et al. Fam Pract Manag. 2023;30(2):13-17.
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psnet.ahrq.gov/issue/education-service-partnership-achieve-safety-and-quality-improvement-competencies-nursing
August 30, 2023 - Commentary
An education-service partnership to achieve safety and quality improvement competencies in nursing.
Citation Text:
Fater KH, Ready R. An Education-Service Partnership to Achieve Safety and Quality Improvement Competencies in Nursing. Journal of Nursing Education. 2011;50(12).…
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psnet.ahrq.gov/issue/teaching-structured-tool-improves-clarity-and-content-interprofessional-clinical
June 28, 2017 - Study
The teaching of a structured tool improves the clarity and content of interprofessional clinical communication.
Citation Text:
Marshall S, Harrison J, Flanagan B. The teaching of a structured tool improves the clarity and content of interprofessional clinical communication. Qual …
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psnet.ahrq.gov/issue/strategies-improving-patient-safety-linking-task-type-error-type
August 22, 2012 - Commentary
Strategies for improving patient safety: linking task type to error type.
Citation Text:
Mattox EA. Strategies for improving patient safety: linking task type to error type. Crit Care Nurse. 2012;32(1):52-78. doi:10.4037/ccn2012303.
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Format:
DOI Go…
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psnet.ahrq.gov/issue/blink-or-think-can-further-reflection-improve-initial-diagnostic-impressions
November 28, 2012 - Study
Blink or think: can further reflection improve initial diagnostic impressions?
Citation Text:
Hess BJ, Lipner RS, Thompson V, et al. Blink or think: can further reflection improve initial diagnostic impressions? Acad Med. 2015;90(1):112-118. doi:10.1097/ACM.0000000000000550.
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psnet.ahrq.gov/issue/just-culture-improving-safety-achieving-substantive-procedural-and-restorative-justice
October 19, 2022 - Commentary
'Just culture': improving safety by achieving substantive, procedural and restorative justice.
Citation Text:
Dekker SWA, Breakey H. ‘Just culture:’ Improving safety by achieving substantive, procedural and restorative justice. Saf Sci. 2016;85. doi:10.1016/j.ssci.2016.01.018.…
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psnet.ahrq.gov/issue/electronic-prescribing-improves-medication-safety-community-based-office-practices
January 19, 2014 - Study
Electronic prescribing improves medication safety in community-based office practices.
Citation Text:
Kaushal R, Kern LM, Barrón Y, et al. Electronic Prescribing Improves Medication Safety in Community-Based Office Practices. J Gen Intern Med. 2010;25(6). doi:10.1007/s11606-009-1…
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psnet.ahrq.gov/issue/coproduced-family-reporting-intervention-improve-safety-surveillance-and-reduce-disparities
September 06, 2023 - Study
A coproduced family reporting intervention to improve safety surveillance and reduce disparities.
Citation Text:
Khan A, Baird JD, Mauskar S, et al. A coproduced family reporting intervention to improve safety surveillance and reduce disparities. Pediatrics. 2024;154(4):e2023065245…
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psnet.ahrq.gov/issue/identification-priorities-improvement-medication-safety-primary-care-prioritize-study
October 05, 2016 - Study
Identification of priorities for improvement of medication safety in primary care: a PRIORITIZE study.
Citation Text:
Car LT, Papachristou N, Gallagher J, et al. Identification of priorities for improvement of medication safety in primary care: a PRIORITIZE study. BMC Fam Pract. 20…
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psnet.ahrq.gov/issue/improving-critical-incident-reporting-primary-care-through-education-and-involvement
September 07, 2022 - Study
Improving critical incident reporting in primary care through education and involvement.
Citation Text:
Müller BS, Beyer M, Blazejewski T, et al. Improving critical incident reporting in primary care through education and involvement. BMJ Open Qual. 2019;8(3):e000556. doi:10.1136/b…