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psnet.ahrq.gov/node/42347/psn-pdf
January 07, 2015 - A systematic review of the literature on the evaluation of
handoff tools: implications for research and practice.
January 7, 2015
Abraham J, Kannampallil TG, Patel VL. A systematic review of the literature on the evaluation of handoff
tools: implications for research and practice. J Am Med Inform Assoc. 2014;21(1):…
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psnet.ahrq.gov/node/74049/psn-pdf
January 01, 2022 - The critical role of health information technology in the
safe integration of behavioral health and primary care to
improve patient care.
November 10, 2021
Segal M, Giuffrida P, Possanza L, et al. The critical role of health information technology in the safe
integration of behavioral health and primary care to im…
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psnet.ahrq.gov/node/844766/psn-pdf
January 01, 2020 - Validation of new ICD-10-based patient safety indicators
for identification of in-hospital complications in surgical
patients: a study of diagnostic accuracy.
September 11, 2019
McIsaac DI, Hamilton GM, Abdulla K, et al. Validation of new ICD-10-based patient safety indicators for
identification of in-hospital com…
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psnet.ahrq.gov/node/47560/psn-pdf
January 09, 2019 - Scaling safety: the South Carolina Surgical Safety
Checklist experience.
January 9, 2019
Berry WR, Edmondson L, Gibbons LR, et al. Scaling Safety: The South Carolina Surgical Safety Checklist
Experience. Health Aff (Millwood). 2018;37(11):1779-1786. doi:10.1377/hlthaff.2018.0717.
https://psnet.ahrq.gov/issue/scali…
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psnet.ahrq.gov/node/48085/psn-pdf
June 19, 2019 - A decade of preventing harm.
June 19, 2019
Woeltje KF, Olenski LK, Donatelli M, et al. A Decade of Preventing Harm. Jt Comm J Qual Patient Saf.
2019;45(7):480-486. doi:10.1016/j.jcjq.2019.04.007.
https://psnet.ahrq.gov/issue/decade-preventing-harm
Preventable patient safety problems continue to challenge health ca…
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psnet.ahrq.gov/node/37114/psn-pdf
October 04, 2011 - A descriptive study of morbidity and mortality
conferences and their conformity to medical incident
analysis models: results of the morbidity and mortality
conference improvement study, phase 1.
October 4, 2011
Aboumatar HJ, Blackledge CG, Dickson C, et al. A descriptive study of morbidity and mortality conference…
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psnet.ahrq.gov/node/837297/psn-pdf
June 01, 2022 - Checklists to reduce diagnostic error: a systematic review
of the literature using a human factors framework.
June 1, 2022
Al-Khafaji J, Townshend RF, Townsend W, et al. Checklists to reduce diagnostic error: a systematic review
of the literature using a human factors framework. BMJ Open. 2022;12(4):e058219. doi:10…
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psnet.ahrq.gov/node/45437/psn-pdf
September 01, 2018 - Decreasing malpractice claims by reducing preventable
perinatal harm.
September 1, 2018
Riley W, Meredith LW, Price R, et al. Decreasing Malpractice Claims by Reducing Preventable Perinatal
Harm. Health Serv Res. 2016;51(suppl 3):2453-2471. doi:10.1111/1475-6773.12551.
https://psnet.ahrq.gov/issue/decreasing-malpr…
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psnet.ahrq.gov/web-mm/perioperative-anaphylaxis-after-insertion-latex-drain-patient-known-latex-allergy
July 08, 2022 - encourage exclusive use of non-latex products in latex-allergic patients could be engineered with potential improved
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psnet.ahrq.gov/node/33727/psn-pdf
March 01, 2012 - Can Research Help Us Improve the Medical Liability
System?
March 1, 2012
Kachalia A. Can Research Help Us Improve the Medical Liability System? PSNet [internet]. 2012.
https://psnet.ahrq.gov/perspective/can-research-help-us-improve-medical-liability-system
Perspective
The United States medical malpractice liabili…
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psnet.ahrq.gov/primer/digital-health-literacy
August 30, 2023 - Digital Health Literacy
Citation Text:
Seidel E, Cortes T, Chong C. Digital Health Literacy. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023.
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psnet.ahrq.gov/issue/patient-safety-education-what-was-what-and-what-will-be
April 10, 2019 - Commentary
Patient safety education: what was, what is, and what will be?
Citation Text:
Klamen D, Sanserino K, Skolnik PJ. Patient Safety Education: What Was, What Is, and What Will Be? Teach Learn Med. 2013;25(sup1). doi:10.1080/10401334.2013.842906.
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psnet.ahrq.gov/issue/communication-and-resolution-after-adverse-health-care-incident
August 01, 2014 - Legislation/Regulation
Communication and Resolution After an Adverse Health Care Incident.
Citation Text:
Communication and Resolution After an Adverse Health Care Incident. Pettersen B, Tate J, Tipper K, McKean H. Colorado Senate Bill 19-201.
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psnet.ahrq.gov/issue/patient-safety-systems-design-and-ergonomics
February 03, 2021 - Study
Patient safety, systems design and ergonomics.
Citation Text:
Buckle P, Clarkson PJ, Coleman R, et al. Patient safety, systems design and ergonomics. Appl Ergon. 2006;37(4):491-500. doi:10.1016/j.apergo.2006.04.016.
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psnet.ahrq.gov/issue/handoff-communication-tools
May 25, 2022 - Government Resource
Handoff Communication Tools.
Citation Text:
Handoff Communication Tools. Landrigan CP, Lyons A, Gannon P, et al. FIRST Do No Harm. December 2012;1-8.
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psnet.ahrq.gov/issue/approaches-and-challenges-electronically-matching-patients-records-across-providers
September 25, 2019 - Book/Report
Approaches and Challenges to Electronically Matching Patients' Records Across Providers.
Citation Text:
Approaches and Challenges to Electronically Matching Patients' Records Across Providers. Washington, DC: United States Government Accountability Office; January 2019. Publi…
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psnet.ahrq.gov/issue/day-joy-died
August 20, 2018 - Newspaper/Magazine Article
The day Joy died.
Citation Text:
Brandeland GP. The day Joy died. Medical economics. 2006;83(20):50, 52-3.
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psnet.ahrq.gov/issue/clinical-risk-management-enhancing-patient-safety-2nd-ed
May 20, 2019 - Book/Report
Classic
Clinical Risk Management. Enhancing Patient Safety. 2nd ed.
Citation Text:
Clinical Risk Management. Enhancing Patient Safety. 2nd ed. Vincent CA, ed. London, UK: BMJ Books; 2001. ISBN: 9780727913920.
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psnet.ahrq.gov/issue/network-patient-safety-databases-chartbook
October 23, 2019 - Book/Report
Network of Patient Safety Databases Chartbook.
Citation Text:
Network of Patient Safety Databases Chartbook. Rockville, MD: Agency for Healthcare Research and Quality; September 2023. AHRQ Publication no. 23-0082.
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psnet.ahrq.gov/issue/toolkit-engage-high-risk-patients-safe-transitions-across-ambulatory-settings
March 11, 2017 - Toolkit
Toolkit to Engage High-Risk Patients in Safe Transitions Across Ambulatory Settings.
Citation Text:
Toolkit to Engage High-Risk Patients in Safe Transitions Across Ambulatory Settings. Davis K, Collier S, Situ J, et al. Rockville, MD: Agency for Healthcare Research and Quality; D…