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psnet.ahrq.gov/node/46907/psn-pdf
April 11, 2018 - To combat physician burnout and improve care, fix the
electronic health record.
April 11, 2018
Wachter R, Goldsmith J. Harv Bus Rev. March 30, 2018.
https://psnet.ahrq.gov/issue/combat-physician-burnout-and-improve-care-fix-electronic-health-record
Increased workload associated with electronic health record (EHR) …
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psnet.ahrq.gov/node/867529/psn-pdf
January 15, 2025 - “I had no idea this happened”: electronic feedback on
clinical reasoning for hospitalists.
January 15, 2025
Kotwal S, Udayappan KM, Kutheala N, et al. “I had no idea this happened”: electronic feedback on clinical
reasoning for hospitalists. J Gen Intern Med. 2024;39(16):3271-3277. doi:10.1007/s11606-024-09058-1.
…
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psnet.ahrq.gov/node/837201/psn-pdf
May 25, 2022 - Near miss research in the healthcare system: a scoping
review.
May 25, 2022
Feng T-ting, Zhang X, Tan L-ling, et al. Near miss research in the healthcare system: a scoping review. J
Nurs Adm. 2022;52(3):160-166. doi:10.1097/nna.0000000000001124.
https://psnet.ahrq.gov/issue/near-miss-research-healthcare-system-sco…
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psnet.ahrq.gov/node/44455/psn-pdf
September 02, 2015 - Finding antecedents of psychological safety: a step
toward quality improvement.
September 2, 2015
Aranzamendez G, James D, Toms R. Finding Antecedents of Psychological Safety: A Step Toward Quality
Improvement. Nurs Forum. 2015;50(3):171-178. doi:10.1111/nuf.12084.
https://psnet.ahrq.gov/issue/finding-antecedents-…
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psnet.ahrq.gov/node/34700/psn-pdf
January 04, 2017 - Reducing adverse drug events: lessons from a
breakthrough series collaborative.
January 4, 2017
Leape L, Kabcenell AI, Gandhi TK, et al. Reducing adverse drug events: lessons from a breakthrough
series collaborative. Jt Comm J Qual Improv. 2000;26(6):321-31.
https://psnet.ahrq.gov/issue/reducing-adverse-drug-event…
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psnet.ahrq.gov/node/74699/psn-pdf
January 26, 2022 - Indication alerts to improve problem list documentation.
January 26, 2022
Grauer A, Kneifati-Hayek J, Reuland B, et al. Indication alerts to improve problem list documentation. J Am
Med Inform Assoc. 2022;29(5):909-917. doi:10.1093/jamia/ocab285.
https://psnet.ahrq.gov/issue/indication-alerts-improve-problem-list-d…
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psnet.ahrq.gov/node/35909/psn-pdf
October 07, 2008 - Committed to Safety: Ten Case Studies on Reducing
Harm to Patients.
October 7, 2008
McCarthy D, Blumenthal D. New York, NY: Commonwealth Fund; 2006.
https://psnet.ahrq.gov/issue/committed-safety-ten-case-studies-reducing-harm-patients
This report presents ten case studies to illustrate interventions that address p…
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psnet.ahrq.gov/node/865583/psn-pdf
April 17, 2024 - Impact of repeated reimbursement penalties on hospital
total quality scores.
April 17, 2024
Brewer A, Hughes MC, Patel KN. Impact of repeated reimbursement penalties on hospital total quality
scores. J Patient Saf. 2024;20(3):198-201. doi:10.1097/pts.0000000000001199.
https://psnet.ahrq.gov/issue/impact-repeated-r…
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psnet.ahrq.gov/node/867182/psn-pdf
November 20, 2024 - Combining multiple large language models improves
diagnostic accuracy.
November 20, 2024
Barabucci G, Shia V, Chu ES, et al. Combining multiple large language models improves diagnostic
accuracy. NEJM AI. 2024;1(11):AIcs2400502. doi:10.1056/aics2400502.
https://psnet.ahrq.gov/issue/combining-multiple-large-languag…
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psnet.ahrq.gov/node/44891/psn-pdf
July 03, 2016 - Characteristics of morbidity and mortality conferences
associated with the implementation of patient safety
improvement initiatives, an observational study.
July 3, 2016
François P, Prate F, Vidal-Trecan G, et al. Characteristics of morbidity and mortality conferences
associated with the implementation of patient …
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psnet.ahrq.gov/node/43886/psn-pdf
July 13, 2016 - The Armstrong Institute Resident/Fellow Scholars: a
multispecialty curriculum to train future leaders in patient
safety and quality improvement.
July 13, 2016
Rinke ML, Mock CK, Persing NM, et al. The Armstrong Institute Resident/Fellow Scholars: A Multispecialty
Curriculum to Train Future Leaders in Patient Safet…
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psnet.ahrq.gov/node/849136/psn-pdf
May 17, 2023 - Using morbidity and mortality conferences to drive
quality improvement and reduce errors.
May 17, 2023
Lai B, Horn J, Wilkinson J, et al. Fam Pract Manag. 2023;30(2):13-17.
https://psnet.ahrq.gov/issue/using-morbidity-and-mortality-conferences-drive-quality-improvement-and-
reduce-errors
Morbidity and mortality (…
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psnet.ahrq.gov/Information/Editor
May 23, 2025 - Browse Author Resources
Meet PSNet's Editorial Team The PSNet editorial team is committed to producing the highest quality patient safety content. The team brings a wealth of experience and deep subject matter expertise in the field, ensuring that PSNet content is accurate, reliable, and…
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psnet.ahrq.gov/issue/cost-quality-academic-health-centers-annual-costs-its-quality-and-patient-safety
October 14, 2020 - Study
The cost of quality: an academic health center's annual costs for its quality and patient safety infrastructure.
Citation Text:
Blanchfield BB, Demehin AA, Cummings CT, et al. The cost of quality: an academic health center's annual costs for its quality and patient safety infrastru…
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psnet.ahrq.gov/issue/improving-patient-safety-and-efficiency-medication-reconciliation-through-development-and
May 20, 2020 - Study
Improving patient safety and efficiency of medication reconciliation through the development and adoption of a computer-assisted tool with automated electronic integration of population-based community drug data: the RightRx project.
Citation Text:
Tamblyn R, Winslade N, Lee TC, et…
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psnet.ahrq.gov/node/866217/psn-pdf
July 10, 2024 - In Conversation With...Amy Helwig about Health Plan
Patient Safety Initiatives
July 10, 2024
Helwig A, Sousane Z, Mossburg S. In Conversation With..Amy Helwig about Health Plan Patient Safety
Initiatives. PSNet [internet]. 2024.
https://psnet.ahrq.gov/perspective/conversation-withamy-helwig-about-health-plan-patie…
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psnet.ahrq.gov/node/840256/psn-pdf
November 16, 2022 - In Conversation With... Pascale Carayon, PhD and Nicole
Werner, PhD
November 16, 2022
In Conversation With.. Pascale Carayon, PhD and Nicole Werner, PhD. PSNet [internet]. 2022.
https://psnet.ahrq.gov/perspective/conversation-pascale-carayon-phd-and-nicole-werner-phd
Editor’s note: Dr. Pascale Carayon, PhD, is a p…
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psnet.ahrq.gov/issue/making-healthcare-safe-story-patient-safety-movement
January 20, 2021 - Book/Report
Making Healthcare Safe: The Story of the Patient Safety Movement.
Citation Text:
Making Healthcare Safe: The Story of the Patient Safety Movement. Leape LL. Cham, Switzerland: Springer Nature; 2021. ISBN: 9783030711252.
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psnet.ahrq.gov/issue/providing-safe-high-quality-maternity-care-rural-us-hospitals-ihi-innovation-report
November 02, 2016 - Book/Report
Providing Safe, High-Quality Maternity Care in Rural US Hospitals. IHI Innovation Report.
Citation Text:
Providing Safe, High-Quality Maternity Care in Rural US Hospitals. IHI Innovation Report. Laderman M, Renton M. Boston, MA: Institute for Healthcare Improvement; 2020.
…
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psnet.ahrq.gov/issue/advancing-safety-acute-pain-management
January 08, 2020 - Book/Report
Advancing the Safety of Acute Pain Management.
Citation Text:
Advancing the Safety of Acute Pain Management. Boston, MA: Institute for Healthcare Improvement; 2019.
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