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psnet.ahrq.gov/node/41175/psn-pdf
December 31, 2014 - Design and implementation of an automated email
notification system for results of tests pending at
discharge.
December 31, 2014
Dalal A, Schnipper JL, Poon EG, et al. Design and implementation of an automated email notification
system for results of tests pending at discharge. J Am Med Inform Assoc. 2012;19(4):52…
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psnet.ahrq.gov/node/43917/psn-pdf
November 03, 2015 - Underlying reasons associated with hospital readmission
following surgery in the United States.
November 3, 2015
Merkow RP, Ju MH, Chung JW, et al. Underlying reasons associated with hospital readmission following
surgery in the United States. JAMA. 2015;313(5):483-495. doi:10.1001/jama.2014.18614.
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psnet.ahrq.gov/node/46299/psn-pdf
September 13, 2017 - Simulation-based assessment of the management of
critical events by board-certified anesthesiologists.
September 13, 2017
Weinger MB, Banerjee A, Burden AR, et al. Simulation-based assessment of the management of critical
events by board-certified anesthesiologists. Anesthesiology. 2017;127(3):475-489.
doi:10.1097…
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psnet.ahrq.gov/node/42923/psn-pdf
September 26, 2017 - Assessing the state of safe medication practices using
the ISMP Medication Safety Self Assessment for
Hospitals: 2000 and 2011.
September 26, 2017
Vaida AJ, Lamis RL, Smetzer JL, et al. Assessing the State of Safe Medication Practices Using the ISMP
Medication Safety Self Assessment ® for Hospitals: 2000 and 2011.…
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psnet.ahrq.gov/node/40946/psn-pdf
January 19, 2012 - Effects of a multicentre teamwork and communication
programme on patient outcomes: results from the Triad
for Optimal Patient Safety (TOPS) project.
January 19, 2012
Auerbach AD, Sehgal NL, Blegen MA, et al. Effects of a multicentre teamwork and communication
programme on patient outcomes: results from the Triad f…
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psnet.ahrq.gov/node/47835/psn-pdf
April 24, 2019 - Facilitation of surgical innovation: is it possible to speed
the introduction of new technology while simultaneously
improving patient safety?
April 24, 2019
Marcus RK, Lillemoe HA, Caudle AS, et al. Facilitation of Surgical Innovation: Is It Possible to Speed the
Introduction of New Technology While Simultaneousl…
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psnet.ahrq.gov/node/39104/psn-pdf
February 16, 2011 - Is there a relationship between high-quality performance
in major teaching hospitals and residents' knowledge of
quality and patient safety?
February 16, 2011
Pingleton SK, Horak BJ, Davis DA, et al. Is there a relationship between high-quality performance in major
teaching hospitals and residents' knowledge of qu…
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psnet.ahrq.gov/node/38829/psn-pdf
January 03, 2017 - Implementing standardized operating room briefings and
debriefings at a large regional medical center.
January 3, 2017
Berenholtz SM, Schumacher K, Hayanga AJ, et al. Implementing standardized operating room briefings
and debriefings at a large regional medical center. Jt Comm J Qual Patient Saf. 2009;35(8):391-7.
…
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November 03, 2015 - Effect of the World Health Organization checklist on
patient outcomes: a stepped wedge cluster randomized
controlled trial.
November 3, 2015
Haugen AS, Søfteland E, Almeland SK, et al. Effect of the World Health Organization checklist on patient
outcomes: a stepped wedge cluster randomized controlled trial. Ann Su…
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September 27, 2017 - A systematic review of the effectiveness of interruptive
medication prescribing alerts in hospital CPOE systems
to change prescriber behavior and improve patient safety.
September 27, 2017
Page N, Baysari MT, Westbrook JI. A systematic review of the effectiveness of interruptive medication
prescribing alerts in ho…
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January 03, 2017 - Viewing prevention of catheter-associated urinary tract
infection as a system: using systems engineering and
human factors engineering in a quality improvement
project in an academic medical center.
January 3, 2017
Rhee C, Phelps E, Meyer B, et al. Viewing Prevention of Catheter-Associated Urinary Tract Infection …
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psnet.ahrq.gov/node/37544/psn-pdf
June 16, 2011 - Differences in safety climate among hospital anesthesia
departments and the effect of a realistic simulation-based
training program.
June 16, 2011
Cooper JB, Blum RH, Carroll JS, et al. Differences in safety climate among hospital anesthesia
departments and the effect of a realistic simulation-based training progr…
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psnet.ahrq.gov/node/46797/psn-pdf
March 14, 2018 - Empowering informal caregivers with health information:
OpenNotes as a safety strategy.
March 14, 2018
Chimowitz H, Gerard M, Fossa A, et al. Empowering Informal Caregivers with Health Information:
OpenNotes as a Safety Strategy. Jt Comm J Qual Saf. 2018;44(3):130-136. doi:10.1016/j.jcjq.2017.09.004.
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psnet.ahrq.gov/node/45901/psn-pdf
April 12, 2017 - Development and applications of the Veterans Health
Administration's Stratification Tool for Opioid Risk
Mitigation (STORM) to improve opioid safety and prevent
overdose and suicide.
April 12, 2017
Oliva EM, Bowe T, Tavakoli S, et al. Development and applications of the Veterans Health Administration's
Stratifica…
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psnet.ahrq.gov/node/45305/psn-pdf
February 14, 2017 - Sustaining reductions in central line-associated
bloodstream infections in Michigan intensive care units: a
10-year analysis.
February 14, 2017
Pronovost P, Watson S, Goeschel CA, et al. Sustaining Reductions in Central Line-Associated
Bloodstream Infections in Michigan Intensive Care Units: A 10-Year Analysis. Am…
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December 01, 2017 - Miscommunication in the OR Leads to Anticoagulation
Mishap
December 1, 2017
Solsky I, Haynes AB. Miscommunication in the OR Leads to Anticoagulation Mishap. PSNet [internet].
2017.
https://psnet.ahrq.gov/web-mm/miscommunication-or-leads-anticoagulation-mishap
The Case
A 63-year-old man with a history of coronary…
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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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Format:
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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/perspective/zero-harm-striving-reduce-preventable-harms-point-counterpoint-and-areas-agreement
September 24, 2024 - Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas of Agreement
Carole Stockmeier, MHA, BS, Eric Thomas, MD, MPH, Merton Lee, PharmD, PhD, Sarah E. Mossburg, RN, PhD | September 24, 2024
Also Read the Conversations
In Conversation with Ca…
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psnet.ahrq.gov/perspective/diagnostic-errors-new-chapter-patient-safety-science-policy-and-practice
January 01, 2016 - Diagnostic Errors: A New Chapter in Patient Safety Science, Policy, and Practice
Hardeep Singh, MD, MPH | January 1, 2016
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Singh H. Diagnostic Errors: A New Chapter in Patient Safe…