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psnet.ahrq.gov/node/37295/psn-pdf
February 24, 2011 - Limited health literacy is a barrier to medication
reconciliation in ambulatory care.
February 24, 2011
Persell SD, Osborn CY, Richard R, et al. Limited health literacy is a barrier to medication reconciliation in
ambulatory care. J Gen Intern Med. 2007;22(11):1523-6.
https://psnet.ahrq.gov/issue/limited-health-li…
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psnet.ahrq.gov/node/865526/psn-pdf
April 10, 2024 - Rural emergency medical services clinicians' perceptions
and preferences in receiving clinical feedback from
hospitals: a qualitative needs assessment.
April 10, 2024
Schneider K, Williams M, Mohr NM, et al. Rural emergency medical services clinicians' perceptions and
preferences in receiving clinical feedback fro…
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psnet.ahrq.gov/node/865661/psn-pdf
April 24, 2024 - Pay-for-performance and patient safety in acute care: a
systematic review.
April 24, 2024
Slawomirski L, Hensher M, Campbell JL, et al. Pay-for-performance and patient safety in acute care: a
systematic review. Health Policy. 2024;143:105051. doi:10.1016/j.healthpol.2024.105051.
https://psnet.ahrq.gov/issue/pay-pe…
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psnet.ahrq.gov/node/41389/psn-pdf
June 27, 2012 - Can we make postoperative patient handovers safer? A
systematic review of the literature.
June 27, 2012
Segall N, Bonifacio AS, Schroeder RA, et al. Can we make postoperative patient handovers safer? A
systematic review of the literature. Anesth Analg. 2012;115(1):102-15.
doi:10.1213/ANE.0b013e318253af4b.
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psnet.ahrq.gov/node/860717/psn-pdf
January 17, 2024 - A combined assessment tool of teamwork,
communication, and workload in hospital procedural
units.
January 17, 2024
Weaver BW, Murphy DJ. A combined assessment tool of teamwork, communication, and workload in
hospital procedural units. Jt Comm J Qual Patient Saf. 2024;50(3):219-227. doi:10.1016/j.jcjq.2023.10.014.
…
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psnet.ahrq.gov/node/837806/psn-pdf
August 10, 2022 - Do patient engagement IT functionalities influence patient
safety outcomes? A study of US hospitals.
August 10, 2022
Upadhyay S, Opoku-Agyeman W, Choi S, et al. Do patient engagement IT functionalities influence patient
safety outcomes? A study of US hospitals. J Public Health Manag Pract. 2022;28(5):505-512.
doi:…
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psnet.ahrq.gov/node/42922/psn-pdf
April 12, 2014 - Successful implementation of standardized
multidisciplinary bedside rounds, including daily goals, in
a pediatric ICU.
April 12, 2014
Seigel J, Whalen L, Burgess E, et al. Successful implementation of standardized multidisciplinary bedside
rounds, including daily goals, in a pediatric ICU. Jt Comm J Qual Patient S…
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psnet.ahrq.gov/node/60005/psn-pdf
March 04, 2020 - What if?: Transforming Diagnostic Research by
Leveraging a Diagnostic Process Map to Engage Patients
in Learning from Errors.
March 4, 2020
Sheridan S, Merryweather P, Rusz D, et al. What If?: Transforming Diagnostic Research By Leveraging A
Diagnostic Process Map To Engage Patients In Learning From Errors. Washin…
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psnet.ahrq.gov/node/46420/psn-pdf
September 20, 2017 - Adverse events in Veterans Affairs inpatient psychiatric
units: staff perspectives on contributing and protective
factors.
September 20, 2017
True G, Frasso R, Cullen SW, et al. Adverse events in veterans affairs inpatient psychiatric units: Staff
perspectives on contributing and protective factors. Gen Hosp Psych…
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psnet.ahrq.gov/node/36045/psn-pdf
November 10, 2011 - IHI announces that hospitals participating in 100,000
Lives Campaign have saved an estimated 122,300 lives.
November 10, 2011
https://psnet.ahrq.gov/issue/ihi-announces-hospitals-participating-100000-lives-campaign-have-saved-
estimated-122300-lives
In December 2004, the Institute for Healthcare Improvement (IHI) …
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psnet.ahrq.gov/node/73209/psn-pdf
May 05, 2021 - Medication incident recovery and prevention utilising an
Australian community pharmacy incident reporting
system: the QUMwatch study.
May 5, 2021
Adie K, Fois RA, McLachlan AJ, et al. Medication incident recovery and prevention utilising an Australian
community pharmacy incident reporting system: the QUMwatch stud…
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psnet.ahrq.gov/node/837901/psn-pdf
August 24, 2022 - Trial and error: learning from malpractice claims in
childhood surgery.
August 24, 2022
Prieto JM, Falcone B, Greenberg P, et al. Trial and error: learning from malpractice claims in childhood
surgery. J Surg Res. 2022;279:84-88. doi:10.1016/j.jss.2022.05.033.
https://psnet.ahrq.gov/issue/trial-and-error-learning-…
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psnet.ahrq.gov/node/846708/psn-pdf
March 29, 2023 - Anesthesiology patient handoff education interventions: a
systematic review.
March 29, 2023
Riesenberg LA, Davis R, Heng A, et al. Anesthesiology patient handoff education interventions: a
systematic review. Jt Comm J Qual Patient Saf. 2023;49(8):394-404. doi:10.1016/j.jcjq.2022.12.002.
https://psnet.ahrq.gov/issu…
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psnet.ahrq.gov/node/35418/psn-pdf
June 14, 2011 - Anatomic pathology databases and patient safety.
June 14, 2011
Raab SS, Grzybicki DM, Zarbo RJ, et al. Anatomic pathology databases and patient safety. Arch Pathol
Lab Med. 2005;129(10):1246-1251.
https://psnet.ahrq.gov/issue/anatomic-pathology-databases-and-patient-safety
This AHRQ-funded project describes the de…
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psnet.ahrq.gov/node/45815/psn-pdf
January 25, 2017 - Handoffs: transitions of care for children in the
emergency department.
January 25, 2017
American Academy of Pediatrics Committee on Pediatric Emergency Medicine, American College of
Emergency Physicians Pediatric Emergency Medicine Committee, Emergency Nurses Association
Pediatric Committee. Pediatrics. 2016;138:…
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psnet.ahrq.gov/node/38330/psn-pdf
September 24, 2010 - Medication safety teams' guided implementation of
electronic medication administration records in five
nursing homes.
September 24, 2010
Scott-Cawiezell J, Madsen RW, Pepper GA, et al. Medication safety teams' guided implementation of
electronic medication administration records in five nursing homes. Jt Comm J Qu…
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psnet.ahrq.gov/node/50943/psn-pdf
February 26, 2020 - Learning from complaints in healthcare: a realist review
of academic literature, policy evidence and front-line
insights.
February 26, 2020
van Dael J, Reader TW, Gillespie A, et al. Learning from complaints in healthcare: a realist review of
academic literature, policy evidence and front-line insights. BMJ Qual S…
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psnet.ahrq.gov/node/866688/psn-pdf
September 11, 2024 - Leader safety storytelling: a qualitative analysis of the
attributes of effective safety storytelling and its
outcomes.
September 11, 2024
Benetti PJ, Kanse L, Fruhen LS, et al. Leader safety storytelling: a qualitative analysis of the attributes of
effective safety storytelling and its outcomes. Safety Sci. 2024;…
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psnet.ahrq.gov/node/864381/psn-pdf
March 13, 2024 - Patient safety near misses – still missing opportunities to
learn.
March 13, 2024
Woodier N, Burnett C, Sampson P, et al. Patient safety near misses – still missing opportunities to learn. J
Patient Saf Risk Manag. 2023;29(1):47-53. doi:10.1177/25160435231220430.
https://psnet.ahrq.gov/issue/patient-safety-near-mi…
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psnet.ahrq.gov/node/47400/psn-pdf
November 28, 2018 - Impact of the communication and patient hand-off tool
SBAR on patient safety: a systematic review.
November 28, 2018
Müller M, Jürgens J, Redaèlli M, et al. Impact of the communication and patient hand-off tool SBAR on
patient safety: a systematic review. BMJ Open. 2018;8(8):e022202. doi:10.1136/bmjopen-2018-022202…