-
psnet.ahrq.gov/node/45720/psn-pdf
April 13, 2017 - Medical morbidity and mortality conferences: past,
present and future.
April 13, 2017
George J. Medical morbidity and mortality conferences: past, present and future. Postgrad Med J.
2017;93(1097):148-152. doi:10.1136/postgradmedj-2016-134103.
https://psnet.ahrq.gov/issue/medical-morbidity-and-mortality-conference…
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psnet.ahrq.gov/node/43154/psn-pdf
August 22, 2016 - Root cause analysis of ambulatory adverse drug events
that present to the emergency department.
August 22, 2016
Gertler SA, Coralic Z, Lopez A, et al. Root Cause Analysis of Ambulatory Adverse Drug Events That
Present to the Emergency Department. J Patient Saf. 2014;12(3). doi:10.1097/pts.0000000000000072.
https:/…
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psnet.ahrq.gov/node/47733/psn-pdf
April 27, 2019 - Impact of the Agency for Healthcare Research and
Quality's Safety Program for Perinatal Care.
April 27, 2019
Kahwati LC, Sorensen A, Teixeira-Poit S, et al. Impact of the Agency for Healthcare Research and
Quality's Safety Program for Perinatal Care. Jt Comm J Qual Patient Saf. 2019;45(4):231-240.
doi:10.1016/j.jc…
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psnet.ahrq.gov/node/73397/psn-pdf
June 16, 2021 - Safe opioid prescribing: a prognostic machine learning
approach to predicting 30-day risk after an opioid
dispensation in Alberta, Canada.
June 16, 2021
Sharma V, Kulkarni V, Eurich DT, et al. Safe opioid prescribing: a prognostic machine learning approach to
predicting 30-day risk after an opioid dispensation in …
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psnet.ahrq.gov/web-mm/delayed-clozapine-prescription-elderly-man-dementia
August 06, 2014 - The clinical decision support should incorporate a final check that assures that a REMS-authorized provider
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psnet.ahrq.gov/primer/patient-safety-indicators
June 15, 2024 - never events and trigger tools ) in that they have numerator and denominator specifications and often incorporate
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psnet.ahrq.gov/print/pdf/node/848754
January 01, 2025 - This AHRQ-funded expert panel calls for patient
safety researchers to explicitly incorporate... … This AHRQ-funded expert panel calls for patient
safety researchers to explicitly incorporate...
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psnet.ahrq.gov/node/36549/psn-pdf
March 21, 2017 - Patients' concerns about medical errors during
hospitalization.
March 21, 2017
Burroughs TE, Waterman AD, Gallagher TH, et al. Patients' concerns about medical errors during
hospitalization. Jt Comm J Qual Patient Saf. 2007;33(1):5-14.
https://psnet.ahrq.gov/issue/patients-concerns-about-medical-errors-during-hosp…
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psnet.ahrq.gov/node/36551/psn-pdf
February 17, 2011 - An intervention to decrease catheter-related bloodstream
infections in the ICU.
February 17, 2011
Pronovost P, Needham DM, Berenholtz SM, et al. An intervention to decrease catheter-related
bloodstream infections in the ICU. N Engl J Med. 2006;355(26):2725-2732.
https://psnet.ahrq.gov/issue/intervention-decrease-c…
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psnet.ahrq.gov/node/36753/psn-pdf
April 30, 2014 - Medication errors in the outpatient setting: classification
and root cause analysis.
April 30, 2014
Friedman AL, Geoghegan SR, Sowers NM, et al. Medication errors in the outpatient setting: classification
and root cause analysis. Arch Surg. 2007;142(3):278-83; discussion 284.
https://psnet.ahrq.gov/issue/medicatio…
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psnet.ahrq.gov/node/46001/psn-pdf
July 19, 2017 - Identifying hospitalized patients at risk for harm: a
comparison of nurse perceptions vs. electronic risk
assessment tool scores.
July 19, 2017
Stafos A, Stark S, Barbay K, et al. CE: Original Research: Identifying Hospitalized Patients at Risk for
Harm: A Comparison of Nurse Perceptions vs. Electronic Risk Assess…
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psnet.ahrq.gov/node/35623/psn-pdf
August 05, 2009 - Changing and sustaining medical students' knowledge,
skills, and attitudes about patient safety and medical
fallibility.
August 5, 2009
Madigosky WS, Headrick LA, Nelson K, et al. Changing and sustaining medical students' knowledge, skills,
and attitudes about patient safety and medical fallibility. Acad Med. 2006…
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psnet.ahrq.gov/node/36222/psn-pdf
March 10, 2011 - Impact of a computerized clinical decision support
system on reducing inappropriate antimicrobial use: a
randomized controlled trial.
March 10, 2011
McGregor JC, Weekes E, Forrest GN, et al. Impact of a computerized clinical decision support system on
reducing inappropriate antimicrobial use: a randomized controll…
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psnet.ahrq.gov/node/45701/psn-pdf
December 21, 2016 - Clinical decision support for drug related events: moving
towards better prevention.
December 21, 2016
Kane-Gill SL, Achanta A, Kellum JA, et al. Clinical decision support for drug related events: Moving towards
better prevention. World J Crit Care Med. 2016;5(4):204-211.
https://psnet.ahrq.gov/issue/clinical-deci…
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psnet.ahrq.gov/node/41352/psn-pdf
May 09, 2012 - ASHP national survey of pharmacy practice in hospital
settings: dispensing and administration—2011.
May 9, 2012
Pedersen CA, Schneider PJ, Scheckelhoff DJ. ASHP national survey of pharmacy practice in hospital
settings: Dispensing and administration—2011. American Journal of Health-System Pharmacy. 2012;69(9).
doi…
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psnet.ahrq.gov/node/73387/psn-pdf
March 17, 2021 - Ultimately, facilities may need to prioritize what new practices to incorporate into their built environment
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psnet.ahrq.gov/node/47524/psn-pdf
June 19, 2019 - Learning from patients' experiences related to diagnostic
errors is essential for progress in patient safety.
June 19, 2019
Giardina TD, Haskell H, Menon S, et al. Learning From Patients' Experiences Related To Diagnostic Errors
Is Essential For Progress In Patient Safety. Health Aff (Millwood). 2018;37(11):1821-18…
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psnet.ahrq.gov/node/48165/psn-pdf
August 28, 2019 - Competencies for improving diagnosis: an
interprofessional framework for education and training in
health care.
August 28, 2019
Olson A, Rencic J, Cosby K, et al. Competencies for improving diagnosis: an interprofessional framework
for education and training in health care. Diagnosis (Berl). 2019;6(4):335-341. doi…
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psnet.ahrq.gov/node/49541/psn-pdf
August 21, 2007 - Take-Home Points
Incorporate the preoperative verification process into clinical practice (correct patient
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psnet.ahrq.gov/node/49658/psn-pdf
July 01, 2012 - generally works well and thereby runs the risk of inducing excess costs and harms.(5,6)
One approach is to incorporate