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psnet.ahrq.gov/node/846755/psn-pdf
March 29, 2023 - Reducing diagnostic errors in the emergency department
at the time of patient treatment.
March 29, 2023
Petts A, Neep M, Thakkalpalli M. Reducing diagnostic errors in the emergency department at the time of
patient treatment. Emerg Med Australas. 2023;35(3):466-473. doi:10.1111/1742-6723.14146.
https://psnet.ahrq.…
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psnet.ahrq.gov/node/866083/psn-pdf
June 05, 2024 - An invisible disability: communication, patient safety and
dual sensory impairment in older persons.
June 5, 2024
Dunsmore ME, Watharow A, Schneider J. An invisible disability: communication, patient safety and dual
sensory impairment in older persons. J Adv Nurs. 2024;Epub Mar 22. doi:10.1111/jan.16159.
https://p…
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psnet.ahrq.gov/node/34771/psn-pdf
May 06, 2016 - Managing the Unexpected: Sustained Performance in a
Complex World, Third Edition.
May 6, 2016
Weick KE, Sutcliffe KM. San Francisco, CA: Jossey-Bass; 2015. ISBN-13: 9781118862414.
https://psnet.ahrq.gov/issue/managing-unexpected-sustained-performance-complex-world-3rd-edition
According to Weick and Sutcliffe, high…
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psnet.ahrq.gov/node/850353/psn-pdf
June 14, 2023 - Perioperative handoff enhancement opportunities
through technology and artificial intelligence: a narrative
review.
June 14, 2023
Sparling J, Hong Mershon B, Abraham J. Perioperative handoff enhancement opportunities through
technology and artificial intelligence: a narrative review. Jt Comm J Qual Patient Saf. 20…
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psnet.ahrq.gov/node/73654/psn-pdf
September 01, 2021 - CancelRx: a health IT tool to reduce medication
discrepancies in the outpatient setting.
September 1, 2021
Watterson TL, Stone JA, Brown RL, et al. CancelRx: a health IT tool to reduce medication discrepancies in
the outpatient setting. J Am Med Inform Assoc. 2021;28(7):1526-1533. doi:10.1093/jamia/ocab038.
https:…
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psnet.ahrq.gov/node/851918/psn-pdf
August 02, 2023 - Racism in health services for adolescents: a scoping
review.
August 2, 2023
Hilario C, Louie-Poon S, Taylor M, et al. Racism in health services for adolescents: a scoping review. Int J
Soc Determinants Health Health Serv. 2023;53(3):343-353. doi:10.1177/27551938231162560.
https://psnet.ahrq.gov/issue/racism-health…
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psnet.ahrq.gov/node/866345/psn-pdf
July 24, 2024 - Long-term care healthcare-associated infections in 2023:
an analysis of 23,970 reports.
July 24, 2024
Kepner S, Bennett A, Jones RM. Long-term care healthcare-associated infections in 2023: an analysis of
23,970 reports. Patient Safety. 2024;6(1). doi:10.33940/001c.116555.
https://psnet.ahrq.gov/issue/long-term-ca…
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psnet.ahrq.gov/node/47686/psn-pdf
July 19, 2019 - Nurse staffing, nursing assistants and hospital mortality:
retrospective longitudinal cohort study.
July 19, 2019
Griffiths P, Maruotti A, Saucedo AR, et al. Nurse staffing, nursing assistants and hospital mortality:
retrospective longitudinal cohort study. BMJ Qual Saf. 2019;28(8):609-617. doi:10.1136/bmjqs-2018-…
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psnet.ahrq.gov/node/837733/psn-pdf
July 27, 2022 - From COVID-19 pandemic to patient safety: a new
"spring" for telemedicine or a boomerang effect?
July 27, 2022
De Micco F, Fineschi V, Banfi G, et al. From COVID-19 pandemic to patient safety: a new "spring" for
telemedicine or a boomerang effect? Front Med (Lausanne). 2022;9:901788.
doi:10.3389/fmed.2022.901788.
…
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psnet.ahrq.gov/node/45688/psn-pdf
February 08, 2017 - Carers' medication administration errors in the
domiciliary setting: a systematic review.
February 8, 2017
Parand A, Garfield S, Vincent CA, et al. Carers' Medication Administration Errors in the Domiciliary Setting:
A Systematic Review. PLoS One. 2016;11(12):e0167204. doi:10.1371/journal.pone.0167204.
https://psn…
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psnet.ahrq.gov/node/843328/psn-pdf
February 01, 2023 - Self-assessment and learning motivation in the second
victim phenomenon.
February 1, 2023
Bushuven S, Trifunovic-Koenig M, Bentele M, et al. Self-assessment and learning motivation in the second
victim phenomenon. Int J Environ Res Public Health. 2022;19(23):16016. doi:10.3390/ijerph192316016.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/841479/psn-pdf
December 14, 2022 - Fast does not imply flawed: analyzing emergency
physician productivity and medical errors.
December 14, 2022
Hoot NR, Barbosa TJ, Chan HK, et al. Fast does not imply flawed: analyzing emergency physician
productivity and medical errors. J Am Coll Emerg Physicians Open. 2022;3(6):e12849.
doi:10.1002/emp2.12849.
ht…
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psnet.ahrq.gov/node/47167/psn-pdf
May 30, 2018 - AHRQ Health Information Technology Division's 2017
Annual Report.
May 30, 2018
Rockville, MD: Agency for Healthcare Research and Quality; April 2018. AHRQ Publication No. 18-0028-
EF.
https://psnet.ahrq.gov/issue/ahrq-health-information-technology-divisions-2017-annual-report
Health care has worked to enhance use…
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psnet.ahrq.gov/node/46383/psn-pdf
September 20, 2017 - Prescription Drug Monitoring Programs: Evolution and
Evidence.
September 20, 2017
Weiner J, Bao Y, Meisel Z. LDI/CHERISH Issue Brief. June 2017.
https://psnet.ahrq.gov/issue/prescription-drug-monitoring-programs-evolution-and-evidence
Health care has been exploring a variety of strategies to mitigate the opioid ep…
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psnet.ahrq.gov/node/841767/psn-pdf
December 21, 2022 - Structural racism and adverse maternal health outcomes:
a systematic review.
December 21, 2022
Hailu EM, Maddali SR, Snowden JM, et al. Structural racism and adverse maternal health outcomes: a
systematic review. Health Place. 2022;78:102923. doi:10.1016/j.healthplace.2022.102923.
https://psnet.ahrq.gov/issue/stru…
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psnet.ahrq.gov/node/44106/psn-pdf
September 12, 2016 - Planning an MR suite: what can be done to enhance
safety?
September 12, 2016
Gilk TB, Kanal E. Planning an MR suite: What can be done to enhance safety? J Magn Reson Imaging.
2015;42(3):566-71. doi:10.1002/jmri.24794.
https://psnet.ahrq.gov/issue/planning-mr-suite-what-can-be-done-enhance-safety
Although rare, ad…
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cds.ahrq.gov/sites/default/files/cds/artifact/136331/Bisphosphonates%20Patient%20Handout.pdf
July 18, 2023 - Osteoporosis Patient Handout
Bisphosphonates are the safest choice for most people like you, who have thin
or fragile bones, because this risks of falling and breaking a bone are greater
than the risks of side effects.
Your medication is: _______________________________________
Orally (by mouth)
I.V. (infusion)
D…
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cds.ahrq.gov/sites/default/files/cds/artifact/66551/Bisphosphonates%20Patient%20Handout.pdf
July 18, 2023 - Osteoporosis Patient Handout
Bisphosphonates are the safest choice for most people like you, who have thin
or fragile bones, because this risks of falling and breaking a bone are greater
than the risks of side effects.
Your medication is: _______________________________________
Orally (by mouth)
I.V. (infusion)
D…
-
digital.ahrq.gov/sites/default/files/docs/page/barrette-podcast-transcript.pdf
June 16, 2021 - Barrette Podcast Transcript
Podcast 3
Adoption of Health Information Technology and Hospital Demand (Dr. Eric Barrette)
Narrator: Welcome to Health IT Spotlight from the Agency for Healthcare Research and Quality.
Adoption and use of health IT can improve patient quality of care, but the influence of health IT
…
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psnet.ahrq.gov/node/43109/psn-pdf
December 10, 2014 - Creating a physician-led quality imperative.
December 10, 2014
Nelson MF, Merriman CS, Magnusson PT, et al. Creating a physician-led quality imperative. Am J Med
Qual. 2014;29(6):508-16. doi:10.1177/1062860613509683.
https://psnet.ahrq.gov/issue/creating-physician-led-quality-imperative
This commentary relates one…