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psnet.ahrq.gov/node/852455/psn-pdf
August 16, 2023 - A quality improvement initiative to improve pediatric
discharge medication safety and efficiency.
August 16, 2023
Ring LM, Cinotti J, Hom LA, et al. A quality improvement initiative to improve pediatric discharge
medication safety and efficiency. Pediatr Qual Saf. 2023;8(4):e671. doi:10.1097/pq9.0000000000000671.
…
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psnet.ahrq.gov/node/46421/psn-pdf
November 08, 2017 - A novel ICU hand-over tool: the glass door of the patient
room.
November 8, 2017
Wessman BT, Sona C, Schallom M. A Novel ICU Hand-Over Tool: The Glass Door of the Patient Room. J
Intensive Care Med. 2017;32(8):514-519. doi:10.1177/0885066616653947.
https://psnet.ahrq.gov/issue/novel-icu-hand-over-tool-glass-door-p…
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psnet.ahrq.gov/node/840481/psn-pdf
November 30, 2022 - Psychosocial factors and safety in high-risk industries: a
systematic literature review.
November 30, 2022
Derdowski LA, Mathisen GE. Psychosocial factors and safety in high-risk industries: a systematic literature
review. Safety Sci. 2022;157:105948. doi:10.1016/j.ssci.2022.105948.
https://psnet.ahrq.gov/issue/ps…
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psnet.ahrq.gov/node/73600/psn-pdf
August 18, 2021 - Optimizing Therapy to Prevent Avoidable Hospital
Admissions in Multimorbid Older Adults (OPERAM):
cluster randomised controlled trial.
August 18, 2021
Blum MR, Sallevelt B, Spinewine A, et al. Optimizing Therapy to Prevent Avoidable Hospital Admissions in
Multimorbid Older Adults (OPERAM): cluster randomised contr…
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psnet.ahrq.gov/node/837332/psn-pdf
June 08, 2022 - Influence of psychological safety and organizational
support on the impact of humiliation on trainee well-
being.
June 8, 2022
Appelbaum NP, Santen SA, Perera RA, et al. Influence of psychological safety and organizational support
on the impact of humiliation on trainee well-being. J Patient Saf. 2022;18(4):370-37…
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psnet.ahrq.gov/node/41643/psn-pdf
September 05, 2012 - A Randomized Field Study of a Leadership WalkRounds-
Based Intervention.
September 5, 2012
Tucker AL, Singer SJ. Cambridge, MA: Harvard Business School; June 25, 2012. HBS Working Paper No.
12-113.
https://psnet.ahrq.gov/issue/randomized-field-study-leadership-walkrounds-based-intervention
Leadership WalkRounds h…
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psnet.ahrq.gov/node/45729/psn-pdf
September 20, 2017 - Maximize benefits of IV workflow management systems
by addressing workarounds and errors.
September 20, 2017
ISMP Medication Safety Alert! Acute care edition. September 7, 2017;22:1-4.
https://psnet.ahrq.gov/issue/maximize-benefits-iv-workflow-management-systems-addressing-
workarounds-and-errors
Workflow process…
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psnet.ahrq.gov/node/47651/psn-pdf
December 12, 2018 - Are national efforts to reduce drug name confusion
paying off?
December 12, 2018
ISMP Medication Safety Alert! Acute Care Edition. November 29, 2018;23:1-6.
https://psnet.ahrq.gov/issue/are-national-efforts-reduce-drug-name-confusion-paying
Look-alike and sound-alike medications present a recurring threat to patie…
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psnet.ahrq.gov/node/45860/psn-pdf
July 21, 2017 - Modifying head nurse messages during daily
conversations as leverage for safety climate
improvement: a randomised field experiment.
July 21, 2017
Zohar D, Werber YT, Marom R, et al. Modifying head nurse messages during daily conversations as
leverage for safety climate improvement: a randomised field experiment. B…
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psnet.ahrq.gov/node/37892/psn-pdf
July 09, 2008 - Multi-dose drug dispensing and inappropriate drug use: a
nationwide register-based study of over 700 000 elderly.
July 9, 2008
Johnell K, Fastbom J. Multi-dose drug dispensing and inappropriate drug use: A nationwide register-based
study of over 700,000 elderly. Scand J Prim Health Care. 2008;26(2):86-91.
doi:10.1…
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psnet.ahrq.gov/node/866434/psn-pdf
August 07, 2024 - Measuring the overall development of patient safety in a
new hospital using trigger tools.
August 7, 2024
Adamovic I, Dahlem P, Brachmann J. Measuring the overall development of patient safety in a new
hospital using trigger tools. Int J Qual Health Care. 2024;36(3):mzae064. doi:10.1093/intqhc/mzae064.
https://psn…
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psnet.ahrq.gov/node/72775/psn-pdf
February 24, 2021 - Improving medication appropriateness in nursing homes
via structured interprofessional medication-review
supported by health information technology: a non-
randomized controlled study.
February 24, 2021
Dellinger JK, Pitzer S, Schaffler-Schaden D, et al. Improving medication appropriateness in nursing homes
via s…
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psnet.ahrq.gov/node/60981/psn-pdf
October 07, 2020 - Unintended consequences of health care reform: impact
of changes in payor mix on patient safety indicators,
October 7, 2020
Bartholomew AJ, Zeymo A, Chan KS, et al. Unintended consequences of health care reform: impact of
changes in payor mix on patient safety indicators,. Ann Surg. 2020;272(4):612-619.
doi:10.109…
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psnet.ahrq.gov/node/837846/psn-pdf
August 17, 2022 - Quality measures for patients at risk of adverse outcomes
in the Veterans Health Administration: expert panel
recommendations.
August 17, 2022
Chang ET, Newberry S, Rubenstein LV, et al. Quality Measures for Patients at Risk of Adverse Outcomes
in the Veterans Health Administration. JAMA Network Open. 2022;5(8):e2…
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www.ahrq.gov/cpi/centers/ockt/kt/tools/impuspstf/impuspstf.html
October 01, 2014 - Implementing U.S. Preventive Services Task Force (USPSTF) Recommendations
Technical Assistance Document
This document was developed as part of an Agency for Healthcare Research and Quality (AHRQ) initiative to increase the use of the U.S. Preventive Services Task Force (USPSTF) recommendations and resources i…
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/Dc-SXXyDD_xt3jmdaKFKKd
Screening for Iron Deficiency Anemia in Young Children: Clinical Summary
Screening for Iron Deficiency Anemia in Young Children: Clinical Summary
Population Asymptomatic U.S. children ages 6 to 24 months
Recommendation
No recommendation.
Grade: I statement (insufficient evidence)
Risk Assessme…
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psnet.ahrq.gov/node/60872/psn-pdf
September 02, 2020 - How incident reporting systems can stimulate social and
participative learning: a mixed-methods study.
September 2, 2020
de Kam D, Kok J, Grit K, et al. How incident reporting systems can stimulate social and participative
learning: a mixed-methods study. Health Policy (New York). 2020;124(8):834-841.
doi:10.1016/…
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psnet.ahrq.gov/node/40338/psn-pdf
March 23, 2011 - Nurse staffing and inpatient hospital mortality.
March 23, 2011
Needleman J, Buerhaus P, Pankratz S, et al. Nurse staffing and inpatient hospital mortality. New Engl J
Med. 2011;364(11):1037-1045. doi:10.1056/NEJMsa1001025.
https://psnet.ahrq.gov/issue/nurse-staffing-and-inpatient-hospital-mortality
Several studie…
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psnet.ahrq.gov/node/43179/psn-pdf
July 28, 2014 - The effect of the electronic transmission of prescriptions
on dispensing errors and prescription enhancements
made in English community pharmacies: a naturalistic
stepped wedge study.
July 28, 2014
Franklin BD, Reynolds M, Sadler S, et al. The effect of the electronic transmission of prescriptions on
dispensing e…
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psnet.ahrq.gov/node/42638/psn-pdf
October 09, 2013 - Strengths and weaknesses of working with the Global
Trigger Tool method for retrospective record review:
focus group interviews with team members.
October 9, 2013
Schildmeijer K, Nilsson L, Perk J, et al. Strengths and weaknesses of working with the Global Trigger Tool
method for retrospective record review: focus…