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psnet.ahrq.gov/node/41920/psn-pdf
October 08, 2013 - Review of computerized physician handoff tools for
improving the quality of patient care.
October 8, 2013
Li P, Ali S, Tang C, et al. Review of computerized physician handoff tools for improving the quality of
patient care. J Hosp Med. 2013;8(8):456-63. doi:10.1002/jhm.1988.
https://psnet.ahrq.gov/issue/review-com…
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psnet.ahrq.gov/node/72848/psn-pdf
March 17, 2021 - The development and piloting of the Ambulatory
Electronic Health Record Evaluation Tool: lessons
learned.
March 17, 2021
Co Z, Holmgren AJ, Classen DC, et al. The development and piloting of the Ambulatory Electronic Health
Record Evaluation Tool: lessons learned. Appl Clin Inform. 2021;12(01):153-163. doi:10.1055…
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psnet.ahrq.gov/node/36314/psn-pdf
June 13, 2011 - Discontinuity of chronic medications in patients
discharged from the intensive care unit.
June 13, 2011
Bell CM, Rahimi-Darabad P, Orner AI. Discontinuity of chronic medications in patients discharged from the
intensive care unit. J Gen Intern Med. 2006;21(9):937-41.
https://psnet.ahrq.gov/issue/discontinuity-chro…
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psnet.ahrq.gov/node/837423/psn-pdf
June 15, 2022 - Evaluation and comparison of errors on nursing notes
created by online and offline speech recognition
technology and handwritten: an interventional study.
June 15, 2022
Peivandi S, Ahmadian L, Farokhzadian J, et al. Evaluation and comparison of errors on nursing notes
created by online and offline speech recogniti…
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psnet.ahrq.gov/node/72798/psn-pdf
March 03, 2021 - Perceptual gaps between clinicians and technologists on
health information technology-related errors in hospitals:
observational study.
March 3, 2021
Ndabu T, Mulgund P, Sharman R, et al. Perceptual gaps between clinicians and technologists on health
information technology-related errors in hospitals: observationa…
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psnet.ahrq.gov/node/36262/psn-pdf
August 04, 2009 - Safety in the academic medical center: transforming
challenges into ingredients for improvement.
August 4, 2009
Blumenthal D, Ferris T. Safety in the academic medical center: transforming challenges into ingredients for
improvement. Acad Med. 2006;81(9):817-22.
https://psnet.ahrq.gov/issue/safety-academic-medical-…
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psnet.ahrq.gov/node/73879/psn-pdf
September 29, 2021 - Evolving factors in hospital safety: a systematic review
and meta-analysis of hospital adverse events.
September 29, 2021
Sauro KM, Machan M, Whalen-Browne L, et al. Evolving factors in hospital safety: a systematic review and
meta-analysis of hospital adverse events. J Patient Saf. 2021;17(8):e1285-e1295.
doi:10.…
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psnet.ahrq.gov/node/866280/psn-pdf
July 10, 2024 - Visitor restrictions during the COVID-19 pandemic and
increased falls with harm at a Canadian hospital: an
exploratory study.
July 10, 2024
Shennan S, Coyle N, Lockwood B, et al. Visitor restrictions during the COVID-19 pandemic and increased
falls with harm at a Canadian hospital: an exploratory study. J Patient …
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psnet.ahrq.gov/node/60518/psn-pdf
May 27, 2020 - Infection Control Deficiencies Were Widespread and
Persistent in Nursing Homes Prior to COVID-19 Pandemic.
May 27, 2020
Washington, DC: United States Government Accountability Office; May 20, 2020. Publication GAO-20-
576R.
https://psnet.ahrq.gov/issue/infection-control-deficiencies-were-widespre…
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psnet.ahrq.gov/node/764405/psn-pdf
March 02, 2022 - Evaluation of communication and safety behaviors during
hospital-wide code response simulation.
March 2, 2022
Ren DM, Abrams A, Banigan M, et al. Evaluation of communication and safety behaviors during hospital-
wide code response simulation. Simul Healthc. 2022;17(1):e45-e50. doi:10.1097/sih.0000000000000575.
htt…
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psnet.ahrq.gov/node/856585/psn-pdf
November 29, 2023 - Overnight stay in the emergency department and
mortality in older patients.
November 29, 2023
Roussel M, Teissandier D, Yordanov Y, et al. Overnight stay in the emergency department and mortality in
older patients. JAMA Intern Med. 2023;183(12):1378-1385. doi:10.1001/jamainternmed.2023.5961.
https://psnet.ahrq.gov…
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psnet.ahrq.gov/node/851651/psn-pdf
July 26, 2023 - Using failure mode and effect analysis to identify
potential failures in a psychiatric hospital emergency
department.
July 26, 2023
Gur-Arieh S, Mendlovic S, Rozenblum R, et al. Using failure mode and effect analysis to identify potential
failures in a psychiatric hospital emergency department. J Patient Saf. 2023…
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psnet.ahrq.gov/node/72474/psn-pdf
January 01, 2021 - Associations of physicians’ prescribing experience, work
hours, and workload with prescription errors.
November 18, 2020
Leviatan I, Oberman B, Zimlichman E, et al. Associations of physicians’ prescribing experience, work
hours, and workload with prescription errors. J Am Med Inform Assoc. 2021;28(6):1074-1080.
do…
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psnet.ahrq.gov/node/866277/psn-pdf
July 10, 2024 - How payers can help hospitals become safer through
value-based programs.
July 10, 2024
Hsu E, Ma S, Winn B, et al. How payers can help hospitals become safer through value-based programs.
NEJM Catalyst. 2024;5(7):CAT.24.0049. doi:10.1056/cat.24.0049.
https://psnet.ahrq.gov/issue/how-payers-can-help-hospitals-becom…
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psnet.ahrq.gov/node/73157/psn-pdf
April 21, 2021 - The impact of power on health care team performance
and patient safety: a review of the literature.
April 21, 2021
Stevens EL, Hulme A, Salmon PM. The impact of power on health care team performance and patient
safety: a review of the literature. Ergonomics. 2021;64(8):1072-1090.
doi:10.1080/00140139.2021.1906454.…
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psnet.ahrq.gov/node/836773/psn-pdf
March 23, 2022 - Association between operative autonomy of surgical
residents and patient outcomes.
March 23, 2022
Oliver JB, Kunac A, McFarlane JL, et al. Association between operative autonomy of surgical residents and
patient outcomes. JAMA Surg. 2022;157(3):211-219. doi:10.1001/jamasurg.2021.6444.
https://psnet.ahrq.gov/issue/…
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psnet.ahrq.gov/node/44165/psn-pdf
May 27, 2015 - Unplanned return to theater: a quality of care and risk
management index?
May 27, 2015
Pujol N, Merrer J, Lemaire B, et al. Unplanned return to theater: A quality of care and risk management
index? Orthop Traumatol Surg Res. 2015;101(4):399-403. doi:10.1016/j.otsr.2015.03.013.
https://psnet.ahrq.gov/issue/unplanne…
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psnet.ahrq.gov/node/73208/psn-pdf
May 05, 2021 - Accuracy of practitioner estimates of probability of
diagnosis before and after testing.
May 5, 2021
Morgan DJ, Pineles L, Owczarzak J, et al. Accuracy of practitioner estimates of probability of diagnosis
before and after testing. JAMA Intern Med. 2021;181(6):747-755. doi:10.1001/jamainternmed.2021.0269.
https://…
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psnet.ahrq.gov/node/867228/psn-pdf
December 04, 2024 - Risk factors for wrong-patient medication orders in the
emergency department.
December 4, 2024
Krummrey G, Sauter TC, Hautz WE, et al. Risk factors for wrong-patient medication orders in the
emergency department. JAMIA Open. 2024;7(4):ooae103. doi:10.1093/jamiaopen/ooae103.
https://psnet.ahrq.gov/issue/risk-factor…
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psnet.ahrq.gov/node/865520/psn-pdf
April 10, 2024 - The prevalence of incivility in hospitals and the effects of
incivility on patient safety culture and outcomes: a
systematic review and meta-analysis.
April 10, 2024
Freedman B, Li WW, Liang Z, et al. The prevalence of incivility in hospitals and the effects of incivility on
patient safety culture and outcomes: a …