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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/33560/psn-pdf
June 15, 2024 - Disclosure of Errors
June 15, 2024
Disclosure of Errors. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/disclosure-errors
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current research and practice in the patient safety field. Last reviewed…
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psnet.ahrq.gov/node/49577/psn-pdf
January 01, 2009 - Are Two Insulin Pumps Better Than One?
January 1, 2009
Cook CB. Are Two Insulin Pumps Better Than One? PSNet [internet]. 2009.
https://psnet.ahrq.gov/web-mm/are-two-insulin-pumps-better-one
The Case
A 62-year-old man with type 1 diabetes mellitus was admitted to the hospital for coronary artery bypass
graft surge…
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psnet.ahrq.gov/perspective/computerized-provider-order-entry-and-patient-safety
January 01, 2014 - Annual Perspective
Computerized Provider Order Entry and Patient Safety
Urmimala Sarkar, MD, and Kaveh Shojania, MD | January 1, 2015
View more articles from the same authors.
Citation Text:
Sarkar U, Shojania KG. Computerized Provider Order Entry and Patien…
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psnet.ahrq.gov/primer/health-care-associated-infections
December 15, 2024 - Healthcare-associated Infections
Citation Text:
Healthcare - Associated Infections. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote t…
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psnet.ahrq.gov/node/33565/psn-pdf
September 01, 2024 - Healthcare-associated Infections
June 15, 2024
Healthcare - Associated Infections. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/health-care-associated-infections
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current research and practice …
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psnet.ahrq.gov/node/866217/psn-pdf
July 10, 2024 - In Conversation With...Amy Helwig about Health Plan
Patient Safety Initiatives
July 10, 2024
Helwig A, Sousane Z, Mossburg S. In Conversation With..Amy Helwig about Health Plan Patient Safety
Initiatives. PSNet [internet]. 2024.
https://psnet.ahrq.gov/perspective/conversation-withamy-helwig-about-health-plan-patie…
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psnet.ahrq.gov/node/45171/psn-pdf
August 01, 2016 - Weekly variation in health-care quality by day and time of
admission: a nationwide, registry-based, prospective
cohort study of acute stroke care.
August 1, 2016
Bray BD, Cloud GC, James MA, et al. Weekly variation in health-care quality by day and time of admission:
a nationwide, registry-based, prospective cohor…
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psnet.ahrq.gov/node/866312/psn-pdf
July 17, 2024 - Development of patient safety measures to identify
inappropriate diagnosis of common infections.
July 17, 2024
White AT, Vaughn VM, Petty LA, et al. Development of patient safety measures to identify inappropriate
diagnosis of common infections. Clin Infect Dis. 2024;78(6):1403-1411. doi:10.1093/cid/ciae044.
https…
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psnet.ahrq.gov/node/48181/psn-pdf
August 07, 2019 - Managing the risks of direct oral anticoagulants.
August 7, 2019
Sentinel Event Alert. July 30, 2019;(61):1-5.
https://psnet.ahrq.gov/issue/managing-risks-direct-oral-anticoagulants
Anticoagulant medications are known to be high-risk for adverse drug events. Although direct oral
anticoagulants (DOACs) require less…
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psnet.ahrq.gov/node/867045/psn-pdf
October 30, 2024 - The burden of healthcare utilization, cost, and mortality
associated with select surgical site infections.
October 30, 2024
Shambhu S, Gordon AS, Liu Y, et al. The burden of healthcare utilization, cost, and mortality associated
with select surgical site infections. Jt Comm J Qual Patient Saf. 2024;50(12):857-866.
…
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psnet.ahrq.gov/node/44815/psn-pdf
November 30, 2016 - Comparing NICU teamwork and safety climate across two
commonly used survey instruments.
November 30, 2016
Profit J, Lee HC, Sharek PJ, et al. Comparing NICU teamwork and safety climate across two commonly
used survey instruments. BMJ Qual Saf. 2016;25(12):954-961. doi:10.1136/bmjqs-2014-003924.
https://psnet.ahrq.…
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psnet.ahrq.gov/node/843414/psn-pdf
February 01, 2023 - Leadership behavior associations with domains of safety
culture, engagement, and healthcare worker well-being.
February 1, 2023
Tawfik DS, Adair KC, Palassof S, et al. Leadership behavior associations with domains of safety culture,
engagement, and healthcare worker well-being. Jt Comm J Qual Patient Saf. 2023;49(3…
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psnet.ahrq.gov/node/837200/psn-pdf
May 25, 2022 - Analysis of readmissions in a mobile integrated health
transitional care program using root cause analysis and
common cause analysis.
May 25, 2022
Buitrago I, Seidl KL, Gingold DB, et al. Analysis of readmissions in a mobile integrated health transitional
care program using root cause analysis and common cause ana…
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psnet.ahrq.gov/node/73288/psn-pdf
May 19, 2021 - 2020 Pennsylvania Patient Safety Reporting: an analysis
of serious events and incidents from the nation’s largest
event reporting database.
May 19, 2021
Kepner S, Jones RM. 2020 Pennsylvania Patient Safety Reporting: an analysis of serious events and
incidents from the nation’s largest event reporting database. Pa…
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psnet.ahrq.gov/node/74000/psn-pdf
January 01, 2022 - Systematic review: nurses' safety attitudes and their
impact on patient outcomes in acute-care hospitals.
October 27, 2021
Alanazi FK, Sim J, Lapkin S. Systematic review: nurses' safety attitudes and their impact on patient
outcomes in acute-care hospitals. Nurs Open. 2022;9(1):30-43. doi:10.1002/nop2.1063.
https:…
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psnet.ahrq.gov/node/72568/psn-pdf
January 01, 2021 - Alternatives to opioid education and a prescription drug
monitoring program cumulatively decreased outpatient
opioid prescriptions.
December 16, 2020
Sigal A, Shah A, Onderdonk A, et al. Alternatives to opioid education and a prescription drug monitoring
program cumulatively decreased outpatient opioid prescriptio…
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psnet.ahrq.gov/node/842765/psn-pdf
January 18, 2023 - Patient identification of diagnostic safety blindspots and
participation in "good catches" through shared visit
notes.
January 18, 2023
Bell SK, Bourgeois FC, Dong J, et al. Patient identification of diagnostic safety blindspots and participation
in "good catches" through shared visit notes. Milbank Q. 2022;100(4)…
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psnet.ahrq.gov/node/73490/psn-pdf
July 14, 2021 - Use of prescribing safety quality improvement reports in
UK general practices: a qualitative assessment.
July 14, 2021
Khan NF, Booth HP, Myles P, et al. Use of prescribing safety quality improvement reports in UK general
practices: a qualitative assessment. BMC Health Serv Res. 2021;21(1). doi:10.1186/s12913-021-0…
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psnet.ahrq.gov/node/38010/psn-pdf
August 27, 2008 - Detection of adverse events in surgical patients using the
Trigger Tool approach.
August 27, 2008
Griffin FA, Classen DC. Detection of adverse events in surgical patients using the Trigger Tool approach.
Qual Saf Health Care. 2008;17(4):253-258. doi:10.1136/qshc.2007.025080.
https://psnet.ahrq.gov/issue/detection-…