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psnet.ahrq.gov/curated-library/patient-and-family-engagement-long-term-care
April 10, 2024 - older adult care homes, including patient experience (e.g., quality of life or other resident-reported indicators
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psnet.ahrq.gov/node/50426/psn-pdf
January 01, 2020 - Community pharmacy medication review, death and re-
admission after hospital discharge: a propensity score-
matched cohort study.
September 4, 2019
Lapointe-Shaw L, Bell CM, Austin PC, et al. Community pharmacy medication review, death and re-
admission after hospital discharge: a propensity score-matched cohort s…
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psnet.ahrq.gov/node/42883/psn-pdf
September 01, 2016 - Are we heeding the warning signs? Examining providers'
overrides of computerized drug–drug interaction alerts in
primary care.
September 1, 2016
Slight SP, Seger DL, Nanji KC, et al. Are we heeding the warning signs? Examining providers' overrides of
computerized drug-drug interaction alerts in primary care. PLoS …
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psnet.ahrq.gov/node/73389/psn-pdf
June 16, 2021 - Estimating the economic cost of nurse sensitive adverse
events amongst patients in medical and surgical settings.
June 16, 2021
Murphy A, Griffiths P, Duffield C, et al. Estimating the economic cost of nurse sensitive adverse events
amongst patients in medical and surgical settings. J Adv Nurs. 2021;77(8):3379-3388…
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psnet.ahrq.gov/node/45279/psn-pdf
September 27, 2016 - Does clinical supervision of health professionals improve
patient safety? A systematic review and meta-analysis.
September 27, 2016
Snowdon DA, Hau R, Leggat SG, et al. Does clinical supervision of health professionals improve patient
safety? A systematic review and meta-analysis. Int J Qual Health Care. 2016;28(4)…
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psnet.ahrq.gov/node/44176/psn-pdf
August 21, 2015 - Patient and carer identified factors which contribute to
safety incidents in primary care: a qualitative study.
August 21, 2015
Hernan AL, Giles SJ, Fuller J, et al. Patient and carer identified factors which contribute to safety incidents
in primary care: a qualitative study. BMJ Qual Saf. 2015;24(9):583-93. doi:1…
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psnet.ahrq.gov/node/43170/psn-pdf
December 12, 2014 - Effects of patient-, environment- and medication-related
factors on high-alert medication incidents.
December 12, 2014
Manias E, Williams A, Liew D, et al. Effects of patient-, environment- and medication-related factors on
high-alert medication incidents. Int J Qual Health Care. 2014;26(3):308-20. doi:10.1093/intq…
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psnet.ahrq.gov/node/45796/psn-pdf
June 29, 2017 - Characteristics of initial prescription episodes and
likelihood of long-term opioid use—United States,
2006–2015.
June 29, 2017
Shah A, Hayes CJ, Martin BC. Characteristics of Initial Prescription Episodes and Likelihood of Long-Term
Opioid Use - United States, 2006-2015. MMWR Morb Mortal Wkly Rep. 2017;66(10):265…
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psnet.ahrq.gov/node/40013/psn-pdf
July 24, 2011 - Patient participation in surgical site marking: can this be
an additional tool to help avoid wrong-site surgery?
July 24, 2011
Bergal LM, Schwarzkopf R, Walsh M, et al. Patient participation in surgical site marking: can this be an
additional tool to help avoid wrong-site surgery? J Patient Saf. 2010;6(4):221-5.
h…
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psnet.ahrq.gov/node/44715/psn-pdf
May 19, 2019 - Electronic health record–related events in medical
malpractice claims.
May 19, 2019
Graber ML, Siegal D, Riah H, et al. Electronic Health Record-Related Events in Medical Malpractice
Claims. J Patient Saf. 2019;15(2):77-85. doi:10.1097/PTS.0000000000000240.
https://psnet.ahrq.gov/issue/electronic-health-record-rel…
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psnet.ahrq.gov/node/37166/psn-pdf
February 03, 2011 - Mortality among hospitalized Medicare beneficiaries in
the first 2 years following ACGME resident duty hour
reform.
February 3, 2011
Meltzer DO, Arora VM. Evaluating Resident Duty Hour Reforms. JAMA. 2007;298(9).
doi:10.1001/jama.298.9.1055.
https://psnet.ahrq.gov/issue/mortality-among-hospitalized-medicare-benef…
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psnet.ahrq.gov/node/46196/psn-pdf
October 13, 2018 - Association of a surgical task during training with team
skill acquisition among surgical residents: the missing
piece in multidisciplinary team training.
October 13, 2018
Sparks JL, Crouch DL, Sobba K, et al. Association of a Surgical Task During Training With Team Skill
Acquisition Among Surgical Residents: The …
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psnet.ahrq.gov/node/41049/psn-pdf
December 31, 2014 - Are physicians' perceptions of healthcare quality and
practice satisfaction affected by errors associated with
electronic health record use?
December 31, 2014
Love JS, Wright A, Simon SR, et al. Are physicians' perceptions of healthcare quality and practice
satisfaction affected by errors associated with electroni…
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psnet.ahrq.gov/node/42628/psn-pdf
January 07, 2015 - Engaging patients in medication reconciliation via a
patient portal following hospital discharge.
January 7, 2015
Heyworth L, Paquin AM, Clark J, et al. Engaging patients in medication reconciliation via a patient portal
following hospital discharge. J Am Med Inform Assoc. 2014;21(e1):e157-62. doi:10.1136/amiajnl-2…
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psnet.ahrq.gov/web-mm/delayed-recognition-positive-blood-culture
January 29, 2020 - can be important predictors of a positive culture.( 9 ) Clinical gestalt is superior to individual indicators
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psnet.ahrq.gov/node/60268/psn-pdf
April 29, 2020 - Complications of ECMO During Transport
April 29, 2020
Broman M. Complications of ECMO During Transport. PSNet [internet]. 2020.
https://psnet.ahrq.gov/web-mm/complications-ecmo-during-transport
The Case
A 54-year-old woman with end-stage chronic obstructive pulmonary disease (COPD) was admitted with
acute on chro…
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psnet.ahrq.gov/perspective/annual-perspective-topics-medication-safety
April 27, 2022 - Annual Perspective
Annual Perspective: Topics in Medication Safety
March 31, 2022
View more articles from the same authors.
Citation Text:
Harris IB, Dowell P, Mossburg SE. Annual Perspective: Topics in Medication Safety. PSNet [internet]. Rockville (MD): Ag…
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psnet.ahrq.gov/primer/coronavirus-disease-2019-covid-19-and-diagnostic-error
July 30, 2020 - November 26, 2014
Application of patient safety indicators internationally: a pilot study … June 28, 2011
International comparability of patient safety indicators in 15 OECD member
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psnet.ahrq.gov/node/49785/psn-pdf
February 01, 2017 - Refused Medication Error
February 1, 2017
Foley M. Refused Medication Error. PSNet [internet]. 2017.
https://psnet.ahrq.gov/web-mm/refused-medication-error
The Case
A 59-year-old man was admitted to the hospital with acute renal failure and mental status changes. He was
alert to self and place only. The patient h…
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psnet.ahrq.gov/node/49529/psn-pdf
February 01, 2007 - Use of specific indicators to detect warfarin-related adverse events.