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psnet.ahrq.gov/node/837511/psn-pdf
June 22, 2022 - Striving for high reliability in healthcare: a qualitative
study of the implementation of a hospital safety
programme.
June 22, 2022
Rotteau L, Goldman J, Shojania KG, et al. Striving for high reliability in healthcare: a qualitative study of the
implementation of a hospital safety programme. BMJ Qual Saf. 2022;31…
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psnet.ahrq.gov/node/867348/psn-pdf
December 11, 2024 - Mind the sentinel - applying patient-safety paradigms to
clinician well-being.
December 11, 2024
Humikowski CA. Mind the sentinel - applying patient-safety paradigms to clinician well-being. N Engl J
Med. 2024;391(20):1870-1872. doi:10.1056/nejmp2406074.
https://psnet.ahrq.gov/issue/mind-sentinel-applying-patient-…
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digital.ahrq.gov/location/usa-hi-honolulu
January 01, 2023 - USA, HI, Honolulu
Holomua Project-Improving Patient Hand-Offs in Hawaii
Description
Developed approaches to share data on patient clinical and diagnostic information across systems and created an implementation plan for systems integration.
Grant Number
P20 HS015248
…
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psnet.ahrq.gov/node/40471/psn-pdf
May 25, 2011 - Effect of admission medication reconciliation on adverse
drug events from admission medication changes.
May 25, 2011
Boockvar K, Blum S, Kugler A, et al. Effect of admission medication reconciliation on adverse drug events
from admission medication changes. Arch Intern Med. 2011;171(9):860-1.
doi:10.1001/archinter…
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psnet.ahrq.gov/node/60714/psn-pdf
July 22, 2020 - Personality traits and traumatic outcome symptoms in
registered nurses in the aftermath of a patient safety
incident.
July 22, 2020
Stovall MC, Firkins J, Hansen L, et al. Personality traits and traumatic outcome symptoms in registered
nurses in the aftermath of a patient safety incident. J Patient Saf. 2020;17(8)…
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psnet.ahrq.gov/node/74089/psn-pdf
July 15, 2002 - The effect of race and sex on physicians'
recommendations for cardiac catheterization.
July 15, 2002
Schulman KA, Berlin JA, Harless W, et al. The effect of race and sex on physicians' recommendations for
cardiac catheterization. N Engl J Med. 2002;340(8):618-626. doi:10.1056/nejm199902253400806.
https://psnet.ahr…
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psnet.ahrq.gov/node/60984/psn-pdf
October 07, 2020 - Prospective validation of classification of intraoperative
adverse events (ClassIntra): international, multicentre
cohort study.
October 7, 2020
Dell-Kuster S, Gomes NV, Gawria L, et al. Prospective validation of classification of intraoperative adverse
events (ClassIntra): international, multicentre cohort study.…
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www.ahrq.gov/antibiotic-use/ambulatory-care/best-practices/uti.html
September 01, 2022 - Best Practices in the Diagnosis and Treatment of Asymptomatic Bacteriuria and Urinary Tract Infections
After viewing or presenting this presentation, viewers will be able to—
Distinguish asymptomatic bacteriuria (ASB) from a urinary tract infection (UTI).
Discuss indications for sending urine cultures. …
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psnet.ahrq.gov/node/73674/psn-pdf
September 08, 2021 - Perceptions of working conditions and safety concerns in
community pharmacy.
September 8, 2021
Clabaugh M, Beal JL, Illingworth Plake KS. Perceptions of working conditions and safety concerns in
community pharmacy. J Am Pharm Assoc (2003). 2021;61(6):761-771. doi:10.1016/j.japh.2021.06.011.
https://psnet.ahrq.gov/…
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psnet.ahrq.gov/node/37438/psn-pdf
June 16, 2010 - Identification of inpatient DNR status: a safety hazard
begging for standardization.
June 16, 2010
Sehgal NL, Wachter RM. Identification of inpatient DNR status: A safety hazard begging for
standardization. J Hosp Med. 2007;2(6):366-371. doi:10.1002/jhm.283.
https://psnet.ahrq.gov/issue/identification-inpatient-dn…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/bckgrndqiteam.doc
June 02, 2025 - Background Quality Improvement Team Information Form
Who should use this tool? Health care providers.
Please indicate people designated as Quality Improvement Team Members. Your team may not have people who serve in all of these roles.
These individuals from are members of the Qual…
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/team-info-form.html
July 01, 2023 - Background Quality Improvement Team Information Form
AHRQ Safety Program for Perinatal Care
Who should use this tool? Health care teams
Please indicate staff members designated as Labor and Delivery Quality Improvement Team members. Your team might not have people who serve in all of these rol…
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psnet.ahrq.gov/node/39879/psn-pdf
September 29, 2010 - The effect of resident duty hour restriction on trauma
center outcomes in teaching hospitals in the state of
Pennsylvania.
September 29, 2010
Helling TS, Kaswan S, Boccardo J, et al. The effect of resident duty hour restriction on trauma center
outcomes in teaching hospitals in the state of Pennsylvania. J Trauma.…
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psnet.ahrq.gov/node/73504/psn-pdf
July 21, 2021 - Healthcare personnel's working conditions in relation to
risk behaviours for organism transmission: a mixed-
methods study.
July 21, 2021
Arvidsson L, Lindberg M, Skytt B, et al. Healthcare personnel's working conditions in relation to risk
behaviours for organism transmission: A mixed?methods study. J Clin Nurs. …
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psnet.ahrq.gov/node/836986/psn-pdf
April 27, 2022 - Habit and automaticity in medical alert override: cohort
study.
April 27, 2022
Wang L, Goh KH, Yeow A, et al. Habit and automaticity in medical alert override: cohort study. J Med
Internet Res. 2022;24(2):e23355. doi:10.2196/23355.
https://psnet.ahrq.gov/issue/habit-and-automaticity-medical-alert-override-cohort-s…
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psnet.ahrq.gov/node/73468/psn-pdf
July 07, 2021 - The implementation of communication didactics for
OB/GYN residents on the disclosure of adverse
perioperative events.
July 7, 2021
Chung EH, Truong T, Jooste KR, et al. The implementation of communication didactics for OB/GYN
residents on the disclosure of adverse perioperative events. J Surg Educ. 2021;78(3):942-…
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psnet.ahrq.gov/node/50731/psn-pdf
December 11, 2019 - Awareness of diagnosis and follow up care after
discharge from the emergency department
December 11, 2019
Leamy K, Thompson J, Mitra B. Awareness of diagnosis and follow up care after discharge from the
Emergency Department. Australas Emerg Care. 2019;22(4):221-226. doi:10.1016/j.auec.2019.08.004.
https://psnet.ah…
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psnet.ahrq.gov/node/35130/psn-pdf
March 11, 2011 - A trial of automated decision support alerts for
contraindicated medications using computerized
physician order entry.
March 11, 2011
Galanter W, Didomenico RJ, Polikaitis A. A trial of automated decision support alerts for contraindicated
medications using computerized physician order entry. J Am Med Inform Assoc…
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psnet.ahrq.gov/node/73658/psn-pdf
September 01, 2021 - Predicting self-intercepted medication ordering errors
using machine learning.
September 1, 2021
King CR, Abraham J, Fritz BA, et al. Predicting self-intercepted medication ordering errors using machine
learning. PLoS One. 2021;16(7):e0254358. doi:10.1371/journal.pone.0254358.
https://psnet.ahrq.gov/issue/predicti…
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psnet.ahrq.gov/node/41127/psn-pdf
February 08, 2012 - Do nurse and patient injuries share common
antecedents? An analysis of associations with safety
climate and working conditions.
February 8, 2012
Taylor JA, Dominici F, Agnew J, et al. Do nurse and patient injuries share common antecedents? An
analysis of associations with safety climate and working conditions. BMJ…