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psnet.ahrq.gov/web-mm/misleading-complaint
December 01, 2009 - Misleading Complaint
Citation Text:
Soni K, Dhaliwal G. Misleading Complaint. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012.
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January 22, 2025 - Biased language in simulated handoffs and clinician
recall and attitudes.
January 22, 2025
Wesevich A, Langan E, Fridman I, et al. Biased language in simulated handoffs and clinician recall and
attitudes. JAMA Netw Open. 2024;7(12):e2450172. doi:10.1001/jamanetworkopen.2024.50172.
https://psnet.ahrq.gov/issue/bias…
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psnet.ahrq.gov/node/45537/psn-pdf
July 27, 2018 - Patient Safety in Ambulatory Settings.
July 27, 2018
Shekelle PG, Sarkar U, Shojania K, et al. Technical Brief No. 27. Rockville, MD: Agency for Healthcare
Research and Quality; October 2016. AHRQ Publication No. 16-EHC033-EF.
https://psnet.ahrq.gov/issue/patient-safety-ambulatory-settings
Most patient safety rese…
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psnet.ahrq.gov/issue/safe-care-patient-safety-education-program
May 13, 2021 - Image/Poster
SAFE CARE Patient Safety Education Program.
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October 31, 2012
This Web site provides patient safety resources, inclu…
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psnet.ahrq.gov/node/46121/psn-pdf
January 01, 2021 - Quality of handoffs in community pharmacies.
May 10, 2017
Abebe E, Stone JA, Lester CA, et al. Quality of Handoffs in Community Pharmacies. J Patient Saf.
2021;17(6):405-411. doi:10.1097/PTS.0000000000000382.
https://psnet.ahrq.gov/issue/quality-handoffs-community-pharmacies
Handoffs present a significant patient …
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psnet.ahrq.gov/node/37569/psn-pdf
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admission?
March 21, 2017
Houchens RL, Elixhauser A, Romano PS. How often are potential patient safety events present on
admission? Jt Comm J Qual Patient Saf. 2008;34(3):154-63.
https://psnet.ahrq.gov/issue/how-often-are-potential-patient-safety-events-pres…
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psnet.ahrq.gov/node/73116/psn-pdf
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nurse case managers and family caregivers.
April 7, 2021
Macías-Colorado ME, Rodríguez-Pérez M, Rojas-Ocaña MJ, et al. Communication on safe caregiving
between community nurse case managers and family caregivers. Healthcare (Basel). 2021;9(2):205.
doi:10.3390/heal…
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psnet.ahrq.gov/node/47591/psn-pdf
January 01, 2021 - Advancing patient safety through the clinical application
of a framework focused on communication.
December 19, 2018
Manojlovich M, Hofer TP, Krein SL. Advancing Patient Safety Through the Clinical Application of a
Framework Focused on Communication. J Patient Saf. 2021;17(8):e732-e737.
doi:10.1097/PTS.00000000000…
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psnet.ahrq.gov/node/60352/psn-pdf
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behaviors distinguish hospital mortality rates.
May 20, 2020
Reader TW, Gillespie A. Stakeholders in safety: patient reports on unsafe clinical behaviors distinguish
hospital mortality rates. J Appl Psychol. 2021;106(3):439-451. doi:10.1037/apl0000507.
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psnet.ahrq.gov/node/36784/psn-pdf
February 24, 2011 - The many faces of error disclosure: a common set of
elements and a definition.
February 24, 2011
Fein SP, Hilborne LH, Spiritus EM, et al. The many faces of error disclosure: a common set of elements
and a definition. J Gen Intern Med. 2007;22(6):755-761.
https://psnet.ahrq.gov/issue/many-faces-error-disclosure-co…
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psnet.ahrq.gov/node/60733/psn-pdf
July 29, 2020 - Communication through the electronic health record:
frequency and implications of free text orders.
July 29, 2020
Kandaswamy S, Hettinger AZ, Hoffman DJ, et al. Communication through the electronic health record:
frequency and implications of free text orders. JAMIA Open. 2020;3(2):154-159.
doi:10.1093/jamiaopen/o…
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psnet.ahrq.gov/node/47180/psn-pdf
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alerts in electronic health record systems: a systematic
review.
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Powers EM, Shiffman RN, Melnick ER, et al. Efficacy and unintended consequences of hard-stop alerts in
electronic health record systems: a systematic review. J Am Med Inform Assoc. 2…
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psnet.ahrq.gov/node/39987/psn-pdf
September 20, 2011 - Fall prevention in acute care hospitals: a randomized trial.
September 20, 2011
Dykes PC, Carroll DL, Hurley A, et al. Fall prevention in acute care hospitals: a randomized trial. JAMA.
2010;304(17):1912-1918. doi:10.1001/jama.2010.1567.
https://psnet.ahrq.gov/issue/fall-prevention-acute-care-hospitals-randomized-t…
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psnet.ahrq.gov/node/853063/psn-pdf
August 30, 2023 - Exploring medication safety structures and processes in
nursing homes: a cross-sectional study.
August 30, 2023
Favez L, Zúñiga F, Meyer-Massetti C. Exploring medication safety structures and processes in nursing
homes: a cross-sectional study. Int J Clin Pharm. 2023;45(6):1464-1471. doi:10.1007/s11096-023-01625-6.…
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psnet.ahrq.gov/node/45107/psn-pdf
May 09, 2017 - Missing clinical and behavioral health data in a large
electronic health record (EHR) system.
May 9, 2017
Madden JM, Lakoma MD, Rusinak D, et al. Missing clinical and behavioral health data in a large electronic
health record (EHR) system. J Am Med Info Asso. 2016;23(6):1143-1149. doi:10.1093/jamia/ocw021.
https:/…
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psnet.ahrq.gov/node/34694/psn-pdf
February 10, 2011 - Computerized surveillance of adverse drug events in
hospital patients.
February 10, 2011
Classen DC, Pestotnik SL, Evans RS, et al. Computerized surveillance of adverse drug events in hospital
patients. JAMA. 1991;266(20):2847-51.
https://psnet.ahrq.gov/issue/computerized-surveillance-adverse-drug-events-hospital-…
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psnet.ahrq.gov/node/47498/psn-pdf
March 05, 2019 - Data omission by physician trainees on ICU rounds.
March 5, 2019
Artis KA, Bordley J, Mohan V, et al. Data Omission by Physician Trainees on ICU Rounds. Crit Care Med.
2019;47(3):403-409. doi:10.1097/CCM.0000000000003557.
https://psnet.ahrq.gov/issue/data-omission-physician-trainees-icu-rounds
Reporting complete p…
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psnet.ahrq.gov/node/838244/psn-pdf
October 05, 2022 - Standardization of pediatric noncardiac operating room to
intensive care unit handoffs improves communication
and patient care.
October 5, 2022
Hebballi NB, Gupta VS, Sheppard K, et al. Standardization of pediatric noncardiac operating room to
intensive care unit handoffs improves communication and patient care. J…
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psnet.ahrq.gov/node/73588/psn-pdf
August 11, 2021 - Reporting of death in US Food and Drug Administration
medical device adverse event reports in categories other
than death.
August 11, 2021
Lalani C, Kunwar EM, Kinard M, et al. Reporting of death in US Food and Drug Administration medical
device adverse event reports in categories other than death. JAMA Intern Med…
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psnet.ahrq.gov/node/45760/psn-pdf
February 08, 2017 - Safe practices for copy and paste in the EHR. Systematic
review, recommendations, and novel model for health IT
collaboration.
February 8, 2017
Tsou AY, Lehmann CU, Michel J, et al. Safe Practices for Copy and Paste in the EHR. Systematic Review,
Recommendations, and Novel Model for Health IT Collaboration. Appl C…