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psnet.ahrq.gov/node/42722/psn-pdf
November 13, 2013 - Patient safety perspectives of providers and nurses: the
experience of a rural ambulatory care practice using an
EHR with e-prescribing.
November 13, 2013
Bramble JD, Abbott AA, Fuji KT, et al. Patient safety perspectives of providers and nurses: the experience
of a rural ambulatory care practice using an EHR with…
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psnet.ahrq.gov/node/34639/psn-pdf
March 02, 2011 - Preventable deaths: who, how often, and why?
March 2, 2011
Dubois RW, Brook RH. Preventable deaths: who, how often, and why? Ann Intern Med. 1988;109(7):582-9.
https://psnet.ahrq.gov/issue/preventable-deaths-who-how-often-and-why
One of the first studies to examine the link between quality of care and hospital deat…
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psnet.ahrq.gov/node/836918/psn-pdf
April 13, 2022 - How to scale up quality and safety program with the home
care accreditation.
April 13, 2022
Brunelli L, Cristofori V, Battistella C, et al. How to scale up quality and safety program with the home care
accreditation. Int J Integr Care. 2022;22(1):19. doi:10.5334/ijic.5698.
https://psnet.ahrq.gov/issue/how-scale-qu…
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psnet.ahrq.gov/node/60225/psn-pdf
April 15, 2020 - Beyond 'find and fix': improving quality and safety
through resilient healthcare systems.
April 15, 2020
Anderson JE, Ross AJ, Back J, et al. Beyond ‘find and fix’: improving quality and safety through resilient
healthcare systems. Int J Qual Health Care. 2020;32(3):204-211. doi:10.1093/intqhc/mzaa007.
https://psn…
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psnet.ahrq.gov/node/837314/psn-pdf
June 01, 2022 - CMS proposal to suppress hospital safety data angers
advocates — agency says COVID disruptions, staff
shortages hamper ability to fairly score poor performers.
June 1, 2022
Clark C. MedPage Today. May 20, 2022.
https://psnet.ahrq.gov/issue/cms-proposal-suppress-hospital-safety-data-angers-advocates-agency-says-
c…
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psnet.ahrq.gov/node/44716/psn-pdf
April 15, 2016 - An integrative review of patient safety in studies on the
care and safety of patients with communication
disabilities in hospital.
April 15, 2016
Hemsley B, Georgiou A, Hill S, et al. An integrative review of patient safety in studies on the care and
safety of patients with communication disabilities in hospital. …
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psnet.ahrq.gov/node/848378/psn-pdf
May 04, 2023 - Ensuring competency and safety when onboarding newly
hired professional staff.
May 3, 2023
ISMP Medication Safety Alert! Acute care edition. April 20, 2023;28(8):1-4; May 4, 2023;23(9):1-3.
https://psnet.ahrq.gov/issue/ensuring-competency-and-safety-when-onboarding-newly-hired-professional-
staff
Psychological sa…
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psnet.ahrq.gov/node/46877/psn-pdf
March 14, 2018 - Adverse Drug Events in U.S. Hospitals, 2010 Versus 2014.
March 14, 2018
Weiss AJ, Freeman WJ, Heslin KC, Barrett ML. HCUP Statistical Brief #234. Rockville, MD: Agency for
Healthcare Research and Quality; January 2018.
https://psnet.ahrq.gov/issue/adverse-drug-events-us-hospitals-2010-versus-2014
Adverse drug even…
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psnet.ahrq.gov/node/38091/psn-pdf
February 18, 2011 - Questionable hospital chart documentation practices by
physicians.
February 18, 2011
Sharma R, Kostis WJ, Wilson AC, et al. Questionable hospital chart documentation practices by
physicians. J Gen Intern Med. 2008;23(11):1865-70. doi:10.1007/s11606-008-0750-6.
https://psnet.ahrq.gov/issue/questionable-hospital-cha…
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psnet.ahrq.gov/node/46223/psn-pdf
June 14, 2017 - Patient-reported safety incidents in older patients with
long-term conditions: a large cross-sectional study.
June 14, 2017
Panagioti M, Blakeman T, Hann M, et al. Patient-reported safety incidents in older patients with long-term
conditions: a large cross-sectional study. BMJ Open. 2017;7(5):e013524. doi:10.1136/b…
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psnet.ahrq.gov/node/44194/psn-pdf
September 01, 2016 - The effect of provider characteristics on the responses to
medication-related decision support alerts.
September 1, 2016
Cho IS, Slight SP, Nanji KC, et al. The effect of provider characteristics on the responses to medication-
related decision support alerts. Int J Med Inform. 2015;84(9):630-9. doi:10.1016/j.ijmed…
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psnet.ahrq.gov/node/47263/psn-pdf
January 01, 2021 - Dissecting communication barriers in healthcare: a path
to enhancing communication resiliency, reliability, and
patient safety.
November 28, 2018
Guttman OT, Lazzara EH, Keebler JR, et al. Dissecting Communication Barriers in Healthcare: A Path to
Enhancing Communication Resiliency, Reliability, and Patient Safety…
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psnet.ahrq.gov/node/837421/psn-pdf
June 15, 2022 - Are personal health records (PHRs) facilitating patient
safety? A scoping review.
June 15, 2022
Joseph AL, Monkman H, Kushniruk AW, et al. Are personal health records (PHRs) facilitating patient
safety? A scoping review. Stud Health Technol Inform. 2022;2022:535-539. doi:10.3233/shti220516.
https://psnet.ahrq.gov/…
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psnet.ahrq.gov/node/60613/psn-pdf
June 24, 2020 - A sociotechnical framework for safety-related electronic
health record research reporting: the SAFER reporting
framework.
June 24, 2020
Singh H, Sittig DF. A sociotechnical framework for safety-related electronic health record research
reporting: the SAFER reporting framework. Ann Intern Med. 2020;172(11_Supp):S92…
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psnet.ahrq.gov/node/866862/psn-pdf
October 02, 2024 - A mixed methods study exploring patient safety culture at
4 VHA Hospitals.
October 2, 2024
Sullivan JL, Shin MH, Ranusch A, et al. A mixed methods study exploring patient safety culture at 4 VHA
Hospitals. Jt Comm J Qual Patient Saf. 2024;50(11):791-800. doi:10.1016/j.jcjq.2024.07.008.
https://psnet.ahrq.gov/issue…
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psnet.ahrq.gov/node/50742/psn-pdf
December 18, 2019 - Prioritizing patient safety efforts in office practice settings
December 18, 2019
Kravet SJ, Bhatnagar M, Dwyer M, et al. Prioritizing Patient Safety Efforts in Office Practice Settings. J
Patient Saf. 2019;15(4):e98-e101. doi:10.1097/pts.0000000000000652.
https://psnet.ahrq.gov/issue/prioritizing-patient-safety-ef…
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psnet.ahrq.gov/node/73625/psn-pdf
August 25, 2021 - Barriers and facilitators to patient engagement in patient
safety from patients and healthcare professionals'
perspectives: a systematic review and meta-synthesis.
August 25, 2021
Chegini Z, Arab?Zozani M, Shariful Islam SM, et al. Barriers and facilitators to patient engagement in
patient safety from patients and…
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psnet.ahrq.gov/node/35511/psn-pdf
May 31, 2011 - An objective methodology for task analysis and workload
assessment in anesthesia providers.
May 31, 2011
Weinger M B, Herndon O W, Zornow M H, et al. An Objective Methodology for Task Analysis and Workload
Assessment in Anesthesia Providers. Anesthesiology. 2006;80(1):77-92. doi:10.1097/00000542-
199401000-00015.
…
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psnet.ahrq.gov/node/838325/psn-pdf
October 12, 2022 - Comprehensive Healthcare Inspection Summary Report:
Evaluation of Care Coordination in Veterans Health
Administration Facilities, Fiscal Year 2021.
October 12, 2022
Washington, DC: VA Office of the Inspector General; September 15, 2022. Report no. 22-00815-232.
https://psnet.ahrq.gov/issue/comprehensive-healthcare…
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psnet.ahrq.gov/node/43812/psn-pdf
January 14, 2015 - Healthcare Inspection: Evaluation of the Veterans Health
Administration's National Consult Delay Review and
Associated Fact Sheet.
January 14, 2015
Daigh JD Jr. Washington, DC: VA Office of the Inspector General; December 15, 2014. Report No. 14-
04705-62.
https://psnet.ahrq.gov/issue/healthcare-inspection-evalua…