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psnet.ahrq.gov/node/45192/psn-pdf
December 04, 2016 - Evidence summary and recommendations for improved
communication during care transitions.
December 4, 2016
Jackson PD, Biggins MS, Cowan L, et al. Evidence Summary and Recommendations for Improved
Communication during Care Transitions. Rehabil Nurs. 2016;41(3):135-48. doi:10.1002/rnj.230.
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psnet.ahrq.gov/node/863215/psn-pdf
February 28, 2024 - Learning from non-routine events and teamwork in
intensive care units: challenges and opportunities.
February 28, 2024
Gong Y, Chen Y. Learning from non-routine events and teamwork in intensive care units: challenges and
opportunities. Stud Health Technol Inform. 2024;310:324-328. doi:10.3233/shti230980.
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January 01, 2021 - Associations of physicians’ prescribing experience, work
hours, and workload with prescription errors.
November 18, 2020
Leviatan I, Oberman B, Zimlichman E, et al. Associations of physicians’ prescribing experience, work
hours, and workload with prescription errors. J Am Med Inform Assoc. 2021;28(6):1074-1080.
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September 06, 2017 - Patient Safety in the Home: Assessment of Issues,
Challenges, and Opportunities.
September 6, 2017
Carpenter D, Famolaro T, Hassell S, et al. Cambridge, MA: Institute for Healthcare Improvement; 2017.
https://psnet.ahrq.gov/issue/patient-safety-home-assessment-issues-challenges-and-opportunities
The ambulatory env…
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April 13, 2016 - Good Practice Guides on Medication Errors: Part 1 and
Part 2.
April 13, 2016
Goedecke T, Ord K, Newbould V, et al. Medication Errors: New Eu Good Practice Guide On Risk
Minimisation And Error Prevention. Springer Science and Business Media LLC; 2016. doi:10.1007/s40264-
016-0410-4.
https://psnet.ahrq.gov/issue/go…
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March 29, 2023 - Electronic health record-based prediction models for in-
hospital adverse drug event diagnosis or prognosis: a
systematic review.
March 29, 2023
Yasrebi-de Kom IAR, Dongelmans DA, de Keizer NF, et al. Electronic health record-based prediction
models for in-hospital adverse drug event diagnosis or prognosis: a syst…
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April 29, 2010 - Medication errors involving patient-controlled analgesia.
April 29, 2010
Hicks RW, Sikirica V, Nelson W, et al. Medication errors involving patient-controlled analgesia. Am J Health
Syst Pharm. 2008;65(5):429-40. doi:10.2146/ajhp070194.
https://psnet.ahrq.gov/issue/medication-errors-involving-patient-controlled-a…
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psnet.ahrq.gov/node/35448/psn-pdf
September 18, 2009 - Relationship between performance measurement and
accreditation: implications for quality of care and patient
safety.
September 18, 2009
Miller MR, Pronovost P, Donithan M, et al. Relationship between performance measurement and
accreditation: implications for quality of care and patient safety. Am J Med Qual. 2005…
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psnet.ahrq.gov/node/866936/psn-pdf
October 30, 2024 - Improving Hospital Handoffs Using AHRQ's Surveys on
Patient Safety Culture Hospital Survey.
October 30, 2024
Agency for Healthcare Research and Quality. Improving Hospital Handoffs Using AHRQ's Surveys on
Patient Safety Culture Hospital Survey. October 30, 2024.
https://psnet.ahrq.gov/issue/improving-hospital-hand…
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psnet.ahrq.gov/node/34889/psn-pdf
March 04, 2011 - Effect of electronic health records in ambulatory care:
retrospective, serial, cross sectional study.
March 4, 2011
Garrido T, Jamieson L, Zhou Y, et al. Effect of electronic health records in ambulatory care: retrospective,
serial, cross sectional study. BMJ. 2005;330(7491):581.
https://psnet.ahrq.gov/issue/effec…
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psnet.ahrq.gov/node/43141/psn-pdf
April 30, 2014 - Engaging residents and fellows to improve institution-
wide quality: the first six years of a novel financial
incentive program.
April 30, 2014
Vidyarthi A, Green AL, Rosenbluth G, et al. Engaging residents and fellows to improve institution-wide
quality: the first six years of a novel financial incentive program.…
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psnet.ahrq.gov/node/850165/psn-pdf
June 07, 2023 - Adolescents identifying errors and omissions in their
electronic health records: a national survey.
June 7, 2023
Hagström J, Blease CR, Kharko A, et al. Adolescents identifying errors and omissions in their electronic
health records: a national survey. Stud Health Technol Inform. 2023;302:242-246. doi:10.3233/shti2…
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psnet.ahrq.gov/node/46202/psn-pdf
January 01, 2021 - Assessment of automating safety surveillance from
electronic health records: analysis for the quality and
safety review system.
September 20, 2017
Fong A, Adams KT, Samarth A, et al. Assessment of Automating Safety Surveillance From Electronic
Health Records: Analysis for the Quality and Safety Review System. J Pa…
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psnet.ahrq.gov/node/44033/psn-pdf
April 22, 2015 - Quality improvements in decreasing medication
administration errors made by nursing staff in an
academic medical center hospital: a trend analysis during
the journey to Joint Commission International
accreditation and in the post-accreditation era.
April 22, 2015
Wang H-F, Jin J-F, Feng X-Q, et al. Quality improv…
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psnet.ahrq.gov/node/47691/psn-pdf
June 02, 2019 - Transfusion safety: the nature and outcomes of errors in
patient registration.
June 2, 2019
Cohen R, Ning S, Yan MTS, et al. Transfusion Safety: The Nature and Outcomes of Errors in Patient
Registration. Transfus Med Rev. 2019;33(2):78-83. doi:10.1016/j.tmrv.2018.11.004.
https://psnet.ahrq.gov/issue/transfusion-sa…
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psnet.ahrq.gov/node/47031/psn-pdf
December 19, 2018 - A web application to involve patients in the medication
reconciliation process: a user-centered usability and
usefulness study.
December 19, 2018
Marien S, Legrand D, Ramdoyal R, et al. A web application to involve patients in the medication
reconciliation process: a user-centered usability and usefulness study. J…
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psnet.ahrq.gov/node/867014/psn-pdf
October 23, 2024 - Secondary analysis of hand-offs in internal medicine
using the I-PASS mnemonic.
October 23, 2024
Huber A, Moyano B, Blondon K. Secondary analysis of hand-offs in internal medicine using the I-PASS
mnemonic. BMC Med Educ. 2024;24(1):1046. doi:10.1186/s12909-024-05880-7.
https://psnet.ahrq.gov/issue/secondary-analys…
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psnet.ahrq.gov/node/38995/psn-pdf
March 04, 2011 - Does computerized provider order entry reduce
prescribing errors for hospital inpatients? A systematic
review.
March 4, 2011
Reckmann MH, Westbrook JI, Koh Y, et al. Does computerized provider order entry reduce prescribing
errors for hospital inpatients? A systematic review. J Am Med Inform Assoc. 2009;16(5):613-…
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August 04, 2021 - Pharmacist-led educational interventions provided to
healthcare providers to reduce medication errors: a
systematic review and meta-analysis.
August 4, 2021
Jaam M, Naseralallah LM, Hussain TA, et al. Pharmacist-led educational interventions provided to
healthcare providers to reduce medication errors: a systemati…
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psnet.ahrq.gov/node/44456/psn-pdf
September 02, 2015 - Tackling communication barriers between long-term care
facility and emergency department transfers to improve
medication safety in older adults.
September 2, 2015
Callinan SM, Brandt NJ. Tackling communication barriers between long-term care facility and emergency
department transfers to improve medication safety …