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psnet.ahrq.gov/node/40436/psn-pdf
August 25, 2011 - Hospital discharge documentation and risk of
rehospitalisation.
August 25, 2011
Hansen LO, Strater A, Smith L, et al. Hospital discharge documentation and risk of rehospitalisation. BMJ
Qual Saf. 2011;20(9):773-8. doi:10.1136/bmjqs.2010.048470.
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September 18, 2024 - Achieving diagnostic excellence: roadmaps to develop
and use patient-reported measures with an equity lens.
September 18, 2024
McDonald KM, Gleason KT, Jajodia A, et al. Achieving diagnostic excellence: roadmaps to develop and
use patient-reported measures with an equity lens. Int J Health Policy Manag. 2024;13:804…
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psnet.ahrq.gov/node/35906/psn-pdf
May 27, 2011 - Error reduction in pediatric chemotherapy: computerized
order entry and failure modes and effects analysis.
May 27, 2011
Kim G, Chen AR, Arceci RJ, et al. Error reduction in pediatric chemotherapy: computerized order entry and
failure modes and effects analysis. Arch Pediatr Adolesc Med. 2006;160(5):495-8.
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June 02, 2021 - Association of opioid consumption profiles after
hospitalization with risk of adverse health care events.
June 2, 2021
Kurteva S, Abrahamowicz M, Gomes T, et al. Association of opioid consumption profiles after
hospitalization with risk of adverse health care events. JAMA Netw Open. 2021;4(5):e218782.
doi:10.1001/…
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psnet.ahrq.gov/node/46610/psn-pdf
December 06, 2017 - Pragmatic insights on patient safety priorities and
intervention strategies in ambulatory settings.
December 6, 2017
Sarkar U, McDonald KM, Motala A, et al. Pragmatic Insights on Patient Safety Priorities and Intervention
Strategies in Ambulatory Settings. Jt Comm J Qual Patient Saf. 2017;43(12):661-670.
doi:10.10…
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psnet.ahrq.gov/node/866407/psn-pdf
July 31, 2024 - Effect of digital tools to promote hospital quality and
safety on adverse events after discharge.
July 31, 2024
Vasudevan A, Plombon S, Piniella N, et al. Effect of digital tools to promote hospital quality and safety on
adverse events after discharge. J Am Med Inform Assoc. 2024;31(10):2304-2314.
doi:10.1093/jami…
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psnet.ahrq.gov/node/36902/psn-pdf
June 09, 2010 - Patient handover from surgery to intensive care: using
Formula 1 pit-stop and aviation models to improve safety
and quality.
June 9, 2010
Catchpole K, de Leval MR, McEwan A, et al. Patient handover from surgery to intensive care: using
Formula 1 pit-stop and aviation models to improve safety and quality. Paediatr …
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psnet.ahrq.gov/node/45770/psn-pdf
January 25, 2017 - Understanding patient-centred readmission factors: a
multi-site, mixed-methods study.
January 25, 2017
Greysen R, Harrison JD, Kripalani S, et al. Understanding patient-centred readmission factors: a multi-site,
mixed-methods study. BMJ Qual Saf. 2017;26(1):33-41. doi:10.1136/bmjqs-2015-004570.
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psnet.ahrq.gov/node/860721/psn-pdf
January 17, 2024 - How safe are outpatient electronic health records? An
evaluation of medication-related decision support using
the Ambulatory Electronic Health Record Evaluation Tool.
January 17, 2024
Co Z, Classen DC, Cole JM, et al. How safe are outpatient electronic health records? An evaluation of
medication-related decision s…
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psnet.ahrq.gov/node/34087/psn-pdf
June 16, 2011 - Evaluation of the culture of safety: survey of clinicians
and managers in an academic medical center.
June 16, 2011
Pronovost PJ, Weast B, Holzmueller CG, et al. Evaluation of the culture of safety: survey of clinicians and
managers in an academic medical center. Qual Saf Health Care. 2003;12(6):405-10.
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September 27, 2023 - Scaling up a diagnostic pause at the ICU-to-ward
transition: an exploration of barriers and facilitators to
implementation of the ICU-PAUSE handoff tool.
September 27, 2023
Cornell EG, Harris E, McCune E, et al. Scaling up a diagnostic pause at the ICU-to-ward transition: an
exploration of barriers and facilitator…
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psnet.ahrq.gov/node/764398/psn-pdf
March 02, 2022 - What do we really know about crew resource
management in healthcare?: An umbrella review on crew
resource management and its effectiveness.
March 2, 2022
Buljac-Samardzic M, Dekker-van Doorn CM, Maynard MT. What do we really know about crew resource
management in healthcare?: An umbrella review on crew resource ma…
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psnet.ahrq.gov/node/837589/psn-pdf
June 29, 2022 - Monitoring preventable adverse events and near misses:
number and type identified differ depending on method
used.
June 29, 2022
Isaksson S, Schwarz A, Rusner M, et al. Monitoring preventable adverse events and near misses: number
and type identified differ depending on method used. J Patient Saf. 2022;18(4):325-3…
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psnet.ahrq.gov/node/35889/psn-pdf
March 10, 2011 - Automated surveillance for adverse drug events at a
community hospital and an academic medical center.
March 10, 2011
Kilbridge PM, Campbell UC, Cozart HB, et al. Automated surveillance for adverse drug events at a
community hospital and an academic medical center. J Am Med Inform Assoc. 2006;13(4):372-7.
https://…
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psnet.ahrq.gov/node/41725/psn-pdf
January 01, 2013 - Improving patient handovers from hospital to primary
care: a systematic review.
October 3, 2012
Hesselink G, Schoonhoven L, Barach P, et al. Improving patient handovers from hospital to primary care: a
systematic review. Ann Intern Med. 2013;157(6):417. doi:10.7326/0003-4819-157-6-201209180-00006.
https://psnet.ah…
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psnet.ahrq.gov/node/43292/psn-pdf
January 07, 2015 - Clinical decision support for atypical orders: detection
and warning of atypical medication orders submitted to a
computerized provider order entry system.
January 7, 2015
Woods AD, Mulherin DP, Flynn AJ, et al. Clinical decision support for atypical orders: detection and
warning of atypical medication orders subm…
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psnet.ahrq.gov/node/35467/psn-pdf
March 11, 2011 - The impact of electronic health records on time efficiency
of physicians and nurses: a systematic review.
March 11, 2011
Poissant L, Pereira J, Tamblyn R, et al. The impact of electronic health records on time efficiency of
physicians and nurses: a systematic review. J Am Med Inform Assoc. 2005;12(5):505-16.
https…
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psnet.ahrq.gov/node/47845/psn-pdf
April 24, 2019 - Differential safety between top-ranked cancer hospitals
and their affiliates for complex cancer surgery.
April 24, 2019
Hoag JR, Resio BJ, Monsalve AF, et al. Differential Safety Between Top-Ranked Cancer Hospitals and
Their Affiliates for Complex Cancer Surgery. JAMA Netw Open. 2019;2(4):e191912.
doi:10.1001/jama…
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psnet.ahrq.gov/node/44515/psn-pdf
February 23, 2018 - The Expert Panel Report to Texas Health Resources
Leadership on the 2014 Ebola Events.
February 23, 2018
Cortese D, Abbott P, Chassin M, Lyon GM III, Riley WJ. Dallas, TX: Texas Health Resources Leadership;
2015.
https://psnet.ahrq.gov/issue/expert-panel-report-texas-health-resources-leadership-2014-ebola-events
…
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psnet.ahrq.gov/node/44158/psn-pdf
September 30, 2015 - Meaningful Use stage 2 e-prescribing threshold and
adverse drug events in the Medicare Part D population
with diabetes.
September 30, 2015
Powers C, Gabriel MH, Encinosa W, et al. Meaningful use stage 2 e-prescribing threshold and adverse
drug events in the Medicare Part D population with diabetes. J Am Med Inform…