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psnet.ahrq.gov/issue/safe-rx-awards
August 02, 2023 - Award Recipient
The Safe RX Awards.
Citation Text:
The Safe RX Awards. SureScripts
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April 27, 2009
Su…
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psnet.ahrq.gov/node/39510/psn-pdf
September 24, 2016 - Interruptions and distractions in healthcare: review and
reappraisal.
September 24, 2016
Rivera-Rodriguez AJ, Karsh B-T. Interruptions and distractions in healthcare: review and reappraisal. Qual
Saf Health Care. 2010;19(4):304-312. doi:10.1136/qshc.2009.033282.
https://psnet.ahrq.gov/issue/interruptions-and-distr…
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psnet.ahrq.gov/node/39862/psn-pdf
September 24, 2016 - Errors and electronic prescribing: a controlled laboratory
study to examine task complexity and interruption effects.
September 24, 2016
Magrabi F, Li SYW, Day R, et al. Errors and electronic prescribing: a controlled laboratory study to examine
task complexity and interruption effects. J Am Med Inform Assoc. 2010;…
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psnet.ahrq.gov/node/837210/psn-pdf
May 25, 2022 - A learning health system agenda for organizational
approaches to enhancing occupational well-being among
clinicians.
May 25, 2022
Rotenstein LS, Melnick ER, Sinsky CA. A learning health system agenda for organizational approaches to
enhancing occupational well-being among clinicians. JAMA. 2022;327(21):2079-2080.
…
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psnet.ahrq.gov/node/73537/psn-pdf
July 28, 2021 - Health literacy-related safety events: a qualitative study of
health literacy failures in patient safety events.
July 28, 2021
Morrison AK, Gibson C, Higgins C, et al. Health literacy-related safety events: a qualitative study of health
literacy failures in patient safety events. Pediatr Qual Saf. 2021;6(4):e425.
…
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psnet.ahrq.gov/node/60906/psn-pdf
August 18, 2021 - Global Patient Safety Action Plan 2021-2030: Towards
Eliminating Avoidable Harm in Health Care.
August 18, 2021
Geneva, Switzerland: World Health Organization; 2021. ISBN: 9789240032705.
https://psnet.ahrq.gov/issue/global-patient-safety-action-plan-2021-2030-towards-eliminating-avoidable-
harm-health-care
The Wo…
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psnet.ahrq.gov/node/38758/psn-pdf
July 08, 2009 - An international review of patient safety measures in
radiotherapy practice.
July 8, 2009
Shafiq J, Barton M, Noble DJ, et al. An international review of patient safety measures in radiotherapy
practice. Radiother Oncol. 2009;92(1):15-21. doi:10.1016/j.radonc.2009.03.007.
https://psnet.ahrq.gov/issue/international…
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psnet.ahrq.gov/node/45953/psn-pdf
July 22, 2020 - Root Cause Analysis in Health Care: A Joint Commission
Guide to Analysis and Corrective Action of Sentinel and
Adverse Events.
July 22, 2020
Oakbrook Terrace, IL: Joint Commission Resources; 2020. ISBN: 9781635851618.
https://psnet.ahrq.gov/issue/root-cause-analysis-health-care-joint-commission-guide-analysis-and-…
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psnet.ahrq.gov/node/73399/psn-pdf
June 16, 2021 - Examining causes and prevention strategies of adverse
events in deceased hospital patients: a retrospective
patient record review study in the Netherlands.
June 16, 2021
Smits M, Langelaan M, de Groot J, et al. Examining causes and prevention strategies of adverse events in
deceased hospital patients: a retrospect…
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psnet.ahrq.gov/node/844539/psn-pdf
February 15, 2023 - Partnering with patients and families living with chronic
conditions to coproduce diagnostic safety through
OurDX: a previsit online engagement tool.
February 15, 2023
Bell SK, Dong ZJ, DesRoches CM, et al. Partnering with patients and families living with chronic conditions
to coproduce diagnostic safety through …
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psnet.ahrq.gov/node/50792/psn-pdf
January 15, 2020 - Lessons learned implementing a complex and innovative
patient safety learning laboratory project in a large
academic medical center
January 15, 2020
Businger AC, Fuller TE, Schnipper JL, et al. Lessons learned implementing a complex and innovative
patient safety learning laboratory project in a large academic medi…
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psnet.ahrq.gov/node/61066/psn-pdf
October 28, 2020 - Using event reports in real-time to identify and mitigate
patient safety concerns during the COVID-19 pandemic.
October 28, 2020
Kasda EM, Robson C, Saunders J, et al. Using event reports in real-time to identify and mitigate patient
safety concerns during the COVID-19 pandemic. J Patient Saf Risk Manag. 2020;25(4)…
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psnet.ahrq.gov/node/866271/psn-pdf
July 10, 2024 - A taxonomy for advancing systematic error analysis in
multi-site electronic health record-based clinical concept
extraction.
July 10, 2024
Fu S, Wang L, He H, et al. A taxonomy for advancing systematic error analysis in multi-site electronic
health record-based clinical concept extraction. J Am Med Inform Assoc. 2…
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psnet.ahrq.gov/node/45023/psn-pdf
April 17, 2018 - Lean Hospitals: Improving Quality, Patient Safety, and
Employee Engagement, Third Edition.
April 17, 2018
Graban M. Boca Raton, FL: Productivity Press; 2016. ISBN: 9781498743259.
https://psnet.ahrq.gov/issue/lean-hospitals-improving-quality-patient-safety-and-employee-engagement-
third-edition
Lean methodology fo…
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psnet.ahrq.gov/web-mm/adolescent-diabetes-routine-visit
November 18, 2016 - SPOTLIGHT CASE
Adolescent Diabetes: A Routine Visit?
Citation Text:
Slap GB. Adolescent Diabetes: A Routine Visit?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2010.
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psnet.ahrq.gov/perspective/conversation-jack-needleman-phd
September 01, 2012 - In Conversation With… Jack Needleman, PhD
September 1, 2012
Also Read an Essay
Citation Text:
In Conversation With… Jack Needleman, PhD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012…
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psnet.ahrq.gov/node/33858/psn-pdf
May 01, 2018 - In Conversation With… John Halamka, MD, MS
May 1, 2018
In Conversation With… John Halamka, MD, MS. PSNet [internet]. 2018.
https://psnet.ahrq.gov/perspective/conversation-john-halamka-md-ms
Editor's note: Dr. Halamka is the International Healthcare Innovation Professor at Harvard Medical
School, Chief Information …
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psnet.ahrq.gov/innovation/rehearsing-team-care-relatively-rare-obstetric-emergencies-leads-improved-outcomes
July 23, 2024 - Rehearsing Team Care for Relatively Rare Obstetric Emergencies Leads to Improved Outcomes
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December 22, 2020
Innovation
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psnet.ahrq.gov/web-mm/two-wrongs-dont-make-right-kidney
April 01, 2010 - SPOTLIGHT CASE
Two Wrongs Don't Make a Right (Kidney)
Citation Text:
DeVine JG. Two Wrongs Don't Make a Right (Kidney). PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015.
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psnet.ahrq.gov/web-mm/patient-identification-errors-systems-challenge
February 23, 2011 - Patient Identification Errors: A Systems Challenge
Citation Text:
Choudhury LS, Vu CT. Patient Identification Errors: A Systems Challenge. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020.
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