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psnet.ahrq.gov/node/845301/psn-pdf
March 01, 2023 - Evaluation of effectiveness and safety of pharmacist
independent prescribers in care homes: cluster
randomised controlled trial.
March 1, 2023
Holland R, Bond CM, Alldred DP, et al. Evaluation of effectiveness and safety of pharmacist independent
prescribers in care homes: cluster randomised controlled trial. BMJ.…
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psnet.ahrq.gov/node/36380/psn-pdf
February 28, 2011 - Graduate medical education and patient safety: a busy--
and occasionally hazardous--intersection.
February 28, 2011
Shojania KG, Fletcher KE, Saint S. Graduate medical education and patient safety: a busy--and
occasionally hazardous--intersection. Ann Intern Med. 2006;145(8):592-8.
https://psnet.ahrq.gov/issue/gra…
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psnet.ahrq.gov/node/36768/psn-pdf
July 14, 2010 - Hospital leadership and quality improvement: rhetoric
versus reality.
July 14, 2010
Levey S, Vaughn T, Koepke M, et al. Hospital Leadership and Quality Improvement. J Patient Saf.
2008;3(1). doi:10.1097/pts.0b013e3180311256.
https://psnet.ahrq.gov/issue/hospital-leadership-and-quality-improvement-rhetoric-versus-r…
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psnet.ahrq.gov/node/841140/psn-pdf
December 07, 2022 - Association of measured quality and future financial
performance among hospitals performing cardiac
surgery.
December 7, 2022
Enumah SJ, Sundt TM, Chang DC. Association of measured quality and future financial performance
among hospitals performing cardiac surgery. J Healthc Manag. 2022;67(5):367-379. doi:10.1097/…
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psnet.ahrq.gov/node/853057/psn-pdf
August 30, 2023 - Just what the doctor ordered: missed ordering of venous
thromboembolism chemoprophylaxis is associated with
increased VTE events in high-risk general surgery
patients.
August 30, 2023
Baimas-George MR, Ross SW, Yang H, et al. Just what the doctor ordered: missed ordering of venous
thromboembolism chemoprophylaxis…
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psnet.ahrq.gov/node/40994/psn-pdf
December 18, 2014 - Implementing medication reconciliation in outpatient
pediatrics.
December 18, 2014
Rappaport DI, Collins B, Koster A, et al. Implementing medication reconciliation in outpatient pediatrics.
Pediatrics. 2011;128(6):e1600-7. doi:10.1542/peds.2011-0993.
https://psnet.ahrq.gov/issue/implementing-medication-reconciliat…
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psnet.ahrq.gov/node/48015/psn-pdf
June 15, 2019 - Knowledge retention after simulated crisis: importance of
independent practice and simulated mortality.
June 15, 2019
Burnett G, Goldberg A, DeMaria S, et al. Knowledge retention after simulated crisis: importance of
independent practice and simulated mortality. Br J Anaesth. 2019;123(1):81-87.
doi:10.1016/j.bja.2…
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psnet.ahrq.gov/node/35620/psn-pdf
February 03, 2011 - Excess dosing of antiplatelet and antithrombin agents in
the treatment of non–ST-segment elevation acute
coronary syndromes.
February 3, 2011
Alexander KP, Chen AY, Roe MT, et al. Excess dosing of antiplatelet and antithrombin agents in the
treatment of non-ST-segment elevation acute coronary syndromes. JAMA. 2005…
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psnet.ahrq.gov/node/35531/psn-pdf
May 27, 2011 - U.S. adoption of computerized physician order entry
systems.
May 27, 2011
Cutler DM, Feldman NE, Horwitz JR. U.S. adoption of computerized physician order entry systems. Health
Aff (Millwood). 2005;24(6):1654-63.
https://psnet.ahrq.gov/issue/us-adoption-computerized-physician-order-entry-systems
This study discov…
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psnet.ahrq.gov/node/45434/psn-pdf
September 22, 2017 - Organisational strategies to implement hospital pressure
ulcer prevention programmes: findings from a national
survey.
September 22, 2017
Soban LM, Kim L, Yuan AH, et al. Organisational strategies to implement hospital pressure ulcer
prevention programmes: findings from a national survey. J Nurs Manag. 2017;25(6):…
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psnet.ahrq.gov/node/43798/psn-pdf
January 07, 2015 - Pharmacist-managed inpatient discharge medication
reconciliation: a combined onsite and telepharmacy
model.
January 7, 2015
Keeys C, Kalejaiye B, Skinner M, et al. Pharmacist-managed inpatient discharge medication reconciliation:
a combined onsite and telepharmacy model. Am J Health Syst Pharm. 2014;71(24):2159-66…
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psnet.ahrq.gov/node/41703/psn-pdf
November 08, 2012 - Anatomy of an incident disclosure: the importance of
dialogue.
November 8, 2012
Iedema R, Allen S. Anatomy of an incident disclosure: the importance of dialogue. Jt Comm J Qual Patient
Saf. 2012;38(10):435-42.
https://psnet.ahrq.gov/issue/anatomy-incident-disclosure-importance-dialogue
Physician organizations who…
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psnet.ahrq.gov/node/36457/psn-pdf
May 27, 2011 - Controversies surrounding use of order sets for clinical
decision support in computerized provider order entry.
May 27, 2011
Bobb AM, Payne TH, Gross PA. Viewpoint: controversies surrounding use of order sets for clinical decision
support in computerized provider order entry. J Am Med Inform Assoc. 2007;14(1):41-7.…
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psnet.ahrq.gov/node/838631/psn-pdf
October 19, 2022 - An asset-based quality improvement tool for health care
organizations: cultivating organization wide quality
improvement and health care professional engagement.
October 19, 2022
Loving VA, Nolan C, Bessel M. An asset-based quality improvement tool for health care organizations:
cultivating organization wide quali…
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psnet.ahrq.gov/node/60251/psn-pdf
April 22, 2020 - Exploring the association between organizational culture
and large-scale adverse events: evidence from the
Veterans Health Administration.
April 22, 2020
George J, Elwy AR, Charns MP, et al. Exploring the Association Between Organizational Culture and
Large-Scale Adverse Events: Evidence from the Veterans Health A…
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/readiness.html
May 01, 2017 - Readiness To Partner With Patient and Family Advisers - Patient and Family Engagement in the Surgical Environment Module
As a clinician or staff member, I am ready to work with patient and family advisers when—
|___| I believe in the importance of patient and family participation in planning and d…
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psnet.ahrq.gov/node/866276/psn-pdf
July 10, 2024 - Quality and patient safety metrics: developing a
structured program for improving patient care in the
Department of Medicine at The Ottawa Hospital.
July 10, 2024
Hasimja-Saraqini D, McNeill K, Kuk H, et al. Quality and patient safety metrics: developing a structured
program for improving patient care in the Depar…
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psnet.ahrq.gov/node/837799/psn-pdf
August 10, 2022 - Effect of a pharmacy-based centralized intravenous
admixture service on the prevalence of medication errors:
a before-and-after study.
August 10, 2022
Jessurun JG, Hunfeld NGM, Van Rosmalen J, et al. Effect of a pharmacy-based centralized intravenous
admixture service on the prevalence of medication errors: a befo…
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psnet.ahrq.gov/node/45861/psn-pdf
April 05, 2017 - Assessing content validity and user perspectives on the
Team Check-up Tool: expert survey and user focus
groups.
April 5, 2017
Marsteller JA, Hsu Y-J, Chan KS, et al. Assessing content validity and user perspectives on the Team
Check-up Tool: expert survey and user focus groups. BMJ Qual Saf. 2017;26(4):288-295.
…
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psnet.ahrq.gov/node/47069/psn-pdf
June 18, 2021 - Physical and verbal violence against health care workers.
June 18, 2021
Physical and verbal violence against health care workers. Sentinel Event Alert. 2018;59:1-9 (revised June
18, 2021).
https://psnet.ahrq.gov/issue/physical-and-verbal-violence-against-health-care-workers
The Joint Commission issues sentinel eve…