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psnet.ahrq.gov/issue/electronic-health-record-based-real-time-analytics-program-patient-safety-surveillance-and
May 19, 2018 - Study
An electronic health record–based real-time analytics program for patient safety surveillance and improvement.
Citation Text:
Classen D, Li M, Miller S, et al. An Electronic Health Record-Based Real-Time Analytics Program For Patient Safety Surveillance And Improvement. Health Aff …
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psnet.ahrq.gov/node/35015/psn-pdf
June 16, 2011 - Keeping Patients Safe: Transforming the Work
Environment of Nurses.
June 16, 2011
Page A; Committee on the Work Environment for Nurses and Patient Safety, Board on Health Care
Services. Washington, DC: The National Academies Press; 2004. ISBN: 9780309090674.
https://psnet.ahrq.gov/issue/keeping-patients-safe-trans…
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psnet.ahrq.gov/node/837809/psn-pdf
August 10, 2022 - The Uneven Burden of Maternal Mortality in the U.S.
August 10, 2022
NIHCM Foundation. Washington DC: National Institute for Health Care Management. August 2, 2022.
https://psnet.ahrq.gov/issue/uneven-burden-maternal-mortality-us
Preventable maternal morbidity is an ongoing challenge in the United States. This infog…
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psnet.ahrq.gov/node/35397/psn-pdf
September 10, 2009 - The National Medical Error Disclosure and Compensation
(MEDiC) Act.
September 10, 2009
Rodham-Clinton H; Obama B. 109th Congress. 1st Session. S. 1784. September 28, 2005.
https://psnet.ahrq.gov/issue/national-medical-error-disclosure-and-compensation-medic-act
This bill, introduced to the Senate by Senators Clint…
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psnet.ahrq.gov/node/41293/psn-pdf
June 01, 2012 - Developing an action plan for patient radiation safety in
adult cardiovascular medicine.
June 1, 2012
Douglas PS, Carr J, Cerqueira MD, et al. Developing an action plan for patient radiation safety in adult
cardiovascular medicine: proceedings from the Duke University Clinical Research Institute/American
College o…
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psnet.ahrq.gov/node/38913/psn-pdf
May 24, 2015 - Thinking Outside the Pillbox: A System-wide Approach to
Improving Patient Medication Adherence for Chronic
Disease.
May 24, 2015
Cambridge, MA: New England Healthcare Institute; August 12, 2009.
https://psnet.ahrq.gov/issue/thinking-outside-pillbox-system-wide-approach-improving-patient-medication-
adherence-chro…
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psnet.ahrq.gov/node/37053/psn-pdf
July 31, 2008 - Electronic health record use and the quality of ambulatory
care in the United States.
July 31, 2008
Linder JA, Ma J, Bates DW, et al. Electronic health record use and the quality of ambulatory care in the
United States. Arch Intern Med. 2007;167(13):1400-5.
https://psnet.ahrq.gov/issue/electronic-health-record-use…
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psnet.ahrq.gov/node/41062/psn-pdf
July 02, 2014 - Perspective: a road map for academic departments to
promote scholarship in quality improvement and patient
safety.
July 2, 2014
Neeman N, Sehgal NL. Perspective: a road map for academic departments to promote scholarship in
quality improvement and patient safety. Acad Med. 2012;87(2):168-71.
doi:10.1097/ACM.0b013…
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psnet.ahrq.gov/node/836870/psn-pdf
April 26, 2022 - A Conversation Among Stakeholders on Medical
Malpractice.
April 6, 2022
Collaborative for Accountability and Improvement. April 26, 2022.
https://psnet.ahrq.gov/issue/conversation-among-stakeholders-medical-malpractice
Communication and resolution programs (CRP) can improve response to patients and families a…
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psnet.ahrq.gov/node/72688/psn-pdf
October 06, 2022 - Request for proposals for clinical quality measures to
improve diagnosis.
October 6, 2022
Palo Alto CA; Gordon and Betty Moore Foundation: February 22, 2022.
https://psnet.ahrq.gov/issue/request-proposals-clinical-quality-measures-improve-diagnosis
A lack of consensus on measures for the effectiveness and ac…
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psnet.ahrq.gov/node/50457/psn-pdf
October 09, 2019 - Combined SNA and LDA methods to understand adverse
medical events
October 9, 2019
Zhu L, Reychav I, McHaney R, et al. Combined SNA and LDA methods to understand adverse medical
events. Int J Risk Saf Med. 2019;30(3):129-153. doi:10.3233/JRS-180052.
https://psnet.ahrq.gov/issue/combined-sna-and-lda-methods-understa…
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psnet.ahrq.gov/node/42028/psn-pdf
February 18, 2014 - Warning! Severe burns and permanent scarring after
glacial acetic acid (?99.5%) mistakenly applied topically.
February 18, 2014
National Alert Network for Serious Medication Errors. Bethesda, MD: American Society of Health-System
Pharmacists and Institute for Safe Medication Practices; January 23, 2013.
https://ps…
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psnet.ahrq.gov/node/40352/psn-pdf
April 06, 2011 - Safety culture of nursing homes: opinions of top
managers.
April 6, 2011
Castle NG, Wagner LM, Ferguson JC, et al. Safety culture of nursing homes: opinions of top managers.
Health Care Manage Rev. 2011;36(2):175-187. doi:10.1097/HMR.0b013e3182080d5f.
https://psnet.ahrq.gov/issue/safety-culture-nursing-homes-opini…
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psnet.ahrq.gov/node/45176/psn-pdf
July 20, 2016 - Sustaining Improvement.
July 20, 2016
Scoville R, Little K, Rakover J, et al. Cambridge, Massachusetts: Institute for Healthcare Improvement;
2016.
https://psnet.ahrq.gov/issue/sustaining-improvement
Numerous activities and programs have been launched to improve patient safety, but sustaining
improvements can be …
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psnet.ahrq.gov/node/35233/psn-pdf
August 10, 2005 - The influence of the causes and contexts of medical
errors on emergency medicine residents' responses to
their errors: an exploration.
August 10, 2005
Hobgood C, Hevia A, Tamayo-Sarver JH, et al. The influence of the causes and contexts of medical errors
on emergency medicine residents' responses to their errors: …
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psnet.ahrq.gov/node/34668/psn-pdf
June 06, 2018 - Please don't sleep through this wake-up call.
June 6, 2018
ISMP Medication Safety Alert! Acute Care Edition. May 2, 2001.
https://psnet.ahrq.gov/issue/please-dont-sleep-through-wake-call
This is an alert from the Institute for Safe Medication Practices informing readers of a fatal medication error
that occu…
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psnet.ahrq.gov/node/48136/psn-pdf
August 07, 2019 - Safe Practices for Drug Allergies—Using CDS and Health
IT.
August 7, 2019
Partnership for Health IT Patient Safety. Plymouth Meeting, PA: ECRI Institute; 2019.
https://psnet.ahrq.gov/issue/safe-practices-drug-allergies-using-cds-and-health-it
Inconsistent checking for and consideration of drug allergy alerts can d…
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psnet.ahrq.gov/node/74031/psn-pdf
November 03, 2021 - Emergency department crowding: the canary in the health
care system.
November 3, 2021
doi:10.1056/CAT.21.0217.
https://psnet.ahrq.gov/issue/emergency-department-crowding-canary-health-care-system
Emergency department (ED) overcrowding and boarding can result in worse patient outcomes and
increased risk of medical…
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psnet.ahrq.gov/node/866531/psn-pdf
August 14, 2024 - The Impact of Artificial Intelligence (AI) on the Safety of
Patients.
August 14, 2024
Institute for Healthcare Improvement. The Impact of Artificial Intelligence (AI) on the Safety of Patients. .
https://psnet.ahrq.gov/issue/impact-artificial-intelligence-ai-safety-patients
Artificial intelligence (AI) is rapidly …
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psnet.ahrq.gov/node/37576/psn-pdf
May 24, 2015 - Saving Lives, Saving Money: The Imperative for
Computerized Physician Order Entry in Massachusetts
Hospitals.
May 24, 2015
Adams M, Bates D, Coffman G, et al. Boston, MA: Massachusetts Technology Collaborative; New England
Healthcare Institute; February 2008.
https://psnet.ahrq.gov/issue/saving-lives-saving-money…