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psnet.ahrq.gov/node/46353/psn-pdf
August 23, 2017 - Addressing the Opioid Epidemic: Is There a Role for
Physician Education?
August 23, 2017
Schnell M, Currie J. Cambridge, MA: National Bureau of Economic Research; August 2017. Working Paper
No. 23645.
https://psnet.ahrq.gov/issue/addressing-opioid-epidemic-there-role-physician-education
Overprescribing is seen as…
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psnet.ahrq.gov/node/73257/psn-pdf
December 01, 2021 - Peer Review of a Report on Strategies to Improve Patient
Safety.
May 12, 2021
Washington DC: National Academies of Sciences, Engineering, and Medicine; 2021. ISBN:
9780309462808.
https://psnet.ahrq.gov/issue/peer-review-report-strategies-improve-patient-safety
The Patient Safety and Quality Improvement Act of 200…
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psnet.ahrq.gov/node/46190/psn-pdf
August 17, 2017 - Preventing harm in the ICU—building a culture of safety
and engaging patients and families.
August 17, 2017
Thornton KC, Schwarz JJ, Gross K, et al. Preventing Harm in the ICU-Building a Culture of Safety and
Engaging Patients and Families. Crit Care Med. 2017;45(9):1531-1537.
doi:10.1097/CCM.0000000000002556.
ht…
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psnet.ahrq.gov/node/73566/psn-pdf
August 04, 2021 - Personal formularies of primary care physicians across 4
health care systems.
August 4, 2021
Galanter W, Eguale T, Gellad WF, et al. Personal formularies of primary care physicians across 4 health
care systems. JAMA Netw Open. 2021;4(7):e2117038. doi:10.1001/jamanetworkopen.2021.17038.
https://psnet.ahrq.gov/issue…
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psnet.ahrq.gov/node/45743/psn-pdf
June 21, 2017 - Strategies for improving the value of the radiology report:
a retrospective analysis of errors in formally over-read
studies.
June 21, 2017
Kabadi SJ, Krishnaraj A. Strategies for improving the value of the radiology report: a retrospective analysis
of errors in formally over-read studies. J Am Coll Radiol. 2017;1…
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psnet.ahrq.gov/node/47305/psn-pdf
March 19, 2019 - Effect of genetic diagnosis on patients with previously
undiagnosed disease.
March 19, 2019
Splinter K, Adams DR, Bacino CA, et al. Effect of Genetic Diagnosis on Patients with Previously
Undiagnosed Disease. New Engl J Med. 2018;379(22):2131-2139. doi:10.1056/NEJMoa1714458.
https://psnet.ahrq.gov/issue/effect-gen…
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psnet.ahrq.gov/node/37026/psn-pdf
September 15, 2011 - Residents feel unprepared and unsupervised as leaders
of cardiac arrest teams in teaching hospitals: a survey of
internal medicine residents.
September 15, 2011
Hayes CW, Rhee A, Detsky ME, et al. Residents feel unprepared and unsupervised as leaders of cardiac
arrest teams in teaching hospitals: a survey of inter…
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psnet.ahrq.gov/node/44570/psn-pdf
October 21, 2015 - Technical Evaluation, Testing, and Validation of the
Usability of Electronic Health Records: Empirically Based
Use Cases for Validating Safety-Enhanced Usability and
Guidelines for Standardization.
October 21, 2015
Lowry SZ, Ramaiah M, Taylor S, et al. Gaithersburg, MD: US Department of Commerce, National Institut…
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psnet.ahrq.gov/node/47542/psn-pdf
January 16, 2019 - Utilizing a Systems and Design Thinking Approach for
Improving Well-Being Within Health Professional
Education and Health Care.
January 16, 2019
Kreitzer MJ, Carter K, Coffey DS, et al. NAM Perspectives. Washington, DC: National Academy of
Medicine; 2019.
https://psnet.ahrq.gov/issue/utilizing-systems-and-design-…
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psnet.ahrq.gov/node/47926/psn-pdf
May 22, 2019 - The Canadian Quality and Patient Safety Framework for
Health and Social Services.
May 22, 2019
Canadian Patient Safety Institute and Health Standards Organization.
https://psnet.ahrq.gov/issue/canadian-quality-and-patient-safety-framework-health-and-social-services
This 5-year framework aims to guide the activitie…
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psnet.ahrq.gov/node/46088/psn-pdf
May 24, 2017 - Innovative use of the electronic health record to support
harm reduction efforts.
May 24, 2017
Hyman D, Neiman J, Rannie M, et al. Innovative Use of the Electronic Health Record to Support Harm
Reduction Efforts. Pediatrics. 2017;139(5). doi:10.1542/peds.2015-3410.
https://psnet.ahrq.gov/issue/innovative-use-elect…
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psnet.ahrq.gov/node/837853/psn-pdf
August 17, 2022 - RaDonda Vaught, medication safety, and the profession
of pharmacy: steps to improve safety and ensure justice.
August 17, 2022
Lambert BL, Schiff GD. RaDonda Vaught, medication safety, and the profession of pharmacy: steps to
improve safety and ensure justice. J Am Coll Clin Pharm. 2022;5(9):981-987. doi:10.1002/ja…
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psnet.ahrq.gov/node/39638/psn-pdf
July 02, 2014 - Teaching quality improvement and patient safety to
trainees: a systematic review.
July 2, 2014
Wong BM, Etchells E, Kuper A, et al. Teaching quality improvement and patient safety to trainees: a
systematic review. Acad Med. 2010;85(9):1425-39. doi:10.1097/ACM.0b013e3181e2d0c6.
https://psnet.ahrq.gov/issue/teaching…
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psnet.ahrq.gov/node/847725/psn-pdf
April 19, 2023 - A scoping review of the hidden curriculum in pharmacy
education.
April 19, 2023
Park SK, Chen AMH, Daugherty KK, et al. A scoping review of the hidden curriculum in pharmacy
education. Am J Pharm Educ. 2023;87(3):ajpe8999. doi:10.5688/ajpe8999.
https://psnet.ahrq.gov/issue/scoping-review-hidden-curriculum-pharmacy…
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psnet.ahrq.gov/node/46911/psn-pdf
May 02, 2018 - Errors in electronic health record–based data query of
statin prescriptions in patients with coronary artery
disease in a large, academic, multispecialty clinic
practice.
May 2, 2018
Shin EY, Ochuko P, Bhatt K, et al. Errors in Electronic Health Record-Based Data Query of Statin
Prescriptions in Patients With Cor…
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psnet.ahrq.gov/node/837059/psn-pdf
May 11, 2022 - Anti-black racism as a chronic condition.
May 11, 2022
Sederstrom N, Lasege T. Anti-black racism as a chronic condition. Hastings Cent Rep. 2022;52(S1):s24-
s29. doi:10.1002/hast.1364.
https://psnet.ahrq.gov/issue/anti-black-racism-chronic-condition
Racial bias and systemic racism in healthcare are increasingly se…
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psnet.ahrq.gov/node/45528/psn-pdf
October 26, 2016 - Implementing the RISE second victim support programme
at the Johns Hopkins Hospital: a case study.
October 26, 2016
Edrees HH, Connors C, Paine LA, et al. Implementing the RISE second victim support programme at the
Johns Hopkins Hospital: a case study. BMJ Open. 2016;6(9):e011708. doi:10.1136/bmjopen-2016-011708.
…
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psnet.ahrq.gov/node/851916/psn-pdf
August 02, 2023 - Measurement and Monitoring of Safety Framework: a
qualitative study of implementation through a Canadian
learning collaborative.
August 2, 2023
Goldman J, Rotteau L, Flintoft V, et al. Measurement and Monitoring of Safety Framework: a qualitative
study of implementation through a Canadian learning collaborative. B…
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psnet.ahrq.gov/node/838013/psn-pdf
September 07, 2022 - Using the Global Trigger Tool in surgical and
neurosurgical patients: a feasibility study.
September 7, 2022
Brösterhaus M, Hammer A, Gruber R, et al. Using the Global Trigger Tool in surgical and neurosurgical
patients: a feasibility study. PLoS ONE. 2022;17(8):e0272853. doi:10.1371/journal.pone.0272853.
https://…
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psnet.ahrq.gov/node/41643/psn-pdf
September 05, 2012 - A Randomized Field Study of a Leadership WalkRounds-
Based Intervention.
September 5, 2012
Tucker AL, Singer SJ. Cambridge, MA: Harvard Business School; June 25, 2012. HBS Working Paper No.
12-113.
https://psnet.ahrq.gov/issue/randomized-field-study-leadership-walkrounds-based-intervention
Leadership WalkRounds h…