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psnet.ahrq.gov/node/44202/psn-pdf
June 10, 2015 - Medication reconciliation to facilitate transitions of care
after hospitalization.
June 10, 2015
Liu VC, Garwood CL. Medication reconciliation to facilitate transitions of care after hospitalization. Am J
Health Syst Pharm. 2015;72(9):690-693. doi:10.2146/ajhp140133.
https://psnet.ahrq.gov/issue/medication-reconci…
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psnet.ahrq.gov/node/867635/psn-pdf
February 26, 2025 - Diagnostic safety: needs assessment and informed
curriculum at an academic children's hospital.
February 26, 2025
Congdon M, Rasooly IR, Toto RL, et al. Diagnostic safety: needs assessment and informed curriculum at
an academic children's hospital. Pediatr Qual Saf. 2024;9(6):e773. doi:10.1097/pq9.0000000000000773.…
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psnet.ahrq.gov/node/46127/psn-pdf
May 31, 2017 - Liquid medication dosing errors by Hispanic parents: role
of health literacy and English proficiency.
May 31, 2017
Harris LM, Dreyer BP, Mendelsohn A, et al. Liquid Medication Dosing Errors by Hispanic Parents: Role of
Health Literacy and English Proficiency. Acad Pediatr. 2017;17(4):403-410.
doi:10.1016/j.acap.20…
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psnet.ahrq.gov/node/837596/psn-pdf
June 29, 2022 - Association of patient and family reports of hospital
safety climate with language proficiency in the US.
June 29, 2022
Khan A, Parente V, Baird JD, et al. Association of patient and family reports of hospital safety climate with
language proficiency in the US. JAMA Pediatr. 2022;176(8):776-786.
doi:10.1001/jamape…
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digital.ahrq.gov/sitemap
January 01, 2023 - Sitemap
Program Overview
Director's Corner
Strategic Priorities
Research Reports
2023 Year in Review
Executive Summary
Research Spotlight
Research Themes and Findings
DHR Impact and Reach
2022 Year in Review
Executive Summary
Rese…
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psnet.ahrq.gov/node/867132/psn-pdf
November 13, 2024 - Large language model influence on diagnostic reasoning:
a randomized clinical trial.
November 13, 2024
Goh E, Gallo R, Hom J, et al. Large language model influence on diagnostic reasoning: a randomized
clinical trial. JAMA Netw Open. 2024;7(10):e2440969. doi:10.1001/jamanetworkopen.2024.40969.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/864380/psn-pdf
March 13, 2024 - Stepped-wedge cluster RCT to assess the effects of an
electronic medication system on medication
administration errors.
March 13, 2024
Westbrook JI, Li L, Woods AL, et al. Stepped-wedge cluster RCT to assess the effects of an electronic
medication system on medication administration errors. Stud Health Technol Inf…
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psnet.ahrq.gov/node/842420/psn-pdf
January 11, 2023 - Using the Assessment of Reasoning Tool to facilitate
feedback about diagnostic reasoning.
January 11, 2023
Cohen AL, Sur M, Falco C, et al. Using the Assessment of Reasoning Tool to facilitate feedback about
diagnostic reasoning. Diagnosis (Berl). 2022;9(4):476-484. doi:10.1515/dx-2022-0020.
https://psnet.ahrq.gov…
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psnet.ahrq.gov/node/866319/psn-pdf
July 17, 2024 - Performance of large language models on medical
oncology examination questions.
July 17, 2024
Longwell JB, Hirsch I, Binder F, et al. Performance of large language models on medical oncology
examination questions. JAMA Netw Open. 2024;7(6):e2417641.
doi:10.1001/jamanetworkopen.2024.17641.
https://psnet.ahrq.gov/i…
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psnet.ahrq.gov/node/837073/psn-pdf
May 11, 2022 - Clinical progress note: situation awareness for clinical
deterioration in hospitalized children.
May 11, 2022
Sosa T, Galligan MM, Brady PW. Clinical progress note: situation awareness for clinical deterioration in
hospitalized children. J Hosp Med. 2022;17(3):199-202. doi:10.1002/jhm.2774.
https://psnet.ahrq.gov/…
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psnet.ahrq.gov/node/854835/psn-pdf
October 25, 2023 - Improving patient safety by shifting power from health
professionals to patients.
October 25, 2023
BMJ. 2023(383):2219, 2278, 2319, 2331.
https://psnet.ahrq.gov/issue/improving-patient-safety-shifting-power-health-professionals-patients
This compendium of editorials and opinion pieces discuss “Martha’s Rule,” a ne…
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psnet.ahrq.gov/node/867018/psn-pdf
October 23, 2024 - Parents' perceptions of patient safety in paediatric
hospital care-a mixed-methods systematic review.
October 23, 2024
Witkowska MI, Janhunen K, Sak?Dankosky N, et al. Parents' perceptions of patient safety in paediatric
hospital care—a mixed?methods systematic review. J Adv Nurs. 2024;Epub Aug 9. doi:10.1111/jan.1…
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psnet.ahrq.gov/node/43631/psn-pdf
December 19, 2014 - An internal quality improvement collaborative
significantly reduces hospital-wide medication error
related adverse drug events.
December 19, 2014
McClead RE, Catt C, Davis T, et al. An internal quality improvement collaborative significantly reduces
hospital-wide medication error related adverse drug events. J Ped…
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psnet.ahrq.gov/node/866694/psn-pdf
September 11, 2024 - What's the harm? Results of an active surveillance
adverse event reporting system for chiropractors and
physiotherapists.
September 11, 2024
Pohlman KA, Funabashi M, O’Beirne M, et al. What’s the harm? Results of an active surveillance adverse
event reporting system for chiropractors and physiotherapists. PLoS ONE…
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psnet.ahrq.gov/node/838624/psn-pdf
October 19, 2022 - Association of rapid response teams with hospital
mortality in Medicare patients.
October 19, 2022
Girotra S, Jones PG, Peberdy MA, et al. Association of rapid response teams with hospital mortality in
Medicare patients. Circ Cardiovasc Qual Outcomes. 2022;15(9):e008901.
doi:10.1161/circoutcomes.122.008901.
https…
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psnet.ahrq.gov/node/44730/psn-pdf
December 08, 2015 - Why studying human behavior is a critical component of
patient safety.
December 8, 2015
Su L. Why Studying Human Behavior is a Critical Component of Patient Safety. Curr Probl Pediatr Adolesc
Health Care. 2015;45(12):367-9. doi:10.1016/j.cppeds.2015.10.004.
https://psnet.ahrq.gov/issue/why-studying-human-behavior-…
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psnet.ahrq.gov/node/36837/psn-pdf
December 03, 2018 - Hospitals as cultures of entrapment: a re-analysis of the
Bristol Royal Infirmary.
December 3, 2018
Weick KE, Sutcliffe KM. Hospitals as Cultures of Entrapment: A Re-Analysis of the Bristol Royal Infirmary.
Calif Manage Rev. 2012;45(2):73-84. doi:10.2307/41166166.
https://psnet.ahrq.gov/issue/hospitals-cultures-en…
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psnet.ahrq.gov/node/866075/psn-pdf
June 05, 2024 - Oncology patients' willingness to report their medication
safety concerns from home: a qualitative study.
June 5, 2024
Bunni D, Walters G, Hwang M, et al. Oncology patients’ willingness to report their medication safety
concerns from home: a qualitative study. Support Care Cancer. 2024;32(6):352. doi:10.1007/s00520…
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psnet.ahrq.gov/node/46116/psn-pdf
May 24, 2017 - Elimination of emergency department medication errors
due to estimated weights.
May 24, 2017
Greenwalt M, Griffen D, Wilkerson J. Elimination of Emergency Department Medication Errors Due To
Estimated Weights. BMJ Qual Improv Rep. 2017;6(1). doi:10.1136/bmjquality.u214416.w5476.
https://psnet.ahrq.gov/issue/elimin…
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psnet.ahrq.gov/node/38057/psn-pdf
September 10, 2008 - Randomized controlled trial of a pictogram-based
intervention to reduce liquid medication dosing errors
and improve adherence among caregivers of young
children.
September 10, 2008
Yin S, Dreyer BP, van Schaick L, et al. Randomized controlled trial of a pictogram-based intervention to
reduce liquid medication do…