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psnet.ahrq.gov/node/852282/psn-pdf
August 09, 2023 - Implementation of medication reconciliation in outpatient
cancer care.
August 9, 2023
Powis M, Dara C, Macedo A, et al. Implementation of medication reconciliation in outpatient cancer care.
BMJ Open Quality. 2023;12(2):e002211. doi:10.1136/bmjoq-2022-002211.
https://psnet.ahrq.gov/issue/implementation-medication-…
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psnet.ahrq.gov/node/43200/psn-pdf
May 21, 2014 - How Does Hospital Quality Management Drive Quality?
Results From the "Deepening Our Understanding of
Quality Improvement (DUQuE)" Project.
May 21, 2014
Schneider EC, ed. Int J Qual Healthc. 2014;26(suppl 1):1-115.
https://psnet.ahrq.gov/issue/how-does-hospital-quality-management-drive-quality-results-deepening-our…
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psnet.ahrq.gov/node/860383/psn-pdf
January 10, 2024 - Addressing nursing shortages and patient safety using
Maslow's hierarchy of needs.
January 10, 2024
Giuffrida P, Davila S. Addressing nursing shortages and patient safety using Maslow's hierarchy of needs.
Nursing. 2024;54(1):35-40. doi:10.1097/01.nurse.0000995608.56374.f5.
https://psnet.ahrq.gov/issue/addressing-…
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psnet.ahrq.gov/node/45112/psn-pdf
July 01, 2016 - Surgical count process for prevention of retained surgical
items: an integrative review.
July 1, 2016
Freitas PS, Silveira RC de CP, Clark AM, et al. Surgical count process for prevention of retained surgical
items: an integrative review. J Clin Nurs. 2016;25(13-14):1835-47. doi:10.1111/jocn.13216.
https://psnet.a…
-
psnet.ahrq.gov/node/35832/psn-pdf
August 04, 2009 - The incorporation of patient safety into board certification
examinations.
August 4, 2009
Kachalia A, Johnson J, Miller ST, et al. The incorporation of patient safety into board certification
examinations. Acad Med. 2006;81(4):317-25.
https://psnet.ahrq.gov/issue/incorporation-patient-safety-board-certification-ex…
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psnet.ahrq.gov/node/41414/psn-pdf
June 06, 2012 - Factors associated with reported preventable adverse
drug events: a retrospective, case-control study.
June 6, 2012
Beckett RD, Sheehan AH, Reddan JG. Factors associated with reported preventable adverse drug events:
a retrospective, case-control study. Ann Pharmacother. 2012;46(5):634-41. doi:10.1345/aph.1Q785.
h…
-
psnet.ahrq.gov/node/48073/psn-pdf
June 19, 2019 - Special Section on Human Factors and Ergonomics in the
Operating Room: Contributions That Advance Surgical
Practice.
June 19, 2019
Hallbeck MS, Paquet V, eds. Appl Ergon. 2019;78:248-308.
https://psnet.ahrq.gov/issue/special-section-human-factors-and-ergonomics-operating-room-contributions-
advance-surgical
Surg…
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psnet.ahrq.gov/node/44665/psn-pdf
January 01, 2019 - Introduction to the STS National Database Series:
outcomes analysis, quality improvement, and patient
safety.
January 1, 2018
Fernandez FG, Shahian DM, Kormos R, et al. The Society of Thoracic Surgeons National Database 2019
Annual Report. Ann Thorac Surg. 2019;108(6):1625-1632. doi:10.1016/j.athoracsur.2019.09.03…
-
psnet.ahrq.gov/node/45704/psn-pdf
December 14, 2016 - National Report of Findings 2016: Issue Brief No. 2:
Patient Safety.
December 14, 2016
Clinical Learning Environment Review. Chicago, IL: Accreditation Council for Graduate Medical Education;
2016.
https://psnet.ahrq.gov/issue/national-report-findings-2016-issue-brief-no-2-patient-safety
Integrating patient safet…
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psnet.ahrq.gov/node/47859/psn-pdf
May 15, 2019 - The design and conduct of Project RedDE: a cluster-
randomized trial to reduce diagnostic errors in pediatric
primary care.
May 15, 2019
Bundy DG, Singh H, Stein RE, et al. The design and conduct of Project RedDE: A cluster-randomized trial
to reduce diagnostic errors in pediatric primary care. Clin Trials. 2019;1…
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psnet.ahrq.gov/node/47652/psn-pdf
February 20, 2019 - Strategy on Reducing Regulatory and Administrative
Burden Relating to the Use of Health IT and EHRs.
February 20, 2019
Washington, DC: Office of the National Coordinator for Health Information Technology; November 28,
2018.
https://psnet.ahrq.gov/issue/strategy-reducing-regulatory-and-administrative-burden-relatin…
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psnet.ahrq.gov/node/861280/psn-pdf
January 24, 2024 - Factors influencing diagnostic accuracy among intensive
care unit clinicians - an observational study.
January 24, 2024
Bergl PA, Shukla N, Shah J, et al. Factors influencing diagnostic accuracy among intensive care unit
clinicians – an observational study. Diagnosis (Berl). 2024;11(1):31-39. doi:10.1515/dx-2023-00…
-
psnet.ahrq.gov/node/43511/psn-pdf
September 10, 2014 - Re-finding the 'human side' of human factors in nursing:
helping student nurses to combine person-centred care
with the rigours of patient safety.
September 10, 2014
Fawcett TJN, Rhynas SJ. Re-finding the 'human side' of human factors in nursing: helping student nurses
to combine person-centred care with the rigou…
-
psnet.ahrq.gov/node/851917/psn-pdf
January 01, 2024 - Incivility in healthcare: the impact of poor
communication.
August 2, 2023
Guppy JH, Widlund H, Munro R, et al. Incivility in healthcare: the impact of poor communication. BMJ Lead.
2024;8(1):83-87. doi:10.1136/leader-2022-000717.
https://psnet.ahrq.gov/issue/incivility-healthcare-impact-poor-communication
Incivi…
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psnet.ahrq.gov/node/39264/psn-pdf
February 03, 2010 - Changing cardiac arrest and hospital mortality rates
through a medical emergency team takes time and
constant review.
February 3, 2010
Santamaria J, Tobin A, Holmes J. Changing cardiac arrest and hospital mortality rates through a medical
emergency team takes time and constant review. Crit Care Med. 2010;38(2):445…
-
psnet.ahrq.gov/node/47264/psn-pdf
October 03, 2018 - Potentially inappropriate opioid prescribing, overdose,
and mortality in Massachusetts, 2011–2015.
October 3, 2018
Rose AJ, Bernson D, Chui KKH, et al. Potentially Inappropriate Opioid Prescribing, Overdose, and Mortality
in Massachusetts, 2011-2015. J Gen Intern Med. 2018;33(9):1512-1519. doi:10.1007/s11606-018-45…
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psnet.ahrq.gov/node/60947/psn-pdf
September 23, 2020 - FDA Advise-ERR: reported medication errors with Veklury
(remdesivir) emergency use authorization.
September 23, 2020
ISMP Medication Safety Alert! Acute care edition. September 10, 2020;25(18)
https://psnet.ahrq.gov/issue/fda-advise-err-reported-medication-errors-veklury-remdesivir-emergency-use-
authorizatio…
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psnet.ahrq.gov/node/60013/psn-pdf
March 04, 2020 - Development and implementation of a suicide prevention
checklist to create a safe environment.
March 4, 2020
Frost DA, Snydeman CK, Lantieri MJ, et al. Development and Implementation of a Suicide Prevention
Checklist to Create a Safe Environment. Psychosomatics. 2019;61(2):154-160.
doi:10.1016/j.psym.2019.10.008.
…
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psnet.ahrq.gov/node/50416/psn-pdf
September 04, 2019 - Perceptual and interpretive error in diagnostic
radiology—causes and potential solutions.
September 4, 2019
Degnan AJ, Ghobadi EH, Hardy P, et al. Perceptual and Interpretive Error in Diagnostic Radiology-Causes
and Potential Solutions. Acad Radiol. 2019;26(6):833-845. doi:10.1016/j.acra.2018.11.006.
https://psnet…
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psnet.ahrq.gov/node/46355/psn-pdf
October 09, 2017 - Diagnostic reasoning: an endangered competency in
internal medicine training.
October 9, 2017
Simpkin AL, Vyas JM, Armstrong KA. Diagnostic Reasoning: An Endangered Competency in Internal
Medicine Training. Ann Intern Med. 2017;167(7):507-508. doi:10.7326/M17-0163.
https://psnet.ahrq.gov/issue/diagnostic-reasoning…