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psnet.ahrq.gov/node/866699/psn-pdf
September 11, 2024 - AHRQ-Funded Patient Safety Project Highlights:
Improving Patient Safety by Enhancing Medication Safety.
September 11, 2024
Ahrq-Funded Patient Safety Project Highlights: Improving Patient Safety By Enhancing Medication Safety.
Rockville, MD: Agency for Healthcare Research and Quality; 2024. AHRQ Publication No. 24-…
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psnet.ahrq.gov/node/43367/psn-pdf
May 01, 2015 - Promoting Patient Safety Through Effective Health
Information Technology Risk Management.
May 1, 2015
Schneider EC, Ridgely MS, Meeker D, Hunter LE, Khodyakov D, Rudin R. RAND Health. Washington, DC:
Office of the National Coordinator for Health Information Technology; May 2014. RR-654-DHHSNCH.
https://psnet.ahrq.…
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psnet.ahrq.gov/node/39821/psn-pdf
July 16, 2014 - Performance of a fail-safe system to follow up abnormal
mammograms in primary care.
July 16, 2014
Grossman E, Phillips RS, Weingart SN. Performance of a fail-safe system to follow up abnormal
mammograms in primary care. J Patient Saf. 2010;6(3):172-179.
https://psnet.ahrq.gov/issue/performance-fail-safe-system-fol…
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psnet.ahrq.gov/issue/aacn-standards-establishing-and-sustaining-healthy-work-environments-journey-excellence
January 27, 2021 - Organizational Policy/Guidelines
AACN Standards for Establishing and Sustaining Healthy Work Environments: A Journey to Excellence.
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Apri…
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psnet.ahrq.gov/node/43064/psn-pdf
January 01, 2015 - Leadership, safety climate, and continuous quality
improvement: impact on process quality and patient
safety.
December 12, 2014
McFadden KL, Stock GN, Gowen CR. Leadership, safety climate, and continuous quality improvement:
impact on process quality and patient safety. Health Care Manage Rev. 2015;40(1):24-34.
d…
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psnet.ahrq.gov/node/37874/psn-pdf
April 18, 2011 - Interprofessional handover and patient safety in
anaesthesia: observational study of handovers in the
recovery room.
April 18, 2011
Smith AF, Pope C, Goodwin D, et al. Interprofessional handover and patient safety in anaesthesia:
observational study of handovers in the recovery room. Br J Anaesth. 2008;101(3):332-…
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psnet.ahrq.gov/node/60887/psn-pdf
September 09, 2020 - Human-based errors involving smart infusion pumps: a
catalog of error types and prevention strategies.
September 9, 2020
Kirkendall ES, Timmons K, Huth H, et al. Human-based errors involving smart infusion pumps: a catalog of
error types and prevention strategies. Drug Saf. 2020;43(11):1073-1087. doi:10.1007/s40264…
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psnet.ahrq.gov/node/37032/psn-pdf
May 27, 2011 - Effects of computerized physician order entry and clinical
decision support systems on medication safety: a
systematic review.
May 27, 2011
Kaushal R, Shojania KG, Bates DW. Effects of computerized physician order entry and clinical decision
support systems on medication safety: a systematic review. Arch Intern Me…
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psnet.ahrq.gov/node/846158/psn-pdf
March 15, 2023 - Safety risks and workflow implications associated with
nursing-related free-text communication orders.
March 15, 2023
Staes CJ, Yusuf S, Hambly M, et al. Safety risks and workflow implications associated with nursing-related
free-text communication orders. J Am Med Inform Assoc. 2023;30(5):828-837. doi:10.1093/jami…
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psnet.ahrq.gov/node/847544/psn-pdf
April 12, 2023 - A nationwide study of the "July Effect" concerning
postpartum hemorrhage and its risk factors at teaching
hospitals across the United States.
April 12, 2023
Shahin Z, Shah GH, Apenteng BA, et al. A nationwide study of the "July Effect" concerning postpartum
hemorrhage and its risk factors at teaching hospitals acr…
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psnet.ahrq.gov/node/47974/psn-pdf
May 08, 2019 - Reducing surgical mortality in Scotland by use of the
WHO Surgical Safety Checklist.
May 8, 2019
Ramsay G, Haynes AB, Lipsitz SR, et al. Reducing surgical mortality in Scotland by use of the WHO
Surgical Safety Checklist. Br J Surg. 2019;106(8):1005-1011. doi:10.1002/bjs.11151.
https://psnet.ahrq.gov/issue/reducin…
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psnet.ahrq.gov/node/42068/psn-pdf
April 09, 2013 - Wisdom through adversity: learning and growing in the
wake of an error.
April 9, 2013
Plews-Ogan M, Owens JE, May NB. Wisdom through adversity: learning and growing in the wake of an
error. Patient Educ Couns. 2013;91(2):236-42. doi:10.1016/j.pec.2012.12.006.
https://psnet.ahrq.gov/issue/wisdom-through-adversity-l…
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psnet.ahrq.gov/node/39083/psn-pdf
April 01, 2010 - Emergency physician perceptions of patient safety risks.
April 1, 2010
Sklar DP, Crandall CS, Zola T, et al. Emergency physician perceptions of patient safety risks. Ann Emerg
Med. 2010;55(4):336-40. doi:10.1016/j.annemergmed.2009.08.020.
https://psnet.ahrq.gov/issue/emergency-physician-perceptions-patient-safety-r…
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psnet.ahrq.gov/node/40819/psn-pdf
January 07, 2015 - Multimodal system designed to reduce errors in recording
and administration of drugs in anaesthesia: prospective
randomised clinical evaluation.
January 7, 2015
Merry A, Webster CS, Hannam J, et al. Multimodal system designed to reduce errors in recording and
administration of drugs in anaesthesia: prospective ran…
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psnet.ahrq.gov/node/73130/psn-pdf
January 01, 2022 - Improving peripherally inserted central catheter
appropriateness and reducing device-related
complications: a quasiexperimental study in 52 Michigan
hospitals.
April 14, 2021
Chopra V, O'Malley M, Horowitz J, et al. Improving peripherally inserted central catheter appropriateness
and reducing device-related compl…
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psnet.ahrq.gov/node/40978/psn-pdf
March 21, 2012 - Relationship between patient safety and hospital surgical
volume.
March 21, 2012
Hernandez-Boussard T, Downey JR, McDonald KM, et al. Relationship between Patient Safety and
Hospital Surgical Volume. Health Serv Res. 2011;47(2). doi:10.1111/j.1475-6773.2011.01310.x.
https://psnet.ahrq.gov/issue/relationship-betwee…
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psnet.ahrq.gov/node/853426/psn-pdf
January 01, 2024 - Physician perspectives on responding to clinician-
perpetuated interpersonal racism against Black patients
with serious illness.
September 13, 2023
Brown CE, Snyder CR, Marshall AR, et al. Physician perspectives on responding to clinician-perpetuated
interpersonal racism against Black patients with serious illness…
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psnet.ahrq.gov/node/46439/psn-pdf
August 20, 2018 - Hospital-readmission risk--isolating hospital effects from
patient effects.
August 20, 2018
Krumholz HM, Wang K, Lin Z, et al. Hospital-Readmission Risk - Isolating Hospital Effects from Patient
Effects. N Engl J Med. 2017;377(11):1055-1064. doi:10.1056/NEJMsa1702321.
https://psnet.ahrq.gov/issue/hospital-readmiss…
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psnet.ahrq.gov/node/40433/psn-pdf
November 26, 2014 - Transitioning between electronic health records: effects
on ambulatory prescribing safety.
November 26, 2014
Abramson EL, Malhotra S, Fischer K, et al. Transitioning between electronic health records: effects on
ambulatory prescribing safety. J Gen Intern Med. 2011;26(8):868-74. doi:10.1007/s11606-011-1703-z.
http…
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psnet.ahrq.gov/node/47727/psn-pdf
January 23, 2019 - Improving resident and fellow engagement in patient
safety through a graduate medical education incentive
program.
January 23, 2019
Turner DA, Bae J, Cheely G, et al. Improving Resident and Fellow Engagement in Patient Safety Through
a Graduate Medical Education Incentive Program. J Gen Intern Care. 2018;10(6):671…