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  1. psnet.ahrq.gov/issue/toolkit-disseminate-best-practices-inpatient-medication-reconciliation-multi-center
    January 23, 2019 - Commentary A toolkit to disseminate best practices in inpatient medication reconciliation: Multi-Center Medication Reconciliation Quality Improvement Study (MARQUIS). Citation Text: Mueller SK, Kripalani S, Stein J, et al. A toolkit to disseminate best practices in inpatient medicatio…
  2. psnet.ahrq.gov/issue/development-implementation-and-dissemination-i-pass-handoff-curriculum-multisite-educational
    November 12, 2014 - Study Development, implementation, and dissemination of the I-PASS Handoff Curriculum: a multisite educational intervention to improve patient handoffs. Citation Text: Starmer AJ, O'Toole JK, Rosenbluth G, et al. Development, implementation, and dissemination of the I-PASS handoff curric…
  3. psnet.ahrq.gov/issue/hospital-score-predicts-potentially-preventable-30-day-readmissions-conditions-targeted
    May 08, 2017 - Study The HOSPITAL score predicts potentially preventable 30-day readmissions in conditions targeted by the Hospital Readmissions Reduction Program. Citation Text: Burke RE, Schnipper JL, Williams M, et al. The HOSPITAL Score Predicts Potentially Preventable 30-Day Readmissions in Condit…
  4. psnet.ahrq.gov/issue/testing-and-improving-acceptability-web-based-platform-collective-intelligence-improve
    December 02, 2020 - Study Testing and improving the acceptability of a web-based platform for collective intelligence to improve diagnostic accuracy in primary care clinics. Citation Text: Fontil V, Radcliffe K, Lyson HC, et al. Testing and improving the acceptability of a web-based platform for collective …
  5. psnet.ahrq.gov/issue/exclusion-residents-surgery-intensive-care-team-communication-qualitative-study
    December 04, 2015 - Study Exclusion of residents from surgery-intensive care team communication: a qualitative study. Citation Text: Conn LG, Haas B, Rubenfeld GD, et al. Exclusion of Residents From Surgery-Intensive Care Team Communication: A Qualitative Study. J Surg Educ. 2016;73(4):639-47. doi:10.1016/j…
  6. psnet.ahrq.gov/issue/medication-errors-emergency-departments-systematic-review-and-meta-analysis-prevalence-and
    April 02, 2014 - Review Medication errors in emergency departments: a systematic review and meta-analysis of prevalence and severity Citation Text: Nguyen PTL, Phan TAT, Vo VBN, et al. Medication errors in emergency departments: a systematic review and meta-analysis of prevalence and severity. Int J Clin…
  7. psnet.ahrq.gov/issue/common-predictors-nurse-reported-quality-care-and-patient-safety
    March 20, 2019 - Study Common predictors of nurse-reported quality of care and patient safety. Citation Text: Stimpfel AW, Djukic M, Brewer CS, et al. Common predictors of nurse-reported quality of care and patient safety. Health Care Manage Rev. 2019;44(1):57-66. doi:10.1097/HMR.0000000000000155. Copy…
  8. psnet.ahrq.gov/issue/liability-associated-obstetric-anesthesia-closed-claims-analysis
    July 13, 2010 - Study Liability associated with obstetric anesthesia: a closed claims analysis. Citation Text: Davies JM, Posner KL, Lee LA, et al. Liability associated with obstetric anesthesia: a closed claims analysis. Anesthesiology. 2009;110(1):131-139. doi:10.1097/ALN.0b013e318190e16a. Copy Cita…
  9. psnet.ahrq.gov/issue/challenges-and-opportunities-agency-healthcare-research-and-quality-ahrq-research-summit
    October 04, 2020 - Meeting/Conference Proceedings Challenges and opportunities from the Agency for Healthcare Research and Quality (AHRQ) research summit on improving diagnosis: a proceedings review. Citation Text: Henriksen K, Dymek C, Harrison MI, et al. Challenges and opportunities from the Agency for H…
  10. psnet.ahrq.gov/issue/measuring-patient-safety-medicare-patient-safety-monitoring-system-past-present-and-future
    December 18, 2014 - Review Measuring patient safety: the Medicare Patient Safety Monitoring System (past, present, and future). Citation Text: Classen D, Munier W, Verzier N, et al. Measuring Patient Safety: The Medicare Patient Safety Monitoring System (Past, Present, and Future). J Patient Saf. 2021;17(3)…
  11. psnet.ahrq.gov/issue/family-and-hospitals-journey-and-commitment-improving-diagnostic-safety
    July 06, 2022 - Commentary A family and hospital's journey and commitment to improving diagnostic safety. Citation Text: Wyner D, Wyner F, Brumbaugh D, et al. A family and hospital's journey and commitment to improving diagnostic safety. Pediatrics. 2021;148(6):e2021053091. doi:10.1542/peds.2021-053091.…
  12. psnet.ahrq.gov/issue/ashp-guidelines-preventing-diversion-controlled-substances
    June 15, 2022 - Organizational Policy/Guidelines ASHP Guidelines on Preventing Diversion of Controlled Substances. Citation Text: Clark J, Fera T, Fortier CR, et al. ASHP Guidelines on Preventing Diversion of Controlled Substances. Am J Health Syst Pharm. 2022;79(24):2279-2306. doi:10.1093/ajhp/zxac246.…
  13. psnet.ahrq.gov/issue/medicines-safety-anaesthetic-practice
    February 02, 2022 - Review Medicines safety in anaesthetic practice. Citation Text: Mackay E, Jennings J, Webber S. Medicines safety in anaesthetic practice. BJA Edu. 2019;19(5):151-157. doi:10.1016/j.bjae.2019.01.001. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XM…
  14. psnet.ahrq.gov/issue/using-simulation-identify-sources-medical-diagnostic-error-child-physical-abuse
    January 12, 2022 - Study Using simulation to identify sources of medical diagnostic error in child physical abuse. Citation Text: Anderst J, Nielsen-Parker M, Moffatt M, et al. Using simulation to identify sources of medical diagnostic error in child physical abuse. Child Abuse Negl. 2016;52:62-69. doi:10.…
  15. psnet.ahrq.gov/issue/mandating-limits-workload-duty-and-speed-radiology
    August 11, 2021 - Review Mandating limits on workload, duty, and speed in radiology. Citation Text: Alexander R, Waite S, Bruno MA, et al. Mandating limits on workload, duty, and speed in radiology. Radiology. 2022:212631. doi:10.1148/radiol.212631. Copy Citation Format: DOI Google Scholar B…
  16. psnet.ahrq.gov/issue/patient-safety-ten-unmistakable-progress-troubling-gaps
    March 02, 2011 - Commentary Classic Patient safety at ten: unmistakable progress, troubling gaps. Citation Text: Wachter R. Patient safety at ten: unmistakable progress, troubling gaps. Health Aff (Millwood). 2010;29(1):165-173. doi:10.1377/hlthaff.2009.0785. Copy Citation …
  17. psnet.ahrq.gov/issue/classification-failures-perception-conversational-agents-cas-and-their-implications-patient
    July 06, 2022 - Study Classification of failures in the perception of conversational agents (CAs) and their implications on patient safety. Citation Text: Aftab H, Shah SHH, Habli I. Classification of failures in the perception of conversational agents (CAs) and their implications on patient safety. Stu…
  18. psnet.ahrq.gov/issue/typology-solutions-addressing-diagnostic-disparities-gaps-and-opportunities
    November 02, 2022 - Study Typology of solutions addressing diagnostic disparities: gaps and opportunities. Citation Text: Dukhanin V, Wiegand AA, Sheikh T, et al. Typology of solutions addressing diagnostic disparities: gaps and opportunities. Diagnosis (Berl). 2024;11(4):389-399. doi:10.1515/dx-2024-0026. …
  19. psnet.ahrq.gov/issue/inpatient-housestaff-discontinuity-care-and-patient-adverse-events
    July 02, 2008 - Study Inpatient housestaff discontinuity of care and patient adverse events. Citation Text: Fletcher KE, Singh S, Schapira MM, et al. Inpatient Housestaff Discontinuity of Care and Patient Adverse Events. Am J Med. 2016;129(3):341-7.e21. doi:10.1016/j.amjmed.2015.11.008. Copy Citation …
  20. psnet.ahrq.gov/issue/cost-implications-acgmes-2011-changes-resident-duty-hours-and-training-environment
    August 05, 2015 - Study Cost implications of ACGME's 2011 changes to resident duty hours and the training environment. Citation Text: Nuckols TK, Escarce JJ. Cost implications of ACGME's 2011 changes to resident duty hours and the training environment. J Gen Intern Med. 2012;27(2):241-9. doi:10.1007/s1160…

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