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psnet.ahrq.gov/node/836997/psn-pdf
April 27, 2022 - The effect of a transitional pharmaceutical care program
on the occurrence of ADEs after discharge from hospital
in patients with polypharmacy.
April 27, 2022
Uitvlugt EB, Heer SE, van den Bemt BJF, et al. The effect of a transitional pharmaceutical care program on
the occurrence of ADEs after discharge from hospi…
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psnet.ahrq.gov/node/73425/psn-pdf
June 23, 2021 - A qualitative study of what care workers do to provide
patient safety at home through telecare.
June 23, 2021
Stokke R, Melby L, Isaksen J, et al. A qualitative study of what care workers do to provide patient safety at
home through telecare. BMC Health Serv Res. 2021;21(1):553. doi:10.1186/s12913-021-06556-4.
htt…
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psnet.ahrq.gov/node/41494/psn-pdf
June 27, 2012 - National Voluntary Consensus Standards for Patient
Safety Measures: A Consensus Report.
June 27, 2012
Washington, DC: National Quality Forum; June 2012.
https://psnet.ahrq.gov/issue/national-voluntary-consensus-standards-patient-safety-measures-consensus-
report
Progress in improving patient safety has been hampe…
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psnet.ahrq.gov/node/60906/psn-pdf
August 18, 2021 - Global Patient Safety Action Plan 2021-2030: Towards
Eliminating Avoidable Harm in Health Care.
August 18, 2021
Geneva, Switzerland: World Health Organization; 2021. ISBN: 9789240032705.
https://psnet.ahrq.gov/issue/global-patient-safety-action-plan-2021-2030-towards-eliminating-avoidable-
harm-health-care
The Wo…
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psnet.ahrq.gov/node/37542/psn-pdf
February 23, 2018 - Handbook of Human Factors and Ergonomics in Health
Care and Patient Safety. 2nd ed.
February 23, 2018
Carayon P, ed. Boca Raton, FL: CRC Press; 2017. ISBN: 9781439830338
https://psnet.ahrq.gov/issue/handbook-human-factors-and-ergonomics-health-care-and-patient-safety-2nd-
ed
Human factors principles are widely ap…
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psnet.ahrq.gov/node/40649/psn-pdf
April 21, 2015 - Explaining Michigan: developing an ex post theory of a
quality improvement program.
April 21, 2015
Dixon-Woods M, Bosk CL, Aveling EL, et al. Explaining Michigan: developing an ex post theory of a quality
improvement program. Milbank Q. 2011;89(2):167-205. doi:10.1111/j.1468-0009.2011.00625.x.
https://psnet.ahrq.g…
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www.ahrq.gov/cpi/about/organization/nac/webex-instructions.html
March 01, 2018 - AHRQ NAC Meeting
March 16, 11:00 a.m. to 1:00 p.m.
Instructions on Joining WebEx Via Computer
Step 1: Click on or copy the link below and paste it in your browser. It is recommended to use Firefox or Chrome.
https://capitalconsultingcorp.webex.com/capitalconsultingcorp/onstage/g.php?MTID=ea9f5703b56b58af…
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psnet.ahrq.gov/node/838186/psn-pdf
September 28, 2022 - Understanding teamwork in rapidly deployed
interprofessional teams in intensive and acute care: a
systematic review of reviews.
September 28, 2022
Schilling S, Armaou M, Morrison Z, et al. Understanding teamwork in rapidly deployed interprofessional
teams in intensive and acute care: a systematic review of reviews…
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psnet.ahrq.gov/node/73350/psn-pdf
June 02, 2021 - Learning during crisis: the impact of COVID-19 on
hospital-acquired pressure injury incidence.
June 2, 2021
Polancich S, Hall AG, Miltner RS, et al. Learning during crisis: the impact of COVID-19 on hospital-acquired
pressure injury incidence. J Healthc Qual. 2021;43(3):137-144. doi:10.1097/jhq.0000000000000301.
h…
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psnet.ahrq.gov/node/74706/psn-pdf
January 26, 2022 - Incorporating harms into the weighting of the Revised
AHRQ Patient Safety for Selected Indicators Composite
(PSI 90).
January 26, 2022
Zrelak PA, Utter GH, McDonald KM, et al. Incorporating harms into the weighting of the revised Agency for
Healthcare Research and Quality Patient Safety for Selected Indicators Com…
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psnet.ahrq.gov/node/867437/psn-pdf
January 08, 2025 - Handoff mnemonics used in perioperative handoff
intervention studies: a systematic review.
January 8, 2025
Patel SM, Fuller S, Michael MM, et al. Handoff mnemonics used in perioperative handoff intervention
studies: a systematic review. Anesth Analg. 2024;Epub Nov 26. doi:10.1213/ane.0000000000007261.
https://psne…
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psnet.ahrq.gov/node/867523/psn-pdf
January 15, 2025 - How do we know when we have done enough? Ensuring
sufficient patient notification efforts after a large-scale
adverse event.
January 15, 2025
Alfandre D, Foglia MB, Holodniy M, et al. How do we know when we have done enough? Ensuring
sufficient patient notification efforts after a large-scale adverse event. Jt Com…
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psnet.ahrq.gov/node/867641/psn-pdf
February 26, 2025 - Open disclosure among general practitioners as second
victim of a patient safety incident: a cross-sectional study
in Flanders (Belgium).
February 26, 2025
Neyens L, Stouten E, Vanhaecht K, et al. Open disclosure among general practitioners as second victim of
a patient safety incident: a cross-sectional study in …
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psnet.ahrq.gov/node/853969/psn-pdf
September 27, 2023 - Perceptions of chief clinical information officers on the
state of electronic health records systems interoperability
in NHS England: a qualitative interview study.
September 27, 2023
Li E, Lounsbury O, Clarke J, et al. Perceptions of chief clinical information officers on the state of electronic
health records sy…
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psnet.ahrq.gov/node/72730/psn-pdf
February 10, 2021 - From fable to reality at Parkland Hospital: the impact of
evidence-based design strategies on patient safety,
healing, and satisfaction in an adult inpatient
environment.
February 10, 2021
Rich RK, Jimenez FE, Puumala SE, et al. From Fable to Reality at Parkland Hospital: The Impact of
Evidence-Based Design Strat…
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psnet.ahrq.gov/node/73244/psn-pdf
May 12, 2021 - Ethical considerations and patient safety concerns for
cancelling non-urgent surgeries during the COVID-19
pandemic: a review.
May 12, 2021
Brown NJ, Wilson B, Szabadi S, et al. Ethical considerations and patient safety concerns for cancelling
non-urgent surgeries during the COVID-19 pandemic: a review. Patient Sa…
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psnet.ahrq.gov/node/73188/psn-pdf
April 28, 2021 - Enhancing patient safety by integrating ethical
dimensions to critical incident reporting systems.
April 28, 2021
Wehkamp K, Kuhn E, Petzina R, et al. Enhancing patient safety by integrating ethical dimensions to Critical
Incident Reporting Systems. BMC Med Ethics. 2021;22(1):26. doi:10.1186/s12910-021-00593-8.
ht…
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psnet.ahrq.gov/node/848811/psn-pdf
May 10, 2023 - Types of diagnostic errors reported by paediatric
emergency providers in a global paediatric emergency
care research network.
May 10, 2023
Mahajan P, Grubenhoff JA, Cranford J, et al. Types of diagnostic errors reported by paediatric emergency
providers in a global paediatric emergency care research network. BMJ O…
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psnet.ahrq.gov/node/72795/psn-pdf
March 03, 2021 - Use of patient complaints to identify diagnosis-related
safety concerns: a mixed-method evaluation.
March 3, 2021
Giardina TD, Korukonda S, Shahid U, et al. Use of patient complaints to identify diagnosis-related safety
concerns: a mixed-method evaluation. BMJ Qual Saf. 2021;30(12):996-1001. doi:10.1136/bmjqs-2020-…
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digital.ahrq.gov/principal-investigator/schmidt-mark
January 01, 2023 - Schmidt, Mark
Implementing after-hours pharmacy coverage for critical access hospitals in Northeast Minnesota.
Citation
Stratton TP, Worley MM, Schmidt M, et al. Implementing after-hours pharmacy coverage for critical access hospitals in Northeast Minnesota. Am J Health Syst P…