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psnet.ahrq.gov/node/46957/psn-pdf
May 17, 2018 - Improving communication with patients with limited
English proficiency.
May 17, 2018
Taira BR. Improving Communication With Patients With Limited English Proficiency. JAMA Int Med.
2018;178(5):605-606. doi:10.1001/jamainternmed.2018.0373.
https://psnet.ahrq.gov/issue/improving-communication-patients-limited-englis…
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psnet.ahrq.gov/node/47308/psn-pdf
December 21, 2018 - Improving pediatric electronic health record usability and
safety through certification: seize the day.
December 21, 2018
Ratwani RM, Moscovitch B, Rising JP. Improving Pediatric Electronic Health Record Usability and Safety
Through Certification: Seize the Day. JAMA Pediatr. 2018;172(11):1007-1008.
doi:10.1001/ja…
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psnet.ahrq.gov/node/43336/psn-pdf
July 09, 2014 - Pharmacists in pharmacovigilance: can increased
diagnostic opportunity in community settings translate to
better vigilance?
July 9, 2014
Rutter P, Brown D, Howard J, et al. Pharmacists in pharmacovigilance: can increased diagnostic
opportunity in community settings translate to better vigilance? Drug Saf. 2014;37(…
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psnet.ahrq.gov/node/47818/psn-pdf
April 03, 2019 - Medication safety in emergency medical services:
approaching an evidence-based method of verification to
reduce errors.
April 3, 2019
Misasi P, Keebler JR. Medication safety in emergency medical services: approaching an evidence-based
method of verification to reduce errors. Ther Adv Drug Saf. 2019;10:204209861882…
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psnet.ahrq.gov/node/47923/psn-pdf
April 17, 2019 - Improving employee voice about transgressive or
disruptive behavior: a case study.
April 17, 2019
Dixon-Woods M, Campbell A, Martin G, et al. Improving Employee Voice About Transgressive or Disruptive
Behavior: A Case Study. Acad Med. 2019;94(4):579-585. doi:10.1097/ACM.0000000000002447.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/837417/psn-pdf
June 15, 2022 - A blueprint for success: implementation of the Center for
Medicare and Medicaid Services mandated
anesthesiology oversight for procedural sedation in a
large health system.
June 15, 2022
Abdelmalak BB, Adhami T, Simmons W, et al. A blueprint for success: implementation of the Center for
Medicare and Medicaid Serv…
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psnet.ahrq.gov/node/47563/psn-pdf
November 28, 2018 - Does Nursing Home Compare reflect patient safety in
nursing homes?
November 28, 2018
Brauner D, Werner RM, Shippee TP, et al. Does Nursing Home Compare Reflect Patient Safety In Nursing
Homes? Health Aff (Millwood). 2018;37(11):1770-1778. doi:10.1377/hlthaff.2018.0721.
https://psnet.ahrq.gov/issue/does-nursing-hom…
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psnet.ahrq.gov/node/35418/psn-pdf
June 14, 2011 - Anatomic pathology databases and patient safety.
June 14, 2011
Raab SS, Grzybicki DM, Zarbo RJ, et al. Anatomic pathology databases and patient safety. Arch Pathol
Lab Med. 2005;129(10):1246-1251.
https://psnet.ahrq.gov/issue/anatomic-pathology-databases-and-patient-safety
This AHRQ-funded project describes the de…
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psnet.ahrq.gov/node/40063/psn-pdf
March 04, 2011 - Challenges in ethics, safety, best practices, and oversight
regarding HIT vendors, their customers, and patients: a
report of an AMIA special task force.
March 4, 2011
Goodman KW, Berner ES, Dente MA, et al. Challenges in ethics, safety, best practices, and oversight
regarding HIT vendors, their customers, and pat…
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psnet.ahrq.gov/node/45815/psn-pdf
January 25, 2017 - Handoffs: transitions of care for children in the
emergency department.
January 25, 2017
American Academy of Pediatrics Committee on Pediatric Emergency Medicine, American College of
Emergency Physicians Pediatric Emergency Medicine Committee, Emergency Nurses Association
Pediatric Committee. Pediatrics. 2016;138:…
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psnet.ahrq.gov/node/38330/psn-pdf
September 24, 2010 - Medication safety teams' guided implementation of
electronic medication administration records in five
nursing homes.
September 24, 2010
Scott-Cawiezell J, Madsen RW, Pepper GA, et al. Medication safety teams' guided implementation of
electronic medication administration records in five nursing homes. Jt Comm J Qu…
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psnet.ahrq.gov/node/47929/psn-pdf
June 26, 2019 - Cultural Issues Related to Allegations of Bullying and
Harassment in NHS Highland: Independent Review
Report.
June 26, 2019
Sturrock J. Edinburgh, Scotland: The Scottish Government; May 2019. ISBN: 9781787817760.
https://psnet.ahrq.gov/issue/cultural-issues-related-allegations-bullying-and-harassment-nhs-highland-…
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psnet.ahrq.gov/node/853978/psn-pdf
September 27, 2023 - Fragmented: A Doctor's Quest to Piece Together
American Health Care.
September 27, 2023
Yurkiewicz I. New York, NY: WW Norton & Company, Inc; 2023. ISBN: 9780393881196.
https://psnet.ahrq.gov/issue/doctors-quest-piece-together-american-health-care
Disjointed health care processes contribute to missed test resu…
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psnet.ahrq.gov/node/47995/psn-pdf
July 24, 2019 - Standardising the classification of harm associated with
medication errors: the Harm Associated with Medication
Error Classification (HAMEC).
July 24, 2019
Gates PJ, Baysari M, Mumford V, et al. Standardising the Classification of Harm Associated with
Medication Errors: The Harm Associated with Medication Error Cl…
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psnet.ahrq.gov/node/73870/psn-pdf
September 22, 2021 - Society for Maternal-Fetal Medicine Special Statement:
Surgical safety checklists for cesarean delivery.
September 22, 2021
Combs CA, Einerson BD, Toner LE. Society for Maternal-Fetal Medicine Special Statement: Surgical safety
checklists for cesarean delivery. Am J Obstet Gynecol. 2021;225(5):b43-b49.
doi:10.1016…
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psnet.ahrq.gov/node/837961/psn-pdf
August 31, 2022 - Risk reduction strategy to decrease incidence of retained
surgical items.
August 31, 2022
Kaplan HJ, Spiera ZC, Feldman DL, et al. Risk reduction strategy to decrease incidence of retained
surgical items. J Am Coll Surg. 2022;235(3):494-499. doi:10.1097/xcs.0000000000000264.
https://psnet.ahrq.gov/issue/risk-reduc…
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psnet.ahrq.gov/node/47400/psn-pdf
November 28, 2018 - Impact of the communication and patient hand-off tool
SBAR on patient safety: a systematic review.
November 28, 2018
Müller M, Jürgens J, Redaèlli M, et al. Impact of the communication and patient hand-off tool SBAR on
patient safety: a systematic review. BMJ Open. 2018;8(8):e022202. doi:10.1136/bmjopen-2018-022202…
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psnet.ahrq.gov/node/60918/psn-pdf
September 16, 2020 - Enhancing departmental preparedness for COVID-19
using rapid-cycle in-situ simulation.
September 16, 2020
Dharamsi A, Hayman K, Yi S, et al. Enhancing departmental preparedness for COVID-19 using rapid-cycle
in-situ simulation. J Hosp Infect. 2020;105(4):604-607. doi:10.1016/j.jhin.2020.06.020.
https://psnet.ahrq.…
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psnet.ahrq.gov/node/44027/psn-pdf
April 15, 2015 - Hospital credentialing and privileging of surgeons: a
potential safety blind spot.
April 15, 2015
Pradarelli J, Campbell D, Dimick JB. Hospital credentialing and privileging of surgeons: a potential safety
blind spot. JAMA. 2015;313(13):1313-4. doi:10.1001/jama.2015.1943.
https://psnet.ahrq.gov/issue/hospital-cred…
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psnet.ahrq.gov/node/45449/psn-pdf
October 29, 2017 - Situational awareness—what it means for clinicians, its
recognition and importance in patient safety.
October 29, 2017
Green B, Parry D, Oeppen RS, et al. Situational awareness - what it means for clinicians, its recognition
and importance in patient safety. Oral Dis. 2017;23(6):721-725. doi:10.1111/odi.12547.
htt…