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psnet.ahrq.gov/node/37011/psn-pdf
September 24, 2010 - What do medical records tell us about potentially harmful
co-prescribing?
September 24, 2010
Lafata JE, Simpkins J, Kaatz S, et al. What do medical records tell us about potentially harmful co-
prescribing? Jt Comm J Qual Patient Saf. 2007;33(7):395-400.
https://psnet.ahrq.gov/issue/what-do-medical-records-tell-us…
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April 06, 2022 - Surveys on Patient Safety Culture (SOPS) Medical Office
Survey: 2022 User Database Report.
April 6, 2022
Famolaro T, Hare R, Tapia A, et al. Rockville, MD: Agency for Healthcare Research and Quality;
March 2022. AHRQ Publication No. 22-0017.
https://psnet.ahrq.gov/issue/surveys-patient-safety-culture-sops-med…
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psnet.ahrq.gov/node/44218/psn-pdf
July 01, 2016 - The Armstrong Institute: an academic institute for patient
safety and quality improvement, research, training, and
practice.
July 1, 2016
Pronovost P, Holzmueller CG, Molello NE, et al. The Armstrong Institute: An Academic Institute for Patient
Safety and Quality Improvement, Research, Training, and Practice. Acad…
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psnet.ahrq.gov/node/45266/psn-pdf
January 01, 2020 - Learning from lawsuits: using malpractice claims data to
develop care transitions planning tools.
August 31, 2016
Arbaje AI, Werner NE, Kasda EM, et al. Learning From Lawsuits: Using Malpractice Claims Data to
Develop Care Transitions Planning Tools. J Patient Saf. 2020;16(1):52-57.
doi:10.1097/pts.000000000000023…
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psnet.ahrq.gov/node/843084/psn-pdf
January 25, 2023 - A scoping review of non-professional medication
practices and medication safety outcomes during public
health emergencies.
January 25, 2023
Kelly D, Koay A, Mineva G, et al. A scoping review of non-professional medication practices and
medication safety outcomes during public health emergencies. Public Health. 202…
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psnet.ahrq.gov/node/46156/psn-pdf
July 11, 2017 - Causes of death of residents in ACGME-accredited
programs 2000 through 2014: implications for the learning
environment.
July 11, 2017
Yaghmour NA, Brigham T, Richter T, et al. Causes of Death of Residents in ACGME-Accredited Programs
2000 Through 2014. Acad Med. 2017;92(7):976-983. doi:10.1097/acm.0000000000001736…
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psnet.ahrq.gov/node/838009/psn-pdf
September 07, 2022 - High-risk medication in home care nursing: a Delphi
study.
September 7, 2022
Dumitrescu I, Casteels M, De Vliegher K, et al. High-risk medication in home care nursing: a Delphi study.
J Patient Saf. 2022;18(5):435-443. doi:10.1097/pts.0000000000001023.
https://psnet.ahrq.gov/issue/high-risk-medication-home-care-nu…
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psnet.ahrq.gov/node/43812/psn-pdf
January 14, 2015 - Healthcare Inspection: Evaluation of the Veterans Health
Administration's National Consult Delay Review and
Associated Fact Sheet.
January 14, 2015
Daigh JD Jr. Washington, DC: VA Office of the Inspector General; December 15, 2014. Report No. 14-
04705-62.
https://psnet.ahrq.gov/issue/healthcare-inspection-evalua…
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psnet.ahrq.gov/node/46830/psn-pdf
May 30, 2018 - A call to bridge across silos during care transitions.
May 30, 2018
Sheikh F, Gathecha E, Bellantoni M, et al. A Call to Bridge Across Silos during Care Transitions. Jt Comm
J Qual Patient Saf. 2018;44(5):270-278. doi:10.1016/j.jcjq.2017.10.006.
https://psnet.ahrq.gov/issue/call-bridge-across-silos-during-care-tran…
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psnet.ahrq.gov/node/47532/psn-pdf
November 29, 2018 - Payment innovations to improve diagnostic accuracy and
reduce diagnostic error.
November 29, 2018
Berenson R, Singh H. Payment Innovations To Improve Diagnostic Accuracy And Reduce Diagnostic Error.
Health Aff (Millwood). 2018;37(11):1828-1835. doi:10.1377/hlthaff.2018.0714.
https://psnet.ahrq.gov/issue/payment-in…
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psnet.ahrq.gov/node/866856/psn-pdf
October 02, 2024 - ASPEN survey of parenteral nutrition access issues: how
the system fails the patients.
October 2, 2024
Mirtallo JM, Allen P, Book WM, et al. ASPEN survey of parenteral nutrition access issues: how the system
fails the patient. Nutr Clin Pract. 2024;39(5):1164-1181. doi:10.1002/ncp.11187.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/61100/psn-pdf
November 04, 2020 - Patient errors in use of injectable antidiabetic
medications: a need for improved clinic-based education.
November 4, 2020
Wei ET, Koh E, Kelly MS, et al. Patient errors in use of injectable antidiabetic medications: a need for
improved clinic-based education. J Am Pharm Assoc (2003). 2020;60(5):e76-e80.
doi:10.10…
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psnet.ahrq.gov/node/74112/psn-pdf
April 14, 2017 - Structural racism and health inequities in the USA:
evidence and interventions.
April 14, 2017
Bailey ZD, Krieger N, Agénor M, et al. Structural racism and health inequities in the USA: evidence and
interventions. Lancet. 2017;389(10077):1453-1463. doi:10.1016/s0140-6736(17)30569-x.
https://psnet.ahrq.gov/issue/st…
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psnet.ahrq.gov/node/46996/psn-pdf
May 23, 2018 - How to incorporate quality improvement and patient
safety projects in your training.
May 23, 2018
Siddique SM, Ketwaroo G, Newberry C, et al. How to Incorporate Quality Improvement and Patient Safety
Projects in Your Training. Gastroenterology. 2018;154(6):1564-1568. doi:10.1053/j.gastro.2018.03.044.
https://psnet…
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psnet.ahrq.gov/node/45448/psn-pdf
January 23, 2017 - Accuracy of laboratory data communication on ICU daily
rounds using an electronic health record.
January 23, 2017
Artis KA, Dyer E, Mohan V, et al. Accuracy of Laboratory Data Communication on ICU Daily Rounds Using
an Electronic Health Record. Crit Care Med. 2017;45(2):179-186. doi:10.1097/CCM.0000000000002060.
h…
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psnet.ahrq.gov/node/45089/psn-pdf
July 18, 2016 - Clinical outcomes and mortality associated with weekend
admission to psychiatric hospital.
July 18, 2016
Patel R, Chesney E, Cullen AE, et al. Clinical outcomes and mortality associated with weekend admission
to psychiatric hospital. Br J Psychiatry. 2016;209(1):29-34. doi:10.1192/bjp.bp.115.180307.
https://psnet.…
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psnet.ahrq.gov/node/866447/psn-pdf
August 07, 2024 - Older adults are often misdiagnosed. Specialized ERs and
trained clinicians can help.
August 7, 2024
Milne-Tyte A. Older adults are often misdiagnosed. Specialized ERs and trained clinicians can help. Health
Shots. National Public Radio. July 30, 2024;
https://psnet.ahrq.gov/issue/older-adults-are-often-misdiagnos…
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psnet.ahrq.gov/node/865593/psn-pdf
April 17, 2024 - An integrative systematic review of promoting patient
safety within prehospital emergency medical services by
paramedics: a role theory perspective.
April 17, 2024
Strandås M, Vizcaya-Moreno M, Ingstad K, et al. An integrative systematic review of promoting patient
safety within prehospital emergency medical servi…
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psnet.ahrq.gov/node/845302/psn-pdf
March 01, 2023 - Reducing preventable adverse events in obstetrics by
improving interprofessional communication skills--results
of an intervention study.
March 1, 2023
Hüner B, Derksen C, Schmiedhofer M, et al. Reducing preventable adverse events in obstetrics by
improving interprofessional communication skills – results of an int…
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psnet.ahrq.gov/node/838913/psn-pdf
October 26, 2022 - Communication during interhospital transfers of
emergency general surgery patients: a qualitative study
of challenges and opportunities.
October 26, 2022
Alagoz E, Saucke M, Arroyo N, et al. Communication during interhospital transfers of emergency general
surgery patients: a qualitative study of challenges and op…