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psnet.ahrq.gov/node/866272/psn-pdf
July 10, 2024 - Infection control measure performance in long-term care
hospitals and their relationship to Joint Commission
accreditation.
July 10, 2024
Schmaltz SP, Longo BA, Williams SC. Infection control measure performance in long-term care hospitals
and their relationship to Joint Commission accreditation. Jt Comm J Qual Pa…
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psnet.ahrq.gov/node/864848/psn-pdf
March 20, 2024 - An mHealth design to promote medication safety in
children with medical complexity.
March 20, 2024
Jolliff A, Coller RJ, Kearney H, et al. An mHealth design to promote medication safety in children with
medical complexity. Appl Clin Inform. 2024;15(1):45-54. doi:10.1055/a-2214-8000.
https://psnet.ahrq.gov/issue/mh…
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psnet.ahrq.gov/node/45335/psn-pdf
August 10, 2016 - The Feasibility of Determining the Effectiveness and Cost-
effectiveness of Medication Organisation Devices
Compared with Usual Care for Older People in a
Community Setting: Systematic Review, Stakeholder
Focus Groups and Feasibility RCT.
August 10, 2016
Bhattacharya D, Aldus CF, Barton G, et al. Health Tech…
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psnet.ahrq.gov/node/45197/psn-pdf
March 20, 2017 - When doctors share visit notes with patients: a study of
patient and doctor perceptions of documentation errors,
safety opportunities and the patient–doctor relationship.
March 20, 2017
Bell SK, Mejilla R, Anselmo M, et al. When doctors share visit notes with patients: a study of patient and
doctor perceptions of …
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psnet.ahrq.gov/node/837208/psn-pdf
May 25, 2022 - Interprofessional model on speaking up behaviour in
healthcare professionals: a qualitative study.
May 25, 2022
Umoren R, Kim S, Gray MM, et al. Interprofessional model on speaking up behaviour in healthcare
professionals: a qualitative study. BMJ Lead. 2022;6(1):15-19. doi:10.1136/leader-2020-000407.
https://psne…
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psnet.ahrq.gov/node/861767/psn-pdf
January 31, 2024 - Health literacy-informed communication to reduce
discharge medication errors in hospitalized children: a
randomized clinical trial.
January 31, 2024
Carroll AR, Johnson JA, Stassun JC, et al. Health literacy-informed communication to reduce discharge
medication errors in hospitalized children: a randomized clinica…
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psnet.ahrq.gov/node/44837/psn-pdf
February 03, 2016 - Impact of pharmacist involvement in the transitional care
of high-risk patients through medication reconciliation,
medication education, and postdischarge call-backs
(IPITCH Study).
February 3, 2016
Phatak A, Prusi R, Ward B, et al. Impact of pharmacist involvement in the transitional care of high-risk
patients t…
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psnet.ahrq.gov/node/41464/psn-pdf
November 26, 2014 - Risk of unintentional overdose with non-prescription
acetaminophen products.
November 26, 2014
Wolf MS, King J, Jacobson K, et al. Risk of unintentional overdose with non-prescription acetaminophen
products. J Gen Intern Med. 2012;27(12):1587-93. doi:10.1007/s11606-012-2096-3.
https://psnet.ahrq.gov/issue/risk-uni…
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psnet.ahrq.gov/node/73710/psn-pdf
September 15, 2021 - Strengths and weaknesses in the diagnostic process of
endometriosis from the patients' perspective: a focus
group study.
September 15, 2021
van der Zanden M, de Kok L, Nelen WLDM, et al. Strengths and weaknesses in the diagnostic process of
endometriosis from the patients’ perspective: a focus group study. Diagnos…
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psnet.ahrq.gov/node/47535/psn-pdf
November 07, 2018 - Gosport War Memorial Hospital. The Report of the
Gosport Independent Panel.
November 7, 2018
Gosport Independent Panel. London, England: Crown Copyright; 2018. ISBN: 9781528604062.
https://psnet.ahrq.gov/issue/gosport-war-memorial-hospital-report-gosport-independent-panel
Organizational culture influences how comf…
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psnet.ahrq.gov/node/44753/psn-pdf
April 12, 2019 - Is bias in the eye of the beholder? A vignette study to
assess recognition of cognitive biases in clinical case
workups.
April 12, 2019
Zwaan L, Monteiro SD, Sherbino J, et al. Is bias in the eye of the beholder? A vignette study to assess
recognition of cognitive biases in clinical case workups. BMJ Qual Saf. 201…
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psnet.ahrq.gov/node/72483/psn-pdf
November 18, 2020 - ACGME Summary Report: The Pursuing Excellence
Pathway Leaders Patient Safety Collaborative.
November 18, 2020
Passiment M, Wagner R, Weiss KB for the Pursuing Excellence in Clinical Learning Environments:
Pathway Leaders Patient Safety Collaborative. Chicago, IL: Accreditation Council for Graduate Medical
Educatio…
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psnet.ahrq.gov/node/857581/psn-pdf
January 01, 2025 - Medicare and Medicaid Programs and the Children’s
Health Insurance Program; Hospital Inpatient Prospective
Payment Systems for Acute Care Hospitals and the Long-
Term Care Hospital Prospective Payment System and
Policy Changes and Fiscal Year 2025 Rates; Quality
Programs Requirements; and Other Policy Changes.
Au…
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psnet.ahrq.gov/node/836925/psn-pdf
April 13, 2022 - Strength of improvement recommendations from
injurious fall investigations: a retrospective multi-incident
analysis.
April 13, 2022
Paulik O, Hallen J, Lapkin S, et al. Strength of improvement recommendations from injurious fall
investigations: a retrospective multi-incident analysis. J Patient Saf. 2022;18(3):e61…
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psnet.ahrq.gov/node/60916/psn-pdf
September 17, 2020 - Impact of professional interpreters on outcomes for
hospitalized children from migrant and refugee families
with limited English proficiency: a systematic review.
September 17, 2020
Boylen S, Cherian S, Gill FJ, et al. Impact of professional interpreters on outcomes for hospitalized children
from migrant and refug…
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psnet.ahrq.gov/node/73220/psn-pdf
May 05, 2021 - Identifying barriers to and opportunities for telehealth
implementation amidst the COVID-19 pandemic by using
a human factors approach: a leap into the future of health
care delivery?
May 5, 2021
Zhang T, Mosier J, Subbian V. Identifying barriers to and opportunities for telehealth implementation amidst
the COVID…
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psnet.ahrq.gov/node/44599/psn-pdf
December 09, 2015 - Association between day of delivery and obstetric
outcomes: observational study.
December 9, 2015
Palmer WL, Bottle A, Aylin P. Association between day of delivery and obstetric outcomes: observational
study. BMJ. 2015;351:h5774. doi:10.1136/bmj.h5774.
https://psnet.ahrq.gov/issue/association-between-day-delivery-…
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psnet.ahrq.gov/node/39602/psn-pdf
August 09, 2013 - Postoperative handover: problems, pitfalls, and
prevention of error.
August 9, 2013
Nagpal K, Arora S, Abboudi M, et al. Postoperative handover: problems, pitfalls, and prevention of error.
Ann Surg. 2010;252(1):171-6. doi:10.1097/SLA.0b013e3181dc3656.
https://psnet.ahrq.gov/issue/postoperative-handover-problems-p…
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psnet.ahrq.gov/node/73438/psn-pdf
June 30, 2021 - Implementation of patient safety structures and
processes in the patient-centered medical home.
June 30, 2021
Oberlander T, Scholle SH, Marsteller JA, et al. Implementation of patient safety structures and processes in
the patient-centered medical home. J Healthc Qual. 2021;43(6):324-339.
doi:10.1097/jhq.000000000…
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psnet.ahrq.gov/node/844538/psn-pdf
February 15, 2023 - Patient safety implications of wearing a face mask for
prevention in the era of COVID-19 pandemic: a systematic
review and consensus recommendations.
February 15, 2023
Balestracci B, La Regina M, Di Sessa D, et al. Patient safety implications of wearing a face mask for
prevention in the era of COVID-19 pandemic: a…