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psnet.ahrq.gov/node/844754/psn-pdf
September 18, 2019 - How do stakeholders experience the adoption of
electronic prescribing systems in hospitals? A systematic
review and thematic synthesis of qualitative studies.
September 18, 2019
Farre A, Heath G, Shaw K, et al. How do stakeholders experience the adoption of electronic prescribing
systems in hospitals? A systematic…
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psnet.ahrq.gov/node/862154/psn-pdf
June 18, 2020 - Listening to women: recommendations from women of
color to improve experiences in pregnancy and birth care.
June 18, 2020
Altman MR, McLemore MR, Oseguera T, et al. Listening to women: recommendations from women of color
to improve experiences in pregnancy and birth care. J Midwifery Womens Health. 2020;65(4):466-4…
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psnet.ahrq.gov/node/35908/psn-pdf
March 03, 2011 - Patient safety in surgery.
March 3, 2011
Makary MA, Sexton B, Freischlag JA, et al. Patient safety in surgery. Ann Surg. 2006;243(5):628-32;
discussion 632-5.
https://psnet.ahrq.gov/issue/patient-safety-surgery
This AHRQ-supported study used a surgery-specific safety questionnaire (modified from the Safety
Attitu…
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psnet.ahrq.gov/node/44844/psn-pdf
March 02, 2016 - From To Err Is Human to Improving Diagnosis in Health
Care: the risk management perspective.
March 2, 2016
Bunting RF, Groszkruger DP. From To Err Is Human to Improving Diagnosis in Health Care: The risk
management perspective. J Healthc Risk Manag. 2016;35(3):10-23. doi:10.1002/jhrm.21205.
https://psnet.ahrq.gov/…
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psnet.ahrq.gov/node/867228/psn-pdf
December 04, 2024 - Risk factors for wrong-patient medication orders in the
emergency department.
December 4, 2024
Krummrey G, Sauter TC, Hautz WE, et al. Risk factors for wrong-patient medication orders in the
emergency department. JAMIA Open. 2024;7(4):ooae103. doi:10.1093/jamiaopen/ooae103.
https://psnet.ahrq.gov/issue/risk-factor…
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psnet.ahrq.gov/node/865520/psn-pdf
April 10, 2024 - The prevalence of incivility in hospitals and the effects of
incivility on patient safety culture and outcomes: a
systematic review and meta-analysis.
April 10, 2024
Freedman B, Li WW, Liang Z, et al. The prevalence of incivility in hospitals and the effects of incivility on
patient safety culture and outcomes: a …
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psnet.ahrq.gov/node/45928/psn-pdf
April 24, 2018 - Comparing VA and Non-VA quality of care: a systematic
review.
April 24, 2018
O'Hanlon C, Huang C, Sloss E, et al. Comparing VA and Non-VA Quality of Care: A Systematic Review. J
Gen Intern Med. 2017;32(1):105-121. doi:10.1007/s11606-016-3775-2.
https://psnet.ahrq.gov/issue/comparing-va-and-non-va-quality-care-syst…
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psnet.ahrq.gov/node/60271/psn-pdf
April 29, 2020 - Pain management best practices from multispecialty
organizations during the COVID-19 pandemic and public
health crises.
April 29, 2020
Cohen SP, Baber ZB, Buvanendran A, et al. Pain Management Best Practices from Multispecialty
Organizations During the COVID-19 Pandemic and Public Health Crises. Pain Med. 2020;21(…
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psnet.ahrq.gov/node/846156/psn-pdf
March 15, 2023 - Communication matters when it comes to adverse events:
associations of adverse events during implant treatment
with patients' communication quality and trust
assessments.
March 15, 2023
Schrimpff C, Link E, Fisse T, et al. Communication matters when it comes to adverse events: associations
of adverse events durin…
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psnet.ahrq.gov/node/837420/psn-pdf
June 15, 2022 - The electronic prescribing of subcutaneous infusions: a
before-and-after study assessing the impact upon patient
safety and service efficiency.
June 15, 2022
Hindmarsh J, Holden K. The electronic prescribing of subcutaneous infusions: a before-and-after study
assessing the impact upon patient safety and service ef…
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psnet.ahrq.gov/node/851648/psn-pdf
July 26, 2023 - Perspectives about racism and patient-clinician
communication among black adults with serious illness.
July 26, 2023
Brown CE, Marshall AR, Snyder CR, et al. Perspectives about racism and patient-clinician communication
among black adults with serious illness. JAMA Netw Open. 2023;6(7):e2321746.
doi:10.1001/jamane…
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psnet.ahrq.gov/node/72718/psn-pdf
February 10, 2021 - Assessing reasons for decreased primary care access for
individuals on prescribed opioids: an audit study.
February 10, 2021
Lagisetty P, Macleod C, Thomas J, et al. Assessing reasons for decreased primary care access for
individuals on prescribed opioids. Pain. 2021;162(5):1379-1386. doi:10.1097/j.pain.00000000000…
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psnet.ahrq.gov/node/74172/psn-pdf
December 08, 2021 - Differences in safety report event types submitted by
graduate medical education trainees compared with other
healthcare team members.
December 8, 2021
Cohen SP, McLean HS, Milne J, et al. Differences in Safety Report Event Types Submitted by Graduate
Medical Education Trainees Compared With Other Healthcare Team …
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psnet.ahrq.gov/node/48119/psn-pdf
August 07, 2019 - Improving perceptions of patient safety through
standardizing handoffs from the emergency department
to the inpatient setting: a systematic review.
August 7, 2019
Alimenti D, Buydos S, Cunliffe L, et al. Improving perceptions of patient safety through standardizing
handoffs from the emergency department to the inp…
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psnet.ahrq.gov/node/855421/psn-pdf
November 15, 2023 - Informatics tools in deprescribing and medication
optimization in older adults: development and
dissemination of VIONE methodology in a high reliability
organization.
November 15, 2023
Winter SG, Sedgwick C, Wallace-Lacey A, et al. Informatics tools in deprescribing and medication
optimization in older adults: de…
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psnet.ahrq.gov/node/34690/psn-pdf
February 10, 2011 - Systems analysis of adverse drug events.
February 10, 2011
Leape L, Bates DW, Cullen DJ, et al. Systems analysis of adverse drug events. ADE Prevention Study
Group. JAMA. 1995;274(1):35-43.
https://psnet.ahrq.gov/issue/systems-analysis-adverse-drug-events
The authors report a "systems analysis" of the adverse drug…
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psnet.ahrq.gov/node/47776/psn-pdf
August 20, 2021 - FDA Safety Communication: update--robotically-assisted
surgical devices in mastectomy.
August 20, 2021
MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; August 20, 2021.
https://psnet.ahrq.gov/issue/fda-safety-communication-caution-when-using-robotically-assisted-surgical-
devices-womens
…
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psnet.ahrq.gov/node/46623/psn-pdf
July 02, 2019 - Factors contributing to medication errors made when
using computerized order entry in pediatrics: a
systematic review.
July 2, 2019
Tolley CL, Forde NE, Coffey KL, et al. Factors contributing to medication errors made when using
computerized order entry in pediatrics: a systematic review. J Am Med Info Assoc. 2017…
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psnet.ahrq.gov/node/34863/psn-pdf
June 12, 2007 - Internal Bleeding: The Truth Behind America's Terrifying
Epidemic of Medical Mistakes. Updated edition.
June 12, 2007
Wachter R, Shojania K. New York: Rugged Land; 2005. ISBN: 9781590710739.
https://psnet.ahrq.gov/issue/internal-bleeding-truth-behind-americas-terrifying-epidemic-medical-mistakes-
updated-edition
…
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psnet.ahrq.gov/node/35516/psn-pdf
February 03, 2011 - Supplemental perioperative oxygen and the risk of
surgical wound infection: a randomized controlled trial.
February 3, 2011
Belda J, Aguilera L, de la Asunción JG, et al. Supplemental perioperative oxygen and the risk of surgical
wound infection: a randomized controlled trial. JAMA. 2005;294(16):2035-42.
https://p…