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psnet.ahrq.gov/node/45969/psn-pdf
January 07, 2019 - The surgeon as the second victim? Results of the Boston
Intraoperative Adverse Events Surgeons' Attitude (BISA)
study.
January 7, 2019
Han K, Bohnen JD, Peponis T, et al. The surgeon as the second victim? Results of the Boston
Intraoperative Adverse Events Surgeons' Attitude (BISA) study. J Am Coll Surg. 2017;224(…
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psnet.ahrq.gov/node/47854/psn-pdf
March 27, 2019 - Must we bust the trust?: Understanding how the
clinician–patient relationship influences patient
engagement in safety.
March 27, 2019
Mishra SR, Haldar S, Khelifi M, et al. Must we bust the trust?: Understanding how the clinician–patient
relationship influences patient engagement in safety. AMIA Annu Symp Proc. 20…
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psnet.ahrq.gov/node/840480/psn-pdf
November 30, 2022 - Understanding how the design and implementation of
online consultations affect primary care quality:
systematic review of evidence with recommendations for
designers, providers, and researchers.
November 30, 2022
Darley S, Coulson T, Peek N, et al. Understanding how the design and implementation of online
consult…
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psnet.ahrq.gov/node/838319/psn-pdf
October 12, 2022 - Training in safe opioid prescribing and treatment of
opioid use disorder in internal medicine residencies: a
national survey of program directors.
October 12, 2022
Windish DM, Catalanotti JS, Zaas A, et al. Training in safe opioid prescribing and treatment of opioid use
disorder in internal medicine residencies: a…
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psnet.ahrq.gov/issue/library-hospital-pairing-empowers-patients-improves-safety
June 27, 2018 - Newspaper/Magazine Article
Library-hospital pairing empowers patients, improves safety.
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March 7, 2016
This article describes the P…
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psnet.ahrq.gov/node/35771/psn-pdf
May 27, 2011 - Return on investment for a computerized physician order
entry system.
May 27, 2011
Kaushal R, Jha AK, Franz C, et al. Return on investment for a computerized physician order entry system.
J Am Med Inform Assoc. 2006;13(3):261-6.
https://psnet.ahrq.gov/issue/return-investment-computerized-physician-order-entry-syst…
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psnet.ahrq.gov/node/38505/psn-pdf
February 10, 2015 - Health information technology and patient safety:
evidence from panel data.
February 10, 2015
Parente ST, McCullough JS. Health information technology and patient safety: evidence from panel data.
Health Aff (Millwood). 2009;28(2):357-360. doi:10.1377/hlthaff.28.2.357.
https://psnet.ahrq.gov/issue/health-informati…
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psnet.ahrq.gov/node/36681/psn-pdf
May 31, 2011 - Improving general practice computer systems for patient
safety: qualitative study of key stakeholders.
May 31, 2011
Avery A, Savelyich BSP, Sheikh A, et al. Improving general practice computer systems for patient safety:
qualitative study of key stakeholders. Qual Saf Health Care. 2007;16(1):28-33.
https://psnet.a…
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psnet.ahrq.gov/node/36738/psn-pdf
August 02, 2011 - Barriers and motivators for making error reports from
family medicine offices: a report from the American
Academy of Family Physicians National Research
Network (AAFP NRN).
August 2, 2011
Elder NC, Graham D, Brandt E, et al. Barriers and motivators for making error reports from family medicine
offices: a report f…
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psnet.ahrq.gov/node/40994/psn-pdf
December 18, 2014 - Implementing medication reconciliation in outpatient
pediatrics.
December 18, 2014
Rappaport DI, Collins B, Koster A, et al. Implementing medication reconciliation in outpatient pediatrics.
Pediatrics. 2011;128(6):e1600-7. doi:10.1542/peds.2011-0993.
https://psnet.ahrq.gov/issue/implementing-medication-reconciliat…
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psnet.ahrq.gov/node/40353/psn-pdf
September 27, 2017 - Identifying and reducing medication errors in psychiatry:
creating a culture of safety through the use of an adverse
event reporting mechanism.
September 27, 2017
Jayaram G, Doyle D, Steinwachs D, et al. Identifying and reducing medication errors in psychiatry: creating
a culture of safety through the use of an ad…
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psnet.ahrq.gov/node/44179/psn-pdf
November 20, 2015 - Routine failures in the process for blood testing and the
communication of results to patients in primary care in
the UK: a qualitative exploration of patient and provider
perspectives.
November 20, 2015
Litchfield I, Bentham L, Hill A, et al. Routine failures in the process for blood testing and the communication…
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psnet.ahrq.gov/node/40364/psn-pdf
July 01, 2011 - Utilising improvement science methods to optimise
medication reconciliation.
April 13, 2011
White CM, Schoettker PJ, Conway PH, et al. Utilising improvement science methods to optimise
medication reconciliation. BMJ Qual Saf. 2011;20(4):372-80. doi:10.1136/bmjqs.2010.047845.
https://psnet.ahrq.gov/issue/utilising-…
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psnet.ahrq.gov/issue/safe-patient-outcomes-occur-timely-standardized-communication-critical-values
January 15, 2020 - Newspaper/Magazine Article
Safe patient outcomes occur with timely, standardized communication of critical values.
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April 16, 2018
…
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psnet.ahrq.gov/node/50815/psn-pdf
January 22, 2020 - Assessment of unintentional duplicate orders by
emergency department clinicians before and after
implementation of a visual aid in the electronic health
record ordering system.
January 22, 2020
Horng S, Joseph JW, Calder S, et al. Assessment of Unintentional Duplicate Orders by Emergency
Department Clinicians Bef…
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psnet.ahrq.gov/node/73446/psn-pdf
June 30, 2021 - A comprehensive departmental care review model:
requirements, structure, and flow.
June 30, 2021
Nestler DM, Laack TA, Scanlan-Hanson L, et al. A comprehensive departmental care review model:
requirements, structure, and flow. Jt Comm J Qual Patient Saf. 2021;47(8):503-509.
doi:10.1016/j.jcjq.2021.04.009.
https:/…
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psnet.ahrq.gov/node/73564/psn-pdf
August 04, 2021 - Communication in health care: impact of language and
accent on health care safety, quality, and patient
experience.
August 4, 2021
Ellahham S. Communication in health care: impact of language and accent on health care safety, quality,
and patient experience. Am J Med Qual. 2021;36(5):355-364. doi:10.1097/01.jmq.00…
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psnet.ahrq.gov/node/42641/psn-pdf
January 07, 2015 - Classification of medication incidents associated with
information technology.
January 7, 2015
Cheung K-C, van der Veen W, Bouvy ML, et al. Classification of medication incidents associated with
information technology. J Am Med Inform Assoc. 2014;21(e1):e63-70. doi:10.1136/amiajnl-2013-001818.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/60277/psn-pdf
January 01, 2021 - Evidence that nurses need to participate in diagnosis:
lessons from malpractice claims.
April 29, 2020
Gleason KT, Jones RM, Rhodes C, et al. Evidence that nurses need to participate in diagnosis: lessons
from malpractice claims. J Patient Saf. 2021;17(8):e959-e963. doi:10.1097/pts.0000000000000621.
https://psnet.…
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psnet.ahrq.gov/node/37837/psn-pdf
June 11, 2008 - Testing process errors and their harms and
consequences reported from family medicine practices: a
study of the American Academy of Family Physicians
National Research Network.
June 11, 2008
Hickner J, Graham DG, Elder NC, et al. Testing process errors and their harms and consequences
reported from family medicin…