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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/45655/psn-pdf
November 23, 2016 - Effect of US Drug Enforcement Administration's
rescheduling of hydrocodone combination analgesic
products on opioid analgesic prescribing.
November 23, 2016
Jones CM, Lurie PG, Throckmorton DC. Effect of US Drug Enforcement Administration's Rescheduling of
Hydrocodone Combination Analgesic Products on Opioid Analg…
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psnet.ahrq.gov/node/46771/psn-pdf
January 30, 2018 - Electronic medical record alert associated with reduced
opioid and benzodiazepine coprescribing in high-risk
Veteran patients.
January 30, 2018
Malte CA, Berger D, Saxon AJ, et al. Electronic Medical Record Alert Associated With Reduced Opioid and
Benzodiazepine Coprescribing in High-risk Veteran Patients. Med Car…
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psnet.ahrq.gov/node/38033/psn-pdf
September 24, 2010 - Implementing online medication reconciliation at a large
academic medical center.
September 24, 2010
Bails D, Clayton K, Roy K, et al. Implementing online medication reconciliation at a large academic medical
center. Jt Comm J Qual Patient Saf. 2008;34(9):499-508.
https://psnet.ahrq.gov/issue/implementing-online-m…
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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/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…
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psnet.ahrq.gov/node/836915/psn-pdf
April 13, 2022 - Workarounds in electronic health record systems and the
revised Sociotechnical Electronic Health Record
Workaround Analysis Framework: scoping review.
April 13, 2022
Blijleven V, Hoxha F, Jaspers MWM. Workarounds in electronic health record systems and the revised
sociotechnical Electronic Health Record workaround…
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psnet.ahrq.gov/node/47385/psn-pdf
April 27, 2019 - Reasons for repeat rapid response team calls, and
associations with in-hospital mortality.
April 27, 2019
Chalwin R, Giles L, Salter A, et al. Reasons for Repeat Rapid Response Team Calls, and Associations with
In-Hospital Mortality. Jt Comm J Qual Patient Saf. 2019;45(4):268-275. doi:10.1016/j.jcjq.2018.10.005.
h…
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psnet.ahrq.gov/node/73441/psn-pdf
June 30, 2021 - Assessment of patient-preferred language to achieve
goal-aligned deprescribing in older adults.
June 30, 2021
Green AR, Aschmann H, Boyd CM, et al. Assessment of patient-preferred language to achieve goal-
aligned deprescribing in older adults. JAMA Netw Open. 2021;4(4):e212633.
doi:10.1001/jamanetworkopen.2021.26…
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psnet.ahrq.gov/node/45596/psn-pdf
January 09, 2018 - More holes than cheese. What prevents the delivery of
effective, high quality, and safe healthcare in England?
January 9, 2018
Hignett S, Lang A, Pickup L, et al. More holes than cheese. What prevents the delivery of effective, high
quality and safe health care in England? Ergonomics. 2018;61(1):5-14.
doi:10.1080/…
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psnet.ahrq.gov/node/839319/psn-pdf
November 02, 2022 - Improving safety in the operating room: medication icon
labels increase visibility and discrimination.
November 2, 2022
Lusk C, Catchpole K, Neyens DM, et al. Improving safety in the operating room: medication icon labels
increase visibility and discrimination. Appl Ergon. 2022;104:103831. doi:10.1016/j.apergo.2022…
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psnet.ahrq.gov/node/46372/psn-pdf
September 13, 2017 - Impact of a successful speaking up program on health-
care worker hand hygiene behavior.
September 13, 2017
Linam MW; Honeycutt MD; Gilliam CH; Wisdom CM; Deshpande JK.
https://psnet.ahrq.gov/issue/impact-successful-speaking-program-health-care-worker-hand-hygiene-
behavior
Improving hand hygiene in health care f…
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psnet.ahrq.gov/node/45852/psn-pdf
July 05, 2017 - E-prescribing and adverse drug events: an observational
study of the Medicare Part D population with diabetes.
July 5, 2017
Gabriel MH, Powers C, Encinosa W, et al. E-Prescribing and Adverse Drug Events: An Observational
Study of the Medicare Part D Population With Diabetes. Med Care. 2017;55(5):456-462.
doi:10.10…
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psnet.ahrq.gov/node/72639/psn-pdf
January 13, 2021 - Assessment of physician sleep and wellness, burnout,
and clinically significant medical errors.
January 13, 2021
Trockel MT, Menon NK, Rowe SG, et al. Assessment of Physician Sleep and Wellness, Burnout, and
Clinically Significant Medical Errors. JAMA Netw Open. 2020;3(12):e2028111.
doi:10.1001/jamanetworkopen.202…
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psnet.ahrq.gov/node/34795/psn-pdf
December 23, 2008 - Preventable adverse drug events in hospitalized patients:
a comparative study of intensive care and general care
units.
December 23, 2008
Cullen DJ, Sweitzer BJ, Bates DW, et al. Preventable adverse drug events in hospitalized patients. Crit
Care Med. 1997;25(8):1289-1297. doi:10.1097/00003246-199708000-00014.
ht…
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psnet.ahrq.gov/node/836747/psn-pdf
March 16, 2022 - Patient perceptions of hospital experiences: implications
for innovations in patient safety.
March 16, 2022
Butler JM, Gibson B, Schnock KO, et al. Patient perceptions of hospital experiences: implications for
innovations in patient safety. J Patient Saf. 2022;18(2):e563-e567. doi:10.1097/pts.0000000000000865.
htt…
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psnet.ahrq.gov/node/73217/psn-pdf
May 05, 2021 - Assessing patients 2019 experiences with medical injury
reconciliation processes: item generation for a novel
survey questionnaire.
May 5, 2021
Schulz-Moore JS, Bismark M, Jenkinson C, et al. Assessing patients 2019 experiences with medical injury
reconciliation processes: item generation for a novel survey questi…