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psnet.ahrq.gov/node/73473/psn-pdf
January 01, 2022 - Improving safety recommendations before
implementation: a simulation-based event analysis to
optimize interventions designed to prevent recurrence of
adverse events.
July 7, 2021
Langevin M, Ward N, Fitzgibbons C, et al. Improving safety recommendations before implementation: a
simulation-based event analysis to …
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psnet.ahrq.gov/node/36324/psn-pdf
December 10, 2008 - 2006 Update on Consumers' Views of Patient Safety and
Quality Information.
December 10, 2008
Washington DC: Kaiser Family Foundation; 2006.
https://psnet.ahrq.gov/issue/2006-update-consumers-views-patient-safety-and-quality-information
This survey follows up on a prior study from 2004, asking patients about their…
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psnet.ahrq.gov/node/35802/psn-pdf
January 02, 2017 - Reconciliation failures lead to medication errors.
January 2, 2017
Santell JP. Reconciliation failures lead to medication errors. Jt Comm J Qual Patient Saf. 2006;32(4):225-9.
https://psnet.ahrq.gov/issue/reconciliation-failures-lead-medication-errors
Medication reconciliation represents an active effort of hospita…
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psnet.ahrq.gov/node/47676/psn-pdf
December 19, 2018 - Assessment of attitudes toward deprescribing in older
Medicare beneficiaries in the United States.
December 19, 2018
Reeve E, Wolff JL, Skehan M, et al. Assessment of Attitudes Toward Deprescribing in Older Medicare
Beneficiaries in the United States. JAMA Intern Med. 2018;178(12):1673-1680.
doi:10.1001/jamaintern…
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psnet.ahrq.gov/node/73413/psn-pdf
June 23, 2021 - Interventions to reduce pediatric prescribing errors in
professional healthcare settings: a systematic review of
the last decade.
June 23, 2021
Koeck JA, Young NJ, Kontny U, et al. Interventions to Reduce Pediatric Prescribing Errors in Professional
Healthcare Settings: A Systematic Review of the Last Decade. Pedi…
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psnet.ahrq.gov/node/46312/psn-pdf
August 15, 2018 - Improving adherence to long-term opioid therapy
guidelines to reduce opioid misuse in primary care: a
cluster-randomized trial.
August 15, 2018
Liebschutz JM, Xuan Z, Shanahan CW, et al. Improving Adherence to Long-term Opioid Therapy
Guidelines to Reduce Opioid Misuse in Primary Care. JAMA Intern Med. 2017;177(9)…
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psnet.ahrq.gov/node/867138/psn-pdf
November 13, 2024 - Could breaks reduce general practitioner burnout and
improve safety? A daily diary study.
November 13, 2024
Hall LH, Johnson J, Watt I, et al. Could breaks reduce general practitioner burnout and improve safety? A
daily diary study. PLoS ONE. 2024;19(8):e0307513. doi:10.1371/journal.pone.0307513.
https://psnet.ahr…
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psnet.ahrq.gov/node/45096/psn-pdf
May 05, 2016 - Patient safety at the crossroads.
May 5, 2016
Gandhi TK, Berwick DM, Shojania KG. Patient Safety at the Crossroads. JAMA. 2016;315(17):1829-30.
doi:10.1001/jama.2016.1759.
https://psnet.ahrq.gov/issue/patient-safety-crossroads
This commentary discusses findings from the National Patient Safety Foundation report in…
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psnet.ahrq.gov/node/35229/psn-pdf
January 02, 2017 - Patient Safety Leadership WalkRounds™ at Partners
HealthCare: learning from implementation.
January 2, 2017
Frankel A, Grillo SP, Baker EG, et al. Patient Safety Leadership WalkRounds at Partners Healthcare:
learning from implementation. Jt Comm J Qual Patient Saf. 2005;31(8):423-37.
https://psnet.ahrq.gov/issue/p…
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psnet.ahrq.gov/node/861765/psn-pdf
January 31, 2024 - Observational study of conformity in yet another medical
learning environment: conformity to preceptors during
high-fidelity simulation.
January 31, 2024
Beran T, Altabbaa G, Oddone Paolucci E. Observational study of conformity in yet another medical
learning environment: conformity to preceptors during high-fidel…
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psnet.ahrq.gov/node/836807/psn-pdf
March 30, 2022 - Preventing delayed and missed care by applying artificial
intelligence to trigger radiology imaging follow-up.
March 30, 2022
Domingo J, Galal G, Huang J. Preventing delayed and missed care by applying artificial intelligence to
trigger radiology imaging follow-up. NEJM Catal Innov Care Deliv. 2022;3(4).
https://p…
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psnet.ahrq.gov/node/46235/psn-pdf
January 01, 2021 - Safety culture in the operating room: variability among
perioperative healthcare workers.
September 13, 2017
Pimentel MPT, Choi S, Fiumara K, et al. Safety culture in the operating room: variability among
perioperative healthcare workers. J Patient Saf. 2021;17(6):412-416. doi:10.1097/pts.0000000000000385.
https:/…
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psnet.ahrq.gov/node/35398/psn-pdf
February 24, 2011 - Residency work-hours reform: a cost analysis including
preventable adverse events.
February 24, 2011
Nuckols TK, Escarce JJ. Residency work-hours reform. A cost analysis including preventable adverse
events. J Gen Intern Med. 2005;20(10):873-8.
https://psnet.ahrq.gov/issue/residency-work-hours-reform-cost-analysis…
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psnet.ahrq.gov/node/838074/psn-pdf
January 01, 2023 - Online patient feedback as a safety valve: an automated
language analysis of unnoticed and unresolved safety
incidents.
September 14, 2022
Gillespie A, Reader TW. Online patient feedback as a safety valve: an automated language analysis of
unnoticed and unresolved safety incidents. Risk Anal. 2023;43(7):1463-1477.…
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psnet.ahrq.gov/node/45487/psn-pdf
July 21, 2020 - Annotated bibliography: an update to: "Understanding
ambulatory care practices in the context of patient safety
and quality improvement."
July 21, 2020
Kumar PR, Nash DB. Annotated Bibliography: An Update to “Understanding Ambulatory Care Practices in
the Context of Patient Safety and Quality Improvement”. Am J Me…
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psnet.ahrq.gov/node/46506/psn-pdf
October 11, 2017 - Getting Ahead of Harm Before It Happens: A Guide About
Proactive Analysis for Improving Surgical Care Safety.
October 11, 2017
Wiley K, Davies JM. Edmonton, AB: Canadian Patient Safety Institute; 2017.
https://psnet.ahrq.gov/issue/getting-ahead-harm-it-happens-guide-about-proactive-analysis-improving-
surgical-car…
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psnet.ahrq.gov/node/857452/psn-pdf
December 06, 2023 - Improving patient safety governance and systems
through learning from successes and failures: qualitative
surveys and interviews with international experts.
December 6, 2023
Hibbert PD, Stewart S, Wiles LK, et al. Improving patient safety governance and systems through learning
from successes and failures: qualita…
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psnet.ahrq.gov/node/40579/psn-pdf
July 06, 2011 - High risk prescribing in primary care patients particularly
vulnerable to adverse drug events: cross sectional
population database analysis in Scottish general practice.
July 6, 2011
Guthrie B, McCowan C, Davey P, et al. High risk prescribing in primary care patients particularly vulnerable
to adverse drug events:…
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psnet.ahrq.gov/node/73060/psn-pdf
March 24, 2021 - How much and what local adaptation is acceptable? A
comparison of 24 surgical safety checklists in
Switzerland.
March 24, 2021
Fridrich A, Imhof A, Schwappach DLB. How much and what local adaptation is acceptable? A comparison
of 24 surgical safety checklists in Switzerland. J Patient Saf. 2021;17(3):217-222.
doi…
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psnet.ahrq.gov/node/45193/psn-pdf
October 03, 2017 - Choice, transparency, coordination, and quality among
direct-to-consumer telemedicine websites and apps
treating skin disease.
October 3, 2017
Resneck JS, Abrouk M, Steuer M, et al. Choice, Transparency, Coordination, and Quality Among Direct-to-
Consumer Telemedicine Websites and Apps Treating Skin Disease. JAMA …