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psnet.ahrq.gov/node/853965/psn-pdf
September 27, 2023 - Patients' negative experiences with health care settings
brought to light by formal complaints: a qualitative
metasynthesis.
September 27, 2023
Eriksen AA, Fegran L, Fredwall TE, et al. Patients' negative experiences with health care settings brought
to light by formal complaints: a qualitative metasynthesis. J Cl…
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psnet.ahrq.gov/node/72530/psn-pdf
January 01, 2021 - A realist synthesis of pharmacist-conducted medication
reviews in primary care after leaving hospital: what works
for whom and why?
December 2, 2020
Luetsch K, Rowett D, Twigg MJ. A realist synthesis of pharmacist-conducted medication reviews in primary
care after leaving hospital: what works for whom and why? BMJ…
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psnet.ahrq.gov/node/60195/psn-pdf
April 01, 2020 - What every health lawyer should know about the Patient
Safety and Quality Improvement Act of 2005.
April 1, 2020
Hanzal M. What every health lawyer should know about the Patient Safety and Quality Improvement Act of
2005. J Health Life Sci Law. 2020;13(2):71-88.
https://psnet.ahrq.gov/issue/what-every-health-lawye…
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psnet.ahrq.gov/node/39000/psn-pdf
September 01, 2016 - Clinicians' assessments of electronic medication safety
alerts in ambulatory care.
September 1, 2016
Weingart SN, Simchowitz B, Shiman L, et al. Clinicians' assessments of electronic medication safety alerts
in ambulatory care. Arch Intern Med. 2009;169(17):1627-1632. doi:10.1001/archinternmed.2009.300.
https://ps…
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psnet.ahrq.gov/node/37666/psn-pdf
April 02, 2008 - Safety in anaesthesia: a study of 12,606 reported
incidents from the UK National Reporting and Learning
System.
April 2, 2008
Catchpole K, Bell MDD, Johnson S. Safety in anaesthesia: a study of 12,606 reported incidents from the
UK National Reporting and Learning System. Anaesthesia. 2008;63(4):340-6. doi:10.1111/…
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psnet.ahrq.gov/node/42419/psn-pdf
July 17, 2013 - Health IT Patient Safety Action and Surveillance Plan.
July 17, 2013
Washington, DC: Office of the National Coordinator for Health Information Technology; July 2, 2013.
https://psnet.ahrq.gov/issue/health-it-patient-safety-action-and-surveillance-plan
This report from the Department of Health and Human Services (HH…
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psnet.ahrq.gov/node/72568/psn-pdf
January 01, 2021 - Alternatives to opioid education and a prescription drug
monitoring program cumulatively decreased outpatient
opioid prescriptions.
December 16, 2020
Sigal A, Shah A, Onderdonk A, et al. Alternatives to opioid education and a prescription drug monitoring
program cumulatively decreased outpatient opioid prescriptio…
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psnet.ahrq.gov/node/865711/psn-pdf
May 01, 2024 - Paediatric medication incident reporting: a multicentre
comparison study of medication errors identified at audit,
detected by staff and reported to an incident system.
May 1, 2024
Li L, Badgery-Parker T, Merchant A, et al. Paediatric medication incident reporting: a multicentre
comparison study of medication erro…
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psnet.ahrq.gov/node/854995/psn-pdf
November 01, 2023 - Intervention of pharmacist included in multidisciplinary
team to reduce adverse drug event: a qualitative
systematic review.
November 1, 2023
Zaij S, Pereira Maia K, Leguelinel-Blache G, et al. Intervention of pharmacist included in multidisciplinary
team to reduce adverse drug event: a qualitative systematic revi…
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psnet.ahrq.gov/node/45700/psn-pdf
September 01, 2018 - Resolving malpractice claims after tort reform: experience
in a self-insured Texas public academic health system.
September 1, 2018
Sage WM, Harding MC, Thomas EJ. Resolving Malpractice Claims after Tort Reform: Experience in a Self-
Insured Texas Public Academic Health System. Health Serv Res. 2016;51 Suppl 3:2615…
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psnet.ahrq.gov/node/47537/psn-pdf
November 14, 2018 - Developing a learning health system: insights from a
qualitative process evaluation of a pharmacist-led
electronic audit and feedback intervention to improve
medication safety in primary care.
November 14, 2018
Jeffries M, Keers RN, Phipps D, et al. Developing a learning health system: Insights from a qualitative
…
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psnet.ahrq.gov/node/867041/psn-pdf
October 30, 2024 - "What else could it be?" A scoping review of questions
for patients to ask throughout the diagnostic process.
October 30, 2024
Hill MA, Coppinger T, Sedig K, et al. "What else could it be?" A scoping review of questions for patients to
ask throughout the diagnostic process. J Patient Saf. 2024;20(8):529-534.
doi:1…
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psnet.ahrq.gov/node/47481/psn-pdf
January 23, 2019 - Implementation of a second victim program in the
neonatal intensive care unit: an interim analysis of
employee satisfaction.
January 23, 2019
Merandi J, Winning AM, Liao NN, et al. Implementation of a second victim program in the neonatal
intensive care unit: An interim analysis of employee satisfaction. J Patient…
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psnet.ahrq.gov/node/854828/psn-pdf
October 25, 2023 - Medication safety amid technological change: usability
evaluation to inform inpatient nurses' electronic health
record system transition.
October 25, 2023
Reale C, Ariosto DA, Weinger MB, et al. Medication safety amid technological change: usability evaluation
to inform inpatient nurses' electronic health record s…
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psnet.ahrq.gov/node/60194/psn-pdf
April 01, 2020 - Do you know what doses are being programmed in the
OR? Make it an expectation to use smart infusion pumps
with DERS.
April 1, 2020
Do you know what doses are being programmed in the OR? Make it an expectation to use smart infusion
pumps with DERS. ISMP Medication Safety Alert! Acute care edition!. 25(5):1-5.
http…
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psnet.ahrq.gov/node/854991/psn-pdf
November 01, 2023 - Assessing biases in medical decisions via clinician and
AI chatbot responses to patient vignettes.
November 1, 2023
Kim J, Cai ZR, Chen ML, et al. Assessing biases in medical decisions via clinician and AI chatbot
responses to patient vignettes. JAMA Netw Open. 2023;6(10):e2338050.
doi:10.1001/jamanetworkopen.2023…
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psnet.ahrq.gov/node/36634/psn-pdf
March 03, 2011 - Surgeon information transfer and communication: factors
affecting quality and efficiency of inpatient care.
March 3, 2011
Williams RG, Silverman R, Schwind C, et al. Surgeon information transfer and communication: factors
affecting quality and efficiency of inpatient care. Ann Surg. 2007;245(2):159-69.
https://psn…
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psnet.ahrq.gov/node/860729/psn-pdf
January 17, 2024 - From the flight deck to the bedside: core aviation
concepts applied to acute care physical therapist practice
and education.
January 17, 2024
Shoemaker MJ, Collins SM. From the flight deck to the bedside: core aviation concepts applied to acute
care physical therapist practice and education. Phys Ther. 2023;103(12…
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psnet.ahrq.gov/node/74854/psn-pdf
February 23, 2022 - Nursing guidelines for comprehensive harm prevention
strategies for adult patients in acute hospitals: an
integrative review and synthesis.
February 23, 2022
Redley B, Douglas T, Hoon L, et al. Nursing guidelines for comprehensive harm prevention strategies for
adult patients in acute hospitals: An integrative rev…
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psnet.ahrq.gov/node/47022/psn-pdf
July 19, 2018 - Thoughtless design of the electronic health record drives
overuse, but purposeful design can nudge improved
patient care.
July 19, 2018
Vaughn VM, Linder JA. Thoughtless design of the electronic health record drives overuse, but purposeful
design can nudge improved patient care. BMJ Qual Saf. 2018;27(8):583-586. d…