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psnet.ahrq.gov/node/42322/psn-pdf
June 05, 2013 - Delivery of optimized inpatient anticoagulation therapy:
consensus statement from the Anticoagulation Forum.
June 5, 2013
Nutescu EA, Wittkowsky AK, Burnett A, et al. Delivery of optimized inpatient anticoagulation therapy:
consensus statement from the anticoagulation forum. Ann Pharmacother. 2013;47(5):714-24.
do…
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psnet.ahrq.gov/node/851647/psn-pdf
July 26, 2023 - Statewide perinatal quality improvement, teamwork, and
communication activities in Oklahoma and Texas.
July 26, 2023
Stierman EK, O'Brien BT, Stagg J, et al. Statewide perinatal quality improvement, teamwork, and
communication activities in Oklahoma and Texas. Qual Manag Health Care. 2023;32(3):177-188.
doi:10.109…
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psnet.ahrq.gov/node/43205/psn-pdf
April 04, 2018 - Placing Diagnosis Errors on the Policy Agenda.
April 4, 2018
Berenson RA, Upadhyay D, Kaye DR. Washington, DC: Urban Institute. Princeton, NJ: Robert Wood
Johnson Foundation; 2014.
https://psnet.ahrq.gov/issue/placing-diagnosis-errors-policy-agenda
This comprehensive policy brief emphasizes the importance of addre…
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psnet.ahrq.gov/node/34939/psn-pdf
June 16, 2011 - The effect of executive walk rounds on nurse safety
climate attitudes: a randomized trial of clinical units.
June 16, 2011
Thomas EJ, Sexton B, Neilands TB, et al. The effect of executive walk rounds on nurse safety climate
attitudes: a randomized trial of clinical units[ISRCTN85147255] [corrected]. BMC Health Serv…
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psnet.ahrq.gov/node/73087/psn-pdf
March 31, 2021 - Developing open disclosure strategies to medical error
using simulation in final-year medical students: linking
mindset and experiential learning to lifelong reflective
practice.
March 31, 2021
Lane AS, Roberts C. Developing open disclosure strategies to medical error using simulation in final-year
medical studen…
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psnet.ahrq.gov/node/866745/psn-pdf
September 18, 2024 - State of the Science and Future Directions to Improve
Diagnostic Safety in Older Adults.
September 18, 2024
Tran AK, Syed Q, Bierman AS, et al. State Of The Science And Future Directions To Improve Diagnostic
Safety In Older Adults. Rockville, MD: Agency for Healthcare Research and Quality; September 2024.
AHRQ Pu…
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psnet.ahrq.gov/node/867342/psn-pdf
December 11, 2024 - Does one size fit all? Developing an evaluation strategy to
assess large language models for patient safety event
report analysis.
December 11, 2024
Fong A, Adams KT, Boxley C, et al. Does one size fit all? Developing an evaluation strategy to assess
large language models for patient safety event report analysis. …
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psnet.ahrq.gov/node/36902/psn-pdf
June 09, 2010 - Patient handover from surgery to intensive care: using
Formula 1 pit-stop and aviation models to improve safety
and quality.
June 9, 2010
Catchpole K, de Leval MR, McEwan A, et al. Patient handover from surgery to intensive care: using
Formula 1 pit-stop and aviation models to improve safety and quality. Paediatr …
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psnet.ahrq.gov/node/74134/psn-pdf
December 01, 2021 - Remember that patient you saw last week: characteristics
and frequency of patients experiencing anticipated and
unanticipated death following ED discharge.
December 1, 2021
Hoang R, Sampsel K, Willmore A, et al. Remember that patient you saw last week: characteristics and
frequency of patients experiencing anticip…
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psnet.ahrq.gov/node/36455/psn-pdf
December 22, 2010 - Changing the work environment in ICUs to achieve
patient-focused care: the time has come.
December 22, 2010
McCauley K, Irwin RS. Changing the work environment in ICUs to achieve patient-focused care: the time
has come. Chest. 2006;130(5):1571-8.
https://psnet.ahrq.gov/issue/changing-work-environment-icus-achieve-…
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psnet.ahrq.gov/node/47571/psn-pdf
December 12, 2018 - Enhancing safety culture through improved incident
reporting: a case study in translational research.
December 12, 2018
Flott K, Nelson D, Moorcroft T, et al. Enhancing Safety Culture Through Improved Incident Reporting: A
Case Study In Translational Research. Health Aff (Millwood). 2018;37(11):1797-1804.
doi:10.1…
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psnet.ahrq.gov/node/847046/psn-pdf
April 05, 2023 - Indication documentation and indication-based
prescribing within electronic prescribing systems: a
systematic review and narrative synthesis.
April 5, 2023
Feather C, Appelbaum N, Darzi A, et al. Indication documentation and indication-based prescribing within
electronic prescribing systems: a systematic review an…
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psnet.ahrq.gov/node/846441/psn-pdf
March 22, 2023 - "We're not taken seriously": describing the experiences
of perceived discrimination in medical settings for Black
women.
March 22, 2023
Washington A, Randall J. "We're not taken seriously": describing the experiences of perceived
discrimination in medical settings for Black women. J Racial Ethn Health Disparities.…
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psnet.ahrq.gov/node/60734/psn-pdf
July 29, 2020 - Delayed access to care and late presentations in children
during the COVID-19 pandemic: a snapshot survey of
4075 paediatricians in the UK and Ireland.
July 29, 2020
Lynn RM, Avis JL, Lenton S, et al. Delayed access to care and late presentations in children during the
COVID-19 pandemic: a snapshot survey of 4075 …
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psnet.ahrq.gov/node/41211/psn-pdf
January 03, 2017 - He thought the "lady in the door" was the "lady in the
window": a qualitative study of patient identification
practices.
January 3, 2017
Phipps E, Turkel M, Mackenzie ER, et al. He thought the "lady in the door" was the "lady in the window": a
qualitative study of patient identification practices. Jt Comm J Qual P…
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psnet.ahrq.gov/node/841142/psn-pdf
December 07, 2022 - Experience of hospital-initiated medication changes in
older people with multimorbidity: a multicentre mixed-
methods study embedded in the OPtimising thERapy to
prevent Avoidable hospital admissions in Multimorbid
older people (OPERAM) trial.
December 7, 2022
Thevelin S, Pétein C, Metry B, et al. Experience of h…
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psnet.ahrq.gov/node/42980/psn-pdf
February 17, 2017 - Disclosing adverse events to patients: international
norms and trends.
February 17, 2017
Wu AW, McCay L, Levinson W, et al. Disclosing Adverse Events to Patients: International Norms and
Trends. J Patient Saf. 2017;13(1):43-49. doi:10.1097/PTS.0000000000000107.
https://psnet.ahrq.gov/issue/disclosing-adverse-event…
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psnet.ahrq.gov/node/45651/psn-pdf
November 16, 2016 - Improving patient safety through the involvement of
patients: development and evaluation of novel
interventions to engage patients in preventing patient
safety incidents and protecting them against unintended
harm.
November 16, 2016
Wright J, Lawton R, O’Hara J, et al. Improving Patient Safety Through The Involve…
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psnet.ahrq.gov/node/37092/psn-pdf
August 21, 2008 - Enhancing patient safety during pediatric sedation: the
impact of simulation-based training of
nonanesthesiologists.
August 21, 2008
Shavit I, Keidan I, Hoffmann Y, et al. Enhancing patient safety during pediatric sedation: the impact of
simulation-based training of nonanesthesiologists. Arch Pediatr Adolesc Med. …
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psnet.ahrq.gov/node/846161/psn-pdf
March 15, 2023 - Ten years of online incident reporting and learning using
CPiRLS: implications for improved patient safety.
March 15, 2023
Thomas M, Swait G, Finch R. Ten years of online incident reporting and learning using CPiRLS:
implications for improved patient safety. Chiropr Man Therap. 2023;31(1):9. doi:10.1186/s12998-023-…