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psnet.ahrq.gov/node/35969/psn-pdf
August 10, 2010 - Systematic review: impact of health information
technology on quality, efficiency, and costs of medical
care.
August 10, 2010
Chaudhry B, Wang J, Wu S, et al. Systematic review: impact of health information technology on quality,
efficiency, and costs of medical care. Ann Intern Med. 2006;144(10):742-52.
https://…
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psnet.ahrq.gov/issue/safe-rx-awards
August 02, 2023 - Award Recipient
The Safe RX Awards.
Citation Text:
The Safe RX Awards. SureScripts
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April 27, 2009
Su…
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psnet.ahrq.gov/node/838628/psn-pdf
January 01, 2023 - Safety competency: exploring the impact of
environmental and personal factors on the nurse's ability
to deliver safe care.
October 19, 2022
Dillon-Bleich K, Dolansky MA, Burant CJ, et al. Safety competency: exploring the impact of environmental
and personal factors on the nurse's ability to deliver safe care. J Nu…
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psnet.ahrq.gov/node/36889/psn-pdf
May 28, 2024 - Surveys on Patient Safety Culture.
May 28, 2024
Rockville MD: Agency for Healthcare Research and Quality
https://psnet.ahrq.gov/issue/surveys-patient-safety-culture
Safety culture has been described as a key to establishing high reliability organizations. The National
Quality Forum's Safe Practices for Healthcare …
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psnet.ahrq.gov/node/73161/psn-pdf
April 21, 2021 - The randomized AMBORA trial: impact of
pharmacological/pharmaceutical care on medication
safety and patient-reported outcomes during treatment
with new oral anticancer agents.
April 21, 2021
Dürr P, Schlichtig K, Kelz C, et al. The randomized AMBORA trial: impact of
pharmacological/pharmaceutical care on medicati…
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psnet.ahrq.gov/node/867752/psn-pdf
March 12, 2025 - Analyzing and mitigating the risks of patient harm during
operating room to intensive care unit patient handoffs.
March 12, 2025
Martins NRS, Martinez EZ, Simões CM, et al. Analyzing and mitigating the risks of patient harm during
operating room to intensive care unit patient handoffs. Int J Qual Health Care. 2025;…
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psnet.ahrq.gov/node/846749/psn-pdf
March 29, 2023 - The influence of professional identity on how the receiver
receives and responds to a speaking up message: a
cross-sectional study.
March 29, 2023
Barlow M, Watson B, Jones EW, et al. The influence of professional identity on how the receiver receives
and responds to a speaking up message: a cross-sectional study.…
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psnet.ahrq.gov/node/863213/psn-pdf
February 28, 2024 - Electronic medication reconciliation tools aimed at
healthcare professionals to support medication
reconciliation: a systematic review.
February 28, 2024
Ciudad-Gutiérrez P, del Valle-Moreno P, Lora-Escobar SJ, et al. Electronic medication reconciliation tools
aimed at healthcare professionals to support medicatio…
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psnet.ahrq.gov/node/850164/psn-pdf
June 07, 2023 - 'Speaking Up' for patient safety and staff well-being: a
qualitative study.
June 7, 2023
Delpino R, Lees-Deutsch L, Solanki B. ‘Speaking Up’ for patient safety and staff well-being: a qualitative
study. BMJ Open Qual. 2023;12(2):e002047. doi:10.1136/bmjoq-2022-002047.
https://psnet.ahrq.gov/issue/speaking-patient-…
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psnet.ahrq.gov/node/36409/psn-pdf
September 28, 2016 - The multitasking clinician: decision-making and cognitive
demand during and after team handoffs in emergency
care.
September 28, 2016
Laxmisan A, Hakimzada F, Sayan OR, et al. The multitasking clinician: decision-making and cognitive
demand during and after team handoffs in emergency care. IntJ Med Inform. 2007;76…
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psnet.ahrq.gov/node/60906/psn-pdf
August 18, 2021 - Global Patient Safety Action Plan 2021-2030: Towards
Eliminating Avoidable Harm in Health Care.
August 18, 2021
Geneva, Switzerland: World Health Organization; 2021. ISBN: 9789240032705.
https://psnet.ahrq.gov/issue/global-patient-safety-action-plan-2021-2030-towards-eliminating-avoidable-
harm-health-care
The Wo…
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psnet.ahrq.gov/node/36551/psn-pdf
February 17, 2011 - An intervention to decrease catheter-related bloodstream
infections in the ICU.
February 17, 2011
Pronovost P, Needham DM, Berenholtz SM, et al. An intervention to decrease catheter-related
bloodstream infections in the ICU. N Engl J Med. 2006;355(26):2725-2732.
https://psnet.ahrq.gov/issue/intervention-decrease-c…
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psnet.ahrq.gov/node/45953/psn-pdf
July 22, 2020 - Root Cause Analysis in Health Care: A Joint Commission
Guide to Analysis and Corrective Action of Sentinel and
Adverse Events.
July 22, 2020
Oakbrook Terrace, IL: Joint Commission Resources; 2020. ISBN: 9781635851618.
https://psnet.ahrq.gov/issue/root-cause-analysis-health-care-joint-commission-guide-analysis-and-…
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psnet.ahrq.gov/node/37542/psn-pdf
February 23, 2018 - Handbook of Human Factors and Ergonomics in Health
Care and Patient Safety. 2nd ed.
February 23, 2018
Carayon P, ed. Boca Raton, FL: CRC Press; 2017. ISBN: 9781439830338
https://psnet.ahrq.gov/issue/handbook-human-factors-and-ergonomics-health-care-and-patient-safety-2nd-
ed
Human factors principles are widely ap…
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psnet.ahrq.gov/node/865817/psn-pdf
May 08, 2024 - Using Healthcare Failure Mode and Effect Analysis in
prospective medication safety risk management in
secondary care inpatient wards.
May 8, 2024
Sova PM, Holmström A-R, Airaksinen M, et al. Using Healthcare Failure Mode and Effect Analysis in
prospective medication safety risk management in secondary care inpatie…
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psnet.ahrq.gov/node/72669/psn-pdf
January 27, 2021 - Nosocomial transmission and outbreaks of coronavirus
disease 2019: the need to protect both patients and
healthcare workers.
January 27, 2021
Abbas M, Robalo Nunes T, Martischang R, et al. Nosocomial transmission and outbreaks of coronavirus
disease 2019: the need to protect both patients and healthcare workers. A…
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psnet.ahrq.gov/node/47427/psn-pdf
June 19, 2019 - Failures in the respectful care of critically ill patients.
June 19, 2019
Law AC, Roche S, Reichheld A, et al. Failures in the Respectful Care of Critically Ill Patients. Jt Comm J
Qual Patient Saf. 2019;45(4):276-284. doi:10.1016/j.jcjq.2018.05.008.
https://psnet.ahrq.gov/issue/failures-respectful-care-critically-…
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psnet.ahrq.gov/node/852798/psn-pdf
August 23, 2023 - Patient handoffs and multi-specialty trainee perspectives
across an institution: informing recommendations for
health systems and an expanded conceptual framework
for handoffs.
August 23, 2023
Williams SR, Sebok-Syer SS, Caretta-Weyer H, et al. Patient handoffs and multi-specialty trainee
perspectives across an i…
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psnet.ahrq.gov/node/45737/psn-pdf
December 22, 2017 - Nursing skill mix in European hospitals: cross-sectional
study of the association with mortality, patient ratings,
and quality of care.
December 22, 2017
Aiken LH, Sloane DM, Griffiths P, et al. Nursing skill mix in European hospitals: cross-sectional study of the
association with mortality, patient ratings, and q…
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psnet.ahrq.gov/issue/health-courts-offer-cure
January 09, 2024 - Newspaper/Magazine Article
'Health courts' offer cure.
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July 20, 2005
This editorial supports legislation such as the Fair and Re…