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psnet.ahrq.gov/node/45992/psn-pdf
January 01, 2020 - Barriers and facilitators of adverse event reporting by
adolescent patients and their families.
March 29, 2017
Sawhney PN, Davis LS, Daraiseh NM, et al. Barriers and Facilitators of Adverse Event Reporting by
Adolescent Patients and Their Families. J Patient Saf. 2020;16(3):232-237.
doi:10.1097/pts.000000000000029…
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psnet.ahrq.gov/node/47063/psn-pdf
November 19, 2018 - I-PASS handoff program: use of a campaign to effect
transformational change.
November 19, 2018
Rosenbluth G, Destino LA, Starmer AJ, et al. I-PASS Handoff Program: Use of a Campaign to Effect
Transformational Change. Ped Qual Saf. 2018;3(4):e088. doi:10.1097/pq9.0000000000000088.
https://psnet.ahrq.gov/issue/i-pas…
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psnet.ahrq.gov/node/39001/psn-pdf
April 04, 2011 - Timely follow-up of abnormal diagnostic imaging test
results in an outpatient setting: are electronic medical
records achieving their potential?
April 4, 2011
Singh H, Thomas EJ, Mani S, et al. Timely follow-up of abnormal diagnostic imaging test results in an
outpatient setting: are electronic medical records ach…
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psnet.ahrq.gov/node/42816/psn-pdf
October 31, 2014 - Rates of medical errors and preventable adverse events
among hospitalized children following implementation of
a resident handoff bundle.
October 31, 2014
Starmer AJ, Sectish TC, Simon DW, et al. Rates of medical errors and preventable adverse events among
hospitalized children following implementation of a reside…
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psnet.ahrq.gov/node/43514/psn-pdf
April 25, 2016 - A qualitative analysis of physician perspectives on
missed and delayed outpatient diagnosis: the focus on
system-related factors.
April 25, 2016
Sarkar U, Simchowitz B, Bonacum D, et al. A Qualitative Analysis of Physician Perspectives on Missed and
Delayed Outpatient Diagnosis: The Focus on System-Related Factors…
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psnet.ahrq.gov/node/841772/psn-pdf
December 21, 2022 - Detectability of medication errors with a STOPP/START-
based medication review in older people prior to a
potentially preventable drug-related hospital admission.
December 21, 2022
Sallevelt BTGM, Egberts TCG, Huibers CJA, et al. Detectability of medication errors with a STOPP/START-
based medication review in old…
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psnet.ahrq.gov/node/47173/psn-pdf
June 06, 2018 - Pediatric ADHD medication exposures reported to US
poison control centers.
June 6, 2018
King SA, Casavant MJ, Spiller HA, et al. Pediatric ADHD Medication Exposures Reported to US Poison
Control Centers. Pediatrics. 2018;141(6). doi:10.1542/peds.2017-3872.
https://psnet.ahrq.gov/issue/pediatric-adhd-medication-exp…
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psnet.ahrq.gov/node/46435/psn-pdf
August 20, 2018 - Patients' experiences with communication-and-resolution
programs after medical injury.
August 20, 2018
Moore J, Bismark M, Mello MM. Patients' Experiences With Communication-and-Resolution Programs After
Medical Injury. JAMA Intern Med. 2017;177(11):1595-1603. doi:10.1001/jamainternmed.2017.4002.
https://psnet.ahr…
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psnet.ahrq.gov/node/72709/psn-pdf
February 03, 2021 - COVID-19 hospital outbreaks: protecting healthcare
workers to protect frail patients. An Italian observational
cohort study.
February 3, 2021
Vimercati L, De Maria L, Quarato M, et al. COVID-19 hospital outbreaks: Protecting healthcare workers to
protect frail patients. An Italian observational cohort study. Int J…
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psnet.ahrq.gov/node/37687/psn-pdf
February 22, 2011 - Use of an interactive, telephone-based self-management
support program to identify adverse events among
ambulatory diabetes patients.
February 22, 2011
Sarkar U, Handley MA, Gupta R, et al. Use of an interactive, telephone-based self-management support
program to identify adverse events among ambulatory diabetes p…
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psnet.ahrq.gov/node/39354/psn-pdf
September 20, 2011 - Sustaining reductions in catheter related bloodstream
infections in Michigan intensive care units: observational
study.
September 20, 2011
Pronovost P, Goeschel CA, Colantuoni E, et al. Sustaining reductions in catheter related bloodstream
infections in Michigan intensive care units: observational study. BMJ. 2010…
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psnet.ahrq.gov/node/44972/psn-pdf
February 15, 2017 - The effectiveness of electronic differential diagnoses
(DDX) generators: a systematic review and meta-analysis.
February 15, 2017
Riches N, Panagioti M, Alam R, et al. The Effectiveness of Electronic Differential Diagnoses (DDX)
Generators: A Systematic Review and Meta-Analysis. PLoS One. 2016;11(3):e0148991.
doi:…
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psnet.ahrq.gov/node/861772/psn-pdf
January 31, 2024 - Rapid expansion of the Healing Emotional Lives of Peers
program during COVID-19: a second victim peer support
program for healthcare professionals.
January 31, 2024
Rivera-Chiauzzi EY, Huang L, Osborne AK, et al. Rapid expansion of the Healing Emotional Lives of Peers
program during COVID-19: a second victim peer …
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psnet.ahrq.gov/node/47973/psn-pdf
July 18, 2019 - Transition planning for the senior surgeon: guidance and
recommendations from the Society of Surgical Chairs.
July 18, 2019
Rosengart TK, Doherty G, Higgins R, et al. Transition Planning for the Senior Surgeon: Guidance and
Recommendations From the Society of Surgical Chairs. JAMA Surg. 2019;154(7):647-653.
doi:10…
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psnet.ahrq.gov/node/846158/psn-pdf
March 15, 2023 - Safety risks and workflow implications associated with
nursing-related free-text communication orders.
March 15, 2023
Staes CJ, Yusuf S, Hambly M, et al. Safety risks and workflow implications associated with nursing-related
free-text communication orders. J Am Med Inform Assoc. 2023;30(5):828-837. doi:10.1093/jami…
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psnet.ahrq.gov/node/40072/psn-pdf
April 04, 2011 - Perceptions of hospital safety climate and incidence of
readmission.
April 4, 2011
Hansen LO, Williams M, Singer SJ. Perceptions of hospital safety climate and incidence of readmission.
Health Serv Res. 2011;46(2):596-616. doi:10.1111/j.1475-6773.2010.01204.x.
https://psnet.ahrq.gov/issue/perceptions-hospital-safe…
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psnet.ahrq.gov/node/849124/psn-pdf
May 17, 2023 - Human factors and safety analysis methods used in the
design and redesign of electronic medication
management systems: a systematic review.
May 17, 2023
Awad S, Amon K, Baillie A, et al. Human factors and safety analysis methods used in the design and
redesign of electronic medication management systems: a systema…
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psnet.ahrq.gov/node/45889/psn-pdf
August 16, 2017 - New persistent opioid use after minor and major surgical
procedures in US adults.
August 16, 2017
Brummett CM, Waljee JF, Goesling J, et al. New Persistent Opioid Use After Minor and Major Surgical
Procedures in US Adults. JAMA Surg. 2017;152(6):e170504. doi:10.1001/jamasurg.2017.0504.
https://psnet.ahrq.gov/issue…
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psnet.ahrq.gov/node/41168/psn-pdf
February 29, 2012 - Evaluation of organizational culture among different
levels of healthcare staff participating in the Institute for
Healthcare Improvement's 100,000 Lives Campaign.
February 29, 2012
Sinkowitz-Cochran R, Garcia-Williams A, Hackbarth AD, et al. Evaluation of organizational culture among
different levels of healthcar…
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psnet.ahrq.gov/node/38563/psn-pdf
March 23, 2011 - Market-based control mechanisms for patient safety.
March 23, 2011
Coiera E, Braithwaite J. Market-based control mechanisms for patient safety. Qual Saf Health Care.
2009;18(2):99-103. doi:10.1136/qshc.2007.025833.
https://psnet.ahrq.gov/issue/market-based-control-mechanisms-patient-safety
Efforts to improve patie…