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psnet.ahrq.gov/node/37945/psn-pdf
July 26, 2010 - A survey of hospital quality improvement activities.
July 26, 2010
Cohen AB, Restuccia JD, Shwartz M, et al. A survey of hospital quality improvement activities. Med Care
Res Rev. 2008;65(5):571-95. doi:10.1177/1077558708318285.
https://psnet.ahrq.gov/issue/survey-hospital-quality-improvement-activities
The Instit…
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psnet.ahrq.gov/node/45778/psn-pdf
April 26, 2017 - Long-term outcomes of medication intervention using the
screening tool of older persons potentially inappropriate
prescriptions screening tool to alert doctors to right
treatment criteria.
April 26, 2017
Frankenthal D, Israeli A, Caraco Y, et al. Long-Term Outcomes of Medication Intervention Using the
Screening T…
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psnet.ahrq.gov/node/855419/psn-pdf
November 15, 2023 - Using stakeholder intervention refinement teams to
develop approaches for real-time integration of patient-
reported safety information during older adults’ hospital-
to-home-health care transitions.
November 15, 2023
Arbaje AI, Greyson S, Keita Fakeye M, et al. Using stakeholder intervention refinement teams to d…
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psnet.ahrq.gov/node/47357/psn-pdf
October 03, 2018 - Impact of fatigue and insufficient sleep on physician and
patient outcomes: a systematic review.
October 3, 2018
Gates M, Wingert A, Featherstone R, et al. Impact of fatigue and insufficient sleep on physician and patient
outcomes: a systematic review. BMJ Open. 2018;8(9):e021967. doi:10.1136/bmjopen-2018-021967.
…
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psnet.ahrq.gov/node/39056/psn-pdf
April 04, 2011 - Rate of undesirable events at beginning of academic year:
retrospective cohort study.
April 4, 2011
Haller G, Myles PS, Taffé P, et al. Rate of undesirable events at beginning of academic year: retrospective
cohort study. BMJ. 2009;339:b3974. doi:10.1136/bmj.b3974.
https://psnet.ahrq.gov/issue/rate-undesirable-eve…
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psnet.ahrq.gov/node/41052/psn-pdf
February 20, 2012 - Health professional networks as a vector for improving
healthcare quality and safety: a systematic review.
February 20, 2012
Cunningham FC, Ranmuthugala G, Plumb J, et al. Health professional networks as a vector for improving
healthcare quality and safety: a systematic review. BMJ Qual Saf. 2012;21(3):239-49. doi:…
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psnet.ahrq.gov/node/41863/psn-pdf
November 21, 2012 - How reliable are patient-completed medication
reconciliation forms compared with pharmacy lists?
November 21, 2012
Meyer C, Stern M, Woolley W, et al. How reliable are patient-completed medication reconciliation forms
compared with pharmacy lists? Am J Emerg Med. 2012;30(7):1048-54. doi:10.1016/j.ajem.2011.06.038.
…
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psnet.ahrq.gov/node/60204/psn-pdf
April 08, 2020 - Psychological impact and coping strategies of frontline
medical staff in Hunan between January and March 2020
during the outbreak of Coronavirus Disease 2019 (COVID
?19) in Hubei, China.
April 8, 2020
Cai H, Tu B, Ma J, et al. Psychological impact and coping strategies of frontline medical staff in Hunan
between …
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psnet.ahrq.gov/node/40453/psn-pdf
May 18, 2011 - A 60-year-old man with delayed care for a renal mass.
May 18, 2011
Schiff G. Medical error: a 60-year-old man with delayed care for a renal mass. JAMA. 2011;305(18):1890-
8. doi:10.1001/jama.2011.496.
https://psnet.ahrq.gov/issue/60-year-old-man-delayed-care-renal-mass
Clinical Crossroads is a popular series in th…
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psnet.ahrq.gov/node/40400/psn-pdf
June 20, 2011 - Determinants of patient-reported medication errors: a
comparison among seven countries.
June 20, 2011
Lu CY, Roughead E. Determinants of patient-reported medication errors: a comparison among seven
countries. Int J Clin Pract. 2011;65(7):733-40. doi:10.1111/j.1742-1241.2011.02671.x.
https://psnet.ahrq.gov/issue/de…
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psnet.ahrq.gov/node/42502/psn-pdf
October 07, 2013 - Patient safety in the cardiac operating room: human
factors and teamwork: a scientific statement from the
American Heart Association.
October 7, 2013
Wahr JA, Prager RL, Abernathy JH, et al. Patient Safety in the Cardiac Operating Room: Human Factors
and Teamwork. Circulation. 2013;128(10):1139-1169. doi:10.1161/c…
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psnet.ahrq.gov/node/42177/psn-pdf
November 23, 2016 - Failure to engage hospitalized elderly patients and their
families in advance care planning.
November 23, 2016
Heyland DK, Barwich D, Pichora D, et al. Failure to engage hospitalized elderly patients and their families
in advance care planning. JAMA Intern Med. 2013;173(9):778-787. doi:10.1001/jamainternmed.2013.18…
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psnet.ahrq.gov/node/47045/psn-pdf
January 21, 2019 - Information management goals and process failures
during home visits for middle-aged and older adults
receiving skilled home healthcare services after hospital
discharge: a multisite, qualitative study.
January 21, 2019
Arbaje AI, Hughes A, Werner N, et al. Information management goals and process failures during …
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psnet.ahrq.gov/node/37843/psn-pdf
March 04, 2011 - Front-line staff perspectives on opportunities for
improving the safety and efficiency of hospital work
systems.
March 4, 2011
Tucker AL, Singer SJ, Hayes J, et al. Front-line staff perspectives on opportunities for improving the safety
and efficiency of hospital work systems. Health Serv Res. 2008;43(5 Pt 2):1807…
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psnet.ahrq.gov/node/45437/psn-pdf
September 01, 2018 - Decreasing malpractice claims by reducing preventable
perinatal harm.
September 1, 2018
Riley W, Meredith LW, Price R, et al. Decreasing Malpractice Claims by Reducing Preventable Perinatal
Harm. Health Serv Res. 2016;51(suppl 3):2453-2471. doi:10.1111/1475-6773.12551.
https://psnet.ahrq.gov/issue/decreasing-malpr…
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psnet.ahrq.gov/issue/final-check-say-it-out-loud
July 31, 2023 - Multi-use Website
The Final Check: Say it Out Loud.
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August 1, 2012
This Web site provides resources to help reduce incidence of …
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psnet.ahrq.gov/node/36807/psn-pdf
October 25, 2013 - HealthGrades Quality Study: Fourth Annual Patient Safety
in American Hospitals Study.
October 25, 2013
Denver, CO; Health Grades Inc; 2007.
https://psnet.ahrq.gov/issue/healthgrades-quality-study-fourth-annual-patient-safety-american-hospitals-
study
This fourth annual report on the safety of hospitalized Medicar…
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psnet.ahrq.gov/node/60212/psn-pdf
January 29, 2021 - Patient Safety Recommendations for COVID-19 Epidemic
Outbreak: 3.0
January 29, 2021
La Regina M, Tanzini M, Venneri F, et al for the Italian Network for Health Safety. Dublin, Ireland:
International Society for Quality in Health Care; 2021.
https://psnet.ahrq.gov/issue/patient-safety-recommendations-covid-19-epide…
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psnet.ahrq.gov/node/43254/psn-pdf
May 01, 2015 - Investigating the long-term consequences of adverse
medical events among older adults.
May 1, 2015
Carter MW, Zhu M, Xiang J, et al. Investigating the long-term consequences of adverse medical events
among older adults. Inj Prev. 2014;20(6):408-15. doi:10.1136/injuryprev-2013-041043.
https://psnet.ahrq.gov/issue/i…
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psnet.ahrq.gov/node/60339/psn-pdf
May 20, 2020 - We Want to Know-a mixed methods evaluation of a
comprehensive program designed to detect and address
patient-reported breakdowns in care.
May 20, 2020
Fisher KA, Smith KM, Gallagher TH, et al. We Want to Know-a mixed methods evaluation of a
comprehensive program designed to detect and address patient-reported brea…