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psnet.ahrq.gov/node/865967/psn-pdf
May 29, 2024 - Impact of diagnostic management team on patient time to
diagnosis and percent of accurate and clinically
actionable diagnoses.
May 29, 2024
Brashear J, Mize R, Laposata M, et al. Impact of diagnostic management team on patient time to diagnosis
and percent of accurate and clinically actionable diagnoses. Diagnosis…
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psnet.ahrq.gov/node/45453/psn-pdf
November 02, 2016 - Creating highly reliable health care: how reliability-
enhancing work practices affect patient safety in
hospitals.
November 2, 2016
Vogus TJ, Iacobucci D. Creating Highly Reliable Health Care. ILR Review. 2016;69(4).
doi:10.1177/0019793916642759.
https://psnet.ahrq.gov/issue/creating-highly-reliable-health-care-…
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www.ahrq.gov/practiceimprovement/delivery-initiative/ihs/chap6tab25.html
December 01, 2017 - Table 25. Utilization of education and case management (ECM) visits among adults who had at least one visit by type of visit. All project sites. Fiscal year 2010
ARRA Grant Initiative
Findings from a set of 16 grants on improving delivery systems and on spreading evidence-based practices through delivery syst…
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www.ahrq.gov/prevention/resources/chronic-care/marketing/pptools/index.html
October 01, 2014 - Tools and Resources
Put Prevention Into Practice (PPIP)
Put Prevention Into Practice (PPIP) tools and resources are based on scientific information and on evaluation by users. The materials are designed Office/Clinic Staff and Health Care Consumers. All materials are evidence-based and promote a team approach…
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psnet.ahrq.gov/node/50908/psn-pdf
February 19, 2020 - Psychological safety and infection prevention practices:
results from a national survey.
February 19, 2020
Greene MT, Gilmartin HM, Saint S. Psychological safety and infection prevention practices: results from a
national survey. Am J Infect Control. 2020;48(1):2-6. doi:10.1016/j.ajic.2019.09.027.
https://psnet.ah…
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psnet.ahrq.gov/node/46572/psn-pdf
January 01, 2018 - Effects of efforts to optimise morbidity and mortality
rounds to serve contemporary quality improvement and
educational goals: a systematic review.
December 21, 2017
Smaggus A, Mrkobrada M, Marson A, et al. Effects of efforts to optimise morbidity and mortality rounds to
serve contemporary quality improvement and …
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psnet.ahrq.gov/node/840165/psn-pdf
November 16, 2022 - Evaluation of Quality, Safety and Value in Veterans Health
Administration Facilities, Fiscal 2021.
November 16, 2022
Washington, DC: Veterans Affairs Office of Inspector General; 2022. Report No. 22-00818-03.
https://psnet.ahrq.gov/issue/evaluation-quality-safety-and-value-veterans-health-administration-facilities-…
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psnet.ahrq.gov/node/45308/psn-pdf
September 28, 2016 - Measurement of patient safety: a systematic review of the
reliability and validity of adverse event detection with
record review.
September 28, 2016
Hanskamp-Sebregts M, Zegers M, Vincent CA, et al. Measurement of patient safety: a systematic review of
the reliability and validity of adverse event detection with r…
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psnet.ahrq.gov/node/837307/psn-pdf
June 01, 2022 - Adverse event reviews in healthcare: what matters to
patients and their family? A qualitative study exploring
the perspective of patients and family.
June 1, 2022
McQueen JM, Gibson KR, Manson M, et al. Adverse event reviews in healthcare: what matters to patients
and their family? A qualitative study exploring th…
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psnet.ahrq.gov/node/47558/psn-pdf
November 14, 2018 - What we can do about maternal mortality—and how to do
it quickly.
November 14, 2018
Mann S, Hollier LM, McKay K, et al. What We Can Do about Maternal Mortality - And How to Do It Quickly.
New Engl J Med. 2018;379(18):1689-1691. doi:10.1056/NEJMp1810649.
https://psnet.ahrq.gov/issue/what-we-can-do-about-maternal-mo…
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psnet.ahrq.gov/node/47137/psn-pdf
July 19, 2018 - Physician burnout in the electronic health record era: are
we ignoring the real cause?
July 19, 2018
Downing L, Bates DW, Longhurst CA. Physician Burnout in the Electronic Health Record Era: Are We
Ignoring the Real Cause? Ann Intern Med. 2018;169(1):50-51. doi:10.7326/M18-0139.
https://psnet.ahrq.gov/issue/physic…
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psnet.ahrq.gov/node/861281/psn-pdf
January 24, 2024 - E-prescribing and medication safety in community
settings: a rapid scoping review.
January 24, 2024
Cassidy CE, Boulos L, McConnell E, et al. E-prescribing and medication safety in community settings: a
rapid scoping review. Explor Res Clin Soc Pharm. 2023;12:100365. doi:10.1016/j.rcsop.2023.100365.
https://psnet.…
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psnet.ahrq.gov/node/47580/psn-pdf
November 28, 2018 - Patient engagement in health care safety: an overview of
mixed-quality evidence.
November 28, 2018
Sharma AE, Rivadeneira NA, Barr-Walker J, et al. Patient Engagement In Health Care Safety: An Overview
Of Mixed-Quality Evidence. Health Aff (Millwood). 2018;37(11):1813-1820. doi:10.1377/hlthaff.2018.0716.
https://p…
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psnet.ahrq.gov/node/852462/psn-pdf
August 16, 2023 - American Geriatrics Society 2023 updated AGS Beers
Criteria for Potentially Inappropriate Medication Use in
Older Adults.
August 16, 2023
American Geriatrics Society Beers Criteria® Update Expert Panel. J Am Geriatr Soc. 2023;71(7):2052-
2081.
https://psnet.ahrq.gov/issue/american-geriatrics-society-2023-updated-…
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psnet.ahrq.gov/node/48087/psn-pdf
July 10, 2019 - The rise of human factors: optimising performance of
individuals and teams to improve patients' outcomes.
July 10, 2019
Casali G, Cullen W, Lock G. The rise of human factors: optimising performance of individuals and teams to
improve patients' outcomes. J Thorac Dis. 2019;11(Suppl 7):S998-S1008. doi:10.21037/jtd.20…
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psnet.ahrq.gov/node/837596/psn-pdf
June 29, 2022 - Association of patient and family reports of hospital
safety climate with language proficiency in the US.
June 29, 2022
Khan A, Parente V, Baird JD, et al. Association of patient and family reports of hospital safety climate with
language proficiency in the US. JAMA Pediatr. 2022;176(8):776-786.
doi:10.1001/jamape…
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psnet.ahrq.gov/node/73299/psn-pdf
May 19, 2021 - More can be done to alleviate errors associated with
pharmaceutical product labeling and packaging.
May 19, 2021
ISMP Medication Safety Alert! Acute Care Edition. May 6, 2021;26(9):1-4.
https://psnet.ahrq.gov/issue/more-can-be-done-alleviate-errors-associated-pharmaceutical-product-
labeling-and-packaging
Look-al…
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psnet.ahrq.gov/node/43681/psn-pdf
June 03, 2016 - Learning from failure: the need for independent safety
investigation in healthcare.
June 3, 2016
Macrae C, Vincent CA. Learning from failure: the need for independent safety investigation in healthcare. J
R Soc Med. 2014;107(11):439-443. doi:10.1177/0141076814555939.
https://psnet.ahrq.gov/issue/learning-failure-n…
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psnet.ahrq.gov/node/45895/psn-pdf
February 22, 2017 - Opioids for pain management in older adults: strategies
for safe prescribing.
February 22, 2017
Davies PS. Opioids for pain management in older adults. Nurse Pract. 2017;42(2).
doi:10.1097/01.npr.0000511772.62176.10.
https://psnet.ahrq.gov/issue/opioids-pain-management-older-adults-strategies-safe-prescribing
Use…
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psnet.ahrq.gov/node/41688/psn-pdf
April 17, 2013 - Teaching hospital financial status and patient outcomes
following ACGME duty hour reform.
April 17, 2013
Navathe AS, Silber JH, Small DS, et al. Teaching hospital financial status and patient outcomes following
ACGME duty hour reform. Health Serv Res. 2013;48(2 Pt 1):476-98. doi:10.1111/j.1475-
6773.2012.01453.x.
…