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psnet.ahrq.gov/node/60315/psn-pdf
May 13, 2020 - Safety at the time of the COVID-19 pandemic: how to keep
our oncology patients and healthcare workers safe.
May 13, 2020
Cinar P, Kubal T, Freifeld A, et al. Safety at the time of the COVID-19 pandemic: how to keep our oncology
patients and healthcare workers safe. J Natl Compr Canc Netw. 2020;18(5):504-509.
doi:1…
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psnet.ahrq.gov/node/859300/psn-pdf
January 01, 2024 - Patient safety in remote primary care encounters:
multimethod qualitative study combining Safety I and
Safety II analysis.
December 20, 2023
Payne R, Clarke A, Swann N, et al. Patient safety in remote primary care encounters: multimethod
qualitative study combining Safety I and Safety II analysis. BMJ Qual Saf. 20…
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www.ahrq.gov/research/findings/final-reports/ptmgmt/index.html
April 01, 2020 - Patient Self-Management Support Programs: An Evaluation
Next Page
Table of Contents
Patient Self-Management Support Programs: An Evaluation
Acknowledgments
Introduction and Purpose
Summary
Background
Methodology
Design Options for a Self-Management Support Program
Program Evaluation
Co…
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psnet.ahrq.gov/node/47579/psn-pdf
December 12, 2018 - A prescription for enhancing electronic prescribing
safety.
December 12, 2018
Schiff G, Mirica MM, Dhavle AA, et al. A Prescription For Enhancing Electronic Prescribing Safety. Health
Aff (Millwood). 2018;37(11):1877-1883. doi:10.1377/hlthaff.2018.0725.
https://psnet.ahrq.gov/issue/prescription-enhancing-electroni…
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psnet.ahrq.gov/node/43378/psn-pdf
August 14, 2014 - Interventions to reduce pediatric medication errors: a
systematic review.
August 14, 2014
Rinke ML, Bundy DG, Velasquez CA, et al. Interventions to reduce pediatric medication errors: a
systematic review. Pediatrics. 2014;134(2):338-360. doi:10.1542/peds.2013-3531.
https://psnet.ahrq.gov/issue/interventions-reduce…
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psnet.ahrq.gov/node/38621/psn-pdf
February 18, 2011 - Process of care failures in breast cancer diagnosis.
February 18, 2011
Weingart SN, Saadeh MG, Simchowitz B, et al. Process of care failures in breast cancer diagnosis. J Gen
Intern Med. 2009;24(6):702-709. doi:10.1007/s11606-009-0982-0.
https://psnet.ahrq.gov/issue/process-care-failures-breast-cancer-diagnosis
Di…
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psnet.ahrq.gov/node/40450/psn-pdf
December 21, 2014 - Unit-based care teams and the frequency and quality of
physician–nurse communications.
December 21, 2014
Gordon M, Melvin P, Graham DA, et al. Unit-based care teams and the frequency and quality of physician-
nurse communications. Arch Pediatr Adolesc Med. 2011;165(5):424-8. doi:10.1001/archpediatrics.2011.54.
htt…
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psnet.ahrq.gov/node/39892/psn-pdf
September 20, 2011 - How does routine disclosure of medical error affect
patients' propensity to sue and their assessment of
provider quality?: Evidence from survey data.
September 20, 2011
Helmchen LA, Richards MR, McDonald TB. How does routine disclosure of medical error affect patients'
propensity to sue and their assessment of pro…
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psnet.ahrq.gov/node/41047/psn-pdf
November 26, 2014 - Failure to follow-up test results for ambulatory patients: a
systematic review.
November 26, 2014
Callen JL, Westbrook JI, Georgiou A, et al. Failure to Follow-Up Test Results for Ambulatory Patients: A
Systematic Review. J Gen Intern Med. 2011;27(10):1334-1348. doi:10.1007/s11606-011-1949-5.
https://psnet.ahrq.go…
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psnet.ahrq.gov/node/43002/psn-pdf
March 12, 2014 - Exposure to media information about a disease can cause
doctors to misdiagnose similar-looking clinical cases.
March 12, 2014
Schmidt HG, Mamede S, Van den Berge K, et al. Exposure to media information about a disease can
cause doctors to misdiagnose similar-looking clinical cases. Acad Med. 2014;89(2):285-91.
doi…
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psnet.ahrq.gov/node/37345/psn-pdf
May 26, 2011 - Impact of computerized prescriber order entry on the
incidence of adverse drug events in pediatric inpatients.
May 26, 2011
Holdsworth MT, Fichtl RE, Raisch DW, et al. Impact of computerized prescriber order entry on the
incidence of adverse drug events in pediatric inpatients. Pediatrics. 2007;120(5):1058-66.
htt…
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www.ahrq.gov/talkingquality/assess/why-evaluate.html
May 01, 2019 - Why Evaluate a Health Care Quality Reporting Project?
Just as report sponsors hope that health care providers and plans will use data on quality to improve their performance, you need to gather and use data to improve your reporting efforts over time. Experienced report sponsors approach their reporting initiat…
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psnet.ahrq.gov/node/40236/psn-pdf
March 23, 2012 - The safety implications of missed test results for
hospitalised patients: a systematic review.
March 23, 2012
Callen J, Georgiou A, Li J, et al. The safety implications of missed test results for hospitalised patients: a
systematic review. BMJ Qual Saf. 2011;20(2):194-199. doi:10.1136/bmjqs.2010.044339.
https://ps…
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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/37019/psn-pdf
September 15, 2011 - Just what the doctor ordered. Review of the evidence of
the impact of computerized physician order entry system
on medication errors.
September 15, 2011
Shamliyan TA, Duval S, Du J, et al. Just what the doctor ordered. Review of the evidence of the impact of
computerized physician order entry system on medication …
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psnet.ahrq.gov/node/47238/psn-pdf
October 13, 2018 - Evaluating shared decision making for lung cancer
screening.
October 13, 2018
Brenner AT, Malo TL, Margolis M, et al. Evaluating Shared Decision Making for Lung Cancer Screening.
JAMA Intern Med. 2018;178(10):1311-1316. doi:10.1001/jamainternmed.2018.3054.
https://psnet.ahrq.gov/issue/evaluating-shared-decision-ma…
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psnet.ahrq.gov/node/837028/psn-pdf
May 04, 2022 - What is needed to sustain improvements in hospital
practices post-COVID-19? A qualitative study of
interprofessional dissonance in hospital infection
prevention and control.
May 4, 2022
Gilbert GL, Kerridge I. What is needed to sustain improvements in hospital practices post-COVID-19? a
qualitative study of inter…
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psnet.ahrq.gov/node/43367/psn-pdf
May 01, 2015 - Promoting Patient Safety Through Effective Health
Information Technology Risk Management.
May 1, 2015
Schneider EC, Ridgely MS, Meeker D, Hunter LE, Khodyakov D, Rudin R. RAND Health. Washington, DC:
Office of the National Coordinator for Health Information Technology; May 2014. RR-654-DHHSNCH.
https://psnet.ahrq.…
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psnet.ahrq.gov/node/46578/psn-pdf
April 29, 2018 - Clinical decision support alert malfunctions: analysis and
empirically derived taxonomy.
April 29, 2018
Wright A, Ai A, Ash JS, et al. Clinical decision support alert malfunctions: analysis and empirically derived
taxonomy. J Am Med Inform Assoc. 2018;25(5):496-506. doi:10.1093/jamia/ocx106.
https://psnet.ahrq.gov…
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psnet.ahrq.gov/node/45608/psn-pdf
October 27, 2016 - Errors, omissions, and outliers in hourly vital signs
measurements in intensive care.
October 27, 2016
Maslove DM, Dubin JA, Shrivats A, et al. Errors, Omissions, and Outliers in Hourly Vital Signs
Measurements in Intensive Care. Crit Care Med. 2016;44(11):e1021-e1030.
https://psnet.ahrq.gov/issue/errors-omissions…