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psnet.ahrq.gov/node/42966/psn-pdf
November 21, 2018 - The next organizational challenge: finding and addressing
diagnostic error.
November 21, 2018
Graber ML, Trowbridge RL, Myers JS, et al. The next organizational challenge: finding and addressing
diagnostic error. Jt Comm J Qual Patient Saf. 2014;40(3):102-10.
https://psnet.ahrq.gov/issue/next-organizational-challe…
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psnet.ahrq.gov/node/44881/psn-pdf
August 16, 2017 - A comparative effectiveness analysis of the
implementation of surgical safety checklists in a tertiary
care hospital.
August 16, 2017
Bock M, Fanolla A, Segur-Cabanac I, et al. A Comparative Effectiveness Analysis of the Implementation of
Surgical Safety Checklists in a Tertiary Care Hospital. JAMA Surg. 2016;151(…
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psnet.ahrq.gov/node/44882/psn-pdf
July 18, 2016 - An ethical framework for allocating scarce life-saving
chemotherapy and supportive care drugs for childhood
cancer.
July 18, 2016
Unguru Y, Fernandez C, Bernhardt B, et al. An Ethical Framework for Allocating Scarce Life-Saving
Chemotherapy and Supportive Care Drugs for Childhood Cancer. J Natl Cancer Inst. 2016;1…
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psnet.ahrq.gov/node/42968/psn-pdf
February 26, 2014 - From physician intent to the pharmacy label: prevalence
and description of discrepancies from a cross-sectional
evaluation of electronic prescriptions.
February 26, 2014
Cochran GL, Klepser DG, Morien M, et al. From physician intent to the pharmacy label: prevalence and
description of discrepancies from a cross-se…
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psnet.ahrq.gov/node/41175/psn-pdf
December 31, 2014 - Design and implementation of an automated email
notification system for results of tests pending at
discharge.
December 31, 2014
Dalal A, Schnipper JL, Poon EG, et al. Design and implementation of an automated email notification
system for results of tests pending at discharge. J Am Med Inform Assoc. 2012;19(4):52…
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psnet.ahrq.gov/node/46806/psn-pdf
January 01, 2020 - Examining the relationship of an all-cause harm patient
safety measure and critical performance measures at the
frontline of care.
February 28, 2018
Sammer C, Hauck L, Jones C, et al. Examining the Relationship of an All-Cause Harm Patient Safety
Measure and Critical Performance Measures at the Frontline of Care. …
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psnet.ahrq.gov/node/40221/psn-pdf
July 21, 2011 - The association between a prolonged stay in the
emergency department and adverse events in older
patients admitted to hospital: a retrospective cohort
study.
July 21, 2011
Ackroyd-Stolarz S, Guernsey R, Mackinnon NJ, et al. The association between a prolonged stay in the
emergency department and adverse events in…
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psnet.ahrq.gov/node/42483/psn-pdf
January 22, 2014 - What patients think doctors know: beliefs about provider
knowledge as barriers to safe medication use.
January 22, 2014
Serper M, McCarthy D, Patzer RE, et al. What patients think doctors know: beliefs about provider
knowledge as barriers to safe medication use. Patient Educ Couns. 2013;93(2):306-11.
doi:10.1016/j…
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psnet.ahrq.gov/issue/pharmacists-play-key-role-patient-safety
March 29, 2023 - Newspaper/Magazine Article
Pharmacists play key role in patient safety.
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March 6, 2005
Description of a successful model from Duke…
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psnet.ahrq.gov/node/43695/psn-pdf
August 02, 2015 - The medical liability climate and prospects for reform.
August 2, 2015
Mello MM, Studdert DM, Kachalia A. The medical liability climate and prospects for reform. JAMA.
2014;312(20):2146-55. doi:10.1001/jama.2014.10705.
https://psnet.ahrq.gov/issue/medical-liability-climate-and-prospects-reform
This review of natio…
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psnet.ahrq.gov/node/40412/psn-pdf
March 23, 2012 - Veterans Affairs initiative to prevent methicillin-resistant
Staphylococcus aureus infections.
March 23, 2012
Jain R, Kralovic SM, Evans ME, et al. Veterans Affairs initiative to prevent methicillin-resistant
Staphylococcus aureus infections. N Engl J Med. 2011;364(15):1419-30. doi:10.1056/NEJMoa1007474.
https://p…
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psnet.ahrq.gov/node/47189/psn-pdf
August 17, 2018 - Association of opioid-related adverse drug events with
clinical and cost outcomes among surgical patients in a
large integrated health care delivery system.
August 17, 2018
Shafi S, Collinsworth AW, Copeland LA, et al. Association of Opioid-Related Adverse Drug Events With
Clinical and Cost Outcomes Among Surgical…
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psnet.ahrq.gov/node/43652/psn-pdf
August 04, 2015 - Do clinicians know which of their patients have central
venous catheters?: A multicenter observational study.
August 4, 2015
Chopra V, Govindan S, Kuhn L, et al. Do clinicians know which of their patients have central venous
catheters?: a multicenter observational study. Ann Intern Med. 2014;161(8):562-7. doi:10.73…
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psnet.ahrq.gov/node/45769/psn-pdf
December 21, 2016 - National Scorecard on Rates of Hospital-Acquired
Conditions 2010 to 2015: Interim Data From National
Efforts to Make Health Care Safer.
December 21, 2016
Rockville, MD: Agency for Healthcare Research and Quality; December 2016.
https://psnet.ahrq.gov/issue/national-scorecard-rates-hospital-acquired-conditions-2010…
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psnet.ahrq.gov/node/38871/psn-pdf
August 19, 2009 - Effect of medication reconciliation with and without
patient counseling on the number of pharmaceutical
interventions among patients discharged from the
hospital.
August 19, 2009
Karapinar-Carkit F, Borgsteede SD, Zoer J, et al. Effect of medication reconciliation with and without
patient counseling on the number…
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psnet.ahrq.gov/node/854623/psn-pdf
January 01, 2025 - Do junior doctors make more prescribing errors than
experienced doctors when prescribing electronically
using a computerised physician order entry system
combined with a clinical decision support system? A
cross-sectional study.
October 18, 2023
Kalfsvel L, Wilkes S, van der Kuy H, et al. Do junior doctors make m…
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psnet.ahrq.gov/node/40995/psn-pdf
January 04, 2012 - Effects of the introduction of the WHO "Surgical Safety
Checklist" on in-hospital mortality: a cohort study.
January 4, 2012
van Klei WA, Hoff RG, van Aarnhem EEHL, et al. Effects of the introduction of the WHO "Surgical Safety
Checklist" on in-hospital mortality: a cohort study. Ann Surg. 2012;255(1):44-9.
doi:10…
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psnet.ahrq.gov/node/38829/psn-pdf
January 03, 2017 - Implementing standardized operating room briefings and
debriefings at a large regional medical center.
January 3, 2017
Berenholtz SM, Schumacher K, Hayanga AJ, et al. Implementing standardized operating room briefings
and debriefings at a large regional medical center. Jt Comm J Qual Patient Saf. 2009;35(8):391-7.
…
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psnet.ahrq.gov/node/46515/psn-pdf
December 22, 2018 - A contemporary medicolegal analysis of outpatient
medication management in chronic pain.
December 22, 2018
Abrecht CR, Brovman EY, Greenberg P, et al. A Contemporary Medicolegal Analysis of Outpatient
Medication Management in Chronic Pain. Anesth Analg. 2017;125(5):1761-1768.
doi:10.1213/ANE.0000000000002499.
htt…
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psnet.ahrq.gov/node/38710/psn-pdf
September 14, 2009 - Patient readmissions, emergency visits, and adverse
events after software-assisted discharge from hospital:
cluster randomized trial.
September 14, 2009
Graumlich JF, Novotny NL, Nace S, et al. Patient readmissions, emergency visits, and adverse events after
software-assisted discharge from hospital: cluster rando…