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psnet.ahrq.gov/node/46289/psn-pdf
January 01, 2021 - Communication training, adverse events, and quality
measures: 2 retrospective database analyses in
Washington State hospitals.
August 9, 2017
Slade IR, Beck SJ, Kramer B, et al. Communication Training, Adverse Events, and Quality Measures: 2
Retrospective Database Analyses in Washington State Hospitals. J Patient …
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psnet.ahrq.gov/node/47979/psn-pdf
May 01, 2019 - Inpatient notes: just what the doctor ordered—checklists
to improve diagnosis.
May 1, 2019
Gupta A, Graber ML. Web Exclusive. Annals for Hospitalists Inpatient Notes - Just What the Doctor
Ordered-Checklists to Improve Diagnosis. Ann Intern Med. 2019;170(8):HO2-HO3. doi:10.7326/M19-0829.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/42086/psn-pdf
March 13, 2013 - Patient safety strategies targeted at diagnostic errors: a
systematic review.
March 13, 2013
McDonald KM, Matesic B, Contopoulos-Ioannidis DG, et al. Patient safety strategies targeted at diagnostic
errors: a systematic review. Ann Intern Med. 2013;158(5 Pt 2):381-389. doi:10.7326/0003-4819-158-5-
201303051-00004.…
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psnet.ahrq.gov/node/41801/psn-pdf
October 31, 2012 - First year with WHO Surgical Safety Checklist in 7148
otorhinolaryngological operations: use and user
attitudes.
October 31, 2012
Helmiö P, Takala A, Aaltonen L-M, et al. First year with WHO Surgical Safety Checklist in 7148
otorhinolaryngological operations: use and user attitudes. Clin Otolaryngol. 2012;37(4):30…
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psnet.ahrq.gov/node/43980/psn-pdf
March 18, 2015 - Adapting The Joint Commission's seven foundations of
safe and effective transitions of care to home.
March 18, 2015
Labson MC. Adapting the joint commission's seven foundations of safe and effective transitions of care to
home. Home Healthc Now. 2015;33(3):142-6. doi:10.1097/NHH.0000000000000195.
https://psnet.ahr…
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psnet.ahrq.gov/node/45271/psn-pdf
August 10, 2016 - Patient identification and tube labelling—a call for
harmonisation.
August 10, 2016
van Dongen-Lases EC, Cornes MP, Grankvist K, et al. Patient identification and tube labelling – a call for
harmonisation. Clinical Chemistry and Laboratory Medicine (CCLM). 2016;54(7). doi:10.1515/cclm-2015-
1089.
https://psnet.ah…
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psnet.ahrq.gov/node/838312/psn-pdf
October 12, 2022 - Causes of adverse events in home mechanical
ventilation: a nursing perspective.
October 12, 2022
Lipprandt M, Liedtke W, Langanke M, et al. Causes of adverse events in home mechanical ventilation: a
nursing perspective. BMC Nurs. 2022;21(1):264. doi:10.1186/s12912-022-01038-2.
https://psnet.ahrq.gov/issue/causes-a…
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psnet.ahrq.gov/node/35112/psn-pdf
June 22, 2009 - Medication safety in older adults: home-based practice
patterns.
June 22, 2009
Metlay JP, Cohen A, Polsky D, et al. Medication safety in older adults: home-based practice patterns. J Am
Geriatr Soc. 2005;53(6):976-982.
https://psnet.ahrq.gov/issue/medication-safety-older-adults-home-based-practice-patterns
This s…
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psnet.ahrq.gov/node/46693/psn-pdf
December 20, 2017 - Coupling policymaking with evaluation—the case of the
opioid crisis.
December 20, 2017
Barnett ML, Gray J, Zink A, et al. Coupling Policymaking with Evaluation - The Case of the Opioid Crisis.
New Engl J Med. 2017;377(24):2306-2309. doi:10.1056/NEJMp1710014.
https://psnet.ahrq.gov/issue/coupling-policymaking-evalu…
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psnet.ahrq.gov/node/45286/psn-pdf
May 07, 2018 - Paralyzed by mistakes: reassess the safety of
neuromuscular blockers in your facility.
May 7, 2018
ISMP Medication Safety Alert! Acute Care Edition. June 16, 2016;21:1-6.
https://psnet.ahrq.gov/issue/paralyzed-mistakes-reassess-safety-neuromuscular-blockers-your-facility
Neuromuscular blockers can result in seriou…
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psnet.ahrq.gov/node/74721/psn-pdf
February 02, 2022 - Hospital at Home: setting a regulatory course to ensure
safe, high-quality care.
February 2, 2022
DeCherrie LV, Leff B, Levine DM, et al. Hospital at Home: setting a regulatory course to ensure safe, high-
quality care. Jt Comm J Qual Patient Saf. 2022;48(3):180-184. doi:10.1016/j.jcjq.2021.12.003.
https://psnet.a…
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psnet.ahrq.gov/node/60564/psn-pdf
June 03, 2020 - Subtherapeutic heparin infusions: is your organization at
risk of bypassing soft low-dose alerts?
June 3, 2020
ISMP Medication Safety Alert! Acute Care Edition. May 22, 2020;25(10).
https://psnet.ahrq.gov/issue/subtherapeutic-heparin-infusions-your-organization-risk-bypassing-soft-low-
dose-alerts
Smart infusion …
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psnet.ahrq.gov/node/45794/psn-pdf
February 15, 2017 - Teaching the diagnostic process as a model to improve
medical education.
February 15, 2017
Sklar DP. Teaching the Diagnostic Process as a Model to Improve Medical Education. Acad Med.
2017;92(1):1-4. doi:10.1097/ACM.0000000000001481.
https://psnet.ahrq.gov/issue/teaching-diagnostic-process-model-improve-medical-ed…
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psnet.ahrq.gov/node/47222/psn-pdf
October 03, 2018 - Decision support tools, systems, and artificial intelligence
in cardiac imaging.
October 3, 2018
Massalha S, Clarkin O, Thornhill R, et al. Decision Support Tools, Systems, and Artificial Intelligence in
Cardiac Imaging. Can J Cardiol. 2018;34(7):827-838. doi:10.1016/j.cjca.2018.04.032.
https://psnet.ahrq.gov/issu…
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psnet.ahrq.gov/node/47252/psn-pdf
August 01, 2018 - Communication errors in radiology—pitfalls and how to
avoid them.
August 1, 2018
Waite S, Scott JM, Drexler I, et al. Communication errors in radiology - Pitfalls and how to avoid them. Clin
Imaging. 2018;51:266-272. doi:10.1016/j.clinimag.2018.05.025.
https://psnet.ahrq.gov/issue/communication-errors-radiology-pi…
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psnet.ahrq.gov/node/39400/psn-pdf
June 30, 2011 - Physician order entry or nurse order entry? Comparison
of two implementation strategies for a computerized order
entry system aimed at reducing dosing medication errors.
June 30, 2011
Kazemi A, Fors UGH, Tofighi S, et al. Physician order entry or nurse order entry? Comparison of two
implementation strategies for a…
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psnet.ahrq.gov/node/47396/psn-pdf
June 02, 2019 - What is new in paediatric medication safety?
June 2, 2019
Kahn S, Abramson EL. What is new in paediatric medication safety? Arch Dis Child. 2019;104(6):596-599.
doi:10.1136/archdischild-2018-315175.
https://psnet.ahrq.gov/issue/what-new-paediatric-medication-safety
Pediatric patients are particularly vulnerable to…
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digital.ahrq.gov/principal-investigator/stopyra-jason-p
January 01, 2024 - Stopyra, Jason P.
Rural EMS STEMI patients - why the delay to PCI?
Citation
Stopyra JP, Snavely AC, Ashburn NP, Supples MW, Brown WM, Miller CD, Mahler SA. Rural EMS STEMI patients - why the delay to PCI? Prehosp Emerg Care. 2024 Jan 18:1-8. doi: 10.1080/10903127.2024.2305967.…
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psnet.ahrq.gov/node/60915/psn-pdf
September 16, 2020 - Deprescribing for community-dwelling older adults: a
systematic review and meta-analysis.
September 16, 2020
Bloomfield HE, Greer N, Linsky AM, et al. Deprescribing for community-dwelling older adults: a systematic
review and meta-analysis. J Gen Intern Med. 2020;35(11):3323-3332. doi:10.1007/s11606-020-06089-2.
h…
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digital.ahrq.gov/location/usa-nc-winston-salem
January 01, 2023 - USA, NC, Winston-Salem
Digital EMS Point-of-Care Innovation to Improve Rural STEMI Outcomes
Description
This research will develop, implement, refine, and evaluate an app to support clinical decisions for ST-Elevation Myocardial Infarction care in rural areas by emergency medi…