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psnet.ahrq.gov/node/74175/psn-pdf
December 15, 2021 - The reduction of race and gender bias in clinical
treatment recommendations using clinician peer
networks in an experimental setting.
December 15, 2021
Centola D, Guilbeault D, Sarkar U, et al. The reduction of race and gender bias in clinical treatment
recommendations using clinician peer networks in an experimen…
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psnet.ahrq.gov/node/74728/psn-pdf
February 02, 2022 - Technology-based closed-loop tracking for improving
communication and follow-up of pathology results.
February 2, 2022
Rajan SS, Baldwin J, Giardina TD, et al. Technology-based closed-loop tracking for improving
communication and follow-up of pathology results. J Patient Saf. 2022;18(1):e262-e266.
doi:10.1097/pts.…
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psnet.ahrq.gov/node/36812/psn-pdf
June 30, 2011 - Work patterns and fatigue-related risk among junior
doctors.
June 30, 2011
Gander P, Purnell H, Garden A, et al. Work patterns and fatigue-related risk among junior doctors. Occup
Environ Med. 2007;64(11):733-8.
https://psnet.ahrq.gov/issue/work-patterns-and-fatigue-related-risk-among-junior-doctors
Mandated work…
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psnet.ahrq.gov/node/60658/psn-pdf
July 08, 2020 - Impact of providing patients access to electronic health
records on quality and safety of care: a systematic review
and meta-analysis.
July 8, 2020
Neves AL, Freise L, Laranjo L, et al. Impact of providing patients access to electronic health records on
quality and safety of care: a systematic review and meta-anal…
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psnet.ahrq.gov/node/73859/psn-pdf
September 22, 2021 - Exploring the factors that promote or diminish a
psychologically safe environment: a qualitative interview
study with critical care staff.
September 22, 2021
Grailey K, Leon-Villapalos C, Murray E, et al. Exploring the factors that promote or diminish a
psychologically safe environment: a qualitative interview stu…
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psnet.ahrq.gov/node/865806/psn-pdf
May 08, 2024 - Entangled in complexity: an ethnographic study of
organizational adaptability and safe care transitions for
patients with complex care needs.
May 8, 2024
Hedqvist A?T, Praetorius G, Ekstedt M, et al. Entangled in complexity: an ethnographic study of
organizational adaptability and safe care transitions for patient…
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psnet.ahrq.gov/node/73881/psn-pdf
September 29, 2021 - Changes in hospital-acquired conditions and mortality
associated with the hospital-acquired condition reduction
program.
September 29, 2021
Arntson E, Dimick JB, Nuliyalu U, et al. Changes in hospital-acquired conditions and mortality associated
with the hospital-acquired condition reduction program. Ann Surg. 202…
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psnet.ahrq.gov/node/40364/psn-pdf
July 01, 2011 - Utilising improvement science methods to optimise
medication reconciliation.
April 13, 2011
White CM, Schoettker PJ, Conway PH, et al. Utilising improvement science methods to optimise
medication reconciliation. BMJ Qual Saf. 2011;20(4):372-80. doi:10.1136/bmjqs.2010.047845.
https://psnet.ahrq.gov/issue/utilising-…
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psnet.ahrq.gov/node/866170/psn-pdf
June 19, 2024 - The World Federation of Chiropractic Global Patient
Safety Task Force: a call to action.
June 19, 2024
Coleman BC, Rubinstein SM, Salsbury SA, et al. The World Federation of Chiropractic Global Patient
Safety Task Force: a call to action. Chiropr Man Therap. 2024;32(1):15. doi:10.1186/s12998-024-00536-1.
https://p…
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psnet.ahrq.gov/node/836924/psn-pdf
April 13, 2022 - The analysis of hospital readmission rates after the
implementation of Hospital Readmissions Reduction
Program.
April 13, 2022
Muchiri S, Azadeh-Fard N, Pakdil F. The analysis of hospital readmission rates after the implementation of
hospital readmissions reduction program. J Patient Saf. 2022;18(3):237-244.
doi:…
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psnet.ahrq.gov/node/866316/psn-pdf
July 17, 2024 - From identifying patient safety risks to reporting patient
complaints: a grounded theory study on patients' hospital
experiences.
July 17, 2024
Gyberg A, Brezicka T, Wijk H, et al. From identifying patient safety risks to reporting patient complaints: a
grounded theory study on patients' hospital experiences. J Cl…
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psnet.ahrq.gov/node/73286/psn-pdf
May 19, 2021 - Engineering care transitions: clinician perceptions of
barriers to safe medication management during
transitions of patient care.
May 19, 2021
Hannum SM, Abebe E, Xiao Y, et al. Engineering care transitions: clinician perceptions of barriers to safe
medication management during transitions of patient care. Appl Er…
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psnet.ahrq.gov/node/73324/psn-pdf
May 26, 2021 - Medication-related hospital readmissions within 30 days
of discharge: prevalence, preventability, type of
medication errors and risk factors.
May 26, 2021
Uitvlugt EB, Janssen MJA, Siegert CEH, et al. Medication-related hospital readmissions within 30 days of
discharge: prevalence, preventability, type of medicati…
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psnet.ahrq.gov/node/45441/psn-pdf
September 21, 2016 - Psychological impact and recovery after involvement in a
patient safety incident: a repeated measures analysis.
September 21, 2016
Van Gerven E, Bruyneel L, Panella M, et al. Psychological impact and recovery after involvement in a
patient safety incident: a repeated measures analysis. BMJ oOen. 2016;6(8):e011403.
…
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psnet.ahrq.gov/node/73315/psn-pdf
May 26, 2021 - What contributes to diagnostic error or delay? A
qualitative exploration across diverse acute care settings
in the United States.
May 26, 2021
Barwise A, Leppin A, Dong Y, et al. What contributes to diagnostic error or delay? A qualitative exploration
across diverse acute care settings in the United States. J Pati…
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psnet.ahrq.gov/node/851886/psn-pdf
August 02, 2023 - Hospitalization due to adverse drug events in older adults
with cancer: a retrospective analysis.
August 2, 2023
Walsh DJ, Sahm LJ, O'Driscoll M, et al. Hospitalization due to adverse drug events in older adults with
cancer: a retrospective analysis. J Geriatr Oncol. 2023;14(6):101540. doi:10.1016/j.jgo.2023.101540…
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psnet.ahrq.gov/node/866745/psn-pdf
September 18, 2024 - State of the Science and Future Directions to Improve
Diagnostic Safety in Older Adults.
September 18, 2024
Tran AK, Syed Q, Bierman AS, et al. State Of The Science And Future Directions To Improve Diagnostic
Safety In Older Adults. Rockville, MD: Agency for Healthcare Research and Quality; September 2024.
AHRQ Pu…
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psnet.ahrq.gov/node/45458/psn-pdf
November 30, 2016 - Request for comments on the proposed measures and
2020 targets for the National Action Plan for Adverse Drug
Event Prevention: inpatient and outpatient measures for
reduction of adverse drug events from anticoagulants,
diabetes agents, and opioid analgesics.
November 30, 2016
Office of Disease Prevention and Heal…
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psnet.ahrq.gov/node/73981/psn-pdf
October 20, 2021 - Medication errors at hospital admission and discharge:
risk factors and impact of medication reconciliation
process to improve healthcare.
October 20, 2021
Breuker C, Macioce V, Mura T, et al. Medication errors at hospital admission and discharge: risk factors
and impact of medication reconciliation process to imp…
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psnet.ahrq.gov/node/46678/psn-pdf
January 03, 2018 - Measuring patient safety in real time: an essential method
for effectively improving the safety of care.
January 3, 2018
Classen DC, Griffin FA, Berwick DM. Measuring Patient Safety in Real Time: An Essential Method for
Effectively Improving the Safety of Care. Ann Intern Med. 2017;167(12). doi:10.7326/m17-2202.
h…