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psnet.ahrq.gov/node/50890/psn-pdf
February 12, 2020 - Impact of pharmacist-led multidisciplinary medication
review on the safety and medication cost of the elderly
people living in a nursing home: a before-after study.
February 12, 2020
Leguelinel-Blache G, Castelli C, Rolain J, et al. Impact of pharmacist-led multidisciplinary medication
review on the safety and med…
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psnet.ahrq.gov/node/41119/psn-pdf
July 03, 2016 - How can we make diagnosis safer?
July 3, 2016
Schiff G, Leape L. Commentary: how can we make diagnosis safer? Acad Med. 2012;87(2):135-138.
doi:10.1097/ACM.0b013e31823f711c.
https://psnet.ahrq.gov/issue/how-can-we-make-diagnosis-safer
Autopsy studies spanning five decades consistently show an error rate of almost …
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psnet.ahrq.gov/node/47769/psn-pdf
May 11, 2019 - Avoiding chemotherapy prescribing errors: analysis and
innovative strategies.
May 11, 2019
Reinhardt H, Otte P, Eggleton AG, et al. Avoiding chemotherapy prescribing errors: Analysis and innovative
strategies. Cancer. 2019;125(9):1547-1557. doi:10.1002/cncr.31950.
https://psnet.ahrq.gov/issue/avoiding-chemotherapy…
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psnet.ahrq.gov/node/39495/psn-pdf
September 20, 2011 - Safe Practices for Better Healthcare: 2010 Update.
September 20, 2011
Washington, DC: National Quality Forum; 2010.
https://psnet.ahrq.gov/issue/safe-practices-better-healthcare-2010-update
The National Quality Forum originally published the Safe Practices for Better Healthcare in 2003. These
practices are intende…
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psnet.ahrq.gov/node/73214/psn-pdf
May 05, 2021 - Patient and physician perspectives of deprescribing
potentially inappropriate medications in older adults with
a history of falls: a qualitative study.
May 5, 2021
Hahn EE, Munoz-Plaza CE, Lee EA, et al. Patient and physician perspectives of deprescribing potentially
inappropriate medications in older adults with …
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psnet.ahrq.gov/node/37260/psn-pdf
January 02, 2017 - A visual medication schedule to improve anticoagulation
control: a randomized, controlled trial.
January 2, 2017
Machtinger EL, Wang F, Chen L-L, et al. A visual medication schedule to improve anticoagulation control: a
randomized, controlled trial. Jt Comm J Qual Patient Saf. 2007;33(10):625-35.
https://psnet.ahr…
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psnet.ahrq.gov/node/40010/psn-pdf
December 21, 2014 - The effect of hospital-acquired Clostridium difficile
infection on in-hospital mortality.
December 21, 2014
Oake N, Taljaard M, van Walraven C, et al. The effect of hospital-acquired Clostridium difficile infection on
in-hospital mortality. Arch Intern Med. 2010;170(20):1804-10. doi:10.1001/archinternmed.2010.405.
…
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psnet.ahrq.gov/issue/ahrq-announces-areas-interest-research-healthcare-associated-infections
June 14, 2024 - Government Resource
AHRQ Announces Areas of Interest for Research on Healthcare–Associated Infections.
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December 22, 2010
This an…
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psnet.ahrq.gov/node/850931/psn-pdf
June 21, 2023 - What US hospitals are doing to prevent common device-
associated infections during the coronavirus disease
2019 (COVID-19) pandemic: results from a national survey
in the United States.
June 21, 2023
Saint S, Greene MT, Krein SL, et al. What US hospitals are doing to prevent common device-associated
infections du…
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psnet.ahrq.gov/node/865334/psn-pdf
March 27, 2024 - Describing the evidence linking interprofessional
education interventions to improving the delivery of safe
and effective patient care: a scoping review.
March 27, 2024
Cadet T, Cusimano J, McKearney S, et al. Describing the evidence linking interprofessional education
interventions to improving the delivery of sa…
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psnet.ahrq.gov/node/61041/psn-pdf
October 21, 2020 - Improving accuracy of handoff by implementing an
electronic health record-generated tool: an improvement
project in an academic neonatal intensive care unit.
October 21, 2020
Koo JK, Moyer L, Castello MA, et al. Improving accuracy of handoff by implementing an electronic health
record-generated tool: an improvemen…
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psnet.ahrq.gov/node/45937/psn-pdf
September 29, 2017 - Opioid-prescribing patterns of emergency physicians and
risk of long-term use.
September 29, 2017
Barnett ML, Olenski AR, Jena AB. Opioid-Prescribing Patterns of Emergency Physicians and Risk of Long-
Term Use. N Engl J Med. 2017;376(7):663-673. doi:10.1056/NEJMsa1610524.
https://psnet.ahrq.gov/issue/opioid-prescr…
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psnet.ahrq.gov/node/838305/psn-pdf
October 12, 2022 - Hospital-acquired conditions reduction program, racial
and ethnic diversity, and Magnet designation in the
United States.
October 12, 2022
Boamah SA, Hamadi HY, Spaulding AC. Hospital-acquired conditions reduction program, racial and ethnic
diversity, and Magnet designation in the United States. J Patient Saf. 202…
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psnet.ahrq.gov/node/38759/psn-pdf
April 05, 2010 - Perceptions of the impact of a large-scale collaborative
improvement programme: experience in the UK Safer
Patients Initiative.
April 5, 2010
Benn J, Burnett S, Parand A, et al. Perceptions of the impact of a large-scale collaborative improvement
programme: experience in the UK Safer Patients Initiative. J Eval Cl…
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psnet.ahrq.gov/node/72566/psn-pdf
January 01, 2021 - Incidence, nature and causes of avoidable significant
harm in primary care in England: retrospective case note
review.
December 16, 2020
Avery AJ, Sheehan C, Bell BG, et al. Incidence, nature and causes of avoidable significant harm in primary
care in England: retrospective case note review. BMJ Qual Saf. 2021;30(…
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psnet.ahrq.gov/node/36089/psn-pdf
March 03, 2011 - The impact of the 80-hour resident workweek on surgical
residents and attending surgeons.
March 3, 2011
Hutter MM, Kellogg KC, Ferguson CM, et al. The impact of the 80-hour resident workweek on surgical
residents and attending surgeons. Ann Surg. 2006;243(6):864-71; discussion 871-5.
https://psnet.ahrq.gov/issue/i…
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psnet.ahrq.gov/node/837141/psn-pdf
May 18, 2022 - The effects of leadership curricula with and without
implicit bias training on graduate medical education: a
multicenter randomized trial.
May 18, 2022
Hansen M, Harrod T, Bahr N, et al. The effects of leadership curricula with and without implicit bias training
on graduate medical education: a multicenter randomi…
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psnet.ahrq.gov/node/854624/psn-pdf
January 01, 2024 - Adverse drug events caused by three high-risk drug-drug
interactions in patients admitted to intensive care units: a
multicentre retrospective observational study.
October 18, 2023
Klopotowska JE, Leopold J?H, Bakker T, et al. Adverse drug events caused by three high?risk drug–drug
interactions in patients admitte…
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psnet.ahrq.gov/node/72784/psn-pdf
February 24, 2021 - Advancing diagnostic safety research: results of a
systematic research priority setting exercise.
February 24, 2021
Zwaan L, El-Kareh R, Meyer AND, et al. Advancing diagnostic safety research: results of a systematic
research priority setting exercise. J Gen Intern Med. 2021;36(10):2943-2951. doi:10.1007/s11606-020…
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psnet.ahrq.gov/node/837136/psn-pdf
May 18, 2022 - What can we learn from in-depth analysis of human errors
resulting in diagnostic errors in the emergency
department: an analysis of serious adverse event reports.
May 18, 2022
Baartmans MC, Hooftman J, Zwaan L, et al. What can we learn from in-depth analysis of human errors
resulting in diagnostic errors in the em…