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psnet.ahrq.gov/node/38118/psn-pdf
October 01, 2019 - Preventing errors relating to commonly used
anticoagulants.
December 23, 2016
Preventing errors relating to commonly used anticoagulants. Sentinel Event Alert. 2008;41(41):1-4.
https://psnet.ahrq.gov/issue/preventing-errors-relating-commonly-used-anticoagulants
Anticoagulant therapies such as heparin and warfarin …
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psnet.ahrq.gov/node/73156/psn-pdf
April 21, 2021 - Increasing naloxone prescribing in the emergency
department through education and electronic medical
record work-aids.
April 21, 2021
Funke M, Kaplan MC, Glover H, et al. Increasing naloxone prescribing in the emergency department
through education and electronic medical record work-aids. Jt Comm J Qual Patient Sa…
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psnet.ahrq.gov/node/36364/psn-pdf
February 14, 2017 - National surveillance of emergency department visits for
outpatient adverse drug events.
February 14, 2017
Budnitz DS, Pollock DA, Weidenbach KN, et al. National surveillance of emergency department visits for
outpatient adverse drug events. JAMA. 2006;296(15):1858-66.
https://psnet.ahrq.gov/issue/national-surveil…
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psnet.ahrq.gov/node/38308/psn-pdf
April 21, 2010 - Adverse-event-reporting practices by US hospitals:
results of a national survey.
April 21, 2010
Farley DO, Haviland A, Champagne S, et al. Adverse-event-reporting practices by US hospitals: results of
a national survey. Qual Saf Health Care. 2008;17(6):416-23. doi:10.1136/qshc.2007.024638.
https://psnet.ahrq.gov/i…
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psnet.ahrq.gov/node/46155/psn-pdf
December 21, 2017 - A national implementation project to prevent catheter-
associated urinary tract infection in nursing home
residents.
December 21, 2017
Mody L, Greene T, Meddings J, et al. A National Implementation Project to Prevent Catheter-Associated
Urinary Tract Infection in Nursing Home Residents. JAMA Intern Med. 2017;177(8…
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psnet.ahrq.gov/node/851053/psn-pdf
June 28, 2023 - In situ simulation as a quality improvement tool to identify
and mitigate latent safety threats for emergency
department SARS-CoV-2 airway management: a multi-
institutional initiative.
June 28, 2023
Yang CJ, Saggar V, Seneviratne N, et al. In situ simulation as a quality improvement tool to identify and
mitigate…
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psnet.ahrq.gov/node/844775/psn-pdf
September 11, 2019 - Association of primary care clinic appointment time with
opioid prescribing.
September 11, 2019
Neprash HT, Barnett ML. Association of Primary Care Clinic Appointment Time With Opioid Prescribing.
JAMA Netw Open. 2019;2(8):e1910373. doi:10.1001/jamanetworkopen.2019.10373.
https://psnet.ahrq.gov/issue/association-p…
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psnet.ahrq.gov/node/849595/psn-pdf
May 31, 2023 - Effect of an emergency department process improvement
package on suicide prevention: the ED-SAFE 2 cluster
randomized clinical trial.
May 31, 2023
Boudreaux ED, Larkin C, Vallejo Sefair A, et al. Effect of an emergency department process improvement
package on suicide prevention: the ED-SAFE 2 cluster randomized c…
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psnet.ahrq.gov/issue/society-improve-diagnosis-medicine
March 27, 2019 - Multi-use Website
Society to Improve Diagnosis in Medicine.
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August 1, 2024
The Society to Improve Diagnosis in Medicine (SIDM) was…
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psnet.ahrq.gov/node/60229/psn-pdf
April 15, 2020 - Factors associated with mental health outcomes among
health care workers exposed to coronavirus disease 2019.
April 15, 2020
Lai J, Ma S, Wang Y, et al. Factors associated with mental health outcomes among health care workers
exposed to coronavirus disease 2019. JAMA Netw Open. 2020;3(3):e203976.
doi:10.1001/jaman…
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psnet.ahrq.gov/node/42816/psn-pdf
October 31, 2014 - Rates of medical errors and preventable adverse events
among hospitalized children following implementation of
a resident handoff bundle.
October 31, 2014
Starmer AJ, Sectish TC, Simon DW, et al. Rates of medical errors and preventable adverse events among
hospitalized children following implementation of a reside…
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psnet.ahrq.gov/node/41264/psn-pdf
January 04, 2015 - Patient safety, satisfaction, and quality of hospital care:
cross sectional surveys of nurses and patients in 12
countries in Europe and the United States.
January 4, 2015
Aiken LH, Sermeus W, Van den Heede K, et al. Patient safety, satisfaction, and quality of hospital care:
cross sectional surveys of nurses and …
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psnet.ahrq.gov/node/37112/psn-pdf
May 26, 2011 - The impact of a closed-loop electronic prescribing and
administration system on prescribing errors,
administration errors and staff time: a before-and-after
study.
May 26, 2011
Franklin BD, O'Grady K, Donyai P, et al. The impact of a closed-loop electronic prescribing and
administration system on prescribing erro…
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psnet.ahrq.gov/node/848040/psn-pdf
April 26, 2023 - Impact of work schedules of senior resident physicians
on patient and resident physician safety: nationwide,
prospective cohort study.
April 26, 2023
Barger LK, Weaver MD, Sullivan JP, et al. Impact of work schedules of senior resident physicians on
patient and resident physician safety: nationwide, prospective co…
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psnet.ahrq.gov/node/48083/psn-pdf
August 07, 2019 - Missed diagnosis of cancer in primary care: insights from
malpractice claims data.
August 7, 2019
Aaronson E, Quinn GR, Wong CI, et al. Missed diagnosis of cancer in primary care: Insights from
malpractice claims data. J Healthc Risk Manag. 2019;39(2):19-29. doi:10.1002/jhrm.21385.
https://psnet.ahrq.gov/issue/mis…
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psnet.ahrq.gov/node/72824/psn-pdf
March 10, 2021 - Association of a Safety Program for Improving Antibiotic
Use with antibiotic use and hospital-onset Clostridioides
difficile infection rates among US hospitals
March 10, 2021
Tamma PD, Miller MA, Dullabh P, et al. Association of a safety program for improving antibiotic use with
antibiotic use and hospital-onset C…
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psnet.ahrq.gov/node/42433/psn-pdf
October 08, 2013 - Culture change in infection control: applying
psychological principles to improve hand hygiene.
October 8, 2013
Cumbler E, Castillo L, Satorie L, et al. Culture change in infection control: applying psychological principles
to improve hand hygiene. J Nurs Care Qual. 2013;28(4):304-11. doi:10.1097/NCQ.0b013e31829786…
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psnet.ahrq.gov/issue/african-partnerships-patient-safety
April 30, 2024 - Multi-use Website
African Partnerships for Patient Safety.
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November 11, 2009
This Web site establishes a forum for hospitals in E…
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psnet.ahrq.gov/node/39101/psn-pdf
March 05, 2010 - Interventions to improve team effectiveness: a systematic
review.
March 5, 2010
Buljac-Samardzic M, van Doorn CMD-, van Wijngaarden JDH, et al. Interventions to improve team
effectiveness: a systematic review. Health Policy (New York). 2010;94(3):183-95.
doi:10.1016/j.healthpol.2009.09.015.
https://psnet.ahrq.gov…
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psnet.ahrq.gov/node/40473/psn-pdf
July 02, 2011 - A systematic review of failures in handoff communication
during intrahospital transfers.
July 2, 2011
Ong M-S, Coiera E. A systematic review of failures in handoff communication during intrahospital transfers.
Jt Comm J Qual Patient Saf. 2011;37(6):274-284.
https://psnet.ahrq.gov/issue/systematic-review-failures-h…