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psnet.ahrq.gov/node/60222/psn-pdf
April 15, 2020 - Interventions to improve team effectiveness within health
care: a systematic review of the past decade.
April 15, 2020
Buljac-Samardzic M, Doekhie KD, van Wijngaarden JDH. Interventions to improve team effectiveness
within health care: a systematic review of the past decade. Hum Resourc Health. 2020;18(1).
doi:10.…
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psnet.ahrq.gov/node/47835/psn-pdf
April 24, 2019 - Facilitation of surgical innovation: is it possible to speed
the introduction of new technology while simultaneously
improving patient safety?
April 24, 2019
Marcus RK, Lillemoe HA, Caudle AS, et al. Facilitation of Surgical Innovation: Is It Possible to Speed the
Introduction of New Technology While Simultaneousl…
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psnet.ahrq.gov/node/45863/psn-pdf
August 28, 2017 - Large-scale implementation of the I-PASS handover
system at an academic medical centre.
August 28, 2017
Shahian DM, McEachern K, Rossi L, et al. Large-scale implementation of the I-PASS handover system at
an academic medical centre. BMJ Qual Saf. 2017;26(9):760-770. doi:10.1136/bmjqs-2016-006195.
https://psnet.ahr…
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psnet.ahrq.gov/node/38961/psn-pdf
September 01, 2016 - An empirical model to estimate the potential impact of
medication safety alerts on patient safety, health care
utilization, and cost in ambulatory care.
September 1, 2016
Weingart SN, Simchowitz B, Padolsky H, et al. An empirical model to estimate the potential impact of
medication safety alerts on patient safety,…
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psnet.ahrq.gov/node/40013/psn-pdf
July 24, 2011 - Patient participation in surgical site marking: can this be
an additional tool to help avoid wrong-site surgery?
July 24, 2011
Bergal LM, Schwarzkopf R, Walsh M, et al. Patient participation in surgical site marking: can this be an
additional tool to help avoid wrong-site surgery? J Patient Saf. 2010;6(4):221-5.
h…
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psnet.ahrq.gov/node/44197/psn-pdf
November 03, 2015 - Effect of the World Health Organization checklist on
patient outcomes: a stepped wedge cluster randomized
controlled trial.
November 3, 2015
Haugen AS, Søfteland E, Almeland SK, et al. Effect of the World Health Organization checklist on patient
outcomes: a stepped wedge cluster randomized controlled trial. Ann Su…
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psnet.ahrq.gov/node/43323/psn-pdf
January 07, 2015 - Unrealized potential and residual consequences of
electronic prescribing on pharmacy workflow in the
outpatient pharmacy.
January 7, 2015
Nanji KC, Rothschild JM, Boehne JJ, et al. Unrealized potential and residual consequences of electronic
prescribing on pharmacy workflow in the outpatient pharmacy. J Am Med Inf…
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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/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/45419/psn-pdf
June 29, 2017 - Risk-adjusted survival for adults following in-hospital
cardiac arrest by day of week and time of day:
observational cohort study.
June 29, 2017
Robinson EJ, Smith GB, Power GS, et al. Risk-adjusted survival for adults following in-hospital cardiac
arrest by day of week and time of day: observational cohort study.…
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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/44571/psn-pdf
June 21, 2016 - One size fits all? Mixed methods evaluation of the impact
of 100% single-room accommodation on staff and patient
experience, safety and costs.
June 21, 2016
Maben J, Griffiths P, Penfold C, et al. One size fits all? Mixed methods evaluation of the impact of 100%
single-room accommodation on staff and patient exper…
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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/43590/psn-pdf
October 08, 2014 - Disentangling quality and safety indicator data: a
longitudinal, comparative study of hand hygiene
compliance and accreditation outcomes in 96 Australian
hospitals.
October 8, 2014
Mumford V, Greenfield D, Hogden A, et al. Disentangling quality and safety indicator data: a longitudinal,
comparative study of hand …
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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…