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psnet.ahrq.gov/node/46446/psn-pdf
September 27, 2017 - Journey toward high reliability: a comprehensive safety
program to improve quality of care and safety culture in a
large, multisite radiation oncology department.
September 27, 2017
Woodhouse KD, Volz E, Maity A, et al. Journey Toward High Reliability: A Comprehensive Safety Program
to Improve Quality of Care and …
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psnet.ahrq.gov/node/47370/psn-pdf
October 10, 2018 - Development of a conceptual map of negative
consequences for patients of overuse of medical tests
and treatments.
October 10, 2018
Korenstein D, Chimonas S, Barrow B, et al. Development of a Conceptual Map of Negative Consequences
for Patients of Overuse of Medical Tests and Treatments. JAMA Intern Med. 2018;178(1…
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psnet.ahrq.gov/node/845639/psn-pdf
March 08, 2023 - Identifying safety practices perceived as low value: an
exploratory survey of healthcare staff in the United
Kingdom and Australia.
March 8, 2023
Halligan D, Janes G, Conner M, et al. Identifying safety practices perceived as low value: an exploratory
survey of healthcare staff in the United Kingdom and Australia.…
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psnet.ahrq.gov/node/47026/psn-pdf
January 23, 2019 - Charter on Physician Well-being.
January 23, 2019
Thomas LR, Ripp JA, West CP. Charter on Physician Well-being. JAMA. 2018;319(15):1541-1542.
doi:10.1001/jama.2018.1331.
https://psnet.ahrq.gov/issue/charter-physician-well-being
Clinician burnout is a growing concern with known patient safety implications. This com…
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psnet.ahrq.gov/node/74863/psn-pdf
February 23, 2022 - Factors associated with missed nursing care and nurse-
assessed quality of care during the COVID-19 pandemic.
February 23, 2022
Labrague LJ, Santos JAA, Fronda DC. Factors associated with missed nursing care and nurse?assessed
quality of care during the COVID?19 pandemic. J Nurs Manag. 2022;30(1):62-70. doi:10.1111…
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psnet.ahrq.gov/node/50892/psn-pdf
February 12, 2020 - Association of open communication and the emotional
and behavioural impact of medical error on patients and
families: state-wide cross-sectional survey.
February 12, 2020
Prentice JC, Bell SK, Thomas EJ, et al. Association of open communication and the emotional and
behavioural impact of medical error on patients …
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psnet.ahrq.gov/node/73655/psn-pdf
September 01, 2021 - Influence of organizational climate and clinician morale
on seclusion and physical restraint use in inpatient
psychiatric units.
September 1, 2021
Anderson E, Mohr DC, Regenbogen I, et al. Influence of organizational climate and clinician morale on
seclusion and physical restraint use in inpatient psychiatric unit…
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digital.ahrq.gov/location/usa-va-reston
January 01, 2023 - USA, VA, Reston
"First, Do No Harm": Using Health Information Technology to Reduce Use of Preventive Services with Potential Harms
Description
This project convened a meeting in March of 2010 with experts to discuss “don’t do” recommendations by clinicians to their patients in…
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psnet.ahrq.gov/node/47273/psn-pdf
September 05, 2018 - Natural language processing and its implications for the
future of medication safety: a narrative review of recent
advances and challenges.
September 5, 2018
Wong A, Plasek JM, Montecalvo SP, et al. Natural Language Processing and Its Implications for the Future
of Medication Safety: A Narrative Review of Recent A…
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psnet.ahrq.gov/node/44837/psn-pdf
February 03, 2016 - Impact of pharmacist involvement in the transitional care
of high-risk patients through medication reconciliation,
medication education, and postdischarge call-backs
(IPITCH Study).
February 3, 2016
Phatak A, Prusi R, Ward B, et al. Impact of pharmacist involvement in the transitional care of high-risk
patients t…
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psnet.ahrq.gov/node/847543/psn-pdf
April 12, 2023 - What works in medication reconciliation: an on-treatment
and site analysis of the MARQUIS2 study.
April 12, 2023
Schnipper JL, Reyes Nieva H, Yoon CS, et al. What works in medication reconciliation: an on-treatment
and site analysis of the MARQUIS2 study. BMJ Qual Saf. 2023;32(8):457-469. doi:10.1136/bmjqs-2022-
0…
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psnet.ahrq.gov/node/73400/psn-pdf
June 16, 2021 - Older patients' engagement in hospital medication safety
behaviours.
June 16, 2021
Tobiano G, Chaboyer W, Dornan G, et al. Older patients’ engagement in hospital medication safety
behaviours. Aging Clin Exp Res. 2021;33(12):3353-3361. doi:10.1007/s40520-021-01866-3.
https://psnet.ahrq.gov/issue/older-patients-enga…
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psnet.ahrq.gov/node/60304/psn-pdf
January 01, 2021 - Patients' perspectives of diagnostic error: a qualitative
study.
May 6, 2020
Sacco AY, Self QR, Worswick EL, et al. Patients' perspectives of diagnostic error: a qualitative study. J
Patient Saf. 2021;17(8):e1759-e1773. doi:10.1097/pts.0000000000000642.
https://psnet.ahrq.gov/issue/patients-perspectives-diagnostic…
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psnet.ahrq.gov/node/42503/psn-pdf
September 18, 2013 - The patient is in: patient involvement strategies for
diagnostic error mitigation.
September 18, 2013
McDonald KM, Bryce CL, Graber ML. The patient is in: patient involvement strategies for diagnostic error
mitigation. BMJ Qual Saf. 2013;22 Suppl 2:ii33-ii39. doi:10.1136/bmjqs-2012-001623.
https://psnet.ahrq.gov/i…
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psnet.ahrq.gov/node/837023/psn-pdf
May 04, 2022 - Examining the effect of quality improvement initiatives on
decreasing racial disparities in maternal morbidity.
May 4, 2022
Davidson C, Denning S, Thorp K, et al. Examining the effect of quality improvement initiatives on
decreasing racial disparities in maternal morbidity. BMJ Qual Saf. 2022;31(9):670-678. doi:10.…
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psnet.ahrq.gov/node/47223/psn-pdf
August 14, 2018 - Six Building Blocks: A Team-Based Approach to
Improving Opioid Management in Primary Care.
August 14, 2018
MacColl Center for Health Care Innovation at the Kaiser Permanente of Washington Research Institute,
University of Washington.
https://psnet.ahrq.gov/issue/six-building-blocks-team-based-approach-improving-op…
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psnet.ahrq.gov/node/46101/psn-pdf
January 01, 2018 - Factors associated with barcode medication
administration technology that contribute to patient
safety: an integrative review.
December 19, 2017
Strudwick G, Reisdorfer E, Warnock C, et al. Factors Associated With Barcode Medication Administration
Technology That Contribute to Patient Safety: An Integrative Review…
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psnet.ahrq.gov/node/844555/psn-pdf
February 15, 2023 - AHRQ-Funded Patient Safety Project Highlights:
Improving Healthcare Safety by Engaging Patients and
Families.
February 15, 2023
Rockville, MD: Agency for Healthcare Research and Quality; January 2023. AHRQ Pub. No.22(23)-0065-1.
https://psnet.ahrq.gov/issue/ahrq-funded-patient-safety-project-highlights-improving-h…
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psnet.ahrq.gov/node/44322/psn-pdf
June 21, 2016 - Emotional harm from disrespect: the neglected
preventable harm.
June 21, 2016
Sokol-Hessner L, Folcarelli P, Sands KEF. Emotional harm from disrespect: the neglected preventable
harm. BMJ Qual Saf. 2015;24(9):550-3. doi:10.1136/bmjqs-2015-004034.
https://psnet.ahrq.gov/issue/emotional-harm-disrespect-neglected-pre…
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psnet.ahrq.gov/node/851057/psn-pdf
June 28, 2023 - The burden of peri-operative work at night as perceived
by anaesthesiologists: an international survey.
June 28, 2023
Cortegiani A, Ippolito M, Lakbar I, et al. The burden of peri-operative work at night as perceived by
anaesthesiologists: an international survey. Eur J Anaesthesiol. 2023;40(5):326-333.
doi:10.109…