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psnet.ahrq.gov/node/34666/psn-pdf
December 22, 2009 - Error reduction and performance improvement in the
emergency department through formal teamwork training:
evaluation results of the MedTeams project.
December 22, 2009
Morey JC, Simon R, Jay G, et al. Error reduction and performance improvement in the emergency
department through formal teamwork training: evaluati…
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psnet.ahrq.gov/node/41719/psn-pdf
November 27, 2012 - A systematic review of the effectiveness, compliance, and
critical factors for implementation of safety checklists in
surgery.
November 27, 2012
Borchard A, Schwappach DLB, Barbir A, et al. A systematic review of the effectiveness, compliance, and
critical factors for implementation of safety checklists in surgery…
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psnet.ahrq.gov/node/46849/psn-pdf
May 23, 2018 - 1,300 days and counting: a risk model approach to
preventing retained foreign objects (RFOs).
May 23, 2018
Duggan EG, Fernandez J, Saulan MM, et al. 1,300 Days and Counting: A Risk Model Approach to
Preventing Retained Foreign Objects (RFOs). Jt Comm J Qual Patient Saf. 2018;44(5):260-269.
doi:10.1016/j.jcjq.2017.…
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psnet.ahrq.gov/node/851350/psn-pdf
July 12, 2023 - A scoping review of legibility of hand-written
prescriptions and drug-orders: the writing on the wall.
July 12, 2023
Ariaga A, Balzan D, Falzon S, et al. A scoping review of legibility of hand-written prescriptions and drug-
orders: the writing on the wall. Expert Rev Clin Pharmacol. 2023;16(7):617-621.
doi:10.108…
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psnet.ahrq.gov/node/34916/psn-pdf
March 09, 2009 - Using a claims data-based sentinel system to improve
compliance with clinical guidelines: results of a
randomized prospective study.
March 9, 2009
Javitt JC, Steinberg G, Locke T, et al. Using a claims data-based sentinel system to improve compliance
with clinical guidelines: results of a randomized prospective st…
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psnet.ahrq.gov/node/45787/psn-pdf
February 01, 2017 - Infusion medication error reduction by two-person
verification: a quality improvement initiative.
February 1, 2017
Subramanyam R, Mahmoud M, Buck D, et al. Infusion Medication Error Reduction by Two-Person
Verification: A Quality Improvement Initiative. Pediatrics. 2016;138(6).
https://psnet.ahrq.gov/issue/infusio…
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psnet.ahrq.gov/node/866685/psn-pdf
September 11, 2024 - Evaluation and mitigation of the limitations of large
language models in clinical decision-making.
September 11, 2024
Hager P, Jungmann F, Holland R, et al. Evaluation and mitigation of the limitations of large language
models in clinical decision-making. Nat Med. 2024;30(9):2613-2622. doi:10.1038/s41591-024-03097-…
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psnet.ahrq.gov/node/47121/psn-pdf
August 08, 2018 - Assessment of programs aimed to decrease or prevent
mistreatment of medical trainees.
August 8, 2018
Mazer LM, Bereknyei Merrell S, Hasty BN, et al. Assessment of Programs Aimed to Decrease or Prevent
Mistreatment of Medical Trainees. JAMA Netw Open. 2018;1(3):e180870.
doi:10.1001/jamanetworkopen.2018.0870.
https…
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psnet.ahrq.gov/node/46657/psn-pdf
December 16, 2017 - Diagnostic accuracy of pediatric teledermatology using
parent-submitted photographs: a randomized clinical trial.
December 16, 2017
O'Connor DM, Jew OS, Perman MJ, et al. Diagnostic Accuracy of Pediatric Teledermatology Using Parent-
Submitted Photographs: A Randomized Clinical Trial. JAMA Dermatol. 2017;153(12):12…
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psnet.ahrq.gov/perspective/integrating-multiple-medication-decision-support-systems-how-will-we-make-it-all-work
May 01, 2008 - April 6, 2022
Reducing drug prescription errors and adverse drug events by application … and Pregnant
November 1, 2008
Information technology-based approaches to reducing
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psnet.ahrq.gov/node/867656/psn-pdf
February 26, 2025 - Partnership for Patients and Hospital Engagement Networks: continuing forward momentum on
reducing patient … newsroom/fact-sheets/partnership-patients-and-hospital-engagement-networks-continuing-forward-momentum-reducing-patient
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psnet.ahrq.gov/perspective/playing-well-others-translocational-research-patient-safety
September 01, 2005 - Effect of reducing interns' work hours on serious medical errors in intensive care units. … have many dramatic examples of successes that have resulted from our investments in research, such as reducing
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psnet.ahrq.gov/perspective/interpreting-patient-safety-literature
June 01, 2005 - participation of pharmacists in clinical activities may play roles in detecting medication errors, not just reducing … Effect of reducing interns' work hours on serious medical errors in intensive care units.
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psnet.ahrq.gov/perspective/conversation-withpeter-j-pronovost-md-phd
June 01, 2005 - participation of pharmacists in clinical activities may play roles in detecting medication errors, not just reducing … Effect of reducing interns' work hours on serious medical errors in intensive care units.
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psnet.ahrq.gov/perspective/artificial-intelligence-and-patient-safety-promise-and-challenges
March 27, 2024 - ability to read and analyze medical images, potentially increasing diagnostic accuracy and efficiency and reducing … evidence-based treatment options or caution against potential treatment-related complications, thus reducing … clinicians, but it could also improve patient safety by streamlining and standardizing data collection and reducing
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psnet.ahrq.gov/perspective/conversation-withpatrick-tighe-about-artificial-intelligence
March 27, 2024 - ability to read and analyze medical images, potentially increasing diagnostic accuracy and efficiency and reducing … evidence-based treatment options or caution against potential treatment-related complications, thus reducing … clinicians, but it could also improve patient safety by streamlining and standardizing data collection and reducing
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psnet.ahrq.gov/perspective/high-reliability-organization-hro-principles-and-patient-safety
February 26, 2025 - Another study on medication safety reports on the use of a tool based on HRO principles for reducing … standardize care can enhance the effects of high reliability principles on medical errors (i.e., by further reducing
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psnet.ahrq.gov/perspective/conversation-timothy-vogus-about-high-reliability-organization-hro-principles-and
February 26, 2025 - Another study on medication safety reports on the use of a tool based on HRO principles for reducing … standardize care can enhance the effects of high reliability principles on medical errors (i.e., by further reducing
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.398_slideshow.ppt
February 01, 2017 - PowerPoint Presentation
Spotlight
The Hazards of Distraction: Ticking All the EHR Boxes
*
Source and Credits
This presentation is based on the February 2017
AHRQ WebM&M Spotlight Case
See the full article at https://psnet.ahrq.gov/webmm
CME credit is available
Commentary by: Anthony C. Easty, PhD, Adjunct Pr…
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psnet.ahrq.gov/primer/surgical-site-infections
December 15, 2024 - Surgical Site Infections
Citation Text:
Surgical Site Infections. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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