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psnet.ahrq.gov/node/60299/psn-pdf
May 06, 2020 - Impact of multidisciplinary team huddles on patient
safety: a systematic review and proposed taxonomy.
May 6, 2020
Franklin BJ, Gandhi TK, Bates DW, et al. Impact of multidisciplinary team huddles on patient safety: a
systematic review and proposed taxonomy. BMJ Qual Saf. 2020;29(10):844–853. doi:10.1136/bmjqs-2019…
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/task-decomposition
January 01, 2023 - Task Decomposition
Description
A task decomposition describes a particular task and then decomposes it to describe the task's features, such as devices and interface components used, duration, errors, and feedback. These categories will be selected by the analyst based on the needs of the analysis.
…
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psnet.ahrq.gov/node/46163/psn-pdf
December 06, 2017 - Defining the critical role of nurses in diagnostic error
prevention: a conceptual framework and a call to action.
December 6, 2017
Gleason KT, Davidson PM, Tanner EK, et al. Defining the critical role of nurses in diagnostic error
prevention: a conceptual framework and a call to action. Diagnosis (Berl). 2017;4(4):…
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psnet.ahrq.gov/node/45171/psn-pdf
August 01, 2016 - Weekly variation in health-care quality by day and time of
admission: a nationwide, registry-based, prospective
cohort study of acute stroke care.
August 1, 2016
Bray BD, Cloud GC, James MA, et al. Weekly variation in health-care quality by day and time of admission:
a nationwide, registry-based, prospective cohor…
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psnet.ahrq.gov/node/44814/psn-pdf
February 24, 2018 - Systematic review of physiologic monitor alarm
characteristics and pragmatic interventions to reduce
alarm frequency.
February 24, 2018
Paine CW, Goel V, Ely E, et al. Systematic Review of Physiologic Monitor Alarm Characteristics and
Pragmatic Interventions to Reduce Alarm Frequency. J Hosp Med. 2016;11(2):136-14…
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psnet.ahrq.gov/node/865813/psn-pdf
May 08, 2024 - Quality framework for remote antenatal care: qualitative
study with women, healthcare professionals and system-
level stakeholders.
May 8, 2024
Hinton L, Dakin FH, Kuberska K, et al. Quality framework for remote antenatal care: qualitative study with
women, healthcare professionals and system-level stakeholders. B…
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psnet.ahrq.gov/node/73095/psn-pdf
March 31, 2021 - Work effort, readability and quality of pharmacy
transcription of patient directions from electronic
prescriptions: a retrospective observational cohort
analysis.
March 31, 2021
Zheng Y, Jiang Y, Dorsch MP, et al. Work effort, readability and quality of pharmacy transcription of patient
directions from electronic…
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psnet.ahrq.gov/node/38243/psn-pdf
November 26, 2008 - Impact of preoperative briefings on operating room
delays.
November 26, 2008
Nundy S, Mukherjee A, Sexton B, et al. Impact of preoperative briefings on operating room delays: a
preliminary report. Arch Surg. 2008;143(11):1068-72. doi:10.1001/archsurg.143.11.1068.
https://psnet.ahrq.gov/issue/impact-preoperative-br…
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psnet.ahrq.gov/node/46325/psn-pdf
November 30, 2018 - Physician Burnout.
November 30, 2018
Rockville, MD: Agency for Healthcare Research and Quality; July 2017. AHRQ Publication No. 17-M018-1-
EF.
https://psnet.ahrq.gov/issue/physician-burnout
Clinician burnout can affect patient safety. This report highlights AHRQ-supported research to examine
burnout in health car…
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psnet.ahrq.gov/node/73509/psn-pdf
July 21, 2021 - NHS ‘Learning from Deaths’ reports: a qualitative and
quantitative document analysis of the first year of a
countrywide patient safety programme.
July 21, 2021
Brummell Z, Vindrola-Padros C, Braun D, et al. NHS ‘Learning from Deaths’ reports: a qualitative and
quantitative document analysis of the first year of a …
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psnet.ahrq.gov/node/854985/psn-pdf
November 01, 2023 - A systematic narrative review of coroners’ Prevention of
Future Deaths reports (PFDs): a tool for patient safety in
hospitals.
November 1, 2023
Bremner BT, Heneghan CJ, Aronson JK, et al. A systematic narrative review of coroners’ Prevention of
Future Deaths reports (PFDs): a tool for patient safety in hospitals. …
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psnet.ahrq.gov/node/36738/psn-pdf
August 02, 2011 - Barriers and motivators for making error reports from
family medicine offices: a report from the American
Academy of Family Physicians National Research
Network (AAFP NRN).
August 2, 2011
Elder NC, Graham D, Brandt E, et al. Barriers and motivators for making error reports from family medicine
offices: a report f…
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psnet.ahrq.gov/node/47448/psn-pdf
October 10, 2018 - Ten principles for more conservative, care-full diagnosis.
October 10, 2018
Schiff G, Martin SA, Eidelman DH, et al. Ten Principles for More Conservative, Care-Full Diagnosis. Ann
Intern Med. 2018;169(9):643-645. doi:10.7326/M18-1468.
https://psnet.ahrq.gov/issue/ten-principles-more-conservative-care-full-diagnosis…
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psnet.ahrq.gov/node/837640/psn-pdf
July 06, 2022 - Identifying and reconciling patients' allergy information
within the electronic health record.
July 6, 2022
Vallamkonda S, Ortega CA, Lo YC, et al. Identifying and reconciling patients' allergy information within the
electronic health record. Stud Health Technol Inform. 2022;290:120-124. doi:10.3233/shti220044.
ht…
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psnet.ahrq.gov/node/44776/psn-pdf
April 15, 2016 - Best practices for chemotherapy administration in
pediatric oncology: quality and safety process
improvements (2015).
April 15, 2016
Looper K, Winchester K, Robinson D, et al. Best Practices for Chemotherapy Administration in Pediatric
Oncology: Quality and Safety Process Improvements (2015). J Pediatr Oncol Nurs.…
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psnet.ahrq.gov/node/849120/psn-pdf
May 17, 2023 - Systematic literature review on the effectiveness and
safety of paediatric hospital-at-home care as a substitute
for hospital care.
May 17, 2023
Detollenaere J, Van Ingelghem I, Van den Heede K, et al. Systematic literature review on the effectiveness
and safety of paediatric hospital-at-home care as a substitute …
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psnet.ahrq.gov/node/44644/psn-pdf
February 14, 2017 - Association of off-label drug use and adverse drug events
in an adult population.
February 14, 2017
Eguale T, Buckeridge DL, Verma A, et al. Association of Off-label Drug Use and Adverse Drug Events in an
Adult Population. JAMA Intern Med. 2016;176(1):55-63. doi:10.1001/jamainternmed.2015.6058.
https://psnet.ahrq.…
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psnet.ahrq.gov/node/36486/psn-pdf
June 13, 2011 - Design and implementation of an application and
associated services to support interdisciplinary
medication reconciliation efforts at an integrated
healthcare delivery network.
June 13, 2011
Poon EG, Blumenfeld B, Hamann C, et al. Design and Implementation of an Application and Associated
Services to Support Inte…
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psnet.ahrq.gov/node/856587/psn-pdf
January 01, 2024 - Surgical leadership in a culture of safety: an inter-
professional study of metrics and tools for improving
clinical practice.
November 29, 2023
Gogalniceanu P, Kunduzi B, Ruckley C, et al. Surgical leadership in a culture of safety: an inter-
professional study of metrics and tools for improving clinical practice…
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psnet.ahrq.gov/node/73363/psn-pdf
June 09, 2021 - Shift-to-shift nursing handover interventions associated
with improved inpatient outcomes - falls, pressure
injuries and medication administration errors: an
integrative review.
June 9, 2021
Hada A, Coyer F. Shift?to?shift nursing handover interventions associated with improved inpatient
outcomes—falls, pressure …