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psnet.ahrq.gov/node/860720/psn-pdf
January 17, 2024 - Do patients who read visit notes on the patient portal
have a higher rate of "loop closure" on diagnostic tests
and referrals in primary care? A retrospective cohort
study.
January 17, 2024
Bell SK, Amat MJ, Anderson TS, et al. Do patients who read visit notes on the patient portal have a higher
rate of “loop clo…
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psnet.ahrq.gov/node/40586/psn-pdf
March 21, 2017 - Adopting real-time surveillance dashboards as a
component of an enterprisewide medication safety
strategy.
March 21, 2017
Waitman LR, Phillips IE, McCoy AB, et al. Adopting real-time surveillance dashboards as a component of
an enterprisewide medication safety strategy. Jt Comm J Qual Patient Saf. 2011;37(7):326-3…
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hcup-us.ahrq.gov/datainnovations/clinicaldata/VirginiaHospitalQualityImprovementOpportunity.pdf
July 09, 2007 - Virginia Hospital Quality Improvement Opportunity
The Virginia Hospital and Healthcare Association is working with Virginia Health
Information (VHI) in support of a contract proposal to the Agency for Healthcare
Research and Quality (AHRQ). The contract proposal is to develop a method to improve
the Virginia’s p…
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psnet.ahrq.gov/node/38900/psn-pdf
January 03, 2017 - Dropping the baton during the handoff from emergency
department to primary care: pediatric asthma continuity
errors.
January 3, 2017
Hsiao AL, Shiffman RN. Dropping the baton during the handoff from emergency department to primary
care: pediatric asthma continuity errors. Jt Comm J Qual Patient Saf. 2009;35(9):467…
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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/43987/psn-pdf
March 25, 2015 - Emergency physicians' views of direct notification of
laboratory and radiology results to patients using the
internet: a multisite survey.
March 25, 2015
Callen J, Giardina TD, Singh H, et al. Emergency physicians' views of direct notification of laboratory and
radiology results to patients using the Internet: a m…
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psnet.ahrq.gov/node/48112/psn-pdf
July 10, 2019 - Intravenous infusion administration: a comparative study
of practices and errors between the United States and
England and their implications for patient safety.
July 10, 2019
Blandford A, Dykes PC, Franklin BD, et al. Intravenous Infusion Administration: A Comparative Study of
Practices and Errors Between the Uni…
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psnet.ahrq.gov/node/43553/psn-pdf
August 28, 2017 - Analysis of adverse events associated with adult
moderate procedural sedation outside the operating
room.
August 28, 2017
Karamnov S, Sarkisian N, Grammer R, et al. Analysis of Adverse Events Associated With Adult Moderate
Procedural Sedation Outside the Operating Room. J Patient Saf. 2014;13(3):111-121.
doi:10.1…
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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/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/46806/psn-pdf
January 01, 2020 - Examining the relationship of an all-cause harm patient
safety measure and critical performance measures at the
frontline of care.
February 28, 2018
Sammer C, Hauck L, Jones C, et al. Examining the Relationship of an All-Cause Harm Patient Safety
Measure and Critical Performance Measures at the Frontline of Care. …
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psnet.ahrq.gov/node/40213/psn-pdf
February 16, 2011 - Systematic review of medication safety assessment
methods.
February 16, 2011
Meyer-Massetti C, Cheng CM, Schwappach DLB, et al. Systematic review of medication safety
assessment methods. Am J Health Syst Pharm. 2011;68(3):227-40. doi:10.2146/ajhp100019.
https://psnet.ahrq.gov/issue/systematic-review-medication-saf…
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psnet.ahrq.gov/node/41967/psn-pdf
May 10, 2013 - A comparative review of patient safety initiatives for
national health information technology.
May 10, 2013
Magrabi F, Aarts J, Nohr C, et al. A comparative review of patient safety initiatives for national health
information technology. Int J Med Inform. 2013;82(5):e139-48. doi:10.1016/j.ijmedinf.2012.11.014.
htt…
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psnet.ahrq.gov/node/41446/psn-pdf
June 13, 2012 - Concept and development of a discharge alert filter for
abnormal laboratory values coupled with computerized
provider order entry: a tool for quality improvement and
hospital risk management.
June 13, 2012
Mathew G, Kho A, Dexter P, et al. Concept and development of a discharge alert filter for abnormal
laborator…
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psnet.ahrq.gov/node/46491/psn-pdf
August 20, 2018 - A qualitative study of speaking out about patient safety
concerns in intensive care units.
August 20, 2018
Tarrant C, Leslie M, Bion J, et al. A qualitative study of speaking out about patient safety concerns in
intensive care units. Soc Sci Med. 2017;193:8-15. doi:10.1016/j.socscimed.2017.09.036.
https://psnet.ah…
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psnet.ahrq.gov/node/47752/psn-pdf
May 29, 2019 - How do nurses use early warning scoring systems to
detect and act on patient deterioration to ensure patient
safety? A scoping review.
May 29, 2019
Wood C, Chaboyer W, Carr P. How do nurses use early warning scoring systems to detect and act on
patient deterioration to ensure patient safety? A scoping review. Int …
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psnet.ahrq.gov/node/41212/psn-pdf
March 14, 2012 - A comprehensive overview of medical error in hospitals
using incident-reporting systems, patient complaints and
chart review of inpatient deaths.
March 14, 2012
de Feijter JM, de Grave WS, Muijtjens AM, et al. A comprehensive overview of medical error in hospitals
using incident-reporting systems, patient complain…
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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/46342/psn-pdf
October 04, 2017 - Improving reconciliation following medical injury: a
qualitative study of responses to patient safety incidents
in New Zealand.
October 4, 2017
Moore J, Mello MM. Improving reconciliation following medical injury: a qualitative study of responses to
patient safety incidents in New Zealand. BMJ Qual Saf. 2017;26(10…
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psnet.ahrq.gov/node/42423/psn-pdf
July 17, 2013 - National trends in hospital-acquired preventable adverse
events after major cancer surgery in the USA.
July 17, 2013
Sukumar S, Roghmann F, Trinh VQ, et al. National trends in hospital-acquired preventable adverse events
after major cancer surgery in the USA. BMJ Open. 2013;3(6). doi:10.1136/bmjopen-2013-002843.
h…