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psnet.ahrq.gov/node/33729/psn-pdf
May 01, 2012 - "occurrence" reports), mining of administrative databases (most notably the Agency for
Healthcare Research … Rockville, MD: Agency for Healthcare Research and Quality. [Available
at]
3. … Rockville, MD: Agency for Healthcare Research and Quality.
[Available at]
20. … Evaluation of the Agency for Healthcare Research and
Quality Pediatric Quality Indicators.
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psnet.ahrq.gov/node/44624/psn-pdf
March 02, 2016 - Researchers found that the most common patient safety research topic using this approach to date is … The authors suggest that more methodological rigor is needed to apply
the approach to patient safety research
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psnet.ahrq.gov/issue/patient-safety-and-dentistry-what-do-we-need-know-fundamentals-patient-safety-safety-culture
April 01, 2020 - Review
Patient safety and dentistry: what do we need to know? Fundamentals of patient safety, the safety culture and implementation of patient safety measures in dental practice.
Citation Text:
Yamalik N, Pérez BP. Patient safety and dentistry: what do we need to know? Fundamentals of …
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psnet.ahrq.gov/issue/arrival-ambulance-explains-variation-mortality-time-admission-retrospective-study-admissions
January 29, 2018 - Previous research has shown that patients admitted to the hospital on the weekend are at increased risk … Investigators suggest that prior research supporting the weekend effect is overly reliant on administrative
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psnet.ahrq.gov/node/47684/psn-pdf
March 20, 2019 - The impact of mobile technology on teamwork and
communication in hospitals: a systematic review.
March 20, 2019
Martin G, Khajuria A, Arora S, et al. The impact of mobile technology on teamwork and communication in
hospitals: a systematic review. J Am Med Inform Assoc. 2019;26(4):339-355. doi:10.1093/jamia/ocy175.
…
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psnet.ahrq.gov/node/36204/psn-pdf
September 30, 2010 - automated-medication-error-studies-audit-supplementation-were-effectively-
designed-and
The authors assessed the appropriateness of using time-series research
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psnet.ahrq.gov/node/865661/psn-pdf
April 24, 2024 - Pay-for-performance and patient safety in acute care: a
systematic review.
April 24, 2024
Slawomirski L, Hensher M, Campbell JL, et al. Pay-for-performance and patient safety in acute care: a
systematic review. Health Policy. 2024;143:105051. doi:10.1016/j.healthpol.2024.105051.
https://psnet.ahrq.gov/issue/pay-pe…
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psnet.ahrq.gov/issue/development-and-evaluation-institute-healthcare-improvement-global-trigger-tool
February 10, 2015 - Trigger tools have proved to be an effective method of screening for adverse events , with past research
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psnet.ahrq.gov/node/74176/psn-pdf
December 15, 2021 - medication reconciliation and
low certainty on other interventions, emphasizing the importance of research
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psnet.ahrq.gov/issue/open-wide-looking-safety-culture-dental-school-clinics
September 06, 2017 - Study
Open wide: looking into the safety culture of dental school clinics.
Citation Text:
Ramoni R, Walji MF, Tavares A, et al. Open wide: looking into the safety culture of dental school clinics. J Dent Edu. 2014;78(5):745-756.
Copy Citation
Format:
Google Scholar PubMed B…
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psnet.ahrq.gov/issue/diagnostic-error-index-quality-improvement-initiative-identify-and-measure-diagnostic-errors
July 14, 2021 - Study
The Diagnostic Error Index: a quality improvement initiative to identify and measure diagnostic errors.
Citation Text:
Perry MF, Melvin JE, Kasick RT, et al. The Diagnostic Error Index: a quality improvement initiative to identify and measure diagnostic errors. J Pediatr. 2021;232:…
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psnet.ahrq.gov/issue/structured-approach-ehr-surveillance-diagnostic-error-acute-care-exploratory-analysis-two
October 16, 2024 - Study
A structured approach to EHR surveillance of diagnostic error in acute care: an exploratory analysis of two institutionally-defined case cohorts.
Citation Text:
Malik MA, Motta-Calderon D, Piniella N, et al. A structured approach to EHR surveillance of diagnostic error in acute car…
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psnet.ahrq.gov/perspective/conversation-david-w-bates-about-are-we-safer-today
February 26, 2025 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … of executive actions to address quality and an increase in AHRQ’s budget to support patient safety research … Perhaps the improvements in methodologies to detect adverse events may be among the advances that will … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services
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psnet.ahrq.gov/perspective/are-we-safer-today
February 26, 2025 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … of executive actions to address quality and an increase in AHRQ’s budget to support patient safety research … Perhaps the improvements in methodologies to detect adverse events may be among the advances that will … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services
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psnet.ahrq.gov/node/837740/psn-pdf
July 27, 2022 - Reducing near miss medication events using an
evidence-based approach.
July 27, 2022
Smith-Love J. Reducing near miss medication events using an evidence-based approach. J Nurs Care
Qual. 2022;37(4):327-333. doi:10.1097/ncq.0000000000000630.
https://psnet.ahrq.gov/issue/reducing-near-miss-medication-events-using-e…
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psnet.ahrq.gov/node/50936/psn-pdf
February 26, 2020 - Sitters as a patient safety strategy to reduce hospital
falls: a systematic review.
February 26, 2020
Greeley AM, Tanner EP, Mak S, et al. Sitters as a Patient Safety Strategy to Reduce Hospital Falls. Ann
Intern Med. 2020;172(5):317-324. doi:10.7326/m19-2628.
https://psnet.ahrq.gov/issue/sitters-patient-safety-st…
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psnet.ahrq.gov/issue/tool-concise-analysis-patient-safety-incidents
August 09, 2018 - Methodologies like root cause analysis are time and labor intensive, and the burden of subsequent investigation
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psnet.ahrq.gov/issue/transfers-patient-care-between-house-staff-internal-medicine-wards-national-survey
August 15, 2018 - transfer processes in place or provided formal resident training on successful transfer communications and methodologies
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psnet.ahrq.gov/node/867652/psn-pdf
February 26, 2025 - The Evolution of Root Cause Analysis
February 26, 2025
Behrhorst J, Gale B, Van CM. The Evolution of Root Cause Analysis. PSNet [internet]. 2025.
https://psnet.ahrq.gov/perspective/evolution-root-cause-analysis
Introduction
Root Cause Analysis (RCA) is a structured approach designed to uncover the direct causes of…
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psnet.ahrq.gov/node/43825/psn-pdf
January 28, 2015 - problems with the definitions of adverse drug events
used in individual studies, an issue noted in prior research