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psnet.ahrq.gov/node/836840/psn-pdf
April 22, 2021 - The Johns Hopkins Venous Thromboembolism (VTE)
Collaborative Studies and Implements Methods to Prevent
Avoidable Cases of Hospital Associated VTE
April 7, 2022
https://psnet.ahrq.gov/innovation/johns-hopkins-venous-thromboembolism-vte-collaborative-studies-and-
implements-methods
Summary
Venous thromboembolism (…
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psnet.ahrq.gov/perspective/diagnostic-errors
December 01, 2013 - Annual Perspective
Diagnostic Errors
Urmimala Sarkar, MD; Kaveh Shojania, MD | January 1, 2014
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Sarkar U, Shojania KG. Diagnostic Errors. PSNet [internet]. Rockville (MD): Ag…
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psnet.ahrq.gov/innovation/johns-hopkins-venous-thromboembolism-vte-collaborative-studies-and-implements-methods
June 19, 2024 - The Johns Hopkins Venous Thromboembolism (VTE) Collaborative Studies and Implements Methods to Prevent Avoidable Cases of Hospital Associated VTE
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psnet.ahrq.gov/node/46537/psn-pdf
January 24, 2019 - Antibiotic-resistant infection treatment costs have
doubled since 2002, now exceeding $2 billion annually.
January 24, 2019
Thorpe KE, Joski P, Johnston KJ. Antibiotic-Resistant Infection Treatment Costs Have Doubled Since
2002, Now Exceeding $2 Billion Annually. Health Aff (Millwood). 2018;37(4):662-669.
doi:10.1…
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psnet.ahrq.gov/node/42748/psn-pdf
November 20, 2013 - Effectiveness of written hospitalist sign-outs in answering
overnight inquiries.
November 20, 2013
Fogerty RL, Schoenfeld A, Al-Damluji MS, et al. Effectiveness of written hospitalist sign-outs in answering
overnight inquiries. J Hosp Med. 2013;8(11):609-14. doi:10.1002/jhm.2090.
https://psnet.ahrq.gov/issue/effec…
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psnet.ahrq.gov/node/40167/psn-pdf
January 22, 2017 - Trainees' perceptions of patient safety practices:
recounting failures of supervision.
January 22, 2017
Ross PT, McMyler ET, Anderson SG, et al. Trainees' perceptions of patient safety practices: recounting
failures of supervision. Jt Comm J Qual Patient Saf. 2011;37(2):88-95.
https://psnet.ahrq.gov/issue/trainees…
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psnet.ahrq.gov/node/46323/psn-pdf
October 29, 2017 - Use of unit-based interventions to improve the quality of
care for hospitalized medical patients: a national survey.
October 29, 2017
O'Leary KJ, Johnson J, Manojlovich M, et al. Use of Unit-Based Interventions to Improve the Quality of
Care for Hospitalized Medical Patients: A National Survey. Jt Comm J Qual Patie…
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psnet.ahrq.gov/node/45905/psn-pdf
December 22, 2017 - Safe practice recommendations for the use of copy-
forward with nursing flow sheets in hospital settings.
December 22, 2017
Patterson ES, Sillars DM, Staggers N, et al. Safe Practice Recommendations for the Use of Copy-Forward
with Nursing Flow Sheets in Hospital Settings. Jt Comm J Qual Patient Saf. 2017;43(8):375…
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psnet.ahrq.gov/node/41555/psn-pdf
January 03, 2017 - Measuring administrators' and direct care workers'
perceptions of the safety culture in assisted living
facilities.
January 3, 2017
Castle NG, Wagner LM, Sonon K, et al. Measuring administrators' and direct care workers' perceptions of
the safety culture in assisted living facilities. Jt Comm J Qual Patient Saf. 2…
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psnet.ahrq.gov/node/44064/psn-pdf
November 03, 2015 - The July effect: an analysis of never events in the
nationwide inpatient sample.
November 3, 2015
Wen T, Attenello FJ, Wu B, et al. The July effect: an analysis of never events in the nationwide inpatient
sample. J Hosp Med. 2015;10(7):432-438. doi:10.1002/jhm.2352.
https://psnet.ahrq.gov/issue/july-effect-analysi…
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psnet.ahrq.gov/node/41779/psn-pdf
September 28, 2016 - Smartphone use during inpatient attending rounds:
prevalence, patterns and potential for distraction.
September 28, 2016
Katz-Sidlow RJ, Ludwig A, Miller S, et al. Smartphone use during inpatient attending rounds: prevalence,
patterns and potential for distraction. J Hosp Med. 2012;7(8):595-9. doi:10.1002/jhm.1950.…
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psnet.ahrq.gov/node/41481/psn-pdf
September 26, 2012 - Impact of online education on intern behaviour around
Joint Commission national patient safety goals: a
randomised trial.
September 26, 2012
Shaw T, Pernar LI, Peyre S, et al. Impact of online education on intern behaviour around joint commission
national patient safety goals: a randomised trial. BMJ Qual Saf. 201…
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psnet.ahrq.gov/node/854986/psn-pdf
November 01, 2023 - Implementing a safer and more reliable system to monitor
test results at a teaching university-affiliated facility in a
family medicine group: a quality improvement process
report.
November 1, 2023
Dorimain M-V, Plouffe-Malette M, Paquette M, et al. Implementing a safer and more reliable system to
monitor test re…
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psnet.ahrq.gov/web-mm/forgotten-line
March 11, 2011 - Reducing authority–responsibility mismatches, such as where both the nurse and the junior resident are
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psnet.ahrq.gov/node/47634/psn-pdf
January 09, 2019 - Adverse Events in Long-Term-Care Hospitals: National
Incidence Among Medicare Beneficiaries.
January 9, 2019
Levinson DR. Adverse Events In Long-Term-Care Hospitals: National Incidence Among Medicare
Beneficiaries. Washington, DC: US Department of Health and Human Services, Office of the Inspector
General; 2018. R…
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psnet.ahrq.gov/node/37544/psn-pdf
June 16, 2011 - Differences in safety climate among hospital anesthesia
departments and the effect of a realistic simulation-based
training program.
June 16, 2011
Cooper JB, Blum RH, Carroll JS, et al. Differences in safety climate among hospital anesthesia
departments and the effect of a realistic simulation-based training progr…
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psnet.ahrq.gov/node/47104/psn-pdf
December 04, 2018 - Deriving a framework for a systems approach to agitated
patient care in the emergency department.
December 4, 2018
Wong AH, Ruppel H, Crispino LJ, et al. Deriving a Framework for a Systems Approach to Agitated Patient
Care in the Emergency Department. Jt Comm J Qual Patient Saf. 2018;44(5):279-292.
doi:10.1016/j.j…
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psnet.ahrq.gov/node/42924/psn-pdf
April 24, 2014 - Role-modeling and medical error disclosure: a national
survey of trainees.
April 24, 2014
Martinez W, Hickson GB, Miller BM, et al. Role-modeling and medical error disclosure: a national survey of
trainees. Acad Med. 2014;89(3):482-9. doi:10.1097/ACM.0000000000000156.
https://psnet.ahrq.gov/issue/role-modeling-and…
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psnet.ahrq.gov/node/38816/psn-pdf
July 29, 2009 - Uncovering system errors using a rapid response team:
cross-coverage caught in the crossfire.
July 29, 2009
Kaplan LJ, Maerz LL, Schuster KM, et al. Uncovering System Errors Using a Rapid Response Team:
Cross-Coverage Caught in the Crossfire. The Journal of Trauma: Injury, Infection, and Critical Care.
2009;67(1).…
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psnet.ahrq.gov/node/38399/psn-pdf
February 11, 2009 - Effect of computerized provider order entry with clinical
decision support on adverse drug events in the long-term
care setting.
February 11, 2009
Gurwitz JH, Field T, Rochon P, et al. Effect of computerized provider order entry with clinical decision
support on adverse drug events in the long-term care setting. J…