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psnet.ahrq.gov/node/74841/psn-pdf
February 16, 2022 - Eliciting willingness-to-pay to prevent hospital medication
administration errors in the UK: a contingent valuation
survey.
February 16, 2022
Hill SR, Bhattarai N, Tolley CL, et al. Eliciting willingness-to-pay to prevent hospital medication
administration errors in the UK: a contingent valuation survey. BMJ Open.…
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psnet.ahrq.gov/node/867589/psn-pdf
January 22, 2025 - A machine learning-based clinical predictive tool to
identify patients at high risk of medication errors.
January 22, 2025
Abdo A, Gallay L, Vallecillo T, et al. A machine learning-based clinical predictive tool to identify patients at
high risk of medication errors. Sci Rep. 2024;14(1):32022. doi:10.1038/s41598-02…
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psnet.ahrq.gov/node/866735/psn-pdf
September 18, 2024 - Achieving diagnostic excellence: roadmaps to develop
and use patient-reported measures with an equity lens.
September 18, 2024
McDonald KM, Gleason KT, Jajodia A, et al. Achieving diagnostic excellence: roadmaps to develop and
use patient-reported measures with an equity lens. Int J Health Policy Manag. 2024;13:804…
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psnet.ahrq.gov/node/36950/psn-pdf
September 09, 2011 - Integrating quality and safety content into clinical
teaching in the acute care setting.
September 9, 2011
Day L, Smith EL. Integrating quality and safety content into clinical teaching in the acute care setting. Nurs
Outlook. 2007;55(3). doi:10.1016/j.outlook.2007.03.002.
https://psnet.ahrq.gov/issue/integrating-…
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psnet.ahrq.gov/node/35773/psn-pdf
March 15, 2006 - The association between hospital characteristics and
rates of preventable complications and adverse events.
March 15, 2006
Thornlow DK; Stukenborg GJ.
https://psnet.ahrq.gov/issue/association-between-hospital-characteristics-and-rates-preventable-
complications-and-adverse
Using the Agency for Healthcare Research…
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psnet.ahrq.gov/node/41150/psn-pdf
February 22, 2012 - Diagnostic errors in primary care: lessons learned.
February 22, 2012
Ely JW, Kaldjian LC, D'Alessandro DM. Diagnostic errors in primary care: lessons learned. J Am Board
Fam Med. 2012;25(1):87-97. doi:10.3122/jabfm.2012.01.110174.
https://psnet.ahrq.gov/issue/diagnostic-errors-primary-care-lessons-learned
This st…
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psnet.ahrq.gov/node/39418/psn-pdf
March 31, 2010 - Take Charge of Your Hospital Stay to Avoid Medical
Mistakes.
March 31, 2010
Clarke S, Savard M. Good Morning America. ABC News. March 22, 2010.
https://psnet.ahrq.gov/issue/take-charge-your-hospital-stay-avoid-medical-mistakes
This television interview offers recommendations for patients to keep themselves safe wh…
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psnet.ahrq.gov/node/837806/psn-pdf
August 10, 2022 - Do patient engagement IT functionalities influence patient
safety outcomes? A study of US hospitals.
August 10, 2022
Upadhyay S, Opoku-Agyeman W, Choi S, et al. Do patient engagement IT functionalities influence patient
safety outcomes? A study of US hospitals. J Public Health Manag Pract. 2022;28(5):505-512.
doi:…
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psnet.ahrq.gov/node/60919/psn-pdf
September 16, 2020 - Risk of medication errors and nurses' quality of sleep: a
national cross-sectional web survey study.
September 16, 2020
Di Simone E, Fabbian F, Giannetta N, et al. Risk of medication errors and nurses' quality of sleep: a
national cross-sectional web survey study. Eur Rev Med Pharmacol Sci. 2020;24(12):7058-7062.
…
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psnet.ahrq.gov/node/73870/psn-pdf
September 22, 2021 - Society for Maternal-Fetal Medicine Special Statement:
Surgical safety checklists for cesarean delivery.
September 22, 2021
Combs CA, Einerson BD, Toner LE. Society for Maternal-Fetal Medicine Special Statement: Surgical safety
checklists for cesarean delivery. Am J Obstet Gynecol. 2021;225(5):b43-b49.
doi:10.1016…
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psnet.ahrq.gov/node/73487/psn-pdf
July 14, 2021 - The July Effect in podiatric medicine and surgery
residency.
July 14, 2021
Casciato DJ, Thompson J, Law R, et al. The July Effect in podiatric medicine and surgery residency. J Foot
Ankle Surg. 2021;60(6):1152-1157. doi:10.1053/j.jfas.2021.04.020.
https://psnet.ahrq.gov/issue/july-effect-podiatric-medicine-and-sur…
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psnet.ahrq.gov/node/47903/psn-pdf
January 01, 2021 - A qualitative analysis of outpatient medication use in
community settings: observed safety vulnerabilities and
recommendations for improved patient safety.
April 17, 2019
Lyson HC, Sharma AE, Cherian R, et al. A Qualitative Analysis of Outpatient Medication Use in Community
Settings: Observed Safety Vulnerabilitie…
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psnet.ahrq.gov/node/41467/psn-pdf
June 20, 2012 - Errors in medication history at hospital admission:
prevalence and predicting factors.
June 20, 2012
Hellström LM, Bondesson Å, Höglund P, et al. Errors in medication history at hospital admission:
prevalence and predicting factors. BMC Clin Pharmacol. 2012;12(9):9. doi:10.1186/1472-6904-12-9.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/35294/psn-pdf
May 04, 2015 - What Every Health Care Organization Should Know about
Sentinel Events.
May 4, 2015
Oakbrook Terrace, IL: Joint Commission on Accreditation of Healthcare Organizations; 2005. ISBN
9780866889117.
https://psnet.ahrq.gov/issue/what-every-health-care-organization-should-know-about-sentinel-events
This book provides in…
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psnet.ahrq.gov/node/36708/psn-pdf
April 21, 2011 - Missed breast cancers at US-guided core needle biopsy:
how to reduce them.
April 21, 2011
Youk JH, Kim E-K, Kim MJ, et al. Missed breast cancers at US-guided core needle biopsy: how to reduce
them. Radiographics. 2007;27(1):79-94.
https://psnet.ahrq.gov/issue/missed-breast-cancers-us-guided-core-needle-biopsy-how-…
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psnet.ahrq.gov/node/852798/psn-pdf
August 23, 2023 - Patient handoffs and multi-specialty trainee perspectives
across an institution: informing recommendations for
health systems and an expanded conceptual framework
for handoffs.
August 23, 2023
Williams SR, Sebok-Syer SS, Caretta-Weyer H, et al. Patient handoffs and multi-specialty trainee
perspectives across an i…
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psnet.ahrq.gov/node/47359/psn-pdf
October 10, 2018 - Is there evidence of a July effect among patients
undergoing hysterectomy surgery?
October 10, 2018
Varma S, Mehta A, Hutfless S, et al. Is there evidence of a July effect among patients undergoing
hysterectomy surgery? Am J Obstet Gynecol. 2018;219(2):176.e1-176.e9. doi:10.1016/j.ajog.2018.05.033.
https://psnet.a…
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psnet.ahrq.gov/node/47858/psn-pdf
July 10, 2019 - Modification of potentially inappropriate prescribing
following fall-related hospitalizations in older adults.
July 10, 2019
Walsh ME, Boland F, Moriarty F, et al. Modification of potentially inappropriate prescribing following fall-
related hospitalizations in older adults. Drugs Aging. 2019;36(5):461-470. doi:10.…
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psnet.ahrq.gov/node/60955/psn-pdf
September 30, 2020 - The emergency department trigger tool: a novel approach
to screening for quality and safety events.
September 30, 2020
Griffey RT, Schneider RM, Todorov AA. The emergency department trigger tool: a novel approach to
screening for quality and safety events. Ann Emerg Med. 2020;76(2):230-240.
doi:10.1016/j.annemergm…
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psnet.ahrq.gov/node/47331/psn-pdf
October 17, 2018 - Description and factors associated with missed nursing
care in an acute care community hospital.
October 17, 2018
Duffy JR, Culp S, Padrutt T. Description and factors associated with missed nursing care in an acute care
community hospital. J Nurs Adm. 2018;48(7-8):361-367. doi:10.1097/NNA.0000000000000630.
https:/…