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psnet.ahrq.gov/node/49582/psn-pdf
April 01, 2009 - nutrition, anticancer agents, antibiotics, and blood products and also for the through-line blood sampling
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psnet.ahrq.gov/node/866567/psn-pdf
August 21, 2024 - A daily dose of communication to improve quality and
safety outcomes.
August 21, 2024
Halm MA. A daily dose of communication to improve quality and safety outcomes. Am J Crit Care.
2024;33(4):305-310. doi:10.4037/ajcc2024318.
https://psnet.ahrq.gov/issue/daily-dose-communication-improve-quality-and-safety-outcomes…
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psnet.ahrq.gov/issue/negligent-care-and-malpractice-claiming-behavior-utah-and-colorado
June 23, 2015 - Study
Classic
Negligent care and malpractice claiming behavior in Utah and Colorado.
Citation Text:
Studdert DM, Thomas EJ, Burstin HR, et al. Negligent care and malpractice claiming behavior in Utah and Colorado. Med Care. 2000;38(3):250-60.
Copy Citation
…
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psnet.ahrq.gov/node/43646/psn-pdf
January 01, 2021 - Patient Safety Systems Chapter.
January 1, 2021
In: 2021 Comprehensive Accreditation Manual for Hospitals. CAMH. Oakbrook Terrace, IL: Joint
Commission; January 2021:PS1-PS46.
https://psnet.ahrq.gov/issue/patient-safety-systems-chapter
This chapter provides information about how organizations can re-design existin…
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psnet.ahrq.gov/perspective/conversation-anjali-joseph-phd-edac-and-molly-m-scanlon-phd-faia-facha
June 30, 2021 - water, or air transmission might be more environmental risk management programs with environmental sampling … to complement clinical surveillance and sampling for HAIs.
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psnet.ahrq.gov/perspective/covid-19-and-built-environment
June 30, 2021 - water, or air transmission might be more environmental risk management programs with environmental sampling … to complement clinical surveillance and sampling for HAIs.
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psnet.ahrq.gov/node/851646/psn-pdf
January 01, 2024 - Burden of serious harms from diagnostic error in the
USA.
July 28, 2023
Newman-Toker DE, Nassery N, Schaffer AC, et al. Burden of serious harms from diagnostic error in the
USA. BMJ Qual Saf. 2024;33(2):109-120. doi:10.1136/bmjqs-2021-014130.
https://psnet.ahrq.gov/issue/burden-serious-harms-diagnostic-error-usa
…
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psnet.ahrq.gov/web-mm/breakage-picc-line
June 21, 2023 - parenteral nutrition, anticancer agents, antibiotics, and blood products and also for the through-line blood sampling
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psnet.ahrq.gov/node/838855/psn-pdf
October 27, 2022 - bronchoscopy not only provides visualization of the lower respiratory tract but can also allow for various
sampling
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psnet.ahrq.gov/node/74213/psn-pdf
December 22, 2021 - Burnout, engagement, and dental errors among U.S.
dentists.
December 22, 2021
Yansane A, Tokede O, Walji MF, et al. Burnout, engagement, and dental errors among U.S. dentists. J
Patient Saf. 2021;17(8):e1050-e1056. doi:10.1097/pts.0000000000000673.
https://psnet.ahrq.gov/issue/burnout-engagement-and-dental-errors-…
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psnet.ahrq.gov/node/47899/psn-pdf
April 24, 2019 - What words convey: the potential for patient narratives to
inform quality improvement.
April 24, 2019
Grob R, Schlesinger M, Barre LR, et al. What Words Convey: The Potential for Patient Narratives to Inform
Quality Improvement. Milbank Q. 2019;97(1):176-227. doi:10.1111/1468-0009.12374.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/865590/psn-pdf
April 17, 2024 - An electronic trigger to detect telemedicine-related
diagnostic errors.
April 17, 2024
Murphy DR, Kadiyala H, Wei L, et al. An electronic trigger to detect telemedicine-related diagnostic errors.
J Telemed Telecare. 2024;Epub Apr 1. doi:10.1177/1357633x241236570.
https://psnet.ahrq.gov/issue/electronic-trigger-det…
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psnet.ahrq.gov/node/866814/psn-pdf
September 25, 2024 - Accuracy of a proprietary large language model in
labeling obstetric incident reports.
September 25, 2024
Johnson J, Brown C, Lee GM, et al. Accuracy of a proprietary large language model in labeling obstetric
incident reports. Jt Comm J Qual Patient Saf. 2024;50(12):877-881. doi:10.1016/j.jcjq.2024.08.001.
https:…
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psnet.ahrq.gov/node/866955/psn-pdf
October 16, 2024 - Adverse diagnostic events in hospitalised patients: a
single-centre, retrospective cohort study.
October 16, 2024
Dalal AK, Plombon S, Konieczny K, et al. Adverse diagnostic events in hospitalised patients: a single-
centre, retrospective cohort study. BMJ Qual Saf. 2024;Epub Oct 1. doi:10.1136/bmjqs-2024-017183.
…
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psnet.ahrq.gov/node/851459/psn-pdf
July 19, 2023 - Racial and ethnic bias in the diagnosis of alcohol use
disorder in veterans.
July 19, 2023
Vickers-Smith R, Justice AC, Becker WC, et al. Racial and ethnic bias in the diagnosis of alcohol use
disorder in veterans. Am J Psych. 2023;180(6):426-436. doi:10.1176/appi.ajp.21111097.
https://psnet.ahrq.gov/issue/racial-…
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psnet.ahrq.gov/node/36253/psn-pdf
November 28, 2018 - Medication Reconciliation Handbook, 2nd edition.
November 28, 2018
American Society of Health-System Pharmacists, Joint Commission on Accreditation of Healthcare
Organizations. Oakbrook Terrace IL; Joint Commission Resources: 2009. ISBN 9781599403090.
https://psnet.ahrq.gov/issue/medication-reconciliation-handbook-…
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psnet.ahrq.gov/node/36514/psn-pdf
May 11, 2014 - Medication reconciliation physician order form.
May 11, 2014
Lacy JL, Wilkinson ST. Medication Reconciliation Physician Order Form. Hosp Pharm. 2010;41(11):1117-
1119. doi:10.1310/hpj4111-1117.
https://psnet.ahrq.gov/issue/medication-reconciliation-physician-order-form
The authors discuss background on one hospita…
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psnet.ahrq.gov/node/35241/psn-pdf
September 11, 2018 - Team communication in the operating room.
September 11, 2018
Davies JM. Team communication in the operating room. Acta Anaesthesiol Scand. 2005;49(7):898-901.
https://psnet.ahrq.gov/issue/team-communication-operating-room
The author presents sample cases from aviation to illustrate failures in team communication an…
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psnet.ahrq.gov/issue/incidence-never-events-among-weekend-admissions-versus-weekday-admissions-us-hospitals
November 03, 2015 - Study
Classic
Incidence of "never events" among weekend admissions versus weekday admissions to US hospitals: national analysis.
Citation Text:
Attenello FJ, Wen T, Cen SY, et al. Incidence of "never events" among weekend admissions versus weekday admissions to …
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psnet.ahrq.gov/node/60665/psn-pdf
July 08, 2020 - Response of practicing chiropractors during the early
phase of the COVID-19 pandemic: a descriptive report.
July 8, 2020
Johnson CD, Green BN, Konarski-Hart KK, et al. Response of Practicing Chiropractors during the Early
Phase of the COVID-19 Pandemic: A Descriptive Report. J Manipulative Physiol Ther. 2020;43(5):…