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psnet.ahrq.gov/issue/impact-digital-hospitals-patient-and-clinician-experience-systematic-review-and-qualitative
August 16, 2023 - November 16, 2022
Guidance for health care leaders during the recovery stage of the COVID
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psnet.ahrq.gov/issue/medication-safety-issues-newly-authorized-paxlovid
May 07, 2018 - Related Resources From the Same Author(s)
Anticoagulant safety takes center stage
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psnet.ahrq.gov/issue/first-do-no-harm-improving-health-quality-and-patient-safety
September 28, 2010 - October 1, 2014
Hearing on Patient Safety and Quality Issues in End Stage Renal Disease
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psnet.ahrq.gov/issue/learning-serious-failings-care-main-report
August 23, 2017 - November 5, 2014
High Quality Care for All: NHS Next Stage Review Final Report.
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psnet.ahrq.gov/issue/framework-effective-board-governance-health-system-quality
January 20, 2016 - September 29, 2017
High Quality Care for All: NHS Next Stage Review Final Report.
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psnet.ahrq.gov/issue/culture-change-nhs-applying-lessons-francis-inquiries
September 09, 2015 - November 27, 2013
High Quality Care for All: NHS Next Stage Review Final Report.
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psnet.ahrq.gov/issue/electronic-prescribing-vulnerabilities-height-and-weight-mix-leads-dosing-error
June 10, 2018 - Impact of health information technology on detection of potential adverse drug events at the ordering stage
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psnet.ahrq.gov/issue/patient-safety-public-hospitals
November 20, 2013 - August 3, 2016
High Quality Care for All: NHS Next Stage Review Final Report.
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psnet.ahrq.gov/issue/practical-tool-learn-defects-patient-care
September 28, 2010 - September 28, 2010
A morning briefing: setting the stage for a clinically and operationally
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psnet.ahrq.gov/issue/health-information-technology-and-its-effects-hospital-costs-outcomes-and-patient-safety
January 29, 2018 - July 5, 2017
Meaningful Use stage 2 e-prescribing threshold and adverse drug events in
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psnet.ahrq.gov/issue/physicians-information-technology-and-health-care-systems-journey-not-destination
May 04, 2010 - November 16, 2022
Guidance for health care leaders during the recovery stage of the COVID
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psnet.ahrq.gov/issue/advances-patient-safety-research-implementation
December 24, 2008 - September 29, 2017
High Quality Care for All: NHS Next Stage Review Final Report.
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psnet.ahrq.gov/node/42619/psn-pdf
January 23, 2019 - High-reliability health care: getting there from here.
January 23, 2019
Chassin MR, Loeb JM. High-reliability health care: getting there from here. Milbank Q. 2013;91(3):459-490.
doi:10.1111/1468-0009.12023.
https://psnet.ahrq.gov/issue/high-reliability-health-care-getting-there-here
Aviation is often cited as an …
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psnet.ahrq.gov/issue/exploration-automated-approach-receiving-patient-feedback-after-outpatient-acute-care-visits
September 07, 2011 - For the baseline stage, patients received a live follow-up call 3 weeks after their visit.
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psnet.ahrq.gov/issue/computerised-physician-order-entry-related-medication-errors-analysis-reported-errors-and
May 08, 2017 - This study used a two-stage approach to analyze the effectiveness of computerized provider order entry
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psnet.ahrq.gov/node/45149/psn-pdf
September 19, 2016 - Care at the point of impact: insights into the second-
victim experience.
September 19, 2016
Scott SD, McCoig MM. Care at the point of impact: Insights into the second-victim experience. J Healthc
Risk Manag. 2016;35(4):6-13. doi:10.1002/jhrm.21218.
https://psnet.ahrq.gov/issue/care-point-impact-insights-second-vi…
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psnet.ahrq.gov/node/46926/psn-pdf
March 07, 2018 - A comprehensive program to reduce rates of hospital-
acquired pressure ulcers in a system of community
hospitals.
March 7, 2018
Englebright J, Westcott R, McManus K, et al. A Comprehensive Program to Reduce Rates of Hospital-
Acquired Pressure Ulcers in a System of Community Hospitals. J Patient Saf. 2018;14(1):54…
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psnet.ahrq.gov/node/42877/psn-pdf
January 22, 2014 - Identification of poor performance in a national medical
workforce over 11 years: an observational study.
January 22, 2014
Donaldson LJ, Panesar S, McAvoy PA, et al. Identification of poor performance in a national medical
workforce over 11 years: an observational study. BMJ Qual Saf. 2014;23(2):147-52. doi:10.1136…
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psnet.ahrq.gov/issue/indication-documentation-and-indication-based-prescribing-within-electronic-prescribing
December 18, 2019 - WebM&M Cases
Overdose of Gabapentin and Oxycodone in a Patient with End-Stage
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psnet.ahrq.gov/issue/frequency-inappropriate-nonformulary-medication-alert-overrides-inpatient-setting
July 02, 2019 - Impact of health information technology on detection of potential adverse drug events at the ordering stage