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psnet.ahrq.gov/node/50866/psn-pdf
February 05, 2020 - Effectiveness of acute care remote triage systems: a
systematic review.
February 5, 2020
Boggan JC, Shoup JP, Whited JD, et al. Effectiveness of acute care remote triage systems: a systematic
review. J Gen Intern Med. 2020;35(7):2136-2145. doi:10.1007/s11606-019-05585-4.
https://psnet.ahrq.gov/issue/effectiveness-…
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psnet.ahrq.gov/node/847534/psn-pdf
April 12, 2023 - Prevalence and causes of diagnostic errors in
hospitalized patients under investigation for COVID-19.
April 12, 2023
Auerbach AD, Astik GJ, O’Leary KJ, et al. Prevalence and causes of diagnostic errors in hospitalized
patients under investigation for COVID-19. J Gen Intern Med. 2023;38(8):1902-1910. doi:10.1007/s11…
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psnet.ahrq.gov/node/847541/psn-pdf
April 12, 2023 - Improving medication safety in a paediatric hospital: a
mixed-methods evaluation of a newly implemented
computerised provider order entry system.
April 12, 2023
Liang MQ, Thibault M, Jouvet P, et al. BMJ Health Care Inform. 2023;30(1):e100622.
https://psnet.ahrq.gov/issue/improving-medication-safety-paediatric-hos…
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psnet.ahrq.gov/node/837331/psn-pdf
June 08, 2022 - Can a targeted educational approach improve situational
awareness in paramedicine during 911 emergency calls?
June 8, 2022
Hunter J, Porter M, Cody P, et al. Can a targeted educational approach improve situational awareness in
paramedicine during 911 emergency calls? Int Emerg Nurs. 2022;63:101174.
doi:10.1016/j.i…
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psnet.ahrq.gov/node/836715/psn-pdf
March 09, 2022 - Non-technical skills in surgery during the COVID-19
pandemic: an observational study.
March 9, 2022
Etheridge JC, Moyal-Smith R, Sonnay Y, et al. Non-technical skills in surgery during the COVID-19
pandemic: an observational study. Int J Surg. 2022;98:106210. doi:10.1016/j.ijsu.2021.106210.
https://psnet.ahrq.gov/…
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psnet.ahrq.gov/node/847535/psn-pdf
April 12, 2023 - Using the Generic Analysis Method to analyze sentinel
event reports across hospitals: a retrospective cross-
sectional study.
April 12, 2023
Baartmans MC, van Schoten SM, Smit BJ, et al. Using the Generic Analysis Method to analyze sentinel
event reports across hospitals: a retrospective cross-sectional study. J P…
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psnet.ahrq.gov/node/837762/psn-pdf
August 03, 2022 - A scoping review of real-time automated clinical
deterioration alerts and evidence of impacts on
hospitalised patient outcomes.
August 3, 2022
Blythe R, Parsons R, White NM, et al. A scoping review of real-time automated clinical deterioration alerts
and evidence of impacts on hospitalised patient outcomes. BMJ Qu…
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psnet.ahrq.gov/node/837700/psn-pdf
July 20, 2022 - Temporal associations between EHR-derived workload,
burnout, and errors: a prospective cohort study.
July 20, 2022
Lou SS, Lew D, Harford DR, et al. Temporal associations between EHR-derived workload, burnout, and
errors: a prospective cohort study. J Gen Intern Med. 2022;37(9):2165-2172. doi:10.1007/s11606-022-
0…
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psnet.ahrq.gov/node/60636/psn-pdf
July 01, 2020 - Measuring the impact of medication-related interventions
on 30-day readmission rates in a skilled nursing facility.
July 1, 2020
Amin PB, Bradford CD, Rizos AL, et al. Measuring the Impact of Medication-Related Interventions on 30-
Day Readmission Rates in a Skilled Nursing Facility. J Pharm Pract. 2020;33(3):306-3…
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psnet.ahrq.gov/node/836957/psn-pdf
April 20, 2022 - Relationship between physician burnout and the quality
and cost of care for Medicare beneficiaries is complex.
April 20, 2022
Casalino LP, Li J, Peterson LE, et al. Relationship between physician burnout and the quality and cost of
care for Medicare beneficiaries is complex. Health Aff (Millwood). 2022;41(4):549-55…
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psnet.ahrq.gov/node/852272/psn-pdf
January 01, 2024 - Investigating racial and ethnic disparities in maternal care
at the system level using patient safety incident reports.
August 9, 2023
Alfred MC, Wilson D, DeForest E, et al. Investigating racial and ethnic disparities in maternal care at the
system level using patient safety incident reports. Jt Comm J Qual Patien…
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psnet.ahrq.gov/perspective/conversation-withbrent-c-james-md-mstat
February 26, 2025 - RW: You were looking at care delivery from a business, a process, and a statistical perspective. … And you come at this from a data background and a statistical background.
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psnet.ahrq.gov/node/853620/psn-pdf
September 20, 2023 - Impact of pharmacist-led admission medication
reconciliation on patient outcomes in a large health
system.
September 20, 2023
Kramer JS, Hayley Burgess L, Warren C, et al. Impact of pharmacist-led admission medication
reconciliation on patient outcomes in a large health system. J Patient Saf Risk Manag. 2023;28(6)…
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psnet.ahrq.gov/node/845301/psn-pdf
March 01, 2023 - Evaluation of effectiveness and safety of pharmacist
independent prescribers in care homes: cluster
randomised controlled trial.
March 1, 2023
Holland R, Bond CM, Alldred DP, et al. Evaluation of effectiveness and safety of pharmacist independent
prescribers in care homes: cluster randomised controlled trial. BMJ.…
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psnet.ahrq.gov/node/61093/psn-pdf
November 04, 2020 - Impact of a nationwide prospective drug utilization review
program to improve prescribing safety of potentially
inappropriate medications in older adults: an interrupted
time series with segmented regression analysis.
November 4, 2020
Jang S, Jeong S, Kang E, et al. Impact of a nationwide prospective drug utilizat…
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psnet.ahrq.gov/node/34117/psn-pdf
December 23, 2016 - Sentinel Event.
December 23, 2016
The Joint Commission.
https://psnet.ahrq.gov/issue/sentinel-event
Since 1998, The Joint Commission has issued sentinel event alerts in response to unexpected incidents
involving death or serious physical or psychological injury (or risk thereof). These events are identified as
se…
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psnet.ahrq.gov/node/46104/psn-pdf
May 03, 2017 - Secret data on hospital inspections may soon become
public.
May 3, 2017
Ornstein C. Health Shots. National Public Radio and ProPublica. April 18, 2017.
https://psnet.ahrq.gov/issue/secret-data-hospital-inspections-may-soon-become-public
Summary data about serious errors in hospitals are available, but often detail…
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psnet.ahrq.gov/innovation/veterans-health-administration-stratification-tool-opioid-risk-mitigation-storm-shows
October 30, 2024 - Veterans Health Administration Stratification Tool for Opioid Risk Mitigation (STORM) Shows Promise for Targeting Prevention Interventions to Reduce Mortality in Patients Who Are Prescribed Opioids
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psnet.ahrq.gov/node/44698/psn-pdf
April 08, 2016 - Relationship between patient safety climate and standard
precaution adherence: a systematic review of the
literature.
April 8, 2016
Hessels AJ, Larson EL. Relationship between patient safety climate and standard precaution adherence: a
systematic review of the literature. J Hosp Infect. 2016;92(4):349-62. doi:10.1…
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psnet.ahrq.gov/node/46240/psn-pdf
June 21, 2017 - Implementation of a modified bedside handoff for a
postpartum unit.
June 21, 2017
Wollenhaup CA, Stevenson EL, Thompson J, et al. Implementation of a Modified Bedside Handoff for a
Postpartum Unit. J Nurs Admin. 2017;47(6):320-326. doi:10.1097/NNA.0000000000000487.
https://psnet.ahrq.gov/issue/implementation-modif…