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psnet.ahrq.gov/issue/relationship-between-patient-safety-climate-and-standard-precaution-adherence-systematic
February 13, 2019 - Review
Relationship between patient safety climate and standard precaution adherence: a systematic review of the literature.
Citation Text:
Hessels AJ, Larson EL. Relationship between patient safety climate and standard precaution adherence: a systematic review of the literature. J Hosp …
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psnet.ahrq.gov/issue/randomized-trial-improve-prescribing-safety-ambulatory-elderly-patients
March 10, 2011 - Study
Randomized trial to improve prescribing safety in ambulatory elderly patients.
Citation Text:
Raebel MA, Charles J, Dugan J, et al. Randomized trial to improve prescribing safety in ambulatory elderly patients. J Am Geriatr Soc. 2007;55(7):977-85.
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psnet.ahrq.gov/issue/temporal-associations-between-ehr-derived-workload-burnout-and-errors-prospective-cohort
December 03, 2014 - Study
Temporal associations between EHR-derived workload, burnout, and errors: a prospective cohort study.
Citation Text:
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):21…
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psnet.ahrq.gov/issue/ambulatory-care-visits-treating-adverse-drug-effects-united-states-1995-2001
April 03, 2005 - Study
Ambulatory care visits for treating adverse drug effects in the United States, 1995-2001.
Citation Text:
Zhan C, Arispe IE, Kelley E, et al. Ambulatory Care Visits for Treating Adverse Drug Effects in the United States, 1995–2001. The Joint Commission Journal on Quality and Patient…
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psnet.ahrq.gov/issue/application-ahrq-patient-safety-indicators-english-hospital-data
September 20, 2011 - Study
Application of AHRQ patient safety indicators to English hospital data.
Citation Text:
Bottle A, Aylin P. Application of AHRQ patient safety indicators to English hospital data. Qual Saf Health Care. 2009;18(4):303-8. doi:10.1136/qshc.2007.026096.
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psnet.ahrq.gov/primer/strategies-improve-organizational-health-literacy
August 30, 2023 - Strategies to Improve Organizational Health Literacy.
Citation Text:
Seidel E, Cortes T, Chong C. Strategies to Improve Organizational Health Literacy.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023.
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psnet.ahrq.gov/node/861880/psn-pdf
January 31, 2024 - track innovation progress and to address any challenges discovered during
implementation4
Conduct statistical
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psnet.ahrq.gov/issue/effect-computerized-physician-order-entry-clinical-decision-support-rates-adverse-drug-events
February 26, 2009 - Review
The effect of computerized physician order entry with clinical decision support on the rates of adverse drug events: a systematic review.
Citation Text:
Wolfstadt JI, Gurwitz JH, Field T, et al. The effect of computerized physician order entry with clinical decision support on t…
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psnet.ahrq.gov/issue/awareness-diagnosis-and-follow-care-after-discharge-emergency-department
July 07, 2010 - Study
Awareness of diagnosis and follow up care after discharge from the emergency department
Citation Text:
Leamy K, Thompson J, Mitra B. Awareness of diagnosis and follow up care after discharge from the Emergency Department. Australas Emerg Care. 2019;22(4):221-226. doi:10.1016/j.auec…
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psnet.ahrq.gov/issue/effects-state-opioid-prescribing-laws-use-opioid-and-other-pain-treatments-among-commercially
October 13, 2018 - Study
Effects of state opioid prescribing laws on use of opioid and other pain treatments among commercially insured U.S. adults.
Citation Text:
McGinty EE, Bicket MC, Seewald NJ, et al. Effects of state opioid prescribing laws on use of opioid and other pain treatments among commerciall…
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psnet.ahrq.gov/issue/effect-visitation-restrictions-ed-error
July 01, 2016 - Study
The effect of visitation restrictions on ED error.
Citation Text:
Marks CM, Wolfe RE, Grossman SA. The effect of visitation restrictions on ED error. Intern Emerg Med. 2024;19(5):1425-1430. doi:10.1007/s11739-024-03537-3.
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psnet.ahrq.gov/issue/impact-nationwide-prospective-drug-utilization-review-program-improve-prescribing-safety
May 17, 2017 - Study
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.
Citation Text:
Jang S, Jeong S, Kang E, et al. Impact of a natio…
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psnet.ahrq.gov/issue/whats-psychology-got-do-it-applying-psychological-theory-understanding-failures-modern
July 10, 2017 - Commentary
"What's psychology got to do with it?" Applying psychological theory to understanding failures in modern healthcare settings.
Citation Text:
Rydon-Grange M. 'What's Psychology got to do with it?' Applying psychological theory to understanding failures in modern healthcare sett…
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psnet.ahrq.gov/issue/staff-perceptions-quality-care-observational-study-nhs-staff-survey-hospitals-england
May 04, 2017 - Study
Staff perceptions of quality of care: an observational study of the NHS Staff Survey in hospitals in England.
Citation Text:
Pinder RJ, Greaves FE, Aylin PP, et al. Staff perceptions of quality of care: an observational study of the NHS Staff Survey in hospitals in England. BMJ Q…
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psnet.ahrq.gov/issue/role-advice-medication-administration-errors-pediatric-ambulatory-setting
February 06, 2008 - Study
The role of advice in medication administration errors in the pediatric ambulatory setting.
Citation Text:
Lemer C, Bates DW, Yoon CS, et al. The role of advice in medication administration errors in the pediatric ambulatory setting. J Patient Saf. 2009;5(3):168-75. doi:10.1097/P…
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psnet.ahrq.gov/issue/association-between-day-delivery-and-obstetric-outcomes-observational-study
January 07, 2015 - Study
Association between day of delivery and obstetric outcomes: observational study.
Citation Text:
Palmer WL, Bottle A, Aylin P. Association between day of delivery and obstetric outcomes: observational study. BMJ. 2015;351:h5774. doi:10.1136/bmj.h5774.
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psnet.ahrq.gov/issue/preventing-medication-errors-quality-chasm-series
January 04, 2009 - Book/Report
Classic
Preventing Medication Errors: Quality Chasm Series.
Citation Text:
Preventing Medication Errors: Quality Chasm Series. Aspden P, Wolcott J, Bootman JL, et al, eds; Institute of Medicine, Committee on Identifying and Preventing Medication …
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psnet.ahrq.gov/node/49668/psn-pdf
October 01, 2012 - Diagnostic and Statistical Manual of Mental Disorders DSM-IV-TR Fourth Edition (Text Revision).
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psnet.ahrq.gov/web-mm/elopement
July 14, 2010 - SPOTLIGHT CASE
Elopement
Citation Text:
Gerardi D. Elopement. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2007.
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psnet.ahrq.gov/node/33834/psn-pdf
May 22, 2017 - Opioid Overdose as a Patient Safety Problem
May 22, 2017
Murimi IB, Alexander CG. Opioid Overdose as a Patient Safety Problem. PSNet [internet]. 2017.
https://psnet.ahrq.gov/perspective/opioid-overdose-patient-safety-problem
Perspective
Opioids serve a valuable role in the treatment of acute pain and pain associat…