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psnet.ahrq.gov/node/42091/psn-pdf
December 31, 2014 - Reduction in medication errors in hospitals due to
adoption of computerized provider order entry systems.
December 31, 2014
Radley DC, Wasserman MR, Olsho LE, et al. Reduction in medication errors in hospitals due to adoption of
computerized provider order entry systems. J Am Med Info Asso. 2013;20(3):470-476. doi:…
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psnet.ahrq.gov/node/39212/psn-pdf
March 04, 2011 - The impact of computerized provider order entry on
medication errors in a multispecialty group practice.
March 4, 2011
Devine EB, Hansen RN, Wilson-Norton JL, et al. The impact of computerized provider order entry on
medication errors in a multispecialty group practice. J Am Med Inform Assoc. 2010;17(1):78-84.
doi…
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psnet.ahrq.gov/node/46747/psn-pdf
June 06, 2018 - Tackling ambulatory safety risks through patient
engagement: what 10,000 patients and families say about
safety-related knowledge, behaviors, and attitudes after
reading visit notes.
June 6, 2018
Bell SK, Folcarelli P, Fossa A, et al. Tackling Ambulatory Safety Risks Through Patient Engagement: What
10,000 Patien…
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psnet.ahrq.gov/node/43803/psn-pdf
January 29, 2015 - Creating a high-reliability health care system: improving
performance on core processes of care at Johns Hopkins
Medicine.
January 29, 2015
Pronovost P, Armstrong M, Demski R, et al. Creating a high-reliability health care system: improving
performance on core processes of care at Johns Hopkins Medicine. Acad Med.…
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psnet.ahrq.gov/node/50368/psn-pdf
September 25, 2019 - A patient and family reporting system for perceived
ambulatory note mistakes: experience at 3 U.S. healthcare
centers.
September 25, 2019
Bourgeois FC, Fossa A, Gerard M, et al. A patient and family reporting system for perceived ambulatory
note mistakes: experience at 3 U.S. healthcare centers. J Am Med Inform As…
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psnet.ahrq.gov/node/33828/psn-pdf
March 01, 2017 - In Conversation With… Mary Dixon-Woods, DPhil
March 1, 2017
In Conversation With… Mary Dixon-Woods, DPhil. PSNet [internet]. 2017.
https://psnet.ahrq.gov/perspective/conversation-mary-dixon-woods-dphil
Editor's note: Dr. Dixon-Woods is RAND Professor of Health Services Research at Cambridge University
and Deputy …
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psnet.ahrq.gov/innovation/suicide-prevention-emergency-department-population-ed-safe
July 23, 2024 - Suicide Prevention in an Emergency Department Population: ED-SAFE
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February 26, 2025 - In Conversation With… Lorri Zipperer, MA
November 1, 2015
Citation Text:
In Conversation With… Lorri Zipperer, MA. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015.
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psnet.ahrq.gov/perspective/conversation-vineet-chopra-md-msc
February 28, 2024 - Workplace Violence and Creating a Safer Workplace
October 31, 2023
Compendium of Strategies
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psnet.ahrq.gov/issue/patient-safety-authority-pennsylvania-patient-safety-summit-p2s2
April 29, 2020 - Meeting/Conference
Pennsylvania Meeting/Conference
Published April 29, 2020
Patient Safety Authority Pennsylvania Patient Safety Summit (P2S2)
Patient Safety Authority Pennsylvania Patient Safety Summit (P2S2). Double…
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psnet.ahrq.gov/issue/jcahos-safety-goals-clock-ticking-will-your-ed-be-compliant
April 10, 2019 - Commentary
JCAHO's safety goals—the clock is ticking, will your ED be compliant?
Citation Text:
JCAHO's safety goals--the clock is ticking, will your ED be compliant? ED Manag. 2005;17(7):73-5.
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psnet.ahrq.gov/node/43589/psn-pdf
November 17, 2014 - Exploring new avenues to assess the sharp end of patient
safety: an analysis of nationally aggregated peer review
data.
November 17, 2014
Meeks DW, Meyer AND, Rose B, et al. Exploring new avenues to assess the sharp end of patient safety:
an analysis of nationally aggregated peer review data. BMJ Qual Saf. 2014;23…
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psnet.ahrq.gov/node/44721/psn-pdf
August 20, 2016 - Tall Man lettering and potential prescription errors: a time
series analysis of 42 children's hospitals in the USA over
9 years.
August 20, 2016
Zhong W, Feinstein JA, Patel NS, et al. Tall Man lettering and potential prescription errors: a time series
analysis of 42 children's hospitals in the USA over 9 years. B…
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psnet.ahrq.gov/node/44824/psn-pdf
January 01, 2020 - Improved safety culture and teamwork climate are
associated with decreases in patient harm and hospital
mortality across a hospital system.
February 14, 2017
Berry JC, Davis JT, Bartman T, et al. Improved Safety Culture and Teamwork Climate Are Associated With
Decreases in Patient Harm and Hospital Mortality Acros…
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psnet.ahrq.gov/node/40078/psn-pdf
January 19, 2011 - Speaking up about safety concerns: multi-setting
qualitative study of patients' views and experiences.
January 19, 2011
Entwistle VA, McCaughan D, Watt I, et al. Speaking up about safety concerns: multi-setting qualitative
study of patients' views and experiences. Qual Saf Health Care. 2010;19(6):e33.
doi:10.1136/…
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psnet.ahrq.gov/node/46822/psn-pdf
April 12, 2019 - Effect of an in-hospital multifaceted clinical pharmacist
intervention on the risk of readmission: a randomized
clinical trial.
April 12, 2019
Ravn-Nielsen LV, Duckert M-L, Lund ML, et al. Effect of an In-Hospital Multifaceted Clinical Pharmacist
Intervention on the Risk of Readmission: A Randomized Clinical Trial…
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psnet.ahrq.gov/node/45220/psn-pdf
June 08, 2016 - Medical Office Survey on Patient Safety Culture: 2016
User Comparative Database Report.
June 8, 2016
Famolaro T, Yount ND, Hare R, Thornton S, Sorra J. Rockville, MD: Agency for Healthcare Research and
Quality; May 2016. AHRQ Publication No. 16-0028-EF.
https://psnet.ahrq.gov/issue/medical-office-survey-patient-sa…
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psnet.ahrq.gov/node/33575/psn-pdf
March 15, 2025 - Patient Engagement and Safety
March 15, 2025
Patient Engagement and Safety. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/patient-engagement-and-safety
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current research and practice in the pati…
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psnet.ahrq.gov/issue/overview-new-ahrq-teamsteppsr-course-improving-diagnosis
January 04, 2021 - Meeting/Conference
Upcoming Meeting/Conference
Published January 4, 2021
Overview: New AHRQ TeamSTEPPS® Course for Improving Diagnosis.
Agency for Healthcare Research and Quality. January 14, 2021, 12:30-1:30 pm (eastern).
Topics
Approach to Improving Safety
Culture of Safety
Online Education
Teamwork Trainin…
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psnet.ahrq.gov/node/43972/psn-pdf
November 03, 2015 - National hospital ratings systems share few common
scores and may generate confusion instead of clarity.
November 3, 2015
Austin M, Jha AK, Romano PS, et al. National hospital ratings systems share few common scores and may
generate confusion instead of clarity. Health Aff (Millwood). 2015;34(3):423-430.
doi:10.13…