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psnet.ahrq.gov/node/45375/psn-pdf
September 27, 2016 - Association of a web-based handoff tool with rates of
medical errors.
September 27, 2016
Mueller SK, Yoon CS, Schnipper JL. Association of a Web-Based Handoff Tool With Rates of Medical
Errors. JAMA Intern Med. 2016;176(9):1400-2. doi:10.1001/jamainternmed.2016.4258.
https://psnet.ahrq.gov/issue/association-web-ba…
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psnet.ahrq.gov/node/850160/psn-pdf
June 07, 2023 - The Ohio Maternal Safety Quality Improvement Project:
initial results of a statewide perinatal hypertension quality
improvement initiative implemented during the COVID-19
pandemic.
June 7, 2023
Schneider P, Lorenz A, Menegay MC, et al. The Ohio Maternal Safety Quality Improvement Project: initial
results of a sta…
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psnet.ahrq.gov/node/47173/psn-pdf
June 06, 2018 - Pediatric ADHD medication exposures reported to US
poison control centers.
June 6, 2018
King SA, Casavant MJ, Spiller HA, et al. Pediatric ADHD Medication Exposures Reported to US Poison
Control Centers. Pediatrics. 2018;141(6). doi:10.1542/peds.2017-3872.
https://psnet.ahrq.gov/issue/pediatric-adhd-medication-exp…
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psnet.ahrq.gov/node/41795/psn-pdf
September 07, 2016 - Drug shortage-associated increase in catheter-related
blood stream infection in children.
September 7, 2016
Ralls MW, Blackwood A, Arnold MA, et al. Drug shortage-associated increase in catheter-related blood
stream infection in children. Pediatrics. 2012;130(5):e1369-73. doi:10.1542/peds.2011-3894.
https://psnet.…
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psnet.ahrq.gov/node/838239/psn-pdf
October 05, 2022 - Emotional exhaustion among US health care workers
before and during the COVID-19 pandemic, 2019-2021.
October 5, 2022
Sexton JB, Adair KC, Proulx J, et al. Emotional exhaustion among US health care workers before and
during the COVID-19 pandemic, 2019-2021. JAMA Netw Open. 2022;5(9):e2232748.
doi:10.1001/jamanetwo…
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psnet.ahrq.gov/node/46910/psn-pdf
January 23, 2019 - Taking the heat or taking the temperature? A qualitative
study of a large-scale exercise in seeking to measure for
improvement, not blame.
January 23, 2019
Armstrong N, Brewster L, Tarrant C, et al. Taking the heat or taking the temperature? A qualitative study of
a large-scale exercise in seeking to measure for i…
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psnet.ahrq.gov/node/40695/psn-pdf
December 31, 2014 - Factors contributing to an increase in duplicate
medication order errors after CPOE implementation.
December 31, 2014
Wetterneck TB, Walker JM, Blosky MA, et al. Factors contributing to an increase in duplicate medication
order errors after CPOE implementation. J Am Med Inform Assoc. 2011;18(6):774-782.
doi:10.113…
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psnet.ahrq.gov/node/45780/psn-pdf
March 15, 2017 - Overdose risk in young children of women prescribed
opioids.
March 15, 2017
Finkelstein Y, Macdonald EM, Gonzalez A, et al. Overdose Risk in Young Children of Women Prescribed
Opioids. Pediatrics. 2017;139(3). doi:10.1542/peds.2016-2887.
https://psnet.ahrq.gov/issue/overdose-risk-young-children-women-prescribed-op…
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psnet.ahrq.gov/node/42068/psn-pdf
April 09, 2013 - Wisdom through adversity: learning and growing in the
wake of an error.
April 9, 2013
Plews-Ogan M, Owens JE, May NB. Wisdom through adversity: learning and growing in the wake of an
error. Patient Educ Couns. 2013;91(2):236-42. doi:10.1016/j.pec.2012.12.006.
https://psnet.ahrq.gov/issue/wisdom-through-adversity-l…
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psnet.ahrq.gov/node/41986/psn-pdf
January 23, 2013 - Slow progress on meeting hospital safety standards:
learning from the Leapfrog Group's efforts.
January 23, 2013
Moran J, Scanlon D. Slow progress on meeting hospital safety standards: learning from the Leapfrog
Group's efforts. Health Aff (Millwood). 2013;32(1):27-35. doi:10.1377/hlthaff.2011.0056.
https://psnet.…
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psnet.ahrq.gov/node/39083/psn-pdf
April 01, 2010 - Emergency physician perceptions of patient safety risks.
April 1, 2010
Sklar DP, Crandall CS, Zola T, et al. Emergency physician perceptions of patient safety risks. Ann Emerg
Med. 2010;55(4):336-40. doi:10.1016/j.annemergmed.2009.08.020.
https://psnet.ahrq.gov/issue/emergency-physician-perceptions-patient-safety-r…
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psnet.ahrq.gov/node/73130/psn-pdf
January 01, 2022 - Improving peripherally inserted central catheter
appropriateness and reducing device-related
complications: a quasiexperimental study in 52 Michigan
hospitals.
April 14, 2021
Chopra V, O'Malley M, Horowitz J, et al. Improving peripherally inserted central catheter appropriateness
and reducing device-related compl…
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psnet.ahrq.gov/node/44694/psn-pdf
November 10, 2016 - America's Hospitals: Improving Quality and Safety—The
Joint Commission's Annual Report 2015.
November 10, 2016
Oakbrook Terrace, IL: The Joint Commission; November 2015.
https://psnet.ahrq.gov/issue/americas-hospitals-improving-quality-and-safety-joint-commissions-annual-
report-2015
The annual report from The Jo…
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psnet.ahrq.gov/node/60176/psn-pdf
April 01, 2020 - Health and social care-associated harm amongst
vulnerable children in primary care: mixed methods
analysis of national safety reports.
April 1, 2020
Omar A, Rees P, Cooper A, et al. Health and social care-associated harm amongst vulnerable children in
primary care: mixed methods analysis of national safety reports…
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psnet.ahrq.gov/node/45839/psn-pdf
February 07, 2018 - Mortality trends after a voluntary checklist-based surgical
safety collaborative.
February 7, 2018
Haynes AB, Edmondson L, Lipsitz S, et al. Mortality Trends After a Voluntary Checklist-based Surgical
Safety Collaborative. Ann Surg. 2017;266(6):923-929. doi:10.1097/SLA.0000000000002249.
https://psnet.ahrq.gov/issu…
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psnet.ahrq.gov/node/44974/psn-pdf
April 12, 2019 - Medicare letters to curb overprescribing of controlled
substances had no detectable effect on providers.
April 12, 2019
Sacarny A, Yokum D, Finkelstein A, et al. Medicare Letters To Curb Overprescribing Of Controlled
Substances Had No Detectable Effect On Providers. Health Aff (Millwood). 2016;35(3):471-9.
doi:10.…
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psnet.ahrq.gov/node/37945/psn-pdf
July 26, 2010 - A survey of hospital quality improvement activities.
July 26, 2010
Cohen AB, Restuccia JD, Shwartz M, et al. A survey of hospital quality improvement activities. Med Care
Res Rev. 2008;65(5):571-95. doi:10.1177/1077558708318285.
https://psnet.ahrq.gov/issue/survey-hospital-quality-improvement-activities
The Instit…
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psnet.ahrq.gov/node/44491/psn-pdf
February 23, 2018 - Changes in burnout and satisfaction with work-life
balance in physicians and the general US working
population between 2011 and 2014.
February 23, 2018
Shanafelt TD, Hasan O, Dyrbye LN, et al. Changes in Burnout and Satisfaction With Work-Life Balance in
Physicians and the General US Working Population Between 201…
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psnet.ahrq.gov/node/43531/psn-pdf
September 17, 2014 - The role of hospital managers in quality and patient
safety: a systematic review.
September 17, 2014
Parand A, Dopson S, Renz A, et al. The role of hospital managers in quality and patient safety: a
systematic review. BMJ Open. 2014;4(9):e005055. doi:10.1136/bmjopen-2014-005055.
https://psnet.ahrq.gov/issue/role-h…
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psnet.ahrq.gov/node/38434/psn-pdf
June 15, 2011 - Trends in healthcare incident reporting and relationship
to safety and quality data in acute hospitals: results from
the National Reporting and Learning System.
June 15, 2011
Hutchinson A, Young TA, Cooper KL, et al. Trends in healthcare incident reporting and relationship to
safety and quality data in acute hospi…