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psnet.ahrq.gov/issue/false-dawns-and-new-horizons-patient-safety-research-and-practice
July 24, 2024 - Commentary
False dawns and new horizons in patient safety research and practice.
Citation Text:
Mannion R, Braithwaite J. False Dawns and New Horizons in Patient Safety Research and Practice. Int J Health Policy Manag. 2017;6(12). doi:10.15171/ijhpm.2017.115.
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psnet.ahrq.gov/issue/learning-incidents-health-care-critique-safety-ii-perspective
August 19, 2020 - Commentary
Learning from incidents in health care: critique from a Safety-II perspective.
Citation Text:
Learning from incidents in health care: critique from a Safety-II perspective. Sujan MA, Huang H, Braithwaite J. Safety Sci. 2017;99:115-121.
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psnet.ahrq.gov/issue/development-and-applications-veterans-health-administrations-stratification-tool-opioid-risk
April 01, 2020 - Study
Development and applications of the Veterans Health Administration's Stratification Tool for Opioid Risk Mitigation (STORM) to improve opioid safety and prevent overdose and suicide.
Citation Text:
Oliva EM, Bowe T, Tavakoli S, et al. Development and applications of the Veterans He…
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psnet.ahrq.gov/node/43897/psn-pdf
August 21, 2015 - Guidelines for Adult IV Push Medications.
August 21, 2015
Horsham, PA: The Institute for Safe Medication Practices; July 2015.
https://psnet.ahrq.gov/issue/guidelines-adult-iv-push-medications
To address the lack of standards on intravenous (IV) push medication administration, this guidance reflects
applied expert…
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psnet.ahrq.gov/issue/systematic-review-behavioural-marker-systems-healthcare-what-do-we-know-about-their
January 23, 2019 - Review
A systematic review of behavioural marker systems in healthcare: what do we know about their attributes, validity and application?
Citation Text:
Dietz AS, Pronovost P, Benson KN, et al. A systematic review of behavioural marker systems in healthcare: what do we know about their a…
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psnet.ahrq.gov/innovation/predicting-dispensing-errors-community-pharmacies-application-systematic-human-error
February 06, 2019 - EMERGING INNOVATIONS
Predicting dispensing errors in community pharmacies: an application of the Systematic Human Error Reduction and Prediction Approach (SHERPA).
Citation Text:
Predicting dispensing errors in community pharmacies: an application of the Systematic Human Error Reduction and Predic…
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psnet.ahrq.gov/issue/preventing-central-line-associated-bloodstream-infections-intensive-care-unit-application
March 10, 2010 - Commentary
Preventing central line–associated bloodstream infections in the intensive care unit: application of high-reliability principles.
Citation Text:
McCraw B, Crutcher T, Polancich S, et al. Preventing Central Line-Associated Bloodstream Infections in the Intensive Care Unit: Appl…
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psnet.ahrq.gov/issue/cognitive-performance-altering-effects-electronic-medical-records-application-human-factors
May 16, 2012 - Study
Cognitive performance-altering effects of electronic medical records: an application of the human factors paradigm for patient safety.
Citation Text:
Holden RJ. Cognitive performance-altering effects of electronic medical records: An application of the human factors paradigm for …
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psnet.ahrq.gov/issue/application-iv-medication-harm-index-assess-nature-harm-averted-smart-infusion-safety-systems
January 23, 2017 - Study
Application of the IV Medication Harm Index to assess the nature of harm averted by "smart" infusion safety systems.
Citation Text:
Williams CK, Maddox RR, Heape E, et al. Application of the IV Medication Harm Index to Assess the Nature of Harm Averted by "Smart" Infusion Safety …
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psnet.ahrq.gov/issue/can-surveillance-systems-identify-and-avert-adverse-drug-events-prospective-evaluation
February 10, 2015 - Study
Can surveillance systems identify and avert adverse drug events? A prospective evaluation of a commercial application.
Citation Text:
Jha AK, Laguette J, Seger AC, et al. Can surveillance systems identify and avert adverse drug events? A prospective evaluation of a commercial app…
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psnet.ahrq.gov/issue/fall-prevention-acute-care-hospitals-randomized-trial
February 01, 2023 - Study
Classic
Fall prevention in acute care hospitals: a randomized trial.
Citation Text:
Dykes PC, Carroll DL, Hurley A, et al. Fall prevention in acute care hospitals: a randomized trial. JAMA. 2010;304(17):1912-1918. doi:10.1001/jama.2010.1567.
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psnet.ahrq.gov/node/841305/psn-pdf
January 27, 2023 - Safety-I is more applicable when there is a steady state and when there is a known best way. … Debriefing skills learned in simulation are very applicable to real patient care circumstances.
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psnet.ahrq.gov/node/36832/psn-pdf
August 26, 2011 - The role of information technology in healthcare
communications, efficiency, and patient safety:
application and results.
August 26, 2011
Prince SB, Herrin DM. The role of information technology in healthcare communications, efficiency, and
patient safety: application and results. J Nurs Adm. 2007;37(4):184-7.
ht…
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psnet.ahrq.gov/node/35302/psn-pdf
July 14, 2009 - Technology induced error and usability: the relationship
between usability problems and prescription errors when
using a handheld application.
July 14, 2009
Kushniruk AW, Triola MM, Borycki EM, et al. Technology induced error and usability: The relationship
between usability problems and prescription errors when u…
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psnet.ahrq.gov/issue/application-failure-mode-effect-analysis-improve-care-septic-patients-admitted-through
February 01, 2013 - Study
Application of failure mode effect analysis to improve the care of septic patients admitted through the emergency department.
Citation Text:
Alamry A, Owais SMA, Marini AM, et al. Application of Failure Mode Effect Analysis to Improve the Care of Septic Patients Admitted Through th…
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psnet.ahrq.gov/issue/does-app-day-keep-doctor-away-ai-symptom-checker-applications-entrenched-bias-and
March 14, 2018 - Commentary
Does an app a day keep the doctor away? AI symptom checker applications, entrenched bias, and professional responsibility.
Citation Text:
Zawati M'n H, Lang M. Does an app a day keep the doctor away? AI symptom checker applications, entrenched bias, and professional responsibi…
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psnet.ahrq.gov/issue/application-strong-matrix-management-and-pdca-cycle-management-severe-covid-19-patients
March 24, 2019 - Commentary
The application of strong matrix management and PDCA cycle in the management of severe COVID-19 patients.
Citation Text:
Li Y, Wang H, Jiao J. The application of strong matrix management and PDCA cycle in the management of severe COVID-19 patients. Crit Care. 2020;24(1):157. d…
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psnet.ahrq.gov/issue/orthopaedic-error-index-development-and-application-novel-national-indicator-assessing
July 18, 2016 - Study
The Orthopaedic Error Index: development and application of a novel national indicator for assessing the relative safety of hospital care using a cross-sectional approach.
Citation Text:
Panesar SS, Netuveli G, Carson-Stevens A, et al. The orthopaedic error index: development and…
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psnet.ahrq.gov/node/44152/psn-pdf
November 06, 2015 - Infection Prevention.
November 6, 2015
Allen G, ed. AORN J. 2015;101:505-596.
https://psnet.ahrq.gov/issue/infection-prevention
A primary concern in the perioperative setting is the prevention of health care–associated infections,
particularly surgical site infections. Articles in this special issue explore strate…
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psnet.ahrq.gov/node/47265/psn-pdf
February 22, 2019 - Introduction of a mobile adverse event reporting system
is associated with participation in adverse event
reporting.
February 22, 2019
Rubin DS, Pesyna C, Jakubczyk S, et al. Introduction of a Mobile Adverse Event Reporting System Is
Associated With Participation in Adverse Event Reporting. Am J Med Qual. 2019;34(…