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psnet.ahrq.gov/issue/developing-implementing-evaluating-electronic-apparent-cause-analysis-across-health-care
February 07, 2018 - Study
Developing, implementing, evaluating electronic apparent cause analysis across a health care system.
Citation Text:
Oster CA, Woods E, Mumma J, et al. Developing, implementing, evaluating electronic apparent cause analysis across a health care system. Jt Comm J Qual Patient Saf. 2…
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psnet.ahrq.gov/issue/systematic-review-natural-language-processing-classification-tasks-field-incident-reporting
October 18, 2018 - Review
Emerging Classic
A systematic review of natural language processing for classification tasks in the field of incident reporting and adverse event analysis.
Citation Text:
Young IJB, Luz S, Lone N. A systematic review of natural language processing for cla…
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psnet.ahrq.gov/issue/translating-staff-experience-organisational-improvement-heads-stepped-wedge-cluster
April 24, 2018 - Study
Translating staff experience into organisational improvement: the HEADS-UP stepped wedge, cluster controlled, non-randomised trial.
Citation Text:
Pannick S, Athanasiou T, Long SJ, et al. Translating staff experience into organisational improvement: the HEADS-UP stepped wedge, clus…
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psnet.ahrq.gov/issue/cognitive-engineering-improve-patient-safety-and-outcomes-cardiothoracic-surgery
January 23, 2017 - Commentary
Cognitive engineering to improve patient safety and outcomes in cardiothoracic surgery
Citation Text:
Zenati MA, Kennedy-Metz L, Dias RD. Cognitive Engineering to Improve Patient Safety and Outcomes in Cardiothoracic Surgery. Semin Thorac Cardiovasc Surg. 2019. doi:10.1053/j.s…
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psnet.ahrq.gov/issue/department-anesthesiology-skilled-peer-support-program-outcomes-second-victim-perceptions
April 12, 2011 - Study
Department of anesthesiology skilled peer support program outcomes: second victim perceptions.
Citation Text:
Bursch B, Ziv K, Marchese S, et al. Department of anesthesiology skilled peer support program outcomes: second victim perceptions. Jt Comm J Qual Patient Saf. 2024;50(6):44…
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psnet.ahrq.gov/issue/patient-safety-related-hospital-deaths-england-thematic-analysis-incidents-reported-national
October 31, 2014 - Study
Patient-safety–related hospital deaths in England: thematic analysis of incidents reported to a national database, 2010–2012.
Citation Text:
Donaldson LJ, Panesar S, Darzi A. Patient-safety-related hospital deaths in England: thematic analysis of incidents reported to a national da…
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psnet.ahrq.gov/issue/unintended-consequence-electronic-prescriptions-prevalence-and-impact-internal-discrepancies
May 04, 2011 - Study
An unintended consequence of electronic prescriptions: prevalence and impact of internal discrepancies.
Citation Text:
Palchuk MB, Fang EA, Cygielnik JM, et al. An unintended consequence of electronic prescriptions: prevalence and impact of internal discrepancies. J Am Med Inform…
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psnet.ahrq.gov/issue/icd-11-quality-and-safety-overview-who-quality-and-safety-topic-advisory-group
February 17, 2017 - Commentary
ICD-11 for quality and safety: overview of the WHO Quality and Safety Topic Advisory Group.
Citation Text:
Ghali WA, Pincus HA, Southern DA, et al. ICD-11 for quality and safety: overview of the WHO Quality and Safety Topic Advisory Group. Int J Qual Health Care. 2013;25(6):62…
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psnet.ahrq.gov/issue/multifaceted-approach-safety-synergistic-detection-adverse-drug-events-adult-inpatients
April 11, 2011 - Study
A multifaceted approach to safety: the synergistic detection of adverse drug events in adult inpatients.
Citation Text:
Ferranti JM, Horvath MM, Cozart H, et al. A Multifaceted Approach to Safety. J Patient Saf. 2008;4(3):184-190. doi:10.1097/pts.0b013e318184a9d5.
Copy Citation…
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psnet.ahrq.gov/issue/review-healthcare-failure-mode-and-effects-analysis-hfmea-radiotherapy
June 13, 2011 - Review
A review of healthcare failure mode and effects analysis (HFMEA) in radiotherapy.
Citation Text:
Giardina M, Cantone MC, Tomarchio E, et al. A Review of Healthcare Failure Mode and Effects Analysis (HFMEA) in Radiotherapy. Health Phys. 2016;111(4):317-26. doi:10.1097/HP.0000000000…
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psnet.ahrq.gov/issue/patient-safety-concerns-arising-test-results-return-after-hospital-discharge
January 17, 2012 - Study
Classic
Patient safety concerns arising from test results that return after hospital discharge.
Citation Text:
Roy CL, Poon EG, Karson A, et al. Patient safety concerns arising from test results that return after hospital discharge. Ann Intern Med. 2005;…
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psnet.ahrq.gov/node/39345/psn-pdf
March 03, 2010 - The normalization of deviance in healthcare delivery.
March 3, 2010
Banja J. The normalization of deviance in healthcare delivery. Bus Horiz. 2010;53(2):139.
https://psnet.ahrq.gov/issue/normalization-deviance-healthcare-delivery
This article explains the concept of normalization of deviance and discusses its appli…
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psnet.ahrq.gov/node/36689/psn-pdf
June 14, 2011 - Root cause analysis.
June 14, 2011
Stecker MS. Root cause analysis. J Vasc Interv Radiol. 2007;18(1 Pt 1):5-8.
https://psnet.ahrq.gov/issue/root-cause-analysis
The author provides an introduction to root cause analysis and its application to study and prevent medical
error.
https://psnet.ahrq.gov/issue/root-cause…
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psnet.ahrq.gov/node/34141/psn-pdf
November 02, 2014 - The National Patient Safety Foundation Research
Program.
November 2, 2014
National Patient Safety Foundation
https://psnet.ahrq.gov/issue/national-patient-safety-foundation-research-program
The projects funded by the National Patient Safety Foundation's (NPSF) research program from 1998 to
the present are recappe…
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psnet.ahrq.gov/node/40387/psn-pdf
March 08, 2015 - Medication reconciliation only as good as the IT allows.
March 8, 2015
Page D. Medication reconciliation only as good as the IT allows. Hospitals & health networks.
2011;85(3):48, 50.
https://psnet.ahrq.gov/issue/medication-reconciliation-only-good-it-allows
This piece describes the medication reconciliation proce…
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psnet.ahrq.gov/node/39226/psn-pdf
January 28, 2010 - Briefings, checklists, geese, and surgical safety.
January 28, 2010
Karl R. Briefings, checklists, geese, and surgical safety. Ann Surg Oncol. 2010;17(1):8-11.
doi:10.1245/s10434-009-0794-9.
https://psnet.ahrq.gov/issue/briefings-checklists-geese-and-surgical-safety
This commentary discusses safety techniques of h…
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psnet.ahrq.gov/node/35169/psn-pdf
July 13, 2005 - Lay use of lasers fueling complications.
July 13, 2005
Gagnon L. Dermatology Times. June 1, 2005.
https://psnet.ahrq.gov/issue/lay-use-lasers-fueling-complications
This article reports on inappropriate laser use by non-physicians for dermatological procedures. A study
presented at the American Society for Laser Me…
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psnet.ahrq.gov/node/35735/psn-pdf
October 11, 2016 - Standardizing a Patient Safety Taxonomy.
October 11, 2016
Washington, DC: National Quality Forum; 2006.
https://psnet.ahrq.gov/issue/standardizing-patient-safety-taxonomy
In this report, the National Quality Forum presents four consensus standards that support the application
of the Joint Commission on Accreditati…
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psnet.ahrq.gov/node/36253/psn-pdf
November 28, 2018 - Medication Reconciliation Handbook, 2nd edition.
November 28, 2018
American Society of Health-System Pharmacists, Joint Commission on Accreditation of Healthcare
Organizations. Oakbrook Terrace IL; Joint Commission Resources: 2009. ISBN 9781599403090.
https://psnet.ahrq.gov/issue/medication-reconciliation-handbook-…
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psnet.ahrq.gov/node/37284/psn-pdf
December 30, 2014 - Medication tracers: a systems approach to medication
safety.
December 30, 2014
Hendrick EC, Montanya KR, Griffith NL. Medication Tracers: A Systems Approach to Medication Safety.
Hosp Pharm. 2010;42(10):916-920. doi:10.1310/hpj4210-916.
https://psnet.ahrq.gov/issue/medication-tracers-systems-approach-medication-sa…