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psnet.ahrq.gov/node/73159/psn-pdf
April 21, 2021 - Drug-drug interactions and prescription appropriateness
at hospital discharge: experience with COVID-19 patients.
April 21, 2021
Cattaneo D, Pasina L, Maggioni AP, et al. Drug-drug interactions and prescription appropriateness at
hospital discharge: experience with COVID-19 patients. Drugs Aging. 2021;38(4):341-346…
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psnet.ahrq.gov/node/854630/psn-pdf
October 18, 2023 - Physician behaviors associated with increased physician
and nurse communication during bedside
interdisciplinary rounds.
October 18, 2023
Huang KX, Chen CK, Pessegueiro AM, et al. Physician behaviors associated with increased physician and
nurse communication during bedside interdisciplinary rounds. J Hosp Med. 20…
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psnet.ahrq.gov/node/50836/psn-pdf
January 29, 2020 - Developing a cancer-specific trigger tool to identify
treatment-related adverse events using administrative
data.
January 29, 2020
Weingart SN, Nelson J, Koethe B, et al. Developing a cancer?specific trigger tool to identify treatment?
related adverse events using administrative data. Cancer Med. 2020;9(4):1462-14…
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psnet.ahrq.gov/node/60877/psn-pdf
September 02, 2020 - When bad things happen: training medical students to
anticipate the aftermath of medical errors.
September 2, 2020
Musunur S, Waineo E, Walton E, et al. When bad things happen: training medical students to anticipate the
aftermath of medical errors. Acad Psychiatry. 2020;44(5):586-591. doi:10.1007/s40596-020-01278-…
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psnet.ahrq.gov/node/850158/psn-pdf
June 07, 2023 - Incidence and outcomes of non-ventilator-associated
hospital-acquired pneumonia in 284 US hospitals using
electronic surveillance criteria.
June 7, 2023
Jones BE, Sarvet AL, Ying J, et al. Incidence and outcomes of non-ventilator-associated hospital-acquired
pneumonia in 284 US hospitals using electronic surveilla…
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psnet.ahrq.gov/node/72742/psn-pdf
February 17, 2021 - High delayed and missed injury rate after inter-hospital
transfer of severely injured trauma patients.
February 17, 2021
Hensgens RL, El Moumni M, IJpma FFA, et al. High delayed and missed injury rate after inter-hospital
transfer of severely injured trauma patients. Eur J Trauma Emerg Surg. 2020;46(6):1367-1374.
…
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psnet.ahrq.gov/node/73628/psn-pdf
August 25, 2021 - Methods used to obtain pediatric patient weights, their
accuracy and associated drug dosing errors in 142
simulated prehospital pediatric patient encounters.
August 25, 2021
Hoyle JD, Ekblad G, Woodwyk A, et al. Methods used to obtain pediatric patient weights, their accuracy
and associated drug dosing errors in 1…
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psnet.ahrq.gov/node/61092/psn-pdf
November 04, 2020 - Patient race and opioid misuse history influence provider
risk perceptions for future opioid-related problems.
November 4, 2020
Hirsh AT, Anastas TM, Miller MM, et al. Patient race and opioid misuse history influence provider risk
perceptions for future opioid-related problems. Am Psychol. 2020;75(6):784-795.
doi:…
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psnet.ahrq.gov/node/866590/psn-pdf
August 28, 2024 - Risk controls identified in action plans following serious
incident investigations in secondary care: a qualitative
study.
August 28, 2024
Peerally MF, Carr S, Waring J, et al. Risk controls identified in action plans following serious incident
investigations in secondary care: a qualitative study. J Patient Saf. …
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psnet.ahrq.gov/node/37219/psn-pdf
June 16, 2011 - Workforce perceptions of hospital safety culture:
development and validation of the patient safety climate
in healthcare organizations survey.
June 16, 2011
Singer SJ, Meterko M, Baker LC, et al. Workforce perceptions of hospital safety culture: development and
validation of the patient safety climate in healthcar…
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psnet.ahrq.gov/node/860714/psn-pdf
January 17, 2024 - Diagnostic errors in hospitalized adults who died or were
transferred to intensive care.
January 17, 2024
Auerbach AD, Lee TM, Hubbard CC, et al for the UPSIDE Research Group. JAMA Intern
Med. 2024:184(2):164-173.
https://psnet.ahrq.gov/issue/diagnostic-errors-hospitalized-adults-who-died-or-were-tr…
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psnet.ahrq.gov/node/858168/psn-pdf
December 13, 2023 - A resilience view on health system resilience: a scoping
review of empirical studies and reviews.
December 13, 2023
Copeland S, Hinrichs-Krapels S, Fecondo F, et al. A resilience view on health system resilience: a scoping
review of empirical studies and reviews. BMC Health Serv Res. 2023;23(1):1297. doi:10.1186/s1…
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psnet.ahrq.gov/node/838318/psn-pdf
October 12, 2022 - Exposure to incivility does not hinder speaking up: a
randomised controlled high-fidelity simulation-based
study.
October 12, 2022
Vauk S, Seelandt JC, Huber K, et al. Exposure to incivility does not hinder speaking up: a randomised
controlled high-fidelity simulation-based study. Br J Anaesth. 2022;129(5):776-787…
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psnet.ahrq.gov/node/36833/psn-pdf
March 03, 2011 - Achieving the National Quality Forum's "Never Events":
prevention of wrong site, wrong procedure, and wrong
patient operations.
March 3, 2011
Michaels RK, Makary MA, Dahab Y, et al. Achieving the National Quality Forum's "Never Events":
prevention of wrong site, wrong procedure, and wrong patient operations. Ann S…
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psnet.ahrq.gov/node/44746/psn-pdf
January 20, 2016 - Creating a culture of safety around bar-code medication
administration: an evidence-based evaluation framework.
January 20, 2016
Kelly K, Harrington L, Matos P, et al. Creating a Culture of Safety Around Bar-Code Medication
Administration: An Evidence-Based Evaluation Framework. J Nurs Adm. 2016;46(1):30-7.
doi:10…
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psnet.ahrq.gov/node/837797/psn-pdf
August 10, 2022 - Toward constructive change after making a medical error:
recovery from situations of error theory as a psychosocial
model for clinician recovery.
August 10, 2022
Harrison R, Johnson J, Mcmullan RD, et al. Toward constructive change after making a medical error:
recovery from situations of error theory as a psychos…
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psnet.ahrq.gov/node/42001/psn-pdf
August 02, 2015 - Diagnostic inaccuracy of smartphone applications for
melanoma detection.
August 2, 2015
Wolf JA, Moreau JF, Akilov O, et al. Diagnostic inaccuracy of smartphone applications for melanoma
detection. JAMA Dermatol. 2013;149(4):422-426. doi:10.1001/jamadermatol.2013.2382.
https://psnet.ahrq.gov/issue/diagnostic-inacc…
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psnet.ahrq.gov/node/40477/psn-pdf
March 23, 2012 - Adverse drug events in U.S. adult ambulatory medical
care.
March 23, 2012
Sarkar U, Lopez A, Maselli JH, et al. Adverse drug events in U.S. adult ambulatory medical care. Health
Serv Res. 2011;46(5):1517-1533. doi:10.1111/j.1475-6773.2011.01269.x.
https://psnet.ahrq.gov/issue/adverse-drug-events-us-adult-ambulator…
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psnet.ahrq.gov/node/34698/psn-pdf
January 04, 2017 - Using Health Care Failure Mode and Effect Analysis: the
VA National Center for Patient Safety's prospective risk
analysis system.
January 4, 2017
DeRosier JM, Stalhandske E, Bagian JP, et al. Using health care Failure Mode and Effect Analysis: the VA
National Center for Patient Safety's prospective risk analysis s…
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psnet.ahrq.gov/issue/patient-safety-healthcare-acquired-conditions-and-serious-reportable-events
March 25, 2025 - Press Release/Announcement
Patient safety: healthcare acquired conditions and serious reportable events.
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September 23, 2009
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