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psnet.ahrq.gov/issue/impact-warning-cpoe-system-inappropriate-pill-splitting-prescribed-medications-outpatients
July 16, 2015 - September 27, 2017
Comparing the outcomes of reporting and trigger tool methods to capture
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psnet.ahrq.gov/issue/qualitative-study-patient-involvement-medicines-management-after-hospital-discharge-under
August 03, 2011 - August 2, 2017
How might health services capture patient-reported safety concerns in
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psnet.ahrq.gov/issue/adverse-events-rehabilitation-hospitals-national-incidence-among-medicare-beneficiaries
January 09, 2019 - September 20, 2011
Hospital Incident Reporting Systems Do Not Capture Most Patient Harm
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psnet.ahrq.gov/issue/make-or-buy-patient-safety-solutions-resource-dependence-and-transaction-cost-economics
April 08, 2008 - Development and usability testing of the Agency for Healthcare Research and Quality Common Formats to capture
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psnet.ahrq.gov/issue/engaging-patients-vigilant-partners-safety-systematic-review
February 06, 2019 - December 3, 2014
Automated capture of intraoperative adverse events using artificial
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psnet.ahrq.gov/issue/does-patient-centered-design-guarantee-patient-safety-using-human-factors-engineering-find
November 23, 2016 - 2016
The well-defined pediatric ICU: active surveillance using nonmedical personnel to capture
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psnet.ahrq.gov/web-mm/copy-and-paste-notes-and-autopopulated-text-electronic-health-record
May 26, 2021 - ” systems can use microphones in clinical care areas and perform both speech recognition and NLP to capture … AI tools to help capture documentation (based on speech recognition and natural language processing)
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psnet.ahrq.gov/issue/patients-teachers-randomised-controlled-trial-use-personal-stories-harm-raise-awareness
September 04, 2013 - April 22, 2012
How might health services capture patient-reported safety concerns in
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psnet.ahrq.gov/issue/can-staff-and-patient-perspectives-hospital-safety-predict-harm-free-care-analysis-staff-and
July 21, 2017 - August 2, 2017
How might health services capture patient-reported safety concerns in
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psnet.ahrq.gov/issue/what-can-patients-tell-us-about-quality-and-safety-hospital-care-findings-uk-multicentre
July 21, 2017 - June 25, 2014
How might health services capture patient-reported safety concerns in a
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psnet.ahrq.gov/issue/connecting-perspectives-quality-and-safety-patient-level-linkage-incident-adverse-event-and
April 28, 2021 - Study
Connecting perspectives on quality and safety: patient-level linkage of incident, adverse event and complaint data.
Citation Text:
de Vos MS, Hamming JF, Chua-Hendriks JJC, et al. Connecting perspectives on quality and safety: patient-level linkage of incident, adverse event and co…
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psnet.ahrq.gov/issue/medication-error-prevention-clinical-pharmacists-two-childrens-hospitals
October 15, 2014 - Study
Classic
Medication error prevention by clinical pharmacists in two children's hospitals.
Citation Text:
Medication error prevention by clinical pharmacists in two children's hospitals. Folli HL; Poole RL; Benitz WE; Russo JC
Copy Citation
…
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psnet.ahrq.gov/node/36319/psn-pdf
August 05, 2008 - Selling soap.
August 5, 2008
Dubner SJ; Levitt SD.
https://psnet.ahrq.gov/issue/selling-soap
This article discusses physician noncompliance with hand hygiene recommendations and describes
several low-tech interventions, including a screensaver showing germs captured in a Petri dish off a
physician's "clean" hands…
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psnet.ahrq.gov/node/36911/psn-pdf
September 01, 2011 - Managing clinical failure: a complex adaptive system
perspective.
September 1, 2011
Matthews JI, Thomas PT. Managing clinical failure: a complex adaptive system perspective. Int J Health
Care Qual Assur. 2007;20(3):184-194. doi:10.1108/09526860710743336.
https://psnet.ahrq.gov/issue/managing-clinical-failure-compl…
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psnet.ahrq.gov/node/40908/psn-pdf
December 08, 2011 - Patients' identification and reporting of unsafe events at
six hospitals in Japan.
December 8, 2011
Hasegawa T, Fujita S, Seto K, et al. Patients' identification and reporting of unsafe events at six hospitals in
Japan. Jt Comm J Qual Patient Saf. 2011;37(11):502-508.
https://psnet.ahrq.gov/issue/patients-identifi…
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psnet.ahrq.gov/node/39725/psn-pdf
August 11, 2010 - The Invisible Gorilla: and Other Ways Our Intuitions
Deceive Us.
August 11, 2010
Chabris C, Simons D. New York, NY: Crown Publishing Group; 2010. ISBN: 0307459659.
https://psnet.ahrq.gov/issue/invisible-gorilla-and-other-ways-our-intuitions-deceive-us
This book explores inattentional blindness, as demonstrated in …
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psnet.ahrq.gov/node/34790/psn-pdf
December 23, 2008 - Cognitive errors in diagnosis: instantiation, classification,
and consequences.
December 23, 2008
Kassirer JP, Kopelman RI. Cognitive errors in diagnosis: instantiation, classification, and consequences.
Am J Med. 1989;86(4):433-41.
https://psnet.ahrq.gov/issue/cognitive-errors-diagnosis-instantiation-classificati…
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psnet.ahrq.gov/node/34954/psn-pdf
June 23, 2009 - Active surveillance of vaccine safety: a system to detect
early signs of adverse events.
June 23, 2009
Davis RL, Kolczak M, Lewis E, et al. Active surveillance of vaccine safety: a system to detect early signs of
adverse events. Epidemiology. 2005;16(3):336-41.
https://psnet.ahrq.gov/issue/active-surveillance-vacc…
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psnet.ahrq.gov/node/34805/psn-pdf
November 07, 2017 - Medication errors in neonatal and paediatric intensive-
care units.
November 7, 2017
Raju TN, Kecskes S, Thornton JP, et al. Medication errors in neonatal and paediatric intensive-care units.
Lancet. 1989;2(8659):374-6.
https://psnet.ahrq.gov/issue/medication-errors-neonatal-and-paediatric-intensive-care-units
Th…
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psnet.ahrq.gov/node/36671/psn-pdf
January 18, 2011 - Increasing vigilance on the medical/surgical floor to
improve patient safety.
January 18, 2011
Jacobs JL, Apatov N, Glei M. Increasing vigilance on the medical/surgical floor to improve patient safety. J
Adv Nurs. 2007;57(5). doi:10.1111/j.1365-2648.2006.04161.x.
https://psnet.ahrq.gov/issue/increasing-vigilance-m…