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psnet.ahrq.gov/node/43409/psn-pdf
February 25, 2015 - Evaluating iatrogenic prescribing: development of an
oncology-focused trigger tool.
February 25, 2015
Hébert G, Netzer F, Ferrua M, et al. Evaluating iatrogenic prescribing: development of an oncology-focused
trigger tool. Eur J Cancer. 2015;51(3):427-35. doi:10.1016/j.ejca.2014.12.002.
https://psnet.ahrq.gov/issu…
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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…
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psnet.ahrq.gov/node/35704/psn-pdf
March 28, 2011 - Relationship between patient complaints and surgical
complications.
March 28, 2011
Murff HJ, France DJ, Blackford J, et al. Relationship between patient complaints and surgical
complications. Qual Saf Health Care. 2006;15(1):13-6.
https://psnet.ahrq.gov/issue/relationship-between-patient-complaints-and-surgical-co…
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psnet.ahrq.gov/node/836853/psn-pdf
April 06, 2022 - Use of e-triggers to identify diagnostic errors in the
paediatric ED.
April 6, 2022
Lam D, Dominguez F, Leonard J, et al. Use of e-triggers to identify diagnostic errors in the paediatric ED.
BMJ Qual Saf. 2022;31(10):735-743. doi:10.1136/bmjqs-2021-013683.
https://psnet.ahrq.gov/issue/use-e-triggers-identify-diag…
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psnet.ahrq.gov/glossary/hindsight-bias
September 13, 2021 - Hindsight Bias
September 13, 2021
Anonymous (not verified)
In a very general sense, hindsight bias relates to the common expression "hindsight is 20/20." This expression captures the tendency for people to regard past events as expected or obvious, even when, in real time, the events perplexed those involved. M…
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psnet.ahrq.gov/primer/opioid-safety
December 15, 2024 - of emergency department visits and hospitalizations due to adverse drug events, but these data only captured
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psnet.ahrq.gov/node/866161/psn-pdf
June 19, 2024 - Patient Safety Indicators at an academic veterans affairs
hospital: addressing dual goals of clinical care and
validity.
June 19, 2024
Allaudeen N, Schalch E, Neff M, et al. Patient Safety Indicators at an Academic Veterans Affairs Hospital:
Addressing Dual Goals of Clinical Care and Validity. Jt Comm J Qual Patie…
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psnet.ahrq.gov/node/865339/psn-pdf
March 27, 2024 - Organisational conditions for safety management practice
in homecare and nursing homes, pre-pandemic and in
pandemic.
March 27, 2024
Dellve L, Skagert K. Organisational conditions for safety management practice in homecare and nursing
homes, pre-pandemic and in pandemic. Safety Sci. 2024;174:106488. doi:10.1016/j.…
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psnet.ahrq.gov/primer/patient-safety-indicators
June 15, 2024 - value-based payment programs to include new metrics focused on diagnostic accuracy and hospital harms, captured
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psnet.ahrq.gov/node/45496/psn-pdf
May 09, 2017 - The application of the Global Trigger Tool: a systematic
review.
May 9, 2017
Hibbert PD, Molloy CJ, Hooper TD, et al. The application of the Global Trigger Tool: a systematic review.
Int J Qual Health Care. 2016;28(6):640-649. doi:10.1093/intqhc/mzw115.
https://psnet.ahrq.gov/issue/application-global-trigger-tool-…
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psnet.ahrq.gov/node/45970/psn-pdf
March 22, 2017 - A learning health care system using computer-aided
diagnosis.
March 22, 2017
Cahan A, Cimino JJ. A Learning Health Care System Using Computer-Aided Diagnosis. J Med Internet
Res. 2017;19(3):e54. doi:10.2196/jmir.6663.
https://psnet.ahrq.gov/issue/learning-health-care-system-using-computer-aided-diagnosis
Although…
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psnet.ahrq.gov/node/36027/psn-pdf
March 28, 2011 - Medical injuries among hospitalized children.
March 28, 2011
Meurer JR, Yang H, Guse CE, et al. Medical injuries among hospitalized children. Qual Saf Health Care.
2006;15(3):202-7.
https://psnet.ahrq.gov/issue/medical-injuries-among-hospitalized-children
This AHRQ–funded study applied new screening criteria to ca…
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psnet.ahrq.gov/node/42913/psn-pdf
January 29, 2014 - What to do with healthcare incident reporting systems.
January 29, 2014
Pham JC, Girard T, Pronovost PJ. What to do with healthcare Incident Reporting Systems. J Public Health
Res. 2013;2(3). doi:10.4081/jphr.2013.e27.
https://psnet.ahrq.gov/issue/what-do-healthcare-incident-reporting-systems
Incident reporting sy…
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psnet.ahrq.gov/node/44401/psn-pdf
November 20, 2015 - Medication reconciliation at admission and discharge: an
analysis of prevalence and associated risk factors.
November 20, 2015
Belda-Rustarazo S, Cantero-Hinojosa J, Salmeron-García A, et al. Medication reconciliation at admission
and discharge: an analysis of prevalence and associated risk factors. Int J Clin Prac…
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psnet.ahrq.gov/node/847728/psn-pdf
April 19, 2023 - Development and interrater agreement of a novel
classification system combining medical and surgical
adverse event reporting.
April 19, 2023
Stone A, Jiang ST, Stahl MC, et al. Development and interrater agreement of a novel classification system
combining medical and surgical adverse event reporting. JAMA Otolary…
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psnet.ahrq.gov/node/848042/psn-pdf
April 26, 2023 - Clinicians' perspectives on proactive patient safety
behaviors in the perioperative environment.
April 26, 2023
Duffy C, Menon N, Horak D, et al. Clinicians' perspectives on proactive patient safety behaviors in the
perioperative environment. JAMA Netw Open. 2023;6(4):e237621.
doi:10.1001/jamanetworkopen.2023.7621…
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psnet.ahrq.gov/node/50655/psn-pdf
January 01, 2020 - Reflections on implementing a hospital-wide provider-
based electronic inpatient mortality review system:
lessons learnt.
November 13, 2019
Mendu ML, Lu Y, Petersen A, et al. Reflections on implementing a hospital-wide provider-based electronic
inpatient mortality review system: lessons learnt. BMJ Qual Saf. 2020;…
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psnet.ahrq.gov/node/74141/psn-pdf
December 01, 2021 - Incident reporting systems: what will it take to make them
less frustrating and achieve anything useful?
December 1, 2021
Shojania KG. Incident reporting systems: what will it take to make them less frustrating and achieve
anything useful? Jt Comm J Qual Patient Saf. 2021;47(12):755-758. doi:10.1016/j.jcjq.2021.10.…
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psnet.ahrq.gov/node/60743/psn-pdf
July 29, 2020 - The confused and bewildered hospital: adverse event
discovery, pay-for-performance, and big data tools as
halfway technologies.
July 29, 2020
Furrow BR. The confused and bewildered hospital: adverse event discovery, pay-for-performance, and big
data tools as halfway technologies. Am J Law Med. 2020;46(2-3):219-235…
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psnet.ahrq.gov/node/72724/psn-pdf
February 10, 2021 - How satisfied are patients and surgeons with
telemedicine in orthopaedic care during the COVID-19
pandemic? A systematic review and meta-analysis.
February 10, 2021
Chaudhry H, Nadeem S, Mundi R. How Satisfied Are Patients and Surgeons with Telemedicine in
Orthopaedic Care During the COVID-19 Pandemic? A Systemati…