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psnet.ahrq.gov/node/860393/psn-pdf
January 10, 2024 - Methods for studying medication safety following
electronic health record implementation in acute care: a
scoping review.
January 10, 2024
Pereira N, Duff JP, Hayward T, et al. Methods for studying medication safety following electronic health
record implementation in acute care: a scoping review. J Am Med Inform …
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psnet.ahrq.gov/node/43459/psn-pdf
August 27, 2014 - Serious Reportable Events.
August 27, 2014
Nova Scotia Department of Health and Wellness.
https://psnet.ahrq.gov/issue/serious-reportable-events
Incident reporting systems are an important method for capturing, analyzing, and learning about a broad
range of potential safety issues. This Web site provides access to…
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psnet.ahrq.gov/node/39286/psn-pdf
February 10, 2010 - Video registration of trauma team performance in the
emergency department: the results of a 2-year analysis in
a Level 1 trauma center.
February 10, 2010
Lubbert PHW, Kaasschieter EG, Hoorntje LE, et al. Video registration of trauma team performance in the
emergency department: the results of a 2-year analysis in …
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psnet.ahrq.gov/node/34089/psn-pdf
December 23, 2008 - A national profile of patient safety in U.S. hospitals.
December 23, 2008
Romano PS, Geppert JJ, Davies SM, et al. A national profile of patient safety in U.S. hospitals. Health Aff
(Millwood). 2003;22(2):154-66.
https://psnet.ahrq.gov/issue/national-profile-patient-safety-us-hospitals
This AHRQ-supported study us…
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psnet.ahrq.gov/node/46430/psn-pdf
September 27, 2017 - Can residents detect errors in technique while observing
central line insertions?
September 27, 2017
Pei K, Merola J, Davis KA, et al. Can residents detect errors in technique while observing central line
insertions? Am J Surg. 2017;213(6):1166-1170.e1. doi:10.1016/j.amjsurg.2016.08.026.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/35154/psn-pdf
January 02, 2017 - Ambulatory care visits for treating adverse drug effects in
the United States, 1995-2001.
January 2, 2017
Zhan C, Arispe IE, Kelley E, et al. Ambulatory Care Visits for Treating Adverse Drug Effects in the United
States, 1995–2001. The Joint Commission Journal on Quality and Patient Safety. 2016;31(7).
doi:10.1016…
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psnet.ahrq.gov/node/34779/psn-pdf
December 21, 2014 - Measuring and managing quality of surgery. Statistical vs
incidental approaches.
December 21, 2014
McGuire HH, Horsley JS, Salter DR, et al. Measuring and managing quality of surgery. Statistical vs
incidental approaches. Arch Surg. 1992;127(6):733-7; discussion 738.
https://psnet.ahrq.gov/issue/measuring-and-mana…
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psnet.ahrq.gov/node/45886/psn-pdf
July 05, 2017 - Organizational perspectives of nurse executives in 15
hospitals on the impact and effectiveness of rapid
response teams.
July 5, 2017
Smith PL, McSweeney J. Organizational Perspectives of Nurse Executives in 15 Hospitals on the Impact
and Effectiveness of Rapid Response Teams. Jt Comm J Qual Patient Saf. 2017;43(6…
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psnet.ahrq.gov/node/44759/psn-pdf
March 02, 2016 - Using the medication error prioritization system to
improve patient safety.
March 2, 2016
Polnariev A. Using the Medication Error Prioritization System To Improve Patient Safety. P T.
2016;41(1):54-9.
https://psnet.ahrq.gov/issue/using-medication-error-prioritization-system-improve-patient-safety
The use of incid…
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psnet.ahrq.gov/node/45716/psn-pdf
September 29, 2017 - Microanalysis of video from the operating room: an
underused approach to patient safety research.
September 29, 2017
Bezemer J, Cope A, Korkiakangas T, et al. Microanalysis of video from the operating room: an underused
approach to patient safety research. BMJ Qual Saf. 2017;26(7):583-587. doi:10.1136/bmjqs-2016-00…
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psnet.ahrq.gov/node/851928/psn-pdf
August 02, 2023 - Patient Experience as a Source for Understanding the
Origins, Impact, and Remediation of Diagnostic Errors.
August 2, 2023
Schlesinger M, Grob R, Gleason K, et al. Rockville, MD: Agency for Healthcare Research and Quality; July
2023.
https://psnet.ahrq.gov/issue/patient-experience-source-understanding-origins-impa…
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psnet.ahrq.gov/node/50862/psn-pdf
February 05, 2020 - Assessment of nursing home reporting of major injury
falls for quality measurement on Nursing Home Compare.
February 5, 2020
Sanghavi P, Pan S, Caudry D. Assessment of nursing home reporting of major injury falls for quality
measurement on nursing home compare. Health Serv Res. 2020;55(2):201-210. doi:10.1111/1475-…
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psnet.ahrq.gov/node/841566/psn-pdf
December 14, 2022 - earlier shows that there is still a great deal of harm occurring but that a lot of the
harm was not captured … If you got your immunization at a
local pharmacy, that will not necessarily be captured in the EMR where
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psnet.ahrq.gov/node/35207/psn-pdf
December 19, 2009 - Patient safety concerns arising from test results that
return after hospital discharge.
December 19, 2009
Roy CL, Poon EG, Karson A, et al. Patient safety concerns arising from test results that return after hospital
discharge. Ann Intern Med. 2005;143(2):121-128.
https://psnet.ahrq.gov/issue/patient-safety-concer…
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psnet.ahrq.gov/node/34989/psn-pdf
February 24, 2011 - Laboratory safety monitoring of chronic medications in
ambulatory care settings.
February 24, 2011
Hurley JS, Roberts M, Solberg LI, et al. Brief report: Laboratory safety monitoring of chronic medications in
ambulatory care settings. J Gen Intern Med. 2005;20(4). doi:10.1111/j.1525-1497.2005.40182.x.
https://psne…
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psnet.ahrq.gov/node/35645/psn-pdf
February 24, 2011 - Voluntary electronic reporting of medical errors and
adverse events.
February 24, 2011
Milch CE, Salem D, Pauker SG, et al. Voluntary electronic reporting of medical errors and adverse events.
An analysis of 92,547 reports from 26 acute care hospitals. J Gen Intern Med. 2006;21(2):165-70.
https://psnet.ahrq.gov/is…
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psnet.ahrq.gov/node/47563/psn-pdf
November 28, 2018 - Does Nursing Home Compare reflect patient safety in
nursing homes?
November 28, 2018
Brauner D, Werner RM, Shippee TP, et al. Does Nursing Home Compare Reflect Patient Safety In Nursing
Homes? Health Aff (Millwood). 2018;37(11):1770-1778. doi:10.1377/hlthaff.2018.0721.
https://psnet.ahrq.gov/issue/does-nursing-hom…
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psnet.ahrq.gov/node/46525/psn-pdf
October 25, 2017 - Progress in interoperability: measuring US hospitals'
engagement in sharing patient data.
October 25, 2017
Holmgren J, Patel V, Adler-Milstein J. Progress in interoperability: measuring US hospitals' engagement in
sharing patient data. Health Aff (Millwood). 2017;36(10):1820-1827. doi:10.1377/hlthaff.2017.0546.
ht…
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psnet.ahrq.gov/node/34807/psn-pdf
January 01, 2019 - The Quality in Australian Health Care Study.
November 18, 2015
Wilson RML, Runciman WB, Gibberd RW, et al. The Quality in Australian Health Care Study. Med J Aust.
2019;163(9):458-471. doi:10.5694/j.1326-5377.1995.tb124691.x.
https://psnet.ahrq.gov/issue/quality-australian-health-care-study
In order to estimate pa…
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psnet.ahrq.gov/node/45718/psn-pdf
August 03, 2017 - PReSaFe: A model of barriers and facilitators to patients
providing feedback on experiences of safety.
August 3, 2017
De Brún A, Heavey E, Waring J, et al. PReSaFe: A model of barriers and facilitators to patients providing
feedback on experiences of safety. Health Expect. 2017;20(4):771-778. doi:10.1111/hex.12516.…