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psnet.ahrq.gov/web-mm/hemolysis-holdup
July 03, 2016 - Hemolysis Holdup
Citation Text:
Lehman CM. Hemolysis Holdup. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017.
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psnet.ahrq.gov/node/33638/psn-pdf
August 01, 2006 - Getting Into Patient Safety: A Personal Story
August 1, 2006
Cooper JB. Getting Into Patient Safety: A Personal Story. PSNet [internet]. 2006.
https://psnet.ahrq.gov/perspective/getting-patient-safety-personal-story
Perspective
My journey into patient safety began in 1972. It was born of serendipity enabled by the…
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psnet.ahrq.gov/node/850362/psn-pdf
June 14, 2023 - Home Medications Contribute to a Unique Opportunity for
Error on Discharge from the Hospital
June 14, 2023
Agrawal G, Nguyen DM. Home Medications Contribute to a Unique Opportunity for Error on Discharge from
the Hospital. PSNet [internet]. 2023.
https://psnet.ahrq.gov/web-mm/home-medications-contribute-unique-opp…
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psnet.ahrq.gov/issue/tele-rapid-response-team-tele-rrt-effect-implementing-patient-safety-network-system-outcomes
March 24, 2021 - Study
Tele-Rapid Response Team (Tele-RRT): the effect of implementing patient safety network system on outcomes of medical patients- a before and after cohort study.
Citation Text:
Balshi AN, Al-Odat MA, Alharthy AM, et al. Tele-Rapid Response Team (Tele-RRT): The effect of implementing …
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psnet.ahrq.gov/issue/temporal-trends-rates-patient-harm-resulting-medical-care
April 04, 2011 - Study
Classic
Temporal trends in rates of patient harm resulting from medical care.
Citation Text:
Landrigan CP, Parry G, Bones CB, et al. Temporal trends in rates of patient harm resulting from medical care. N Engl J Med. 2010;363(22):2124-34. doi:10.1056/NEJ…
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psnet.ahrq.gov/issue/effect-structured-medication-review-followed-face-face-feedback-prescribers-adverse-drug
January 18, 2013 - Study
The effect of structured medication review followed by face-to-face feedback to prescribers on adverse drug events recognition and prevention in older inpatients - a multicenter interrupted time series study.
Citation Text:
Klopotowska JE, Kuks PFM, Wierenga PC, et al. The effect o…
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psnet.ahrq.gov/issue/defining-identifying-and-addressing-problematic-polypharmacy-within-multimorbidity-primary
July 22, 2015 - Review
Defining, identifying and addressing problematic polypharmacy within multimorbidity in primary care: a scoping review.
Citation Text:
Tsang JY, Sperrin M, Blakeman T, et al. Defining, identifying and addressing problematic polypharmacy within multimorbidity in primary care: a scop…
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psnet.ahrq.gov/issue/use-computerized-physician-order-entry-clinical-decision-support-prevent-dose-errors
June 05, 2024 - Review
Use of computerized physician order entry with clinical decision support to prevent dose errors in pediatric medication orders: a systematic review.
Citation Text:
Ruutiainen H, Holmström A-R, Kunnola E, et al. Use of computerized physician order entry with clinical decision suppo…
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psnet.ahrq.gov/issue/observational-evidence-prevalence-and-association-polypharmacy-and-drug-administration-errors
August 11, 2021 - Study
Observational evidence of the prevalence and association of polypharmacy and drug administration errors in hospitalized adult patients.
Citation Text:
Savva G, Papastavrou E, Charalambous A, et al. Observational evidence of the prevalence and association of polypharmacy and drug ad…
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psnet.ahrq.gov/issue/vital-signs-maternity-care-experiences-united-states-april-2023
July 19, 2023 - Study
Vital signs: maternity care experiences — United States, April 2023.
Citation Text:
Mohamoud YA, Cassidy E, Fuchs E, et al. Vital Signs: Maternity Care Experiences — United States, April 2023. MMWR Morb Mortal Wkly Rep. 2023;72(35):961–967. doi:10.15585/mmwr.mm7235e1.
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psnet.ahrq.gov/issue/vital-signs-epidemiology-sepsis-prevalence-health-care-factors-and-opportunities-prevention
September 23, 2020 - Study
Vital signs: epidemiology of sepsis: prevalence of health care factors and opportunities for prevention.
Citation Text:
Novosad SA, Sapiano MRP, Grigg C, et al. Vital Signs: Epidemiology of Sepsis: Prevalence of Health Care Factors and Opportunities for Prevention. MMWR Morb Mortal…
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psnet.ahrq.gov/issue/does-suggested-diagnosis-general-practitioners-referral-question-impact-diagnostic-reasoning
September 14, 2022 - Study
Does a suggested diagnosis in a general practitioners' referral question impact diagnostic reasoning: an experimental study.
Citation Text:
Staal J, Speelman M, Brand R, et al. Does a suggested diagnosis in a general practitioners’ referral question impact diagnostic reasoning: an …
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psnet.ahrq.gov/issue/green-cross-method-postanaesthesia-care-unit-qualitative-study-healthcare-professionals
September 04, 2024 - Study
Green Cross method in a postanaesthesia care unit: a qualitative study of the healthcare professionals' experiences after 3 years, including the COVID-19 pandemic period.
Citation Text:
Birkeli GH, Ballangrud R, Jacobsen HK, et al. Green Cross method in a postanaesthesia care unit:…
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psnet.ahrq.gov/issue/fda-alerts-patients-and-health-care-professionals-epipen-auto-injector-errors-related-device
April 07, 2019 - Press Release/Announcement
FDA alerts patients and health care professionals of EpiPen auto-injector errors related to device malfunctions and user administration.
Citation Text:
FDA alerts patients and health care professionals of EpiPen auto-injector errors related to device malfunctio…
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psnet.ahrq.gov/issue/breast-cancer-screening-denmark-cohort-study-tumor-size-and-overdiagnosis
July 10, 2018 - Study
Classic
Breast cancer screening in Denmark: a cohort study of tumor size and overdiagnosis.
Citation Text:
Jørgensen KJ, Gøtzsche PC, Kalager M, et al. Breast Cancer Screening in Denmark: A Cohort Study of Tumor Size and Overdiagnosis. Ann Intern Med. 2017…
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psnet.ahrq.gov/issue/i-pass-illness-diversity-identifies-patients-risk-overnight-clinical-deterioration
November 16, 2022 - Study
I-PASS illness diversity identifies patients at risk for overnight clinical deterioration.
Citation Text:
Shah C, Sanber K, Jacobson R, et al. I-PASS illness diversity identifies patients at risk for overnight clinical deterioration. J Grad Med Educ. 2020;12(5):578-582. doi:10.4300…
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psnet.ahrq.gov/issue/comparative-accuracy-diagnosis-collective-intelligence-multiple-physicians-vs-individual
January 23, 2017 - Study
Emerging Classic
Comparative accuracy of diagnosis by collective intelligence of multiple physicians vs individual physicians.
Citation Text:
Barnett ML, Boddupalli D, Nundy S, et al. Comparative Accuracy of Diagnosis by Collective Intelligence of Multiple…
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psnet.ahrq.gov/issue/impact-technological-and-departmental-changes-incident-rates-radiation-oncology-over
February 16, 2022 - Study
Impact of technological and departmental changes on incident rates in radiation oncology over a seventeen-year period.
Citation Text:
Le Cornu E, Murray S, Brown EJ, et al. Impact of technological and departmental changes on incident rates in radiation oncology over a seventeen‐yea…
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psnet.ahrq.gov/issue/medication-errors-during-simulated-paediatric-resuscitations-prospective-observational-human
February 23, 2022 - Study
Medication errors during simulated paediatric resuscitations: a prospective, observational human reliability analysis.
Citation Text:
Appelbaum N, Clarke J, Feather C, et al. Medication errors during simulated paediatric resuscitations: a prospective, observational human reliabilit…
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psnet.ahrq.gov/issue/characteristics-and-unexpected-covid-19-diagnoses-resuscitation-room-patients-during-covid-19
September 02, 2020 - Commentary
Characteristics and unexpected COVID-19 diagnoses in resuscitation room patients during the COVID-19 outbreak - a retrospective case series.
Citation Text:
Bergrath S, Aretz O, Haake H, et al. Characteristics and unexpected COVID-19 diagnoses in resuscitation room patients dur…