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psnet.ahrq.gov/node/38814/psn-pdf
July 29, 2009 - Pediatric vaccination errors: application of the "5 rights"
framework to a national error reporting database.
July 29, 2009
Bundy DG, Shore AD, Morlock L, et al. Pediatric vaccination errors: application of the "5 rights" framework
to a national error reporting database. Vaccine. 2009;27(29):3890-3896.
doi:10.1016…
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psnet.ahrq.gov/node/37909/psn-pdf
February 23, 2009 - Prevalence of adverse drug combinations in a large post-
mortem toxicology database.
February 23, 2009
Launiainen T, Vuori E, Ojanperä I. Prevalence of adverse drug combinations in a large post-mortem
toxicology database. Int J Legal Med. 2009;123(2):109-15. doi:10.1007/s00414-008-0261-3.
https://psnet.ahrq.gov/is…
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psnet.ahrq.gov/issue/action-planning-tool-ahrq-surveys-patient-safety-culture
February 12, 2019 - Toolkit
Action Planning Tool for the AHRQ Surveys on Patient Safety Culture.
Citation Text:
Action Planning Tool for the AHRQ Surveys on Patient Safety Culture. Yount N, Edelman S, Sorra J, et al. Rockville, MD: Agency for Healthcare Research and Quality; November 2022. AHRQ Publication …
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psnet.ahrq.gov/issue/2020-pennsylvania-patient-safety-reporting-analysis-serious-events-and-incidents-nations
July 06, 2022 - Study
2020 Pennsylvania Patient Safety Reporting: an analysis of serious events and incidents from the nation’s largest event reporting database.
Citation Text:
Kepner S, Jones RM. 2020 Pennsylvania Patient Safety Reporting: an analysis of serious events and incidents from the nation’s l…
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psnet.ahrq.gov/node/39948/psn-pdf
December 21, 2014 - Wrong-site and wrong-patient procedures in the Universal
Protocol era: analysis of a prospective database of
physician self-reported occurrences.
December 21, 2014
Stahel PF, Sabel A, Victoroff MS, et al. Wrong-site and wrong-patient procedures in the universal protocol
era: analysis of a prospective database of p…
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psnet.ahrq.gov/issue/preventable-closed-claims-aana-foundation-closed-malpractice-claims-database
March 11, 2020 - Study
Preventable closed claims in the AANA Foundation closed malpractice claims database.
Citation Text:
Kremer MJ, Hirsch M, Geisz-Everson M, et al. Preventable Closed Claims in the AANA Foundation Closed Malpractice Claims Database. AANA J. 2019;87(6).
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psnet.ahrq.gov/node/73197/psn-pdf
April 28, 2021 - Medical Office Survey: 2020 User Database Report.
April 28, 2021
Famolaro T, Hare R, Thornton S, et al. Surveys on Patient Safety CultureTM (SOPSTM). Rockville,
MD: Agency for Healthcare Research and Quality; March 2020. AHRQ Publication No. 20-0034.
https://psnet.ahrq.gov/issue/medical-office-survey-2020-user…
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psnet.ahrq.gov/node/851914/psn-pdf
August 02, 2023 - Insulin pump-associated adverse events: a qualitative
descriptive study of clinical consequences and potential
root causes.
August 2, 2023
Estock JL, Codario RA, Keddem S, et al. Insulin pump-associated adverse events: a qualitative descriptive
study of clinical consequences and potential root causes. Diabetes Tec…
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psnet.ahrq.gov/issue/patient-experience-patient-safety-and-provider-well-being-associations-and-paths-quality
January 10, 2024 - Meeting/Conference Proceedings
Patient Experience, Patient Safety, and Provider Well-Being: Associations and Paths for Quality Improvement.
Citation Text:
Patient Experience, Patient Safety, and Provider Well-Being: Associations and Paths for Quality Improvement. Rockville, MD: Agency fo…
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psnet.ahrq.gov/issue/healthcare-simulation-dictionary-third-edition
January 10, 2024 - Book/Report
Healthcare Simulation Dictionary, Third Edition.
Citation Text:
Healthcare Simulation Dictionary, Third Edition. Lioce L, Lopreiato J, Anderson M, et al, eds and the Terminology and Concepts Working Group. Rockville, MD: Agency for Healthcare Research and Quality; January 202…
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psnet.ahrq.gov/issue/serious-incidents-after-death-content-analysis-incidents-reported-national-database
October 03, 2018 - Study
Serious incidents after death: content analysis of incidents reported to a national database.
Citation Text:
Yardley IE, Carson-Stevens A, Donaldson LJ. Serious incidents after death: content analysis of incidents reported to a national database. J R Soc Med. 2017;111(2):57-64. doi…
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psnet.ahrq.gov/node/46391/psn-pdf
February 08, 2018 - Nature of blame in patient safety incident reports: mixed
methods analysis of a national database.
February 8, 2018
Cooper J, Edwards A, Williams H, et al. Nature of Blame in Patient Safety Incident Reports: Mixed Methods
Analysis of a National Database. Ann Fam Med. 2017;15(5):455-461. doi:10.1370/afm.2123.
https…
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psnet.ahrq.gov/node/45648/psn-pdf
February 01, 2017 - Findings of a naloxone database and its utilization to
improve safety and education in a tertiary care medical
center.
February 1, 2017
Rosenfeld DM, Betcher JA, Shah RA, et al. Findings of a Naloxone Database and its Utilization to Improve
Safety and Education in a Tertiary Care Medical Center. Pain Pract. 2016;1…
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psnet.ahrq.gov/node/36928/psn-pdf
September 09, 2011 - Characteristics of pediatric chemotherapy medication
errors in a national error reporting database.
September 9, 2011
Rinke ML, Shore AD, Morlock L, et al. Characteristics of pediatric chemotherapy medication errors in a
national error reporting database. Cancer. 2007;110(1):186-95.
https://psnet.ahrq.gov/issue/ch…
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psnet.ahrq.gov/issue/pediatric-antidepressant-medication-errors-national-error-reporting-database
September 21, 2008 - Study
Pediatric antidepressant medication errors in a national error reporting database.
Citation Text:
Rinke ML, Bundy DG, Shore AD, et al. Pediatric antidepressant medication errors in a national error reporting database. J Dev Behav Pediatr. 2010;31(2):129-36. doi:10.1097/DBP.0b013e…
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psnet.ahrq.gov/issue/economic-measurement-medical-errors-using-hospital-claims-database
March 03, 2011 - Study
Economic measurement of medical errors using a hospital claims database.
Citation Text:
David G, Gunnarsson CL, Waters HC, et al. Economic measurement of medical errors using a hospital claims database. Value Health. 2013;16(2):305-10. doi:10.1016/j.jval.2012.11.010.
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psnet.ahrq.gov/issue/deaths-following-prehospital-safety-incidents-analysis-national-database
October 03, 2018 - Study
Deaths following prehospital safety incidents: an analysis of a national database.
Citation Text:
Yardley I, Donaldson LJ. Deaths following prehospital safety incidents: an analysis of a national database. Emerg Med J. 2016;33(10):716-721. doi:10.1136/emermed-2015-204724.
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psnet.ahrq.gov/issue/introduction-sts-national-database-series-outcomes-analysis-quality-improvement-and-patient
August 04, 2021 - Commentary
Introduction to the STS National Database Series: outcomes analysis, quality improvement, and patient safety.
Citation Text:
Fernandez FG, Shahian DM, Kormos R, et al. The Society of Thoracic Surgeons National Database 2019 Annual Report. Ann Thorac Surg. 2019;108(6):1625-1632…
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psnet.ahrq.gov/node/38366/psn-pdf
January 28, 2009 - Benchmarking surgical incident reports using a database
and a triage system to reduce adverse outcomes.
January 28, 2009
Antonacci AC, Lam S, Lavarias V, et al. Benchmarking surgical incident reports using a database and a
triage system to reduce adverse outcomes. Arch Surg. 2008;143(12):1192-7.
doi:10.1001/archsu…
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psnet.ahrq.gov/node/39543/psn-pdf
May 19, 2010 - Hospital Survey on Patient Safety Culture: 2010 User
Comparative Database Report.
May 19, 2010
Sorra J, Famolaro T, Dyer N, Nelson D, Khanna K. Rockville, MD: Agency for Healthcare Research and
Quality; March 2010. AHRQ Publication No. 10-0026.
https://psnet.ahrq.gov/issue/hospital-survey-patient-safety-culture-20…