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psnet.ahrq.gov/node/37453/psn-pdf
March 03, 2011 - Managing the prevention of retained surgical instruments:
what is the value of counting?
March 3, 2011
Egorova NN, Moskowitz A, Gelijns A, et al. Managing the prevention of retained surgical instruments: what
is the value of counting? Ann Surg. 2008;247(1):13-8.
https://psnet.ahrq.gov/issue/managing-prevention-ret…
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psnet.ahrq.gov/node/867089/psn-pdf
November 06, 2024 - Focused team engagements to enhance interprofessional
collaboration and safety behaviors among novice nurses
and medical residents.
November 6, 2024
Manuel R, Barber A, Kern J, et al. Focused team engagements to enhance interprofessional collaboration
and safety behaviors among novice nurses and medical residents.…
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psnet.ahrq.gov/node/836854/psn-pdf
April 06, 2022 - Medication discrepancy rates and sources upon nursing
home intake: a prospective study.
April 6, 2022
Patterson ME, Bollinger S, Coleman C, et al. Medication discrepancy rates and sources upon nursing
home intake: a prospective study. Res Social Adm Pharm. 2022;18(5):2830-2836.
doi:10.1016/j.sapharm.2021.06.013.
…
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psnet.ahrq.gov/node/47787/psn-pdf
February 20, 2019 - How to be a very safe maternity unit: an ethnographic
study.
February 20, 2019
Liberati EG, Tarrant C, Willars J, et al. How to be a very safe maternity unit: An ethnographic study. Soc
Sci Med. 2019;223:64-72. doi:10.1016/j.socscimed.2019.01.035.
https://psnet.ahrq.gov/issue/how-be-very-safe-maternity-unit-ethnog…
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psnet.ahrq.gov/node/39670/psn-pdf
July 07, 2010 - The Power of Safety: State Reporting Provides Lessons in
Reducing Harm, Improving Care.
July 7, 2010
Washington DC: National Quality Forum; 2010.
https://psnet.ahrq.gov/issue/power-safety-state-reporting-provides-lessons-reducing-harm-improving-care
The landmark Institute of Medicine (IOM) report, To Err Is Human,…
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psnet.ahrq.gov/node/42474/psn-pdf
September 19, 2015 - A new, evidence-based estimate of patient harms
associated with hospital care.
September 19, 2015
James JT. A new, evidence-based estimate of patient harms associated with hospital care. J Patient Saf.
2013;9(3):122-128. doi:10.1097/PTS.0b013e3182948a69.
https://psnet.ahrq.gov/issue/new-evidence-based-estimate-pat…
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psnet.ahrq.gov/node/41572/psn-pdf
October 29, 2012 - Diagnostic errors in the intensive care unit: a systematic
review of autopsy studies.
October 29, 2012
Winters BD, Custer J, Galvagno SM, et al. Diagnostic errors in the intensive care unit: a systematic review
of autopsy studies. BMJ Qual Saf. 2012;21(11):894-902. doi:10.1136/bmjqs-2012-000803.
https://psnet.ahrq…
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psnet.ahrq.gov/node/848815/psn-pdf
May 10, 2023 - Identifying adverse events in patients hospitalized in
isolation or quarantine due to COVID-19.
May 10, 2023
de Arriba Fernández A, Sánchez Medina R, Dorta Hung ME, et al. Identifying adverse events in patients
hospitalized in isolation or quarantine due to COVID-19. J Patient Saf. 2023;19(4):249-250.
doi:10.1097/…
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psnet.ahrq.gov/node/45174/psn-pdf
November 18, 2016 - Patient safety events and harms during medical and
surgical hospitalizations for persons with serious mental
illness.
November 18, 2016
Daumit GL, McGinty EE, Pronovost P, et al. Patient Safety Events and Harms During Medical and Surgical
Hospitalizations for Persons With Serious Mental Illness. Psychiatr Serv. 20…
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psnet.ahrq.gov/node/72825/psn-pdf
March 10, 2021 - The burden of opioid-related adverse drug events on
hospitalized previously opioid-free surgical patients.
March 10, 2021
Urman RD, Seger DL, Fiskio JM, et al. The burden of opioid-related adverse drug events on hospitalized
previously opioid-free surgical patients. J Patient Saf. 2021;17(2):e76-e83.
doi:10.1097/p…
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psnet.ahrq.gov/issue/patient-safety-group
March 27, 2024 - Multi-use Website
The Patient Safety Group.
Save
Save to your library
Print
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August 9, 2006
Development of The Patient Safety Group was motivated by the death of…
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psnet.ahrq.gov/node/42710/psn-pdf
December 29, 2014 - Impact of electronic chemotherapy order forms on
prescribing errors at an urban medical center: results
from an interrupted time-series analysis.
December 29, 2014
Elsaid K, Truong T, Monckeberg M, et al. Impact of electronic chemotherapy order forms on prescribing
errors at an urban medical center: results from a…
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psnet.ahrq.gov/node/39598/psn-pdf
September 20, 2011 - A July spike in fatal medication errors: a possible effect
of new medical residents.
September 20, 2011
Phillips DP, Barker GEC. A July spike in fatal medication errors: a possible effect of new medical residents.
J Gen Intern Med. 2010;25(8):774-9. doi:10.1007/s11606-010-1356-3.
https://psnet.ahrq.gov/issue/july-…
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psnet.ahrq.gov/node/60591/psn-pdf
June 17, 2020 - National trends in the safety performance of electronic
health record systems from 2009 to 2018.
June 17, 2020
Classen DC, Holmgren AJ, Co Z, et al. National trends in the safety performance of electronic health record
systems from 2009 to 2018. JAMA Netw Open. 2020;3(5). doi:10.1001/jamanetworkopen.2020.5547.
htt…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/chronic-pain-opioid-treatment_disposition-comments.pdf
September 29, 2014 - We calculated from the Dunn study almost 2 overdoses per 100
person years, and 1.5 overdose deaths/100 … Deaths and overdoses from chronic opioid use has skyrocketed over the past decade
and now surpasses … The topic of the report is timely given the
epidemic of opioid related deaths in the US. … that involved only
one opioid-more than double the deaths attributed to other drugs in its class. ii … High-risk use by patients prescribed opioids for pain and its role in overdose
deaths.
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hcup-us.ahrq.gov/reports/statbriefs/sb255-Traumatic-Brain-Injury-Hospitalizations-ED-Visits-2017.pdf
January 01, 2017 - Traumatic brain injury–related emergency department visits, hospitalizations, and deaths —
United States … $12,100) and the percentage resulting in in-hospital deaths was 4 times higher (7.9 vs. 1.9 percent
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/017-ss-importance-ssi-mrsa-prevention-fg.docx
April 01, 2025 - Additionally, 77 percent of deaths among patients with SSI are attributable to the SSI.
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psnet.ahrq.gov/node/866618/psn-pdf
December 31, 2024 - A Fatal Twist in Pseudohyperkalemia
December 31, 2024
Devera JL, Barnes DK, Lewis WR. A Fatal Twist in Pseudohyperkalemia. PSNet [internet]. 2024.
https://psnet.ahrq.gov/web-mm/fatal-twist-pseudohyperkalemia
Disclosure of Relevant Financial Relationships: As a provider accredited by the Accreditation Council
for C…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/cad-pci-bypass_surveillance.pdf
May 01, 2013 - CER #9:
Comparative Effectiveness of Percutaneous Coronary
Interventions and Coronary Artery Bypass Grafting
for Coronary Artery Disease
Original release date:
October 2007
Surveillance Report:
May 2013
Key Findings:
- New RCT and cohort studies further delineate which
patients have improved outcome…
-
hcup-us.ahrq.gov/reports/statbriefs/sb19.jsp
May 19, 2016 - Statistical Brief #19
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