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psnet.ahrq.gov/issue/liquid-medication-errors-and-dosing-tools-randomized-controlled-experiment
December 21, 2017 - About 84% of parents made at least one dosing error, and 21% made at least one large error, defined as
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psnet.ahrq.gov/node/41489/psn-pdf
October 12, 2012 - Defining patient safety in hospice: principles to guide
measurement and public reporting.
October 12, 2012
Casarett D, Spence C, Clark MA, et al. Defining patient safety in hospice: principles to guide measurement
and public reporting. J Palliat Med. 2012;15(10):1120-3. doi:10.1089/jpm.2011.0530.
https://psnet.ahr…
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psnet.ahrq.gov/node/853619/psn-pdf
September 20, 2023 - Defining speaking up in the healthcare system: a
systematic review.
September 20, 2023
Kane J, Munn L, Kane SF, et al. Defining speaking up in the healthcare system: a systematic review. J Gen
Intern Med. 2023;38(15):3406-3413. doi:10.1007/s11606-023-08322-0.
https://psnet.ahrq.gov/issue/defining-speaking-healthca…
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psnet.ahrq.gov/node/38301/psn-pdf
February 15, 2011 - Defining the incidence of cardiorespiratory instability in
patients in step-down units using an electronic integrated
monitoring system.
February 15, 2011
Hravnak M, Edwards L, Clontz A, et al. Defining the incidence of cardiorespiratory instability in patients in
step-down units using an electronic integrated mon…
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psnet.ahrq.gov/node/45520/psn-pdf
October 05, 2016 - Defining excellence: next steps for practicing clinicians
seeking to prevent diagnostic error.
October 5, 2016
Foster PN, Klein JR. Defining excellence: next steps for practicing clinicians seeking to prevent diagnostic
error. J Community Hosp Intern Med Perspect. 2016;6(4):31994. doi:10.3402/jchimp.v6.31994.
http…
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psnet.ahrq.gov/node/39621/psn-pdf
June 23, 2010 - Defining near misses: towards a sharpened definition
based on empirical data about error handling processes.
June 23, 2010
Kessels-Habraken M, Van der Schaaf T, De Jonge J, et al. Defining near misses: towards a sharpened
definition based on empirical data about error handling processes. Soc Sci Med. 2010;70(9):130…
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psnet.ahrq.gov/node/42964/psn-pdf
May 10, 2014 - What is learning? A review of the safety literature to
define learning from incidents, accidents and disasters.
May 10, 2014
Drupsteen L, Guldenmund FW. What Is Learning? A Review of the Safety Literature to Define Learning
from Incidents, Accidents and Disasters. J Contingencies Crisis Manage. 2014;22(2):81-96.
d…
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psnet.ahrq.gov/issue/defining-high-quality-and-effective-morbidity-and-mortality-conference-systematic-review
September 30, 2012 - Review
Defining a high-quality and effective morbidity and mortality conference: a systematic review.
Citation Text:
Beaulieu-Jones BR, Wilson S, Howard DS, et al. Defining a high-quality and effective morbidity and mortality conference: a systematic review. JAMA Surg. 2023;158(12):1336-…
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psnet.ahrq.gov/issue/patterns-potential-opioid-misuse-and-subsequent-adverse-outcomes-medicare-2008-2012
June 30, 2021 - Researchers defined six possible indicators of opioid misuse (e.g., obtaining opioids from more than
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psnet.ahrq.gov/node/46163/psn-pdf
December 06, 2017 - Defining the critical role of nurses in diagnostic error
prevention: a conceptual framework and a call to action.
December 6, 2017
Gleason KT, Davidson PM, Tanner EK, et al. Defining the critical role of nurses in diagnostic error
prevention: a conceptual framework and a call to action. Diagnosis (Berl). 2017;4(4):…
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psnet.ahrq.gov/node/47403/psn-pdf
November 07, 2018 - Defining minimum necessary anticoagulation-related
communication at discharge: Consensus of the Care
Transitions Task Force of the New York State
Anticoagulation Coalition.
November 7, 2018
Triller D, Myrka A, Gassler J, et al. Defining Minimum Necessary Anticoagulation-Related Communication
at Discharge: Consens…
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psnet.ahrq.gov/node/36185/psn-pdf
March 28, 2011 - Defining the technical skills of teamwork in surgery.
March 28, 2011
Healey A, Undre S, Vincent C. Defining the technical skills of teamwork in surgery. Qual Saf Health Care.
2006;15(4):231-4.
https://psnet.ahrq.gov/issue/defining-technical-skills-teamwork-surgery
The authors discuss a strategy for incorporating t…
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psnet.ahrq.gov/issue/association-2011-acgme-resident-duty-hour-reforms-mortality-and-readmissions-among
November 26, 2014 - The authors examined how hospital teaching status, which they defined using resident-to-bed ratio, affected
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psnet.ahrq.gov/node/35799/psn-pdf
March 29, 2006 - The ethics and practical importance of defining,
distinguishing and disclosing nursing errors: a
discussion paper.
March 29, 2006
Johnstone MJ; Kanitsaki O.
https://psnet.ahrq.gov/issue/ethics-and-practical-importance-defining-distinguishing-and-disclosing-nursing-
errors
The authors provide a definition of "nur…
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psnet.ahrq.gov/node/42561/psn-pdf
October 09, 2013 - Defining technical errors in laparoscopic surgery: a
systematic review.
October 9, 2013
Bonrath EM, Dedy NJ, Zevin B, et al. Defining technical errors in laparoscopic surgery: a systematic
review. Surg Endosc. 2013;27(8):2678-91. doi:10.1007/s00464-013-2827-5.
https://psnet.ahrq.gov/issue/defining-technical-errors…
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psnet.ahrq.gov/issue/multidisciplinary-approach-reduce-central-line-associated-bloodstream-infections
November 16, 2022 - Using defined best practices can reduce rates of central line–associated bloodstream infections (
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psnet.ahrq.gov/issue/uncertain-diagnoses-childrens-hospital-patient-characteristics-and-outcomes
March 17, 2021 - healthcare utilization among pediatric patients prospectively identified as having an ‘uncertain diagnosis’ (defined
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psnet.ahrq.gov/issue/patient-outcomes-after-introduction-statewide-icu-nurse-staffing-regulations
June 19, 2019 - challenges of measuring and promoting appropriate nursing care, which authors argue cannot be simply defined
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psnet.ahrq.gov/node/60174/psn-pdf
March 30, 2020 - For the purposes of
this report, PSPs are defined as “discrete and clearly recognizable structures or … The
harm-specific PSPs provide users with a defined patient safety challenge, a thoroughly researched
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psnet.ahrq.gov/node/41226/psn-pdf
April 22, 2012 - Defining impact of a rapid response team: qualitative
study with nurses, physicians and hospital
administrators.
April 22, 2012
Benin AL, Borgstrom CP, Jenq GY, et al. Defining impact of a rapid response team: qualitative study with
nurses, physicians and hospital administrators. BMJ Qual Saf. 2012;21(5):391-8. do…