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psnet.ahrq.gov/node/73980/psn-pdf
October 20, 2021 - Descriptive analysis of patient misidentification from
incident report system data in a large academic hospital
federation.
October 20, 2021
Abraham P, Augey L, Duclos A, et al. Descriptive analysis of patient misidentification from incident report
system data in a large academic hospital federation. J Patient Saf…
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psnet.ahrq.gov/training-catalog/ihi-patient-safety-and-quality-emerging-leaders
March 03, 2025 - Organization
Institute for Healthcare Improvement (IHI)
Event Description
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psnet.ahrq.gov/node/34855/psn-pdf
March 07, 2005 - March 7, 2005
https://psnet.ahrq.gov/issue/pharmacists-play-key-role-patient-safety
Description of
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psnet.ahrq.gov/issue/identifying-risks-areas-related-medication-administrations-text-mining-analysis-using-free
December 18, 2019 - Study
Identifying risks areas related to medication administrations - text mining analysis using free-text descriptions of incident reports.
Citation Text:
Härkänen M, Paananen J, Murrells T, et al. Identifying risks areas related to medication administrations - text mining analysis usin…
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psnet.ahrq.gov/node/867077/psn-pdf
November 20, 2023 - realist-synthesis-interprofessional-patient-safety-activities-and-healthcare-student
https://psnet.ahrq.gov/issue/description-and-evaluation-interprofessional-patient-safety-course-health-professions-and
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psnet.ahrq.gov/node/852448/psn-pdf
January 01, 2024 - realist-synthesis-interprofessional-patient-safety-activities-and-healthcare-student
https://psnet.ahrq.gov/issue/description-and-evaluation-interprofessional-patient-safety-course-health-professions-and
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psnet.ahrq.gov/issue/model-increasing-patient-safety-intensive-care-unit-increasing-implementation-rates-proven
September 23, 2020 - The authors provide a detailed description of their efforts that achieved near 100% target goals and
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psnet.ahrq.gov/node/849329/psn-pdf
May 24, 2023 - Interorganizational health information exchange-related
patient safety incidents: a descriptive register-based
qualitative study.
May 24, 2023
Hyvämäki P, Sneck S, Meriläinen M, et al. Interorganizational health information exchange-related patient
safety incidents: a descriptive register-based qualitative study. …
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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/node/45015/psn-pdf
July 18, 2016 - Interhospital transfer handoff practices among US tertiary
care centers: a descriptive survey.
July 18, 2016
Herrigel DJ, Carroll M, Fanning C, et al. Interhospital transfer handoff practices among US tertiary care
centers: A descriptive survey. J Hosp Med. 2016;11(6):413-7. doi:10.1002/jhm.2577.
https://psnet.ahr…
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psnet.ahrq.gov/issue/unintentionally-retained-guidewires-descriptive-study-73-sentinel-events
April 27, 2019 - Study
Unintentionally retained guidewires: a descriptive study of 73 sentinel events.
Citation Text:
Steelman VM, Thenuwara K, Shaw C, et al. Unintentionally Retained Guidewires: A Descriptive Study of 73 Sentinel Events. Jt Comm J Qual Saf. 2019;45(2):81-90. doi:10.1016/j.jcjq.2018.08.0…
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psnet.ahrq.gov/node/852282/psn-pdf
August 09, 2023 - medication-reconciliation
https://psnet.ahrq.gov/issue/obtaining-best-possible-medication-history-hospital-admission-description-pharmacy-technician
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psnet.ahrq.gov/node/836721/psn-pdf
March 09, 2022 - medication-reconciliation
https://psnet.ahrq.gov/issue/obtaining-best-possible-medication-history-hospital-admission-description-pharmacy-technician
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psnet.ahrq.gov/node/44311/psn-pdf
May 19, 2019 - patient-safety-rounds-pilot-program-clinics-affiliated-large-research-and-education
https://psnet.ahrq.gov/issue/patient-safety-rounds-description-inexpensive-important-strategy-improve-safety-culture
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psnet.ahrq.gov/node/47299/psn-pdf
March 20, 2019 - Unintentionally retained guidewires: a descriptive study
of 73 sentinel events.
March 20, 2019
Steelman VM, Thenuwara K, Shaw C, et al. Unintentionally Retained Guidewires: A Descriptive Study of 73
Sentinel Events. Jt Comm J Qual Saf. 2019;45(2):81-90. doi:10.1016/j.jcjq.2018.08.003.
https://psnet.ahrq.gov/issue/…
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psnet.ahrq.gov/node/50652/psn-pdf
January 01, 2020 - Preventable adverse drug events: descriptive
epidemiology.
November 13, 2019
Woo SA, Cragg A, Wickham ME, et al. Preventable adverse drug events: Descriptive epidemiology. Br J
Clin Pharmacol. 2020;86(2):291-302. doi:10.1111/bcp.14139.
https://psnet.ahrq.gov/issue/preventable-adverse-drug-events-descriptive-epidem…
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psnet.ahrq.gov/issue/unintentionally-retained-foreign-objects-descriptive-study-308-sentinel-events-and
March 20, 2019 - Study
Emerging Classic
Unintentionally retained foreign objects: a descriptive study of 308 sentinel events and contributing factors.
Citation Text:
Steelman VM, Shaw C, Shine L, et al. Unintentionally Retained Foreign Objects: A Descriptive Study of 308 Sentine…
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psnet.ahrq.gov/node/35725/psn-pdf
July 14, 2010 - Characteristics of medication errors made by students
during the administration phase: a descriptive study.
July 14, 2010
Wolf ZR, Hicks RW, Serembus JF. Characteristics of medication errors made by students during the
administration phase: a descriptive study. J Prof Nurs. 2006;22(1):39-51.
https://psnet.ahrq.gov…
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psnet.ahrq.gov/node/841150/psn-pdf
December 07, 2022 - quality-improvement
https://psnet.ahrq.gov/issue/chief-resident-quality-improvement-and-patient-safety-description
-
psnet.ahrq.gov/node/74060/psn-pdf
November 10, 2021 - medication-reconciliation
https://psnet.ahrq.gov/issue/obtaining-best-possible-medication-history-hospital-admission-description-pharmacy-technician