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psnet.ahrq.gov/node/40726/psn-pdf
July 03, 2014 - Automated identification of postoperative complications
within an electronic medical record using natural
language processing.
July 3, 2014
Murff HJ, FitzHenry F, Matheny ME, et al. Automated identification of postoperative complications within an
electronic medical record using natural language processing. JAMA. …
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psnet.ahrq.gov/node/45380/psn-pdf
November 11, 2016 - Innovative patient safety curriculum using iPad game
(PASSED) improved patient safety concepts in
undergraduate medical students.
November 11, 2016
Kow AWC, Ang BLS, Chong CS, et al. Innovative Patient Safety Curriculum Using iPAD Game (PASSED)
Improved Patient Safety Concepts in Undergraduate Medical Students. Wo…
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psnet.ahrq.gov/node/847717/psn-pdf
April 19, 2023 - Quality improvement initiative to decrease central line-
associated bloodstream infections during the COVID-19
pandemic: a "zero harm" approach.
April 19, 2023
Redstone CS, Zadeh M, Wilson M-A, et al. Quality improvement initiative to decrease central line-
associated bloodstream infections during the COVID-19 pan…
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psnet.ahrq.gov/node/42067/psn-pdf
March 18, 2013 - Methodological variations and their effects on reported
medication administration error rates.
March 18, 2013
McLeod MC, Barber N, Franklin BD. Methodological variations and their effects on reported medication
administration error rates. BMJ Qual Saf. 2013;22(4):278-89. doi:10.1136/bmjqs-2012-001330.
https://psne…
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psnet.ahrq.gov/node/38145/psn-pdf
March 04, 2011 - Validity of selected AHRQ Patient Safety Indicators based
on VA National Surgical Quality Improvement program
data.
March 4, 2011
Romano PS, Mull HJ, Rivard PE, et al. Validity of selected AHRQ patient safety indicators based on VA
National Surgical Quality Improvement Program data. Health Serv Res. 2009;44(1):182…
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psnet.ahrq.gov/node/38229/psn-pdf
November 18, 2016 - SQUIRE 2.0 (Standards for QUality Improvement
Reporting Excellence): revised publication guidelines
from a detailed consensus process.
November 18, 2016
Ogrinc G, Davies L, Goodman D, et al. SQUIRE 2.0 (Standards for QUality Improvement Reporting
Excellence): revised publication guidelines from a detailed consensu…
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psnet.ahrq.gov/node/39583/psn-pdf
October 30, 2010 - The harm susceptibility model: a method to prioritise
risks identified in patient safety reporting systems.
October 30, 2010
Pham JC, Colantuoni E, Dominici F, et al. The harm susceptibility model: a method to prioritise risks
identified in patient safety reporting systems. Qual Saf Health Care. 2010;19(5):440-5.
…
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psnet.ahrq.gov/node/46343/psn-pdf
March 21, 2018 - Outpatient CPOE orders discontinued due to 'erroneous
entry': prospective survey of prescribers' explanations for
errors.
March 21, 2018
Hickman T-TT, Quist AJL, Salazar A, et al. Outpatient CPOE orders discontinued due to 'erroneous entry':
prospective survey of prescribers' explanations for errors. BMJ Qual Saf.…
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psnet.ahrq.gov/node/45905/psn-pdf
December 22, 2017 - Safe practice recommendations for the use of copy-
forward with nursing flow sheets in hospital settings.
December 22, 2017
Patterson ES, Sillars DM, Staggers N, et al. Safe Practice Recommendations for the Use of Copy-Forward
with Nursing Flow Sheets in Hospital Settings. Jt Comm J Qual Patient Saf. 2017;43(8):375…
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psnet.ahrq.gov/node/39139/psn-pdf
June 02, 2010 - Assessing resident safety culture in nursing homes:
using the nursing home survey on resident safety.
June 2, 2010
Castle NG, Wagner LM, Perera S, et al. Assessing Resident Safety Culture in Nursing Homes. J Patient
Saf. 2010;64(2):59-67. doi:10.1097/pts.0b013e3181bc05fc.
https://psnet.ahrq.gov/issue/assessing-res…
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psnet.ahrq.gov/node/43157/psn-pdf
May 07, 2014 - Governing board, C-suite, and clinical management
perceptions of quality and safety structures, processes,
and priorities in US hospitals.
May 7, 2014
Vaughn T, Koepke M, Levey S, et al. Governing board, C-suite, and clinical management perceptions of
quality and safety structures, processes, and priorities in U.S…
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psnet.ahrq.gov/node/43280/psn-pdf
November 30, 2016 - Medical Office Survey on Patient Safety Culture: 2014
User Comparative Database Report.
November 30, 2016
Sorra J, Famolaro T, Yount ND, et al. Rockville, MD: Agency for Healthcare Research and Quality; June
2014. Report No. 14-0032-EF.
https://psnet.ahrq.gov/issue/medical-office-survey-patient-safety-culture-2014…
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psnet.ahrq.gov/node/45543/psn-pdf
February 17, 2017 - Deriving ICD-10 codes for patient safety indicators for
large-scale surveillance using administrative hospital
data.
February 17, 2017
Southern DA, Burnand B, Droesler SE, et al. Deriving ICD-10 Codes for Patient Safety Indicators for Large-
scale Surveillance Using Administrative Hospital Data. Med Care. 2017;55(…
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psnet.ahrq.gov/node/42081/psn-pdf
April 09, 2013 - Types and origins of diagnostic errors in primary care
settings.
April 9, 2013
Singh H, Giardina TD, Meyer AND, et al. Types and origins of diagnostic errors in primary care settings.
JAMA Intern Med. 2013;173(6):418-425. doi:10.1001/jamainternmed.2013.2777.
https://psnet.ahrq.gov/issue/types-and-origins-diagnosti…
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psnet.ahrq.gov/node/46723/psn-pdf
April 12, 2019 - Diagnostic assessment of deep learning algorithms for
detection of lymph node metastases in women with
breast cancer.
April 12, 2019
Bejnordi BE, Veta M, van Diest PJ, et al. Diagnostic Assessment of Deep Learning Algorithms for Detection
of Lymph Node Metastases in Women With Breast Cancer. JAMA. 2017;318(22):219…
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psnet.ahrq.gov/node/45208/psn-pdf
April 22, 2017 - Cognitive tests predict real-world errors: the relationship
between drug name confusion rates in laboratory-based
memory and perception tests and corresponding error
rates in large pharmacy chains.
April 22, 2017
Schroeder SR, Salomon MM, Galanter W, et al. Cognitive tests predict real-world errors: the relationsh…
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psnet.ahrq.gov/node/40785/psn-pdf
May 04, 2012 - A framework for evaluating the appropriateness of clinical
decision support alerts and responses.
May 4, 2012
McCoy AB, Waitman LR, Lewis JB, et al. A framework for evaluating the appropriateness of clinical
decision support alerts and responses. J Am Med Inform Assoc. 2012;19(3):346-52. doi:10.1136/amiajnl-
2011-…
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psnet.ahrq.gov/node/47136/psn-pdf
July 02, 2019 - Adherence to recommended electronic health record
safety practices across eight health care organizations.
July 2, 2019
Sittig DF, Salimi M, Aiyagari R, et al. Adherence to recommended electronic health record safety practices
across eight health care organizations. J Am Med Inform Assoc. 2018;25(7):913-918.
doi:1…
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psnet.ahrq.gov/node/42788/psn-pdf
January 19, 2014 - Demonstrating high reliability on accountability measures
at The Johns Hopkins Hospital.
January 19, 2014
Pronovost P, Demski R, Callender T, et al. Demonstrating high reliability on accountability measures at the
Johns Hopkins Hospital. Jt Comm J Qual Patient Saf. 2013;39(12):531-544.
https://psnet.ahrq.gov/issue…
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psnet.ahrq.gov/node/40619/psn-pdf
October 06, 2016 - Sustaining and spreading the reduction of adverse drug
events in a multicenter collaborative.
October 6, 2016
Tham E, Calmes HM, Poppy A, et al. Sustaining and spreading the reduction of adverse drug events in a
multicenter collaborative. Pediatrics. 2011;128(2):e438-45. doi:10.1542/peds.2010-3772.
https://psnet.a…