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psnet.ahrq.gov/node/39512/psn-pdf
June 11, 2010 - An intervention to decrease patient identification band
errors in a children's hospital.
June 11, 2010
Hain PD, Joers B, Rush M, et al. An intervention to decrease patient identification band errors in a
children's hospital. Qual Saf Health Care. 2010;19(3):244-7. doi:10.1136/qshc.2008.030288.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/47741/psn-pdf
March 06, 2019 - Association of overlapping surgery with perioperative
outcomes.
March 6, 2019
Sun E, Mello MM, Rishel CA, et al. Association of Overlapping Surgery With Perioperative Outcomes.
JAMA. 2019;321(8):762-772. doi:10.1001/jama.2019.0711.
https://psnet.ahrq.gov/issue/association-overlapping-surgery-perioperative-outcomes…
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psnet.ahrq.gov/node/43626/psn-pdf
November 05, 2014 - Effects of skilled nursing facility structure and process
factors on medication errors during nursing home
admission.
November 5, 2014
Lane SJ, Troyer JL, Dienemann JA, et al. Effects of skilled nursing facility structure and process factors on
medication errors during nursing home admission. Health Care Manag Rev…
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psnet.ahrq.gov/node/45701/psn-pdf
December 21, 2016 - Clinical decision support for drug related events: moving
towards better prevention.
December 21, 2016
Kane-Gill SL, Achanta A, Kellum JA, et al. Clinical decision support for drug related events: Moving towards
better prevention. World J Crit Care Med. 2016;5(4):204-211.
https://psnet.ahrq.gov/issue/clinical-deci…
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psnet.ahrq.gov/node/60354/psn-pdf
January 01, 2021 - Harm prevalence due to medication errors involving high-
alert medications: a systematic review
May 20, 2020
Sodré Alves BMC, de Andrade TNG, Cerqueira Santos S, et al. Harm prevalence due to medication errors
involving high-alert medications: a systematic review. J Patient Saf. 2021;17(1):e1-e9.
doi:10.1097/pts.0…
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psnet.ahrq.gov/node/39293/psn-pdf
June 11, 2010 - Communication and collaboration: it's about the
pharmacists, as well as the physicians and nurses.
June 11, 2010
Holden LM, Watts DD, Walker PH. Communication and collaboration: it's about the pharmacists, as well as
the physicians and nurses. Qual Saf Health Care. 2010;19(3):169-72. doi:10.1136/qshc.2008.026435.
…
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www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/exh3.html
August 01, 2022 - Designing Consumer Reporting Systems for Patient Safety Events
Exhibit 3. Reporting of patient safety events
Previous Page Next Page
Table of Contents
Designing Consumer Reporting Systems for Patient Safety Events
Executive Summary
Chapter 1. Background
Chapter 2. Conceptual Framework and Desi…
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psnet.ahrq.gov/node/45137/psn-pdf
May 18, 2016 - Less is more: a project to reduce the number of PIMs
(potentially inappropriate medications) on an elderly care
ward.
May 18, 2016
Aung TH, Beck AJ, Siese T, et al. Less is more: a project to reduce the number of PIMs (potentially
inappropriate medications) on an elderly care ward. BMJ Qual Improv Rep. 2016;5(1).
…
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psnet.ahrq.gov/node/48017/psn-pdf
January 01, 2020 - The 2018 Gosport Independent Panel report into deaths at
the National Health Service's Gosport War Memorial
Hospital. Does the culture of the medical profession
influence health outcomes?
June 12, 2019
Bennett S. The 2018 Gosport Independent Panel report into deaths at the National Health Service’s
Gosport War Me…
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psnet.ahrq.gov/node/47022/psn-pdf
July 19, 2018 - Thoughtless design of the electronic health record drives
overuse, but purposeful design can nudge improved
patient care.
July 19, 2018
Vaughn VM, Linder JA. Thoughtless design of the electronic health record drives overuse, but purposeful
design can nudge improved patient care. BMJ Qual Saf. 2018;27(8):583-586. d…
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psnet.ahrq.gov/node/44779/psn-pdf
May 20, 2016 - Fifteen years after To Err Is Human: a success story to
learn from.
May 20, 2016
Pronovost P, Cleeman JI, Wright D, et al. Fifteen years after To Err is Human: a success story to learn
from. BMJ Qual Saf. 2016;25(6):396-9. doi:10.1136/bmjqs-2015-004720.
https://psnet.ahrq.gov/issue/fifteen-years-after-err-human-su…
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psnet.ahrq.gov/node/35906/psn-pdf
May 27, 2011 - Error reduction in pediatric chemotherapy: computerized
order entry and failure modes and effects analysis.
May 27, 2011
Kim G, Chen AR, Arceci RJ, et al. Error reduction in pediatric chemotherapy: computerized order entry and
failure modes and effects analysis. Arch Pediatr Adolesc Med. 2006;160(5):495-8.
https:/…
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psnet.ahrq.gov/node/844058/psn-pdf
February 08, 2023 - ISMP updates its list of drug names with tall man (mixed
case) letters based on survey results.
February 8, 2023
ISMP Medication Safety Alert! Acute care edition. January 26, 2023:28(2):1-4.
https://psnet.ahrq.gov/issue/ismp-updates-its-list-drug-names-tall-man-mixed-case-letters-based-survey-
results
Look-a…
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psnet.ahrq.gov/node/44331/psn-pdf
September 09, 2015 - Temporal trends in patient safety in the Netherlands:
reductions in preventable adverse events or the end of
adverse events as a useful metric?
September 9, 2015
Shojania KG, van de Mheen PJM-. Temporal trends in patient safety in the Netherlands: reductions in
preventable adverse events or the end of adverse even…
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psnet.ahrq.gov/node/40291/psn-pdf
September 09, 2011 - Outcomes of emergency department patients presenting
with adverse drug events.
September 9, 2011
Hohl CM, Nosyk B, Kuramoto L, et al. Outcomes of emergency department patients presenting with
adverse drug events. Ann Emerg Med. 2011;58(3):270-279.e4. doi:10.1016/j.annemergmed.2011.01.003.
https://psnet.ahrq.gov/is…
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psnet.ahrq.gov/node/34939/psn-pdf
June 16, 2011 - The effect of executive walk rounds on nurse safety
climate attitudes: a randomized trial of clinical units.
June 16, 2011
Thomas EJ, Sexton B, Neilands TB, et al. The effect of executive walk rounds on nurse safety climate
attitudes: a randomized trial of clinical units[ISRCTN85147255] [corrected]. BMC Health Serv…
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psnet.ahrq.gov/node/46610/psn-pdf
December 06, 2017 - Pragmatic insights on patient safety priorities and
intervention strategies in ambulatory settings.
December 6, 2017
Sarkar U, McDonald KM, Motala A, et al. Pragmatic Insights on Patient Safety Priorities and Intervention
Strategies in Ambulatory Settings. Jt Comm J Qual Patient Saf. 2017;43(12):661-670.
doi:10.10…
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psnet.ahrq.gov/node/843417/psn-pdf
February 01, 2023 - "Do no harm": promoting anti-racist policing in pediatric
emergency departments through 20 practice change
considerations.
February 1, 2023
Wells JM, Walker VP. "Do no harm": promoting anti-racist policing in pediatric emergency departments
through 20 practice change considerations. Health Promot Pract. 2023:15248…
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psnet.ahrq.gov/node/44768/psn-pdf
February 03, 2016 - Recommendations and low-technology safety solutions
following neuromuscular blocking agent incidents.
February 3, 2016
Graudins L, Downey G, Bui T, et al. Recommendations and Low-Technology Safety Solutions Following
Neuromuscular Blocking Agent Incidents. Jt Comm J Qual Patient Saf. 2016;42(2):86-91.
https://psne…
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psnet.ahrq.gov/node/866200/psn-pdf
June 26, 2024 - Does an app a day keep the doctor away? AI symptom
checker applications, entrenched bias, and professional
responsibility.
June 26, 2024
Zawati M'n H, Lang M. Does an app a day keep the doctor away? AI symptom checker applications,
entrenched bias, and professional responsibility. J Med Internet Res. 2024;26:e5034…