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psnet.ahrq.gov/issue/what-can-we-learn-about-patient-safety-information-sources-within-acute-hospital-step-ladder
October 09, 2024 - Study
What can we learn about patient safety from information sources within an acute hospital: a step on the ladder of integrated risk management?
Citation Text:
Hogan H, Olsen S, Scobie S, et al. What can we learn about patient safety from information sources within an acute hospital…
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psnet.ahrq.gov/issue/effects-multimodal-program-including-simulation-job-strain-among-nurses-working-intensive
November 29, 2023 - Study
Effects of a multimodal program including simulation on job strain among nurses working in intensive care units: a randomized clinical trial.
Citation Text:
Khamali RE, Mouaci A, Valera S, et al. Effects of a Multimodal Program Including Simulation on Job Strain Among Nurses Workin…
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psnet.ahrq.gov/issue/opioid-prescribing-patterns-among-medical-providers-united-states-2003-17-retrospective
May 11, 2016 - Study
Opioid prescribing patterns among medical providers in the United States, 2003-17: retrospective, observational study.
Citation Text:
Kiang MV, Humphreys K, Cullen MR, et al. Opioid prescribing patterns among medical providers in the United States, 2003-17: retrospective, observati…
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psnet.ahrq.gov/issue/impact-reengineered-electronic-error-reporting-system-medication-event-reporting-and-care
December 29, 2014 - Study
Impact of a reengineered electronic error-reporting system on medication event reporting and care process improvements at an urban medical center.
Citation Text:
McKaig D, Collins C, Elsaid KA. Impact of a reengineered electronic error-reporting system on medication event reporting…
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psnet.ahrq.gov/issue/teamwork-clinical-leadership-skills-and-environmental-factors-influence-missed-nursing-care
August 04, 2010 - Study
Teamwork, clinical leadership skills and environmental factors that influence missed nursing care - a qualitative study on hospital wards.
Citation Text:
Beiboer C, Andela R, Hafsteinsdóttir TB, et al. Teamwork, clinical leadership skills and environmental factors that influence mi…
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psnet.ahrq.gov/issue/impact-initial-hospital-diagnosis-mortality-acute-myocardial-infarction-national-cohort-study
April 19, 2017 - Study
Impact of initial hospital diagnosis on mortality for acute myocardial infarction: a national cohort study.
Citation Text:
Wu J, Gale CP, Hall M, et al. Editor's Choice - Impact of initial hospital diagnosis on mortality for acute myocardial infarction: A national cohort study. Eur…
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psnet.ahrq.gov/issue/actions-mitigating-negative-effects-patient-participation-patient-safety-qualitative-study
February 01, 2023 - Study
Actions for mitigating the negative effects of patient participation in patient safety: a qualitative study.
Citation Text:
Van der Voorden M, Franx A, Ahaus K. Actions for mitigating the negative effects of patient participation in patient safety: a qualitative study. BMC Health S…
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psnet.ahrq.gov/issue/single-parameter-early-warning-criteria-predict-life-threatening-adverse-events
January 06, 2017 - Study
Single-parameter early warning criteria to predict life-threatening adverse events.
Citation Text:
Rothschild JM, Gandara E, Woolf S, et al. Single-Parameter Early Warning Criteria to Predict Life-Threatening Adverse Events. J Patient Saf. 2010;6(2). doi:10.1097/pts.0b013e3181dcaf…
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psnet.ahrq.gov/issue/incidence-and-preventability-adverse-events-older-acutely-admitted-patients-longitudinal
June 08, 2022 - Study
The incidence and preventability of adverse events in older acutely admitted patients: a longitudinal study with 4292 patient records.
Citation Text:
Schouten B, Merten H, Spreeuwenberg PMM, et al. The incidence and preventability of adverse events in older acutely admitted patient…
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psnet.ahrq.gov/issue/too-many-too-few-or-too-unsafe-impact-inappropriate-prescribing-mortality-and-hospitalization
December 02, 2020 - Study
Too many, too few, or too unsafe? Impact of inappropriate prescribing on mortality, and hospitalization in a cohort of community-dwelling oldest old.
Citation Text:
Wauters M, Elseviers M, Vaes B, et al. Too many, too few, or too unsafe? Impact of inappropriate prescribing on morta…
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psnet.ahrq.gov/issue/systematic-review-prevalence-frequency-and-comparative-value-adverse-events-data-social-media
October 06, 2021 - Review
Systematic review on the prevalence, frequency and comparative value of adverse events data in social media.
Citation Text:
Golder S, Norman G, Loke YK. Systematic review on the prevalence, frequency and comparative value of adverse events data in social media. Br J Clin Pharmacol…
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psnet.ahrq.gov/issue/identifying-barriers-and-enablers-robust-independent-second-check-medication-adult-intensive
March 09, 2016 - Study
Identifying barriers and enablers for a robust independent second check of medication in adult intensive care.
Citation Text:
Milic V, Cameron L, Jones C. Identifying barriers and enablers for a robust independent second check of medication in adult intensive care. Br J Nurs. 2023;…
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psnet.ahrq.gov/issue/association-hospital-readmissions-reduction-program-implementation-readmission-and-mortality
November 03, 2021 - Study
Classic
Association of the Hospital Readmissions Reduction Program implementation with readmission and mortality outcomes in heart failure.
Citation Text:
Gupta A, Allen LA, Bhatt DL, et al. Association of the Hospital Readmissions Reduction Program Implem…
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psnet.ahrq.gov/issue/analysis-adverse-events-associated-adult-moderate-procedural-sedation-outside-operating-room
August 13, 2014 - Study
Analysis of adverse events associated with adult moderate procedural sedation outside the operating room.
Citation Text:
Karamnov S, Sarkisian N, Grammer R, et al. Analysis of Adverse Events Associated With Adult Moderate Procedural Sedation Outside the Operating Room. J Patient Sa…
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psnet.ahrq.gov/issue/antibiotic-resistant-infection-treatment-costs-have-doubled-2002-now-exceeding-2-billion
July 02, 2019 - Study
Classic
Antibiotic-resistant infection treatment costs have doubled since 2002, now exceeding $2 billion annually.
Citation Text:
Thorpe KE, Joski P, Johnston KJ. Antibiotic-Resistant Infection Treatment Costs Have Doubled Since 2002, Now Exceeding $2 Bill…
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psnet.ahrq.gov/issue/increased-mortality-and-costs-associated-adverse-events-intensive-care-unit-patients
January 16, 2008 - Study
Increased mortality and costs associated with adverse events in intensive care unit patients.
Citation Text:
Cantor N, Durr KM, McNeill K, et al. Increased mortality and costs associated with adverse events in intensive care unit patients. J Intensive Care Med. 2022;37(8):1075-1081…
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psnet.ahrq.gov/issue/errors-omissions-and-outliers-hourly-vital-signs-measurements-intensive-care
June 20, 2011 - Study
Errors, omissions, and outliers in hourly vital signs measurements in intensive care.
Citation Text:
Maslove DM, Dubin JA, Shrivats A, et al. Errors, Omissions, and Outliers in Hourly Vital Signs Measurements in Intensive Care. Crit Care Med. 2016;44(11):e1021-e1030.
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psnet.ahrq.gov/issue/residents-perspectives-acgme-regulation-supervision-and-duty-hours-national-survey
December 02, 2014 - Study
Residents' perspectives on ACGME regulation of supervision and duty hours—a national survey.
Citation Text:
Drolet BC, Spalluto LB, Fischer SA. Residents' perspectives on ACGME regulation of supervision and duty hours--a national survey. N Engl J Med. 2010;363(23):e34. doi:10.105…
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psnet.ahrq.gov/issue/medication-errors-involving-patient-controlled-analgesia
May 24, 2015 - Study
Medication errors involving patient-controlled analgesia.
Citation Text:
Hicks RW, Sikirica V, Nelson W, et al. Medication errors involving patient-controlled analgesia. Am J Health Syst Pharm. 2008;65(5):429-40. doi:10.2146/ajhp070194.
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www.ahrq.gov/patient-safety/quality-measures/qsrs/index.html
September 01, 2025 - Quality and Safety Review System (QSRS)
Retrospectively Reviewing Inpatient Health Records To Identify Adverse Events Medical errors are an ongoing challenge to the healthcare system in the United States. The extent of medical errors in U.S. hospitals was revealed in 2000 when the Institute of Medicine (now the…