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psnet.ahrq.gov/node/47750/psn-pdf
January 30, 2019 - Association of adverse effects of medical treatment with
mortality in the United States: a secondary analysis of the
Global Burden of Diseases, Injuries, and Risk Factors
study.
January 30, 2019
Sunshine JE, Meo N, Kassebaum NJ, et al. Association of Adverse Effects of Medical Treatment With
Mortality in the Unit…
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psnet.ahrq.gov/node/33959/psn-pdf
January 17, 2012 - Healthcare Failure Mode and Effect Analysis.
January 17, 2012
National Center for Patient Safety.
https://psnet.ahrq.gov/issue/healthcare-failure-mode-and-effect-analysis
These materials provide an introduction to the purpose of healthcare failure mode and effect analysis
(HFMEA), the steps of the HFMEA process, a…
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psnet.ahrq.gov/node/36444/psn-pdf
April 24, 2007 - Disclosing Medical Errors: A Guide to an Effective
Explanation and Apology.
April 24, 2007
Oakbrook Terrace IL: Joint Commission Resources; 2007. ISBN 9781599400211.
https://psnet.ahrq.gov/issue/disclosing-medical-errors-guide-effective-explanation-and-apology
This book discusses disclosure and apology a…
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psnet.ahrq.gov/node/836997/psn-pdf
April 27, 2022 - The effect of a transitional pharmaceutical care program
on the occurrence of ADEs after discharge from hospital
in patients with polypharmacy.
April 27, 2022
Uitvlugt EB, Heer SE, van den Bemt BJF, et al. The effect of a transitional pharmaceutical care program on
the occurrence of ADEs after discharge from hospi…
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psnet.ahrq.gov/node/860390/psn-pdf
January 10, 2024 - Key factors for effective implementation of healthcare
workers support interventions after patient safety
incidents in health organisations: a scoping review.
January 10, 2024
Guerra-Paiva S, Lobão MJ, Simões DG, et al. Key factors for effective implementation of healthcare
workers support interventions after pati…
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psnet.ahrq.gov/node/73486/psn-pdf
July 14, 2021 - ACGME 2011 duty hours restrictions and their effects on
surgical residency training and patients outcomes: a
systematic review.
July 14, 2021
Awan M, Zagales I, McKenney M, et al. ACGME 2011 duty hours restrictions and their effects on surgical
residency training and patients outcomes: a systematic review. J Surg …
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psnet.ahrq.gov/node/43716/psn-pdf
November 17, 2015 - Quantification of the Hawthorne effect in hand hygiene
compliance monitoring using an electronic monitoring
system: a retrospective cohort study.
November 17, 2015
Srigley JA, Furness CD, Baker R, et al. Quantification of the Hawthorne effect in hand hygiene compliance
monitoring using an electronic monitoring sys…
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psnet.ahrq.gov/node/837793/psn-pdf
August 10, 2022 - The effect of structured medication review followed by
face-to-face feedback to prescribers on adverse drug
events recognition and prevention in older inpatients - a
multicenter interrupted time series study.
August 10, 2022
Klopotowska JE, Kuks PFM, Wierenga PC, et al. The effect of structured medication review f…
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psnet.ahrq.gov/node/45954/psn-pdf
December 22, 2017 - Effectiveness of a 'Do not interrupt' bundled intervention
to reduce interruptions during medication administration:
a cluster randomised controlled feasibility study.
December 22, 2017
Westbrook JI, Li L, Hooper TD, et al. Effectiveness of a 'Do not interrupt' bundled intervention to reduce
interruptions during m…
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psnet.ahrq.gov/node/43651/psn-pdf
November 18, 2016 - Ebola US Patient Zero: lessons on misdiagnosis and
effective use of electronic health records.
November 18, 2016
Upadhyay DK, Sittig DF, Singh H. Ebola US Patient Zero: lessons on misdiagnosis and effective use of
electronic health records. Diagnosis (Berl). 2014;1(4):283-287. doi:10.1515/dx-2014-0064.
https://psn…
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psnet.ahrq.gov/node/48077/psn-pdf
June 26, 2019 - Effects on resident work hours, sleep duration and work
experience in a Randomized Order Safety Trial Evaluating
Resident-physician Schedules (ROSTERS).
June 26, 2019
Barger LK, Sullivan JP, Blackwell T, et al. Effects on resident work hours, sleep duration, and work
experience in a randomized order safety trial e…
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psnet.ahrq.gov/node/46436/psn-pdf
May 30, 2018 - Effect of number of open charts on intercepted wrong-
patient medication orders in an emergency department.
May 30, 2018
Kannampallil TG, Manning JD, Chestek DW, et al. Effect of number of open charts on intercepted wrong-
patient medication orders in an emergency department. J Am Med Inform Assoc. 2018;25(6):739-7…
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psnet.ahrq.gov/node/73340/psn-pdf
June 02, 2021 - Can patients contribute to enhancing the safety and
effectiveness of test-result follow-up? Qualitative
outcomes from a health consumer workshop.
June 2, 2021
Thomas J, Dahm MR, Li J, et al. Can patients contribute to enhancing the safety and effectiveness of test?
result follow?up? Qualitative outcomes from a hea…
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psnet.ahrq.gov/node/849120/psn-pdf
May 17, 2023 - Systematic literature review on the effectiveness and
safety of paediatric hospital-at-home care as a substitute
for hospital care.
May 17, 2023
Detollenaere J, Van Ingelghem I, Van den Heede K, et al. Systematic literature review on the effectiveness
and safety of paediatric hospital-at-home care as a substitute …
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psnet.ahrq.gov/node/862600/psn-pdf
February 14, 2024 - The effect of computerised decision support alerts
tailored to intensive care on the administration of high-
risk drug combinations, and their monitoring: a cluster
randomised stepped-wedge trial.
February 14, 2024
Bakker T, Klopotowska JE, Dongelmans DA, et al. The effect of computerised decision support alerts
…
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psnet.ahrq.gov/node/43775/psn-pdf
November 29, 2017 - The effects of hospital safety scores, total price, out-of-
pocket cost, and household income on consumers' self-
reported choice of hospitals.
November 29, 2017
Duke CC, Smith B, Lynch W, et al. The Effects of Hospital Safety Scores, Total Price, Out-of-Pocket Cost,
and Household Income on Consumers' Self-reporte…
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psnet.ahrq.gov/node/837799/psn-pdf
August 10, 2022 - Effect of a pharmacy-based centralized intravenous
admixture service on the prevalence of medication errors:
a before-and-after study.
August 10, 2022
Jessurun JG, Hunfeld NGM, Van Rosmalen J, et al. Effect of a pharmacy-based centralized intravenous
admixture service on the prevalence of medication errors: a befo…
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psnet.ahrq.gov/node/836954/psn-pdf
April 20, 2022 - Effects of tall man lettering on the visual behaviour of
critical care nurses while identifying syringe drug labels:
a randomised in situ simulation.
April 20, 2022
Lohmeyer Q, Schiess C, Wendel Garcia PD, et al. Effects of tall man lettering on the visual behaviour of
critical care nurses while identifying syring…
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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/44355/psn-pdf
September 02, 2015 - Effect of a real-time pediatric ICU safety bundle
dashboard on quality improvement measures.
September 2, 2015
Shaw SJ, Jacobs B, Stockwell DC, et al. Effect of a Real-Time Pediatric ICU Safety Bundle Dashboard on
Quality Improvement Measures. Jt Comm J Qual Patient Saf. 2015;41(9):414-420.
https://psnet.ahrq.gov/…