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psnet.ahrq.gov/node/61121/psn-pdf
November 11, 2020 - Out of sight, out of mind: a prospective observational
study to estimate the duration of the Hawthorne effect on
hand hygiene events.
November 11, 2020
Vaisman A, Bannerman G, Matelski J, et al. Out of sight, out of mind: a prospective observational study to
estimate the duration of the Hawthorne effect on hand hy…
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psnet.ahrq.gov/issue/rate-diagnostic-errors-and-serious-misdiagnosis-related-harms-major-vascular-events
July 28, 2023 - Study
Rate of diagnostic errors and serious misdiagnosis-related harms for major vascular events, infections, and cancers: toward a national incidence estimate using the “Big Three”.
Citation Text:
Newman-Toker DE, Wang Z, Zhu Y, et al. Rate of diagnostic errors and serious misdiagnosis…
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psnet.ahrq.gov/issue/efforts-improve-patient-safety-result-13-million-fewer-patient-harms-interim-update-2013
January 07, 2015 - Book/Report
Classic
Efforts To Improve Patient Safety Result in 1.3 Million Fewer Patient Harms: Interim Update on 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013.
Citation Text:
Efforts To Improve …
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psnet.ahrq.gov/node/41069/psn-pdf
February 21, 2012 - Using the opportunity estimator tool to improve
engagement in a quality and safety intervention.
February 21, 2012
Duval-Arnould J, Mathews SC, Weeks K, et al. Using the Opportunity Estimator tool to improve
engagement in a quality and safety intervention. Jt Comm J Qual Patient Saf. 2012;38(1):41-47, 1.
https://p…
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psnet.ahrq.gov/node/40621/psn-pdf
July 20, 2011 - Comparison of Broselow tape measurements versus
physician estimations of pediatric weights.
July 20, 2011
Rosenberg M, Greenberger S, Rawal A, et al. Comparison of Broselow tape measurements versus
physician estimations of pediatric weights. Am J Emerg Med. 2011;29(5):482-8.
doi:10.1016/j.ajem.2009.12.002.
https:…
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psnet.ahrq.gov/node/60178/psn-pdf
April 01, 2020 - Rate of preventable mortality in hospitalized patients: a
systematic review and meta-analysis.
April 1, 2020
Rodwin BA, Bilan VP, Merchant NB, et al. Rate of preventable mortality in hospitalized patients: a
systematic review and meta-analysis. J Gen Intern Med. 2020;35(7):2099-2106. doi:10.1007/s11606-019-
05592-…
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psnet.ahrq.gov/node/47488/psn-pdf
December 21, 2018 - Frequency of medication error in pediatric anesthesia: a
systematic review and meta-analytic estimate.
December 21, 2018
Feinstein MM, Pannunzio AE, Castro P. Frequency of medication error in pediatric anesthesia: A
systematic review and meta-analytic estimate. Paediatr Anaesth. 2018;28(12):1071-1077.
doi:10.1111/…
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psnet.ahrq.gov/node/41251/psn-pdf
March 29, 2012 - Patient safety in developing countries: retrospective
estimation of scale and nature of harm to patients in
hospital.
March 29, 2012
Wilson R, Michel P, Olsen S, et al. Patient safety in developing countries: retrospective estimation of scale
and nature of harm to patients in hospital. BMJ. 2012;344:e832. doi:10.1…
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psnet.ahrq.gov/node/46116/psn-pdf
May 24, 2017 - Elimination of emergency department medication errors
due to estimated weights.
May 24, 2017
Greenwalt M, Griffen D, Wilkerson J. Elimination of Emergency Department Medication Errors Due To
Estimated Weights. BMJ Qual Improv Rep. 2017;6(1). doi:10.1136/bmjquality.u214416.w5476.
https://psnet.ahrq.gov/issue/elimin…
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psnet.ahrq.gov/node/43192/psn-pdf
December 15, 2014 - Using estimated true safety event rates versus flagged
safety event rates: does it change hospital profiling and
payment?
December 15, 2014
Rosen AK, Chen Q, Borzecki A, et al. Using estimated true safety event rates versus flagged safety event
rates: does it change hospital profiling and payment? Health Serv Res.…
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psnet.ahrq.gov/node/40641/psn-pdf
July 27, 2011 - Error in body weight estimation leads to inadequate
parenteral anticoagulation.
July 27, 2011
Macedo LG dos R, de Oliveira L, Pintão MC, et al. Error in body weight estimation leads to inadequate
parenteral anticoagulation. Am J Emerg Med. 2011;29(6):613-7. doi:10.1016/j.ajem.2010.01.006.
https://psnet.ahrq.gov/is…
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psnet.ahrq.gov/node/39787/psn-pdf
August 25, 2010 - National estimates of adverse events during
nonpsychiatric hospitalizations for persons with
schizophrenia.
August 25, 2010
Khaykin E, Ford DE, Pronovost P, et al. National estimates of adverse events during nonpsychiatric
hospitalizations for persons with schizophrenia. Gen Hosp Psychiatry. 2010;32(4):419-25.
do…
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psnet.ahrq.gov/node/43140/psn-pdf
October 31, 2014 - The frequency of diagnostic errors in outpatient care:
estimations from three large observational studies
involving US adult populations.
October 31, 2014
Singh H, Meyer AND, Thomas EJ. The frequency of diagnostic errors in outpatient care: estimations from
three large observational studies involving US adult popu…
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psnet.ahrq.gov/node/34918/psn-pdf
December 17, 2009 - Racial, ethnic, and socioeconomic disparities in estimates
of AHRQ patient safety indicators.
December 17, 2009
Coffey RM, Andrews RM, Moy E. Racial, ethnic, and socioeconomic disparities in estimates of AHRQ
patient safety indicators. Med Care. 2005;43(3 Suppl):I48-I57.
https://psnet.ahrq.gov/issue/racial-ethnic-…
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psnet.ahrq.gov/node/38600/psn-pdf
October 03, 2017 - Assessment of transparency of cost estimates in
economic evaluations of patient safety programmes.
October 3, 2017
Fukuda H, Imanaka Y. Assessment of transparency of cost estimates in economic evaluations of patient
safety programmes. J Eval Clin Pract. 2009;15(3):451-9. doi:10.1111/j.1365-2753.2008.01033.x.
https…
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psnet.ahrq.gov/node/37274/psn-pdf
December 23, 2011 - A simulation-based evaluation of methods to estimate the
impact of an adverse event on hospital length of stay.
December 23, 2011
Samore MH, Shen S, Greene T, et al. A simulation-based evaluation of methods to estimate the impact of
an adverse event on hospital length of stay. Med Care. 2007;45(10 Supl 2):S108-15.
…
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psnet.ahrq.gov/node/43075/psn-pdf
August 02, 2015 - National estimates of insulin-related hypoglycemia and
errors leading to emergency department visits and
hospitalizations.
August 2, 2015
Geller AI, Shehab N, Lovegrove MC, et al. National estimates of insulin-related hypoglycemia and errors
leading to emergency department visits and hospitalizations. JAMA Intern …
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psnet.ahrq.gov/node/39215/psn-pdf
January 03, 2017 - Adverse drug events among hospitalized Medicare
patients: epidemiology and national estimates from a new
approach to surveillance.
January 3, 2017
Classen D, Jaser L, Budnitz DS. Adverse drug events among hospitalized Medicare patients: epidemiology
and national estimates from a new approach to surveillance. Jt Co…
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psnet.ahrq.gov/issue/comparison-broselow-tape-measurements-versus-physician-estimations-pediatric-weights
November 15, 2017 - Study
Comparison of Broselow tape measurements versus physician estimations of pediatric weights.
Citation Text:
Rosenberg M, Greenberger S, Rawal A, et al. Comparison of Broselow tape measurements versus physician estimations of pediatric weights. Am J Emerg Med. 2011;29(5):482-8. doi…
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psnet.ahrq.gov/node/43757/psn-pdf
March 20, 2015 - The association between patient-reported incidents in
hospitals and estimated rates of patient harm.
March 20, 2015
Bjertnaes O, Deilkås ET, Skudal KE, et al. The association between patient-reported incidents in hospitals
and estimated rates of patient harm. Int J Qual Health Care. 2015;27(1):26-30. doi:10.1093/in…