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psnet.ahrq.gov/node/37155/psn-pdf
October 06, 2011 - Classification of adverse events occurring in a surgical
intensive care unit.
October 6, 2011
Frankel H, Sperry J, Kaplan L, et al. Classification of adverse events occurring in a surgical intensive care
unit. Am J Surg. 2007;194(3):328-32.
https://psnet.ahrq.gov/issue/classification-adverse-events-occurring-surgi…
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psnet.ahrq.gov/node/73872/psn-pdf
September 22, 2021 - Parenteral nutrition safety.
September 22, 2021
Mirtallo JM, Ayers P. Pharmacy Practice News. September 7, 2021;48(9):17-20.
https://psnet.ahrq.gov/issue/parenteral-nutrition-safety
Parenteral nutrition (PN) processes contain various steps that are prone to errors resulting in patient harm.
This article discusses …
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psnet.ahrq.gov/node/34941/psn-pdf
June 23, 2009 - Team types, perceived efficiency and team climate in
Swedish cross-professional teamwork.
June 23, 2009
Thylefors I, Persson O, Hellström D. Team types, perceived efficiency and team climate in Swedish cross-
professional teamwork. J Interprof Care. 2005;19(2):102-14.
https://psnet.ahrq.gov/issue/team-types-percei…
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psnet.ahrq.gov/node/866528/psn-pdf
August 14, 2024 - First with Kids: Medication Errors.
August 14, 2024
First L. NBC5. First with Kids: Medication Errors. August 1, 2024.
https://psnet.ahrq.gov/issue/first-kids-medication-errors
Medication mistakes involving children are common. This news segment provides suggestions for parents
to help improve the safety of medica…
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psnet.ahrq.gov/node/44679/psn-pdf
November 18, 2015 - Key vulnerabilities in the surgical environment: container
mix-ups and syringe swaps.
November 18, 2015
ISMP Medication Safety Alert! Acute Care Edition. November 5, 2015;20:1-5.
https://psnet.ahrq.gov/issue/key-vulnerabilities-surgical-environment-container-mix-ups-and-syringe-swaps
The perioperative environment …
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psnet.ahrq.gov/node/73191/psn-pdf
April 23, 2007 - The National Database of Nursing Quality Indicators(TM)
(NDNQI®).
April 23, 2007
Montalvo I. Online J Iss Nurs. 2007;12(3):Manuscript 2.
https://psnet.ahrq.gov/issue/national-database-nursing-quality-indicatorstm-ndnqir
The quality of nursing care can impact patient outcomes and safety culture…
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psnet.ahrq.gov/node/42858/psn-pdf
January 15, 2014 - Early access to a neurologist reduces the rate of missed
diagnosis in young strokes.
January 15, 2014
Mohamed W, Bhattacharya P, Chaturvedi S. Early access to a neurologist reduces the rate of missed
diagnosis in young strokes. J Stroke Cerebrovasc Dis. 2013;22(8):e332-7.
doi:10.1016/j.jstrokecerebrovasdis.2013.01…
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psnet.ahrq.gov/node/36759/psn-pdf
August 10, 2011 - Rates of new or missed colorectal cancers after
colonoscopy and their risk factors: a population-based
analysis.
August 10, 2011
Bressler B, Paszat LF, Chen Z, et al. Rates of new or missed colorectal cancers after colonoscopy and
their risk factors: a population-based analysis. Gastroenterology. 2007;132(1):96-10…
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psnet.ahrq.gov/node/46117/psn-pdf
May 10, 2017 - Deep learning is a black box, but health care won't mind.
May 10, 2017
Brouillette M. MIT Technol Rev. April 27, 2017.
https://psnet.ahrq.gov/issue/deep-learning-black-box-health-care-wont-mind
Artificial intelligence can support diagnostic decision-making. This magazine article reports on the use of
algorithms to…
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psnet.ahrq.gov/node/43411/psn-pdf
October 01, 2014 - Analysis of medication errors in simulated pediatric
resuscitation by residents.
October 1, 2014
Porter E, Barcega B, Kim TY. Analysis of medication errors in simulated pediatric resuscitation by
residents. West J Emerg Med. 2014;15(4):486-90. doi:10.5811/westjem.2014.2.17922.
https://psnet.ahrq.gov/issue/analysis…
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psnet.ahrq.gov/node/37658/psn-pdf
June 14, 2011 - Applying modern error theory to the problem of missed
injuries in trauma.
June 14, 2011
Clarke DL, Gouveia J, Thomson SR, et al. Applying modern error theory to the problem of missed injuries
in trauma. World J Surg. 2008;32(6):1176-82. doi:10.1007/s00268-008-9543-7.
https://psnet.ahrq.gov/issue/applying-modern-er…
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psnet.ahrq.gov/node/35682/psn-pdf
July 10, 2008 - Medication-attributed adverse effects in placebo groups:
implications for assessment of adverse effects.
July 10, 2008
Rief W, Avorn J, Barsky AJ. Medication-attributed adverse effects in placebo groups: implications for
assessment of adverse effects. Arch Intern Med. 2006;166(2):155-60.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/36260/psn-pdf
May 27, 2011 - The effect of physicians' long-term use of CPOE on their
test management work practices.
May 27, 2011
Callen JL, Westbrook JI, Braithwaite J. The effect of physicians' long-term use of CPOE on their test
management work practices. J Am Med Inform Assoc. 2006;13(6):643-52.
https://psnet.ahrq.gov/issue/effect-physic…
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psnet.ahrq.gov/perspective/conversation-richard-kronick-phd
February 01, 2014 - materials will help hospitals become familiar with RED's process and components, determine metrics for evaluating … Although it is important to continue to pursue research evaluating specific interventions, we believe
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psnet.ahrq.gov/perspective/telemedicine-and-patient-safety
September 01, 2016 - Therefore, there is a need to increase research efforts evaluating the impact of telemedicine on patient … Evaluating the impact of telepharmacy. Am J Health Syst Pharm. 2013;70:2130-2135.
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psnet.ahrq.gov/perspective/patient-safety-united-kingdom-evolution-and-progress
May 01, 2007 - We wanted to develop a program for evaluating good solutions to reduce risk, so we have a "Safety Solutions … So we've been running formally for about 3 years, and we're just starting to think about evaluating the
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psnet.ahrq.gov/issue/special-issue-health-information-technology
August 22, 2007 - June 29, 2022
Scoping review of studies evaluating frailty and its association with medication
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psnet.ahrq.gov/issue/digital-healthcare-research
December 24, 2008 - August 19, 2020
Novel, High-Impact Studies Evaluating Health System and Healthcare Professional
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psnet.ahrq.gov/issue/grants-line-database-gold
December 24, 2008 - September 22, 2021
Novel, High-Impact Studies Evaluating Health System and Healthcare
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psnet.ahrq.gov/issue/hospital-mistakes-kept-secret
September 30, 2009 - June 21, 2017
Medication safety at the interface: evaluating risks associated with discharge