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psnet.ahrq.gov/node/34714/psn-pdf
February 18, 2011 - Relation between malpractice claims and adverse events
due to negligence. Results of the Harvard Medical
Practice Study III.
February 18, 2011
Localio AR, Lawthers AG, Brennan TA, et al. Relation between Malpractice Claims and Adverse Events
Due to Negligence. New England Journal of Medicine. 2010;325(4). doi:10.1…
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psnet.ahrq.gov/node/60591/psn-pdf
June 17, 2020 - National trends in the safety performance of electronic
health record systems from 2009 to 2018.
June 17, 2020
Classen DC, Holmgren AJ, Co Z, et al. National trends in the safety performance of electronic health record
systems from 2009 to 2018. JAMA Netw Open. 2020;3(5). doi:10.1001/jamanetworkopen.2020.5547.
htt…
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psnet.ahrq.gov/node/41100/psn-pdf
February 01, 2012 - Agency for Healthcare Research and Quality pediatric
indicators as a quality metric for surgery in children: do
they predict adverse outcomes?
February 1, 2012
Rhee D, Zhang Y, Papandria DJ, et al. Agency for Healthcare Research and Quality pediatric indicators as
a quality metric for surgery in children: do they …
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psnet.ahrq.gov/node/859348/psn-pdf
December 20, 2023 - Are adverse events related to the completeness of clinical
records? Results from a retrospective records review
using the Global Trigger Tool.
December 20, 2023
Scarpis E, Cautero P, Tullio A, et al. Are adverse events related to the completeness of clinical records?
Results from a retrospective records review usi…
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psnet.ahrq.gov/node/41993/psn-pdf
April 21, 2015 - Simulation-based trial of surgical-crisis checklists.
April 21, 2015
Arriaga AF, Bader AM, Wong JM, et al. Simulation-based trial of surgical-crisis checklists. N Engl J Med.
2013;368(3):246-53. doi:10.1056/NEJMsa1204720.
https://psnet.ahrq.gov/issue/simulation-based-trial-surgical-crisis-checklists
Surgical check…
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psnet.ahrq.gov/node/73364/psn-pdf
January 01, 2022 - Impact of opioid administration in the intensive care unit
and subsequent use in opioid-naïve patients.
June 9, 2021
Krancevich NM, Belfer JJ, Draper HM, et al. Impact of opioid administration in the intensive care unit and
subsequent use in opioid-naïve patients. Ann Pharmacother. 2022;56(1):52-59.
doi:10.1177/10…
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psnet.ahrq.gov/node/44743/psn-pdf
December 22, 2017 - Patients' and providers' perceptions of the preventability
of hospital readmission: a prospective, observational
study in four European countries.
December 22, 2017
van Galen LS, Brabrand M, Cooksley T, et al. Patients' and providers' perceptions of the preventability of
hospital readmission: a prospective, observ…
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psnet.ahrq.gov/node/44042/psn-pdf
November 03, 2015 - Deployment of rapid response teams by 31 hospitals in a
statewide collaborative.
November 3, 2015
Stolldorf DP, Jones CB. Deployment of rapid response teams by 31 hospitals in a statewide collaborative.
Jt Comm J Qual Patient Saf. 2015;41(4):186-191.
https://psnet.ahrq.gov/issue/deployment-rapid-response-teams-31-…
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psnet.ahrq.gov/node/42836/psn-pdf
January 08, 2014 - Comparison of medication safety effectiveness among
nine critical access hospitals.
January 8, 2014
Cochran GL, Haynatzki G. Comparison of medication safety effectiveness among nine critical access
hospitals. Am J Health Syst Pharm. 2013;70(24):2218-24. doi:10.2146/ajhp130067.
https://psnet.ahrq.gov/issue/comparis…
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psnet.ahrq.gov/node/41746/psn-pdf
October 10, 2012 - The relationship of self-report of quality to practice size
and health information technology.
October 10, 2012
Gorman PN, O'Malley JP, Fagnan LJ. The relationship of self-report of quality to practice size and health
information technology. J Am Board Fam Med. 2012;25(5):614-24. doi:10.3122/jabfm.2012.05.120063.
…
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psnet.ahrq.gov/node/42299/psn-pdf
November 09, 2015 - Safety climate and its association with office type and
team involvement in primary care.
November 9, 2015
Gehring K, Schwappach DLB, Battaglia M, et al. Safety climate and its association with office type and
team involvement in primary care. Int J Qual Health Care. 2013;25(4):394-402. doi:10.1093/intqhc/mzt036.
…
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psnet.ahrq.gov/node/840170/psn-pdf
November 16, 2022 - Predicting dispensing errors in community pharmacies:
an application of the Systematic Human Error Reduction
and Prediction Approach (SHERPA).
November 16, 2022
Ashour A, Phipps DL, Ashcroft DM. PLoS ONE. 2022;17(1):e0261672.
https://psnet.ahrq.gov/innovation/predicting-dispensing-errors-community-pharmacies-…
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psnet.ahrq.gov/node/41611/psn-pdf
November 23, 2012 - Self-reported uptake of recommendations after
dissemination of medication incident alerts.
November 23, 2012
Cheung K-C, Wensing M, Bouvy ML, et al. Self-reported uptake of recommendations after dissemination of
medication incident alerts. BMJ Qual Saf. 2012;21(12):1009-18. doi:10.1136/bmjqs-2012-000828.
https://p…
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psnet.ahrq.gov/node/866644/psn-pdf
September 04, 2024 - The impact of independent chemotherapy prescribing by
advanced practice providers on patient safety and
clinician satisfaction.
September 4, 2024
LeStrange N, Walton AM, Watson JL, et al. The impact of independent chemotherapy prescribing by
advanced practice providers on patient safety and clinician satisfaction.…
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psnet.ahrq.gov/node/50824/psn-pdf
January 22, 2020 - Failure to rescue and 30-day in-hospital mortality in
hospitals with and without crew-resource-management
safety training.
January 22, 2020
Bacon CT, McCoy TP, Henshaw DS. Failure to rescue and 30?day in?hospital mortality in hospitals with
and without crew?resource?management safety training. Res Nurs Health. 201…
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psnet.ahrq.gov/node/851351/psn-pdf
July 12, 2023 - Healthcare workers' experiences of patient safety in the
intensive care unit during the COVID-19 pandemic: a
multicentre qualitative study.
July 12, 2023
Berggren K, Ekstedt M, Joelsson?Alm E, et al. Healthcare workers' experiences of patient safety in the
intensive care unit during the COVID?19 pandemic: a multic…
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psnet.ahrq.gov/node/35855/psn-pdf
October 25, 2013 - HealthGrades Quality Study: Third Annual Patient Safety
in American Hospitals Study.
October 25, 2013
Denver, CO: HealthGrades; 2006.
https://psnet.ahrq.gov/issue/healthgrades-quality-study-third-annual-patient-safety-american-hospitals-
study
This third annual report on the safety of hospitalized Medicare patien…
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psnet.ahrq.gov/node/40674/psn-pdf
October 16, 2012 - The care transitions intervention: translating from
efficacy to effectiveness.
October 16, 2012
Voss R, Gardner R, Baier R, et al. The care transitions intervention: translating from efficacy to
effectiveness. Arch Intern Med. 2011;171(14):1232-7. doi:10.1001/archinternmed.2011.278.
https://psnet.ahrq.gov/issue/ca…
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psnet.ahrq.gov/node/855429/psn-pdf
November 15, 2023 - Effect of complementary interventions to redesign care
on teamwork and quality for hospitalized medical
patients: a pragmatic controlled trial.
November 15, 2023
O’Leary KJ, Johnson JK, Williams MV, et al. Effect of complementary interventions to redesign care on
teamwork and quality for hospitalized medical patie…
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psnet.ahrq.gov/node/74267/psn-pdf
January 19, 2022 - Support opportunities for second victims lessons
learned: a qualitative study of the top 20 US News and
World Report Honor Roll Hospitals.
January 19, 2022
Marr R, Goyal A, Quinn M, et al. Support opportunities for second victims lessons learned: a qualitative
study of the top 20 US News and World Report Honor Rol…