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psnet.ahrq.gov/node/45769/psn-pdf
December 21, 2016 - National Scorecard on Rates of Hospital-Acquired
Conditions 2010 to 2015: Interim Data From National
Efforts to Make Health Care Safer.
December 21, 2016
Rockville, MD: Agency for Healthcare Research and Quality; December 2016.
https://psnet.ahrq.gov/issue/national-scorecard-rates-hospital-acquired-conditions-2010…
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psnet.ahrq.gov/node/865819/psn-pdf
May 08, 2024 - Focus on HARM (Harmonizing Accountability in
Reporting and Monitoring).
May 8, 2024
National Quality Forum.
https://psnet.ahrq.gov/issue/focus-harm-harmonizing-accountability-reporting-and-monitoring
Strong incident reporting systems are a foundational component for understanding preventable health care
error. Th…
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psnet.ahrq.gov/periodic-issue/periodic-issue-404
August 30, 2023 - emphasize the importance of using multiple approaches and sources of patient safety data to enhance adverse event … emphasize the importance of using multiple approaches and sources of patient safety data to enhance adverse event
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psnet.ahrq.gov/issue/risk-factors-clinically-relevant-deviations-patients-medication-lists-reported-patients
March 23, 2022 - Study
Risk factors for clinically relevant deviations in patients' medication lists reported by patients in personal health records: a prospective cohort study in a hospital setting.
Citation Text:
van der Nat DJ, Taks M, Huiskes VJB, et al. Risk factors for clinically relevant deviation…
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psnet.ahrq.gov/issue/opioid-prescribing-and-adverse-events-opioid-naive-patients-treated-emergency-physicians
July 18, 2018 - Study
Opioid prescribing and adverse events in opioid-naive patients treated by emergency physicians versus family physicians: a population-based cohort study.
Citation Text:
Borgundvaag B, McLeod S, Khuu W, et al. Opioid prescribing and adverse events in opioid-naive patients treated by…
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psnet.ahrq.gov/issue/are-autopsy-findings-still-relevant-management-critically-ill-patients-modern-era
April 22, 2015 - Study
Are autopsy findings still relevant to the management of critically ill patients in the modern era?
Citation Text:
Fröhlich S, Ryan O, Murphy N, et al. Are autopsy findings still relevant to the management of critically ill patients in the modern era? Crit Care Med. 2014;42(2):336…
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psnet.ahrq.gov/issue/agency-healthcare-research-and-quality-pediatric-indicators-quality-metric-surgery-children
May 01, 2015 - Study
Agency for Healthcare Research and Quality pediatric indicators as a quality metric for surgery in children: do they predict adverse outcomes?
Citation Text:
Rhee D, Zhang Y, Papandria DJ, et al. Agency for Healthcare Research and Quality pediatric indicators as a quality metric …
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psnet.ahrq.gov/issue/covid-19-hospital-outbreaks-protecting-healthcare-workers-protect-frail-patients-italian
March 18, 2020 - Study
COVID-19 hospital outbreaks: protecting healthcare workers to protect frail patients. An Italian observational cohort study.
Citation Text:
Vimercati L, De Maria L, Quarato M, et al. COVID-19 hospital outbreaks: Protecting healthcare workers to protect frail patients. An Italian ob…
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psnet.ahrq.gov/issue/exploring-health-care-professionals-perceptions-incidents-and-incident-reporting
August 28, 2013 - Study
Exploring health care professionals' perceptions of incidents and incident reporting in rehabilitation settings.
Citation Text:
Espin S, Carter C, Janes N, et al. Exploring Health Care Professionals' Perceptions of Incidents and Incident Reporting in Rehabilitation Settings. J Pati…
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psnet.ahrq.gov/issue/preventable-adverse-drug-events-among-inpatients-systematic-review
February 22, 2019 - Review
Emerging Classic
Preventable adverse drug events among inpatients: a systematic review.
Citation Text:
Gates PJ, Meyerson SA, Baysari M, et al. Preventable Adverse Drug Events Among Inpatients: A Systematic Review. Pediatrics. 2018;142(3):e20180805. doi:1…
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psnet.ahrq.gov/issue/ed-misdiagnosis-cerebrovascular-events-era-modern-neuroimaging-meta-analysis
August 19, 2020 - Review
ED misdiagnosis of cerebrovascular events in the era of modern neuroimaging: a meta-analysis.
Citation Text:
Tarnutzer AA, Lee S-H, Robinson K, et al. ED misdiagnosis of cerebrovascular events in the era of modern neuroimaging: A meta-analysis. Neurology. 2017;88(15):1468-1477. do…
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psnet.ahrq.gov/issue/narrative-review-do-state-laws-make-it-easier-say-im-sorry
June 16, 2010 - Review
Narrative review: do state laws make it easier to say "I'm sorry"?
Citation Text:
McDonnell WM, Guenther E. Narrative review: do state laws make it easier to say "I'm sorry?". Ann Intern Med. 2008;149(11):811-816.
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psnet.ahrq.gov/issue/clinical-predictors-unsafe-direct-discharge-home-patients-intensive-care-units
January 12, 2011 - Study
Clinical predictors for unsafe direct discharge home patients from intensive care units.
Citation Text:
Lau VI, Priestap FA, Lam JNH, et al. Clinical predictors for unsafe direct discharge home patients from intensive care units. J Intensive Care Med. 2020;35(10):1067-1073. doi:10.…
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psnet.ahrq.gov/issue/criteria-selection-paediatric-patients-susceptible-reconciliation-error
December 12, 2021 - Study
Criteria for the selection of paediatric patients susceptible to reconciliation error.
Citation Text:
Iturgoyen Fuentes DP, Meneses Mangas C, Cuervas Mons Vendrell M. Criteria for the selection of paediatric patients susceptible to reconciliation error. Eur J Hosp Pharm. 2024;31(3…
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psnet.ahrq.gov/issue/accuracy-pressure-ulcer-events-us-nursing-home-ratings
February 05, 2020 - Study
Accuracy of pressure ulcer events in US nursing home ratings.
Citation Text:
Chen Z, Gleason LJ, Sanghavi P. Accuracy of pressure ulcer events in US nursing home ratings. Med Care. 2022;60(10):775-783. doi:10.1097/mlr.0000000000001763.
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psnet.ahrq.gov/issue/self-reported-gaps-care-coordination-and-preventable-adverse-outcomes-among-older-adults
July 06, 2022 - Study
Self-reported gaps in care coordination and preventable adverse outcomes among older adults receiving home health care.
Citation Text:
Sterling MR, Lau J, Rajan M, et al. Self‐reported gaps in care coordination and preventable adverse outcomes among older adults receiving home heal…
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psnet.ahrq.gov/issue/nurse-physician-communication-long-term-care-setting-perceived-barriers-and-impact-patient
February 23, 2011 - Study
Nurse-physician communication in the long-term care setting: perceived barriers and impact on patient safety.
Citation Text:
Tjia J, Mazor KM, Field T, et al. Nurse-physician communication in the long-term care setting: perceived barriers and impact on patient safety. J Patient S…
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psnet.ahrq.gov/issue/understanding-causes-medication-errors-and-adverse-drug-events-patients-mental-illness
July 17, 2024 - Study
unDerstandIng the cauSes of mediCation errOrs and adVerse drug evEnts for patients with mental illness in community caRe (DISCOVER): a qualitative study.
Citation Text:
Ayre MJ, Lewis PJ, Phipps DL, et al. unDerstandIng the cauSes of mediCation errOrs and adVerse drug evEnts for pa…
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psnet.ahrq.gov/issue/overriding-drug-drug-interaction-alerts-clinical-decision-support-systems-scoping-review
April 06, 2022 - Review
Overriding drug-drug interaction alerts in clinical decision support systems: a scoping review.
Citation Text:
Villa Zapata L, Subbian V, Boyce RD, et al. Overriding drug-drug interaction alerts in clinical decision support systems: a scoping review. Stud Health Technol Inform. 20…
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psnet.ahrq.gov/issue/medsafer-study-electronic-decision-support-deprescribing-hospitalized-older-adults-cluster
July 31, 2019 - Study
The MedSafer study-electronic decision support for deprescribing in hospitalized older adults: a cluster randomized clinical trial.
Citation Text:
McDonald EG, Wu PE, Rashidi B, et al. The MedSafer study-electronic decision support for deprescribing in hospitalized older adults: a …