-
psnet.ahrq.gov/node/47672/psn-pdf
January 17, 2019 - Adverse events and patient outcomes among hospitalized
children cared for by general pediatricians vs hospitalists.
January 17, 2019
Basco WT. Comparing the Care of Pediatric Hospitalists With That of General Pediatricians. JAMA Netw
Open. 2018;1(8). doi:10.1001/jamanetworkopen.2018.5686.
https://psnet.ahrq.gov/is…
-
psnet.ahrq.gov/node/60687/psn-pdf
July 15, 2020 - Cumulative effect of flexible duty-hour policies on
resident outcomes: long-term follow-up results from the
FIRST trial.
July 15, 2020
Landrigan CP, Rahman SA, Sullivan JP, et al. Cumulative effect of flexible duty-hour policies on resident
outcomes: long-term follow-up results from the FIRST trial. N Engl J Med. …
-
psnet.ahrq.gov/node/61061/psn-pdf
October 28, 2020 - Safer prescribing for hospitalized older adults with an
electronic health records?based prescribing context.
October 28, 2020
Drago K, Sharpe J, De Lima B, et al. Safer prescribing for hospitalized older adults with an electronic health
records?based prescribing context. J Am Geriatrics Soc. 2020;68(9):2123-2127. d…
-
psnet.ahrq.gov/node/45829/psn-pdf
June 27, 2018 - Learning from errors: analysis of medication order
voiding in CPOE systems.
June 27, 2018
Kannampallil TG, Abraham J, Solotskaya A, et al. Learning from errors: analysis of medication order
voiding in CPOE systems. J Am Med Inform Assoc. 2017;24(4):762-768. doi:10.1093/jamia/ocw187.
https://psnet.ahrq.gov/issue/le…
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psnet.ahrq.gov/node/848315/psn-pdf
May 03, 2023 - Nurse staffing and inpatient mortality in the English
National Health Service: a retrospective longitudinal
study.
May 3, 2023
Zaranko B, Sanford NJ, Kelly E, et al. Nurse staffing and inpatient mortality in the English National Health
Service: a retrospective longitudinal study. BMJ Qual Saf. 2023;32(5):254-263. …
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psnet.ahrq.gov/node/44648/psn-pdf
February 14, 2017 - Rising drug allergy alert overrides in electronic health
records: an observational retrospective study of a decade
of experience.
February 14, 2017
Topaz M, Seger DL, Slight SP, et al. Rising drug allergy alert overrides in electronic health records: an
observational retrospective study of a decade of experience. …
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psnet.ahrq.gov/node/849318/psn-pdf
May 24, 2023 - The impact of a nursing-led intervention bundle with a
bedside checklist to reduce mortality during the initial
COVID-19 pandemic and implications for future
emergencies.
May 24, 2023
Pugh S, Chan F, Han S, et al. The impact of a nursing-led intervention bundle with a bedside checklist to
reduce mortality during …
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psnet.ahrq.gov/node/60057/psn-pdf
March 18, 2020 - How does the WHO Surgical Safety Checklist fit with
existing perioperative risk management strategies? An
ethnographic study across surgical specialties.
March 18, 2020
Wæhle HV, Haugen AS, Wiig S, et al. How does the WHO Surgical Safety Checklist fit with existing
perioperative risk management strategies? An ethn…
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psnet.ahrq.gov/node/37446/psn-pdf
January 06, 2017 - How useful are voluntary medication error reports? The
case of warfarin-related medication errors.
January 6, 2017
Zhan C, Smith SR, Keyes MA, et al. How useful are voluntary medication error reports? The case of
warfarin-related medication errors. Jt Comm J Qual Patient Saf. 2008;34(1):36-45.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/38428/psn-pdf
February 18, 2009 - Adverse Events in Hospitals: Care Study of Incidence
Among Medicare Beneficiaries in Two Selected Counties.
February 18, 2009
Levinson DR. Washington, DC: US Department of Health and Human Services, Office of the Inspector
General; December 2008. Report No. OEI-06-08-00220.
https://psnet.ahrq.gov/issue/adverse-eve…
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psnet.ahrq.gov/node/72498/psn-pdf
January 01, 2021 - Changes in weekend and weekday care quality of
emergency medical admissions to 20 hospitals in
England during implementation of the 7-day services
national health policy.
November 25, 2020
Bion J, Aldridge CP, Girling AJ, et al. Changes in weekend and weekday care quality of emergency
medical admissions to 20 hos…
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psnet.ahrq.gov/node/43474/psn-pdf
August 28, 2017 - Racial and ethnic disparities in patient safety.
August 28, 2017
Okoroh JS, Uribe EF, Weingart SN. Racial and Ethnic Disparities in Patient Safety. J Patient Saf.
2017;13(3):153-161. doi:10.1097/PTS.0000000000000133.
https://psnet.ahrq.gov/issue/racial-and-ethnic-disparities-patient-safety
Prior studies have raise…
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psnet.ahrq.gov/node/42933/psn-pdf
July 03, 2014 - Critical events during land-based interfacility transport.
July 3, 2014
Singh JM, MacDonald RD, Ahghari M. Critical events during land-based interfacility transport. Ann Emerg
Med. 2014;64(1):9-15.e2. doi:10.1016/j.annemergmed.2013.12.009.
https://psnet.ahrq.gov/issue/critical-events-during-land-based-interfacility…
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psnet.ahrq.gov/node/45277/psn-pdf
July 01, 2017 - Cultural transformation after implementation of crew
resource management: is it really possible?
July 1, 2017
Hefner JL, Hilligoss B, Knupp A, et al. Cultural Transformation After Implementation of Crew Resource
Management: Is It Really Possible? Am J Med Qual. 2017;32(4):384-390. doi:10.1177/1062860616655424.
htt…
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psnet.ahrq.gov/node/43072/psn-pdf
November 21, 2016 - Physician attitudes toward family-activated medical
emergency teams for hospitalized children.
November 21, 2016
Paciotti B, Roberts KE, Tibbetts KM, et al. Physician attitudes toward family-activated medical emergency
teams for hospitalized children. Jt Comm J Qual Patient Saf. 2014;40(4):187-192.
https://psnet.a…
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psnet.ahrq.gov/node/852444/psn-pdf
August 16, 2023 - Comparing rates of adverse events detected in incident
reporting and the Global Trigger Tool: a systematic
review.
August 16, 2023
Hibbert PD, Molloy CJ, Schultz TJ, et al. Comparing rates of adverse events detected in incident reporting
and the Global Trigger Tool: a systematic review. Int J Qual Health Care. 202…
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psnet.ahrq.gov/node/47900/psn-pdf
January 01, 2021 - Is physician mentorship associated with the occurrence
of adverse patient safety events?
April 10, 2019
Harrison R, Sharma A, Lawton R, et al. Is Physician Mentorship Associated With the Occurrence of
Adverse Patient Safety Events? J Patient Saf. 2021;17(8):e1633-e1637.
doi:10.1097/PTS.0000000000000592.
https://p…
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psnet.ahrq.gov/node/41876/psn-pdf
December 04, 2016 - Errors in palliative care: kinds, causes, and
consequences: a pilot survey of experiences and
attitudes of palliative care professionals.
December 4, 2016
Dietz I, Borasio GD, Molnar C, et al. Errors in palliative care: kinds, causes, and consequences: a pilot
survey of experiences and attitudes of palliative care…
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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/855097/psn-pdf
November 08, 2023 - Use of the Second Victim Experience and Support Tool
(SVEST) to assess the impact of a departmental peer
support program on anesthesia professionals' second
victim experiences (SVEs) and perceptions of support two
years after implementation.
November 8, 2023
Pelikan M, Finney RE, Jacob A. AANA J. 2023;91(5):…