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psnet.ahrq.gov/node/46803/psn-pdf
April 12, 2019 - Association between electronic medical record
implementation of default opioid prescription quantities
and prescribing behavior in two emergency departments.
April 12, 2019
Delgado K, Shofer FS, Patel MS, et al. Association between Electronic Medical Record Implementation of
Default Opioid Prescription Quantities …
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psnet.ahrq.gov/node/46063/psn-pdf
May 17, 2017 - "We can't get along without each other": qualitative
interviews with physicians about device industry
representatives, conflict of interest and patient safety.
May 17, 2017
Gagliardi AR, Lehoux P, Ducey A, et al. "We can't get along without each other": Qualitative interviews with
physicians about device industry …
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psnet.ahrq.gov/node/867045/psn-pdf
October 30, 2024 - The burden of healthcare utilization, cost, and mortality
associated with select surgical site infections.
October 30, 2024
Shambhu S, Gordon AS, Liu Y, et al. The burden of healthcare utilization, cost, and mortality associated
with select surgical site infections. Jt Comm J Qual Patient Saf. 2024;50(12):857-866.
…
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psnet.ahrq.gov/node/43655/psn-pdf
December 19, 2014 - Systematic biases in group decision-making: implications
for patient safety.
December 19, 2014
Mannion R, Thompson C. Systematic biases in group decision-making: implications for patient safety. Int J
Qual Health Care. 2014;26(6):606-12. doi:10.1093/intqhc/mzu083.
https://psnet.ahrq.gov/issue/systematic-biases-gro…
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psnet.ahrq.gov/node/73892/psn-pdf
September 29, 2021 - Safety trade-offs in home care during COVID-19: a mixed
methods study capturing the perspective of frontline
workers.
September 29, 2021
Osei-Poku G, Szczerepa O, Potter A, et al. Safety trade-offs in home care during COVID-19: a mixed
methods study capturing the perspective of frontline workers. Patient Safety. 2…
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psnet.ahrq.gov/node/838077/psn-pdf
September 14, 2022 - Healthcare-associated adverse events in alternate level of
care patients awaiting long-term care in hospital.
September 14, 2022
Lim Fat GJ, Gopaul A, Pananos AD, et al. Healthcare-associated adverse events in alternate level of care
patients awaiting long-term care in hospital. Geriatrics (Basel). 2022;7(4):81.
d…
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psnet.ahrq.gov/node/45002/psn-pdf
June 07, 2016 - The impact of the 2011 Accreditation Council for Graduate
Medical Education duty hour reform on quality and safety
in trauma care.
June 7, 2016
Marwaha JS, Drolet BC, Maddox SS, et al. The Impact of the 2011 Accreditation Council for Graduate
Medical Education Duty Hour Reform on Quality and Safety in Trauma Care.…
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psnet.ahrq.gov/node/43173/psn-pdf
June 04, 2014 - Barriers to the implementation of checklists in the office-
based procedural setting.
June 4, 2014
Shapiro FE, Fernando RJ, Urman RD. Barriers to the implementation of checklists in the office-based
procedural setting. J Healthc Risk Manag. 2014;33(4):35-43. doi:10.1002/jhrm.21141.
https://psnet.ahrq.gov/issue/bar…
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psnet.ahrq.gov/node/36154/psn-pdf
September 29, 2010 - Harmful medication errors in children: a 5-year analysis of
data from the USP's MEDMARX(R) program.
September 29, 2010
Hicks RW, Becker SC, Cousins DD. Harmful medication errors in children: a 5-year analysis of data from
the USP's MEDMARX program. J Pediatr Nurs. 2006;21(4):290-8.
https://psnet.ahrq.gov/issue/har…
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psnet.ahrq.gov/node/44501/psn-pdf
January 22, 2016 - Patient safety perceptions in pediatric out-of-hospital
emergency care: Children's Safety Initiative.
January 22, 2016
Guise J-M, Meckler G, O'Brien K, et al. Patient Safety Perceptions in Pediatric Out-of-Hospital Emergency
Care: Children's Safety Initiative. J Pediatr. 2015;167(5):1143-8.e1. doi:10.1016/j.jpeds.2…
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psnet.ahrq.gov/node/36928/psn-pdf
September 09, 2011 - Characteristics of pediatric chemotherapy medication
errors in a national error reporting database.
September 9, 2011
Rinke ML, Shore AD, Morlock L, et al. Characteristics of pediatric chemotherapy medication errors in a
national error reporting database. Cancer. 2007;110(1):186-95.
https://psnet.ahrq.gov/issue/ch…
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psnet.ahrq.gov/node/851200/psn-pdf
July 05, 2023 - Deficient Care of a Patient Who Died by Suicide and
Facility Leaders' Response at the Charlie Norwood VA
Medical Center in Augusta, Georgia.
July 5, 2023
Washington DC: Department of Veterans Affairs, Office of Inspector General; May 10, 2023.
Report no. 22-01116-110.
https://psnet.ahrq.gov/issue/defi…
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psnet.ahrq.gov/node/60910/psn-pdf
January 01, 2021 - Hospital- and system-wide interventions for health care-
associated infections: a systematic review.
September 16, 2020
Maurer NR, Hogan TH, Walker DM. Hospital- and system-wide interventions for health care-associated
infections: a systematic review. Med Care Res Rev. 2021;78(6):643-659. doi:10.1177/10775587209529…
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psnet.ahrq.gov/node/60030/psn-pdf
March 11, 2020 - Soft factors, smooth transport? The role of safety climate
and team processes in reducing adverse events during
intrahospital transport in intensive care.
March 11, 2020
Latzke M, Schiffinger M, Zellhofer D, et al. Soft Factors, Smooth Transport? The role of safety climate and
team processes in reducing adverse ev…
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psnet.ahrq.gov/node/47059/psn-pdf
May 16, 2018 - Participating in a multisite study exploring operational
failures encountered by frontline nurses: lessons learned.
May 16, 2018
Melnyk H, Rosenfeld P, Glassman KS. Participating in a Multisite Study Exploring Operational Failures
Encountered by Frontline Nurses: Lessons Learned. J Nurs Adm. 2018;48(4):203-208.
do…
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psnet.ahrq.gov/node/37837/psn-pdf
June 11, 2008 - Testing process errors and their harms and
consequences reported from family medicine practices: a
study of the American Academy of Family Physicians
National Research Network.
June 11, 2008
Hickner J, Graham DG, Elder NC, et al. Testing process errors and their harms and consequences
reported from family medicin…
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psnet.ahrq.gov/node/47886/psn-pdf
April 24, 2019 - Clinical impact of intraoperative electronic health record
downtime on surgical patients.
April 24, 2019
Harrison AM, Siwani R, Pickering BW, et al. Clinical impact of intraoperative electronic health record
downtime on surgical patients. J Am Med Inform Assoc. 2019;26(10):928-933. doi:10.1093/jamia/ocz029.
https:…
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psnet.ahrq.gov/node/842417/psn-pdf
January 11, 2023 - Scaling-up a pharmacist-led information technology
intervention (PINCER) to reduce hazardous prescribing in
general practices: multiple interrupted time series study.
January 11, 2023
Rodgers S, Taylor AC, Roberts SA, et al. Scaling-up a pharmacist-led information technology intervention
(PINCER) to reduce hazardo…
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psnet.ahrq.gov/node/43363/psn-pdf
September 12, 2016 - Escalation of care and failure to rescue: a multicenter,
multiprofessional qualitative study.
September 12, 2016
Johnston MJ, Arora S, King D, et al. Escalation of care and failure to rescue: a multicenter,
multiprofessional qualitative study. Surgery. 2014;155(6):989-94. doi:10.1016/j.surg.2014.01.016.
https://ps…
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psnet.ahrq.gov/node/50427/psn-pdf
September 04, 2019 - Correlation between hospital finances and quality and
safety of patient care.
September 4, 2019
Akinleye DD, McNutt L-A, Lazariu V, et al. Correlation between hospital finances and quality and safety of
patient care. PLoS One. 2019;14(8):e0219124. doi:10.1371/journal.pone.0219124.
https://psnet.ahrq.gov/issue/corr…