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psnet.ahrq.gov/node/860380/psn-pdf
January 10, 2024 - Validity of 16 AHRQ Patient Safety Indicators to identify
in-hospital complications: a medical record review across
nine Swiss hospitals.
January 10, 2024
Havranek MM, Rüter F, Bilger S, et al. Validity of 16 AHRQ Patient Safety Indicators to identify in-hospital
complications: a medical record review across nine …
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psnet.ahrq.gov/node/41794/psn-pdf
January 31, 2013 - Safety culture and complications after bariatric surgery.
January 31, 2013
Birkmeyer NJO, Finks JF, Greenberg CK, et al. Safety culture and complications after bariatric surgery.
Ann Surg. 2013;257(2):260-5. doi:10.1097/SLA.0b013e31826c0085.
https://psnet.ahrq.gov/issue/safety-culture-and-complications-after-bariat…
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psnet.ahrq.gov/node/849596/psn-pdf
May 31, 2023 - Patients admitted on weekends have higher in-hospital
mortality than those admitted on weekdays: analysis of
national inpatient sample.
May 31, 2023
Manadan A, Arora S, Whittier M, et al. Patients admitted on weekends have higher in-hospital mortality
than those admitted on weekdays: analysis of national inpatient…
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psnet.ahrq.gov/node/37975/psn-pdf
February 15, 2011 - A steep increase in domestic fatal medication errors with
use of alcohol and/or street drugs.
February 15, 2011
Phillips DP, Barker GEC, Eguchi MM. A steep increase in domestic fatal medication errors with use of
alcohol and/or street drugs. Arch Intern Med. 2008;168(14):1561-6. doi:10.1001/archinte.168.14.1561.
h…
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psnet.ahrq.gov/node/44558/psn-pdf
April 25, 2016 - Using voluntary reports from physicians to learn from
diagnostic errors in emergency medicine.
April 25, 2016
Okafor N, Payne VL, Chathampally Y, et al. Using voluntary reports from physicians to learn from
diagnostic errors in emergency medicine. Emerg Med J. 2016;33(4):245-252. doi:10.1136/emermed-2014-
204604.
…
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psnet.ahrq.gov/node/36460/psn-pdf
May 27, 2011 - Medication errors related to computerized order entry for
children.
May 27, 2011
Walsh KE, Adams WG, Bauchner H, et al. Medication errors related to computerized order entry for
children. Pediatrics. 2006;118(5):1872-1879.
https://psnet.ahrq.gov/issue/medication-errors-related-computerized-order-entry-children
Th…
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psnet.ahrq.gov/node/42178/psn-pdf
April 10, 2013 - Outside case review of surgical pathology for referred
patients: the impact on patient care.
April 10, 2013
Swapp RE, Aubry MC, Salomão DR, et al. Outside case review of surgical pathology for referred patients:
the impact on patient care. Arch Pathol Lab Med. 2013;137(2):233-40. doi:10.5858/arpa.2012-0088-OA.
htt…
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psnet.ahrq.gov/node/37572/psn-pdf
June 16, 2011 - Organizational factors associated with high performance
in quality and safety in academic medical centers.
June 16, 2011
Keroack MA, Youngberg BJ, Cerese JL, et al. Organizational factors associated with high performance in
quality and safety in academic medical centers. Acad Med. 2007;82(12):1178-86.
https://psne…
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psnet.ahrq.gov/node/44244/psn-pdf
November 03, 2015 - Evaluation of outcomes from a national patient-initiated
second-opinion program.
November 3, 2015
Meyer AND, Singh H, Graber ML. Evaluation of Outcomes From a National Patient-initiated Second-
opinion Program. Am J Med. 2015;128(10). doi:10.1016/j.amjmed.2015.04.020.
https://psnet.ahrq.gov/issue/evaluation-outcom…
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psnet.ahrq.gov/node/37546/psn-pdf
June 14, 2011 - Effective interventions and implementation strategies to
reduce adverse drug events in the Veterans Affairs (VA)
system.
June 14, 2011
Mills PD, Neily J, Kinney LM, et al. Effective interventions and implementation strategies to reduce adverse
drug events in the Veterans Affairs (VA) system. Qual Saf Health Care. …
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psnet.ahrq.gov/node/44304/psn-pdf
September 09, 2015 - Association of the 2011 ACGME resident duty hour reform
with postoperative patient outcomes in surgical
specialties.
September 9, 2015
Rajaram R, Chung JW, Cohen ME, et al. Association of the 2011 ACGME Resident Duty Hour Reform with
Postoperative Patient Outcomes in Surgical Specialties. J Am Coll Surg. 2015;221(…
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psnet.ahrq.gov/node/73374/psn-pdf
June 09, 2021 - Effects of pharmacist-conducted medication
reconciliation at discharge on 30-day readmission rates of
patients with chronic obstructive pulmonary disease.
June 9, 2021
Singh D, Fahim G, Ghin HL, et al. Effects of pharmacist-conducted medication reconciliation at discharge
on 30-day readmission rates of patients wi…
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psnet.ahrq.gov/node/38467/psn-pdf
March 11, 2009 - Patients' perceptions of safety if interpersonal continuity
of care were to be disrupted.
March 11, 2009
Pandhi N, Schumacher J, Flynn KE, et al. Patients' perceptions of safety if interpersonal continuity of care
were to be disrupted. Health Expect. 2008;11(4):400-8. doi:10.1111/j.1369-7625.2008.00503.x.
https://…
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psnet.ahrq.gov/node/61113/psn-pdf
January 01, 2021 - Do falls and other safety issues occur more often during
handovers when nurses are away from patients? Findings
from a retrospective study design.
November 11, 2020
Demaria J, Valent F, Danielis M, et al. Do falls and other safety issues occur more often during handovers
when nurses are away from patients? Finding…
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psnet.ahrq.gov/node/43679/psn-pdf
May 22, 2015 - Patient safety goals for the proposed Federal Health
Information Technology Safety Center.
May 22, 2015
Sittig DF, Classen D, Singh H. Patient safety goals for the proposed Federal Health Information
Technology Safety Center. J Am Med Inform Assoc. 2015;22(2):472-8. doi:10.1136/amiajnl-2014-002988.
https://psnet.a…
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psnet.ahrq.gov/node/41860/psn-pdf
November 28, 2012 - Stakeholder perspectives on handovers between hospital
staff and general practitioners: an evaluation through the
microsystems lens.
November 28, 2012
Göbel B, Zwart DLM, Hesselink G, et al. Stakeholder perspectives on handovers between hospital staff and
general practitioners: an evaluation through the microsyste…
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psnet.ahrq.gov/node/42038/psn-pdf
June 03, 2013 - A systematic review of simulation for multidisciplinary
team training in operating rooms.
June 3, 2013
Cumin D, Boyd MJ, Webster CS, et al. A systematic review of simulation for multidisciplinary team training
in operating rooms. Simul Healthc. 2013;8(3):171-179. doi:10.1097/SIH.0b013e31827e2f4c.
https://psnet.ahr…
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psnet.ahrq.gov/node/34892/psn-pdf
February 03, 2011 - Effects of computerized clinical decision support systems
on practitioner performance and patient outcomes: a
systematic review.
February 3, 2011
Garg AX, Adhikari NKJ, McDonald H, et al. Effects of Computerized Clinical Decision Support Systems on
Practitioner Performance and Patient Outcomes. JAMA. 2005;293(10):…
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psnet.ahrq.gov/node/46820/psn-pdf
August 20, 2018 - Postsurgical prescriptions for opioid naive patients and
association with overdose and misuse: retrospective
cohort study.
August 20, 2018
Brat GA, Agniel D, Beam A, et al. Postsurgical prescriptions for opioid naive patients and association with
overdose and misuse: retrospective cohort study. BMJ. 2018;360:j5790…
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psnet.ahrq.gov/node/45216/psn-pdf
June 08, 2016 - Ambulatory computerized prescribing and preventable
adverse drug events.
June 8, 2016
Overhage JM, Gandhi TK, Hope C, et al. Ambulatory Computerized Prescribing and Preventable Adverse
Drug Events. J Patient Saf. 2016;12(2):69-74. doi:10.1097/PTS.0000000000000194.
https://psnet.ahrq.gov/issue/ambulatory-computeriz…