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psnet.ahrq.gov/node/60353/psn-pdf
May 20, 2020 - Adverse events after transition from ICU to hospital ward:
a multicenter cohort study.
May 20, 2020
Sauro KM, Soo A, de Grood C, et al. Adverse Events After Transition From ICU to Hospital Ward: A
Multicenter Cohort Study*. Crit Care Med. 2020;48(7):946-953. doi:10.1097/ccm.0000000000004327.
https://psnet.ahrq.gov…
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psnet.ahrq.gov/node/41232/psn-pdf
December 31, 2014 - Using FDA reports to inform a classification for health
information technology safety problems.
December 31, 2014
Magrabi F, Ong M-S, Runciman WB, et al. Using FDA reports to inform a classification for health
information technology safety problems. J Am Med Inform Assoc. 2012;19(1):45-53. doi:10.1136/amiajnl-
201…
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psnet.ahrq.gov/node/842433/psn-pdf
February 15, 2023 - New AHRQ SOPS Workplace Safety Supplemental Item
Set for Nursing Homes.
February 15, 2023
Agency for Healthcare Research and Quality. January 24, 2023.
https://psnet.ahrq.gov/issue/new-ahrq-sops-workplace-safety-supplemental-item-set-nursing-homes
Workplace safety became more apparent during the COVID pandemic as …
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psnet.ahrq.gov/node/865977/psn-pdf
May 29, 2024 - Complication rates of central venous catheters: a
systematic review and meta-analysis.
May 29, 2024
Teja B, Bosch NA, Diep C, et al. Complication rates of central venous catheters: a systematic review and
meta-analysis. JAMA Intern Med. 2024;184(5):474-482. doi:10.1001/jamainternmed.2023.8232.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/44280/psn-pdf
July 15, 2015 - Innovation in practice: a multidisciplinary medication
safety initiative.
July 15, 2015
Eid KA. Innovation in practice: A multidisciplinary medication safety initiative. Nursing. 2015;45(7):14-6.
doi:10.1097/01.NURSE.0000466458.62870.99.
https://psnet.ahrq.gov/issue/innovation-practice-multidisciplinary-medication…
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psnet.ahrq.gov/node/45670/psn-pdf
November 16, 2016 - Not thinking clearly? Play a game, seriously!
November 16, 2016
Mohan D, Schell J, Angus DC. Not Thinking Clearly? Play a Game, Seriously!. JAMA. 2016;316(18):1867-
1868. doi:10.1001/jama.2016.14174.
https://psnet.ahrq.gov/issue/not-thinking-clearly-play-game-seriously
Heuristics enable experts to build off their …
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psnet.ahrq.gov/node/841475/psn-pdf
January 01, 2023 - The second victim of unanticipated adverse events.
December 14, 2022
Chen S, Skidmore S, Ferrigno BN, et al. The second victim of unanticipated adverse events. J Thorac
Cardiovasc Surg. 2023;166(3):890-894. doi:10.1016/j.jtcvs.2022.09.010.
https://psnet.ahrq.gov/issue/second-victim-unanticipated-adverse-events
“Se…
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psnet.ahrq.gov/node/47256/psn-pdf
October 03, 2018 - Does the perception of severity of medical error differ
between varying levels of clinical seniority?
October 3, 2018
Khan I, Arsanious M. Does the perception of severity of medical error differ between varying levels of
clinical seniority? Adv Med Educ Pract. 2018;9:443-452. doi:10.2147/AMEP.S146474.
https://psne…
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psnet.ahrq.gov/node/37646/psn-pdf
April 11, 2011 - Incidence, preventability and consequences of adverse
events in older people: results of a retrospective case-
note review.
April 11, 2011
Sari ABA, Cracknell A, Sheldon T. Incidence, preventability and consequences of adverse events in older
people: results of a retrospective case-note review. Age Ageing. 2008;37…
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psnet.ahrq.gov/issue/do-variations-hospital-mortality-patterns-after-weekend-admission-reflect-reduced-quality
April 12, 2019 - Study
Classic
Do variations in hospital mortality patterns after weekend admission reflect reduced quality of care or different patient cohorts? A population-based study.
Citation Text:
Concha OP, Gallego B, Hillman K, et al. Do variations in hospital mortality …
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psnet.ahrq.gov/issue/relationship-between-state-malpractice-environment-and-quality-health-care-united-states
June 21, 2017 - Study
Relationship between state malpractice environment and quality of health care in the United States.
Citation Text:
Bilimoria KY, Chung JW, Minami CA, et al. Relationship Between State Malpractice Environment and Quality of Health Care in the United States. Jt Comm J Qual Patient Sa…
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psnet.ahrq.gov/issue/results-and-lessons-hospital-wide-initiative-incentivised-delivery-system-reform-improve
March 02, 2022 - Study
Results and lessons from a hospital-wide initiative incentivised by delivery system reform to improve infection prevention and sepsis care.
Citation Text:
Sreeramoju P, Voy-Hatter K, White C, et al. Results and lessons from a hospital-wide initiative incentivised by delivery system…
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psnet.ahrq.gov/issue/examining-impact-ahrq-patient-safety-indicators-psis-veterans-health-administration-case
December 15, 2011 - Study
Examining the impact of the AHRQ Patient Safety Indicators (PSIs) on the Veterans Health Administration: the case of readmissions.
Citation Text:
Rosen AK, Loveland S, Shin MH, et al. Examining the impact of the AHRQ Patient Safety Indicators (PSIs) on the Veterans Health Adminis…
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psnet.ahrq.gov/issue/perception-safety-surgical-practice-among-operating-room-personnel-survey-data-associated-all
February 07, 2018 - Study
Perception of safety of surgical practice among operating room personnel from survey data is associated with all-cause 30-day postoperative death rate in South Carolina.
Citation Text:
Molina G, Berry WR, Lipsitz S, et al. Perception of Safety of Surgical Practice Among Operating R…
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psnet.ahrq.gov/issue/effect-increased-inpatient-attending-physician-supervision-medical-errors-patient-safety-and
December 07, 2011 - Study
Emerging Classic
Effect of increased inpatient attending physician supervision on medical errors, patient safety, and resident education: a randomized clinical trial.
Citation Text:
Finn KM, Metlay JP, Chang Y, et al. Effect of Increased Inpatient Attendin…
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psnet.ahrq.gov/perspective/patient-engagement-safety
January 01, 2018 - Environment (PRASE) cluster randomized controlled trial found that surveying inpatients about their safety experiences
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psnet.ahrq.gov/node/49412/psn-pdf
September 01, 2003 - administer to the
patient, thus increasing nurse efficiency while decreasing errors.(3)
Any time a patient experiences
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psnet.ahrq.gov/node/33617/psn-pdf
August 01, 2005 - We have all had experiences where we know that patients are becoming unstable and
we're trying to figure
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psnet.ahrq.gov/node/73146/psn-pdf
April 28, 2021 - Experiences of safety among patients receiving home
dialysis therapies.
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.260_slideshow.ppt
February 01, 2012 - Transmitting and processing electronic prescriptions: experiences of physician practices and pharmacies