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psnet.ahrq.gov/node/852751/psn-pdf
August 23, 2023 - Automated search methods for identifying wrong patient
order entry-a scoping review.
August 23, 2023
Garrod M, Fox A, Rutter P. Automated search methods for identifying wrong patient order entry—a scoping
review. JAMIA Open. 2023;6(3):ooad057. doi:10.1093/jamiaopen/ooad057.
https://psnet.ahrq.gov/issue/automated-s…
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psnet.ahrq.gov/perspective/conversation-libby-hoy-and-stephen-hoy
March 10, 2021 - In Conversation With... Libby Hoy and Stephen Hoy
March 10, 2021
Also Read the Essay
Citation Text:
In Conversation With.. Libby Hoy and Stephen Hoy. PSNet [internet]. 2021.In Conversation With... Libby Hoy and Stephen Hoy. PSNet [internet]. Rockville (MD): Agenc…
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psnet.ahrq.gov/perspective/conversation-michelle-mello-mphil-jd-phd
July 01, 2017 - In Conversation With… Michelle Mello, MPhil, JD, PhD
July 1, 2017
Also Read an Essay
Citation Text:
In Conversation With… Michelle Mello, MPhil, JD, PhD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Hum…
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psnet.ahrq.gov/web-mm/surprise-wire
July 15, 2020 - Surprise Wire
Citation Text:
Pearl JM, Donaldson NE. Surprise Wire. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId R…
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psnet.ahrq.gov/node/49632/psn-pdf
July 01, 2011 - A Seasonal Care Transition Failure
July 1, 2011
Young JQ. A Seasonal Care Transition Failure. PSNet [internet]. 2011.
https://psnet.ahrq.gov/web-mm/seasonal-care-transition-failure
The Case
A 70-year-old healthy man presented to his primary care doctor—a third-year internal medicine
resident—for routine follow-up…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.272_slideshow.ppt
July 01, 2012 - Spotlight Case July 2008
Spotlight Case
Not-So-Therapeutic Tap
*
*
Source and Credits
This presentation is based on the July 2012
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Jeffrey H. Barsuk, MD, MS; Northwestern University Feinberg Scho…
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psnet.ahrq.gov/perspective/implementing-patient-safety-program-large-national-health-system
January 01, 2008 - In addition, individual hospitals have presented their experiences and outcomes from their work in a … it in the hope that others, particularly those in large, multisite systems, might benefit from the experiences … I do think that there are some recent experiences here at both the Brigham and the Mass General where
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psnet.ahrq.gov/node/867638/psn-pdf
February 26, 2025 - Artificial intelligence related safety issues associated with
FDA medical device reports.
February 26, 2025
Handley JL, Krevat SA, Fong A, et al. Artificial intelligence related safety issues associated with FDA
medical device reports. NPJ Digit Med. 2024;7(1):351. doi:10.1038/s41746-024-01357-5.
https://psnet.ahr…
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psnet.ahrq.gov/node/36697/psn-pdf
February 03, 2011 - Deficits in communication and information transfer
between hospital-based and primary care physicians:
implications for patient safety and continuity of care.
February 3, 2011
Kripalani S, LeFevre F, Phillips CO, et al. Deficits in communication and information transfer between
hospital-based and primary care phys…
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psnet.ahrq.gov/node/73445/psn-pdf
June 30, 2021 - Moving beyond the weekend effect: how can we best
target interventions to improve patient care?
June 30, 2021
Marang-van de Mheen PJ, Vincent CA. Moving beyond the weekend effect: how can we best target
interventions to improve patient care? BMJ Qual Saf. 2021;30(7):525-528. doi:10.1136/bmjqs-2020-
012620.
https:…
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psnet.ahrq.gov/node/50793/psn-pdf
January 15, 2020 - Association between mobile telephone interruptions and
medication administration errors in a pediatric intensive
care unit.
January 15, 2020
Bonafide CP, Miller JM, Localio AR, et al. Association between mobile telephone interruptions and
medication administration errors in a pediatric intensive care unit. JAMA Pe…
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psnet.ahrq.gov/node/46267/psn-pdf
December 21, 2017 - Pictograms, units and dosing tools, and parent
medication errors: a randomized study.
December 21, 2017
Yin S, Parker RM, Sanders LM, et al. Pictograms, Units and Dosing Tools, and Parent Medication Errors: A
Randomized Study. Pediatrics. 2017;140(1):e20163237. doi:10.1542/peds.2016-3237.
https://psnet.ahrq.gov/is…
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psnet.ahrq.gov/node/48172/psn-pdf
July 31, 2019 - Prevalence, severity, and nature of preventable patient
harm across medical care settings: systematic review and
meta-analysis.
July 31, 2019
Panagioti M, Khan K, Keers RN, et al. Prevalence, severity, and nature of preventable patient harm across
medical care settings: systematic review and meta-analysis. BMJ. 20…
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psnet.ahrq.gov/issue/patient-safety-group
March 27, 2024 - Multi-use Website
The Patient Safety Group.
Save
Save to your library
Print
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Share
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August 9, 2006
Development of The Patient Safety Group was motivated by the death of…
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psnet.ahrq.gov/node/39422/psn-pdf
March 23, 2011 - Organisational readiness: exploring the preconditions for
success in organisation-wide patient safety improvement
programmes.
March 23, 2011
Burnett S, Benn J, Pinto A, et al. Organisational readiness: exploring the preconditions for success in
organisation-wide patient safety improvement programmes. Qual Saf Heal…
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psnet.ahrq.gov/node/60347/psn-pdf
January 01, 2021 - Patient safety education 20 years after the Institute of
Medicine report: results from a cross-sectional national
survey.
May 20, 2020
Arora S, Tsang F, Kekecs Z, et al. Patient safety education 20 years after the Institute of Medicine report:
results from a cross-sectional national survey. J Patient Saf. 2021;17(…
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psnet.ahrq.gov/node/72719/psn-pdf
February 10, 2021 - The Diagnostic Error Index: a quality improvement
initiative to identify and measure diagnostic errors.
February 10, 2021
Perry MF, Melvin JE, Kasick RT, et al. The Diagnostic Error Index: a quality improvement initiative to
identify and measure diagnostic errors. J Pediatr. 2021;232:257-263. doi:10.1016/j.jpeds.20…
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psnet.ahrq.gov/node/72468/psn-pdf
November 18, 2020 - Development of rapid response capabilities in a large
COVID-19 alternate care site using Failure Modes and
Effect Analysis with in situ simulation.
November 18, 2020
Levy N, Zucco L, Ehrlichman RJ, et al. Development of rapid response capabilities in a large COVID-19
alternate care site using Failure Modes and Eff…
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psnet.ahrq.gov/node/837628/psn-pdf
July 06, 2022 - Multilevel factors associated with time to biopsy after
abnormal screening mammography results by race and
ethnicity.
July 6, 2022
Lawson MB, Bissell MCS, Miglioretti DL, et al. Multilevel factors associated with time to biopsy after
abnormal screening mammography results by race and ethnicity. JAMA Oncol. 2022;8(…
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psnet.ahrq.gov/node/45554/psn-pdf
October 19, 2016 - Injuries before and after diagnosis of cancer: nationwide
register based study.
October 19, 2016
Shen Q, Lu D, Schelin MEC, et al. Injuries before and after diagnosis of cancer: nationwide register based
study. BMJ. 2016;354:i4218. doi:10.1136/bmj.i4218.
https://psnet.ahrq.gov/issue/injuries-and-after-diagnosis-ca…