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psnet.ahrq.gov/node/42474/psn-pdf
September 19, 2015 - A new, evidence-based estimate of patient harms
associated with hospital care.
September 19, 2015
James JT. A new, evidence-based estimate of patient harms associated with hospital care. J Patient Saf.
2013;9(3):122-128. doi:10.1097/PTS.0b013e3182948a69.
https://psnet.ahrq.gov/issue/new-evidence-based-estimate-pat…
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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/851914/psn-pdf
August 02, 2023 - Insulin pump-associated adverse events: a qualitative
descriptive study of clinical consequences and potential
root causes.
August 2, 2023
Estock JL, Codario RA, Keddem S, et al. Insulin pump-associated adverse events: a qualitative descriptive
study of clinical consequences and potential root causes. Diabetes Tec…
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psnet.ahrq.gov/node/45174/psn-pdf
November 18, 2016 - Patient safety events and harms during medical and
surgical hospitalizations for persons with serious mental
illness.
November 18, 2016
Daumit GL, McGinty EE, Pronovost P, et al. Patient Safety Events and Harms During Medical and Surgical
Hospitalizations for Persons With Serious Mental Illness. Psychiatr Serv. 20…
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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.
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psnet.ahrq.gov/node/42229/psn-pdf
July 03, 2014 - Relationship between occurrence of surgical
complications and hospital finances.
July 3, 2014
Eappen S, Lane BH, Rosenberg B, et al. Relationship between occurrence of surgical complications and
hospital finances. JAMA. 2013;309(15):1599-606. doi:10.1001/jama.2013.2773.
https://psnet.ahrq.gov/issue/relationship-be…
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psnet.ahrq.gov/node/37386/psn-pdf
January 06, 2017 - Medication reconciliation in ambulatory oncology.
January 6, 2017
Weingart SN, Cleary A, Seger AC, et al. Medication reconciliation in ambulatory oncology. Jt Comm J Qual
Patient Saf. 2007;33(12):750-7.
https://psnet.ahrq.gov/issue/medication-reconciliation-ambulatory-oncology
The Joint Commission mandates systems…
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psnet.ahrq.gov/node/40304/psn-pdf
March 23, 2011 - Bar code medication administration technology:
characterization of high-alert medication triggers and
clinician workarounds.
March 23, 2011
Miller DF, Fortier CR, Garrison KL. Bar Code Medication Administration Technology: Characterization of
High-Alert Medication Triggers and Clinician Workarounds. Ann Pharmacoth…
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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/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/35737/psn-pdf
July 15, 2010 - Shepherding change: how the market, healthcare
providers, and public policy can deliver quality care for
the 21st century.
July 15, 2010
Kennedy P, Pronovost P. Shepherding change: how the market, healthcare providers, and public policy
can deliver quality care for the 21st century. Crit Care Med. 2006;34(3 Suppl)…
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psnet.ahrq.gov/node/72752/psn-pdf
February 17, 2021 - Why do healthcare professionals fail to escalate as per
the early warning system (EWS) protocol? A qualitative
evidence synthesis of the barriers and facilitators of
escalation.
February 17, 2021
O’Neill SM, Clyne B, Bell M, et al. Why do healthcare professionals fail to escalate as per the early warning
system (…
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psnet.ahrq.gov/node/47561/psn-pdf
February 22, 2019 - "Change is what can actually make the tough times
better": a patient-centred patient safety intervention
delivered in collaboration with hospital volunteers.
February 22, 2019
Louch G, Mohammed MA, Hughes L, et al. "Change is what can actually make the tough times better": A
patient-centred patient safety interven…
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psnet.ahrq.gov/node/866729/psn-pdf
September 18, 2024 - Assessing between- and within-hospital differences in
patient safety between Medicaid and privately insured
hospital patients.
September 18, 2024
Gangopadhyaya A. Assessing between- and within-hospital differences in patient safety between Medicaid
and privately insured hospital patients. J Patient Saf. 2024;20(8)…
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psnet.ahrq.gov/node/854819/psn-pdf
October 25, 2023 - Second victim syndrome in intensive care unit healthcare
workers: a systematic review and meta-analysis on types,
prevalence, risk factors, and recovery time.
October 25, 2023
Naya K, Aikawa G, Ouchi A, et al. Second victim syndrome in intensive care unit healthcare workers: a
systematic review and meta-analysis o…
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psnet.ahrq.gov/node/44103/psn-pdf
July 08, 2015 - Results of survey on pediatric medication safety—part 1
and part 2.
July 8, 2015
ISMP Medication Safety Alert! Acute Care Edition. June 4, 2015;20:1-6. July 2, 2015;20:1-5.
https://psnet.ahrq.gov/issue/results-survey-pediatric-medication-safety-part-1-and-part-2
Hospitalized children are susceptible to medication …
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psnet.ahrq.gov/issue/patient-safety-group
March 27, 2024 - Multi-use Website
The Patient Safety Group.
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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/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/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:…