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psnet.ahrq.gov/node/850930/psn-pdf
June 21, 2023 - Patient safety in emergency departments: a problem for
health care systems? An international survey.
June 21, 2023
Petrino R, Tuunainen E, Bruzzone G, et al. Patient safety in emergency departments: a problem for health
care systems? An international survey. Eur J Emerg Med. 2023;30(4):280-286.
doi:10.1097/mej.000…
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psnet.ahrq.gov/node/837061/psn-pdf
May 11, 2022 - Nursing implications of an early warning system
implemented to reduce adverse events: a qualitative
study.
May 11, 2022
Braun EJ, Singh S, Penlesky AC, et al. Nursing implications of an early warning system implemented to
reduce adverse events: a qualitative study. BMJ Qual Saf. 2022;31(10):716-724. doi:10.1136/bm…
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psnet.ahrq.gov/node/50736/psn-pdf
December 11, 2019 - Prevalence and nature of medication errors and
preventable adverse drug events in paediatric and
neonatal intensive care settings: a systematic review.
December 11, 2019
Alghamdi AA, Keers RN, Sutherland A, et al. Prevalence and Nature of Medication Errors and Preventable
Adverse Drug Events in Paediatric and Neon…
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psnet.ahrq.gov/node/35620/psn-pdf
February 03, 2011 - Excess dosing of antiplatelet and antithrombin agents in
the treatment of non–ST-segment elevation acute
coronary syndromes.
February 3, 2011
Alexander KP, Chen AY, Roe MT, et al. Excess dosing of antiplatelet and antithrombin agents in the
treatment of non-ST-segment elevation acute coronary syndromes. JAMA. 2005…
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psnet.ahrq.gov/node/61064/psn-pdf
October 28, 2020 - Feasibility of patient-reported diagnostic errors following
emergency department discharge: a pilot study.
October 28, 2020
Gleason KT, Peterson SM, Dennison Himmelfarb CR, et al. Feasibility of patient-reported diagnostic errors
following emergency department discharge: a pilot study. Diagnosis (Berl). 2021;8(2):1…
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psnet.ahrq.gov/node/73340/psn-pdf
June 02, 2021 - Can patients contribute to enhancing the safety and
effectiveness of test-result follow-up? Qualitative
outcomes from a health consumer workshop.
June 2, 2021
Thomas J, Dahm MR, Li J, et al. Can patients contribute to enhancing the safety and effectiveness of test?
result follow?up? Qualitative outcomes from a hea…
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psnet.ahrq.gov/node/72579/psn-pdf
January 01, 2021 - Registration errors among patients receiving blood
transfusions: a national analysis from 2008 to 2017.
December 16, 2020
Vijenthira S, Armali C, Downie H, et al. Registration errors among patients receiving blood transfusions: a
national analysis from 2008 to 2017. Vox Sang. 2021;116(2):225-233. doi:10.1111/vox.13…
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psnet.ahrq.gov/node/45252/psn-pdf
September 04, 2016 - Pediatric airway management and prehospital patient
safety: results of a national Delphi survey by the
Children's Safety Initiative-Emergency Medical Services
for Children.
September 4, 2016
Hansen M, Meckler G, O?Brien K, et al. Pediatric Airway Management and Prehospital Patient Safety:
Results of a National De…
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit3-11.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 3.11. Lean Project Activities
Previous Page Next Page
Table of Contents
Improving Care Delivery Through Lean: Implementation Case Studies
Introduction to the Case Studies
Case 1. Lakeview Healthcare
Case 2. Central Hospi…
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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/849317/psn-pdf
May 24, 2023 - Implementing an electronic root cause analysis reporting
system to decrease hospital-acquired pressure injuries.
May 24, 2023
Armstrong AA. Implementing an electronic root cause analysis reporting system to decrease hospital-
acquired pressure injuries. J Healthc Qual. 2023;45(3):125-132. doi:10.1097/jhq.0000000000…
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psnet.ahrq.gov/node/34043/psn-pdf
March 11, 2011 - Some unintended consequences of information
technology in health care: the nature of patient care
information system-related errors.
March 11, 2011
Ash JS, Berg M, Coiera E. Some unintended consequences of information technology in health care: the
nature of patient care information system-related errors. J Am Med…
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psnet.ahrq.gov/node/50868/psn-pdf
February 05, 2020 - Adverse medication events related to hospitalization in
the United States: a comparison between adults with
intellectual and developmental disabilities and those
without.
February 5, 2020
Erickson SR, Kamdar N, Wu C-H. Adverse Medication Events Related to Hospitalization in the United
States: A Comparison Between…
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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…
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psnet.ahrq.gov/node/46732/psn-pdf
June 07, 2018 - The SAGES Fundamental Use of Surgical Energy program
(FUSE): history, development, and purpose.
June 7, 2018
Fuchshuber P, Schwaitzberg S, Jones D, et al. The SAGES Fundamental Use of Surgical Energy program
(FUSE): history, development, and purpose. Surg Endosc. 2018;32(6):2583-2602. doi:10.1007/s00464-
017-5933-…
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psnet.ahrq.gov/node/842762/psn-pdf
January 18, 2023 - Support for healthcare workers and patients after medical
error through mutual healing: another step towards
patient safety.
January 18, 2023
Aubin DL, Soprovich A, Diaz Carvallo F, et al. Support for healthcare workers and patients after medical
error through mutual healing: another step towards patient safety. B…
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psnet.ahrq.gov/node/863761/psn-pdf
January 23, 2020 - Exposures to structural racism and racial discrimination
among pregnant and early post-partum Black women
living in Oakland, California.
January 23, 2020
Chambers BD, Arabia SE, Arega HA, et al. Exposures to structural racism and racial discrimination among
pregnant and early post?partum Black women living in Oakl…
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psnet.ahrq.gov/node/47587/psn-pdf
February 13, 2019 - Comfort with uncertainty: reframing our conceptions of
how clinicians navigate complex clinical situations.
February 13, 2019
Ilgen JS, Eva KW, de Bruin A, et al. Comfort with uncertainty: reframing our conceptions of how clinicians
navigate complex clinical situations. Adv Health Sci Edu: Theory Pract. 2019;24(4):…
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psnet.ahrq.gov/node/47537/psn-pdf
November 14, 2018 - Developing a learning health system: insights from a
qualitative process evaluation of a pharmacist-led
electronic audit and feedback intervention to improve
medication safety in primary care.
November 14, 2018
Jeffries M, Keers RN, Phipps D, et al. Developing a learning health system: Insights from a qualitative
…
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psnet.ahrq.gov/node/36346/psn-pdf
April 11, 2011 - Incidence and nature of adverse events during pediatric
sedation/anesthesia for procedures outside the operating
room: report from the Pediatric Sedation Research
Consortium.
April 11, 2011
Cravero JP, Blike G, Beach M, et al. Incidence and nature of adverse events during pediatric
sedation/anesthesia for procedu…