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psnet.ahrq.gov/issue/comparison-medication-administration-errors-original-medication-packaging-and-multi
July 24, 2024 - Study
A comparison of medication administration errors from original medication packaging and multi-compartment compliance aids in care homes: a prospective observational study.
Citation Text:
Gilmartin-Thomas JF-M, Smith F, Wolfe R, et al. A comparison of medication administration error…
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psnet.ahrq.gov/issue/burden-peri-operative-work-night-perceived-anaesthesiologists-international-survey
May 08, 2024 - Study
The burden of peri-operative work at night as perceived by anaesthesiologists: an international survey.
Citation Text:
Cortegiani A, Ippolito M, Lakbar I, et al. The burden of peri-operative work at night as perceived by anaesthesiologists: an international survey. Eur J Anaesthesi…
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psnet.ahrq.gov/issue/outcomes-daytime-procedures-performed-attending-surgeons-after-night-work
December 18, 2014 - Study
Classic
Outcomes of daytime procedures performed by attending surgeons after night work.
Citation Text:
Govindarajan A, Urbach DR, Kumar M, et al. Outcomes of Daytime Procedures Performed by Attending Surgeons after Night Work. N Engl J Med. 2015;373(9):84…
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psnet.ahrq.gov/issue/systematic-review-effects-resident-duty-hour-restrictions-surgery-impact-resident-wellness
March 19, 2018 - Review
Classic
A systematic review of the effects of resident duty hour restrictions in surgery: impact on resident wellness, training, and patient outcomes.
Citation Text:
Ahmed N, Devitt KS, Keshet I, et al. A systematic review of the effects of resident duty …
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psnet.ahrq.gov/issue/2019-novel-coronavirus-covid-19-pandemic-built-environment-considerations-reduce-transmission
January 12, 2022 - Commentary
2019 Novel Coronavirus (COVID-19) pandemic: built environment considerations to reduce transmission.
Citation Text:
Dietz L, Horve PF, Coil DA, et al. 2019 Novel Coronavirus (COVID-19) pandemic: built environment considerations to reduce transmission. mSystems. 2020;5(2):e0024…
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psnet.ahrq.gov/issue/frequency-diagnostic-errors-outpatient-care-estimations-three-large-observational-studies
April 09, 2013 - Study
Classic
The frequency of diagnostic errors in outpatient care: estimations from three large observational studies involving US adult populations.
Citation Text:
Singh H, Meyer AND, Thomas EJ. The frequency of diagnostic errors in outpatient care: estimatio…
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psnet.ahrq.gov/issue/efficacy-tolerability-and-dose-dependent-effects-opioid-analgesics-low-back-pain-systematic
March 02, 2011 - Review
Efficacy, tolerability, and dose-dependent effects of opioid analgesics for low back pain: a systematic review and meta-analysis.
Citation Text:
Shaheed CA, Maher CG, Williams KA, et al. Efficacy, Tolerability, and Dose-Dependent Effects of Opioid Analgesics for Low Back Pain: A S…
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psnet.ahrq.gov/issue/make-or-buy-patient-safety-solutions-resource-dependence-and-transaction-cost-economics
April 08, 2008 - Study
To make or buy patient safety solutions: a resource dependence and transaction cost economics perspective.
Citation Text:
Fareed N, Mick SS. To make or buy patient safety solutions: a resource dependence and transaction cost economics perspective. Health Care Manage Rev. 2011;36(…
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psnet.ahrq.gov/issue/impact-covid-19-pandemic-experiences-hospitalized-patients-scoping-review
September 21, 2022 - Review
Impact of the COVID-19 pandemic on the experiences of hospitalized patients: a scoping review.
Citation Text:
Engel FD, da Fonseca GGP, Cechinel-Peiter C, et al. Impact of the COVID-19 pandemic on the experiences of hospitalized patients: a scoping review. J Patient Saf. 2023;19(1…
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psnet.ahrq.gov/node/49661/psn-pdf
August 01, 2012 - strength and educate patients about the need for certain precautions to prevent
unintentional injury or falls
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psnet.ahrq.gov/node/866846/psn-pdf
September 24, 2024 - found a 37%
increase in reporting, and decreases in preventable harm: 39%
decrease in injuries with falls
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psnet.ahrq.gov/node/33751/psn-pdf
January 01, 2014 - adoption of evidence-based guidelines, including catheter-associated urinary tract infections and falls
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psnet.ahrq.gov/web-mm/misidentifying-unidentified-john-doe-and-ehr
September 27, 2017 - patients of similar age arrived at the same time to the emergency department (ED) after sustaining falls
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psnet.ahrq.gov/node/867652/psn-pdf
February 26, 2025 - to examine patterns across multiple events within a category (such as medication
errors or patient falls
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psnet.ahrq.gov/web-mm/picture-speaks-1000-words
July 16, 2015 - June 21, 2017
Root cause analysis of reported patient falls in ORs in the Veterans Health
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psnet.ahrq.gov/sites/default/files/2020-06/final_june-spotlight_case_slides_06.12.2020.pdf
January 01, 2020 - This class of drugs is frequently associated with errors that can
result in adverse events including falls
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psnet.ahrq.gov/web-mm/mixup-beyond-medication-label
June 01, 2014 - medications such as sulfonylureas (including glimepiride) as they can cause hypoglycemia and result in falls
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psnet.ahrq.gov/node/865698/psn-pdf
April 24, 2024 - Although differences have been
reported on patient variables like hospital-acquired pressure ulcers, falls
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psnet.ahrq.gov/perspective/building-safety-program-using-principles-resilience-engineering
October 23, 2013 - Perspective
The Ongoing Journey to Prevent Patient Falls
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psnet.ahrq.gov/node/33600/psn-pdf
June 16, 2024 - less harmful if care
had been different;
Adverse events due to negligence: those due to care that falls