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psnet.ahrq.gov/issue/enhancing-pediatric-safety-assessing-and-improving-resident-competency-life-threatening
December 14, 2016 - Study
Enhancing pediatric safety: assessing and improving resident competency in … critical care units and hospital emergency services. … Developing a programme for medication reconciliation at the time of admission into hospital … care in high-stakes clinical setting of cardiac surgery. … November 1, 2008
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General Hospitals
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psnet.ahrq.gov/issue/safe-care-pediatric-patients-scoping-review-across-multiple-health-care-settings
August 03, 2022 - Children are vulnerable to errors in various health care settings. … Medication error s were the main patient safety concern identified in the literature. … a multistate hospital network--13 academic medical centers, April-June 2020. … October 14, 2020
What is new in paediatric medication safety? … October 21, 2015
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Hospitals
Ambulatory
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psnet.ahrq.gov/issue/beyond-clinical-team-evaluating-human-factors-oriented-training-non-clinical-professionals
March 12, 2025 - Nonclinicians such as hospital administrators or law enforcement officials frequently encounter individuals … in the health care context. … health care environments for use in simulation training . … February 20, 2019
How do hospital boards govern for quality improvement? … Decision-making in acute paediatrics.
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psnet.ahrq.gov/issue/patient-safety-dentistry-dental-care-risk-management-plan
March 27, 2013 - Patient safety in dentistry: dental care risk management plan. … Patient safety in dentistry: dental care risk management plan. … care units and hospital emergency services. … October 10, 2012
Inappropriate hospital admission as a risk factor for the subsequent … December 11, 2024
Prevalence of adverse events in the hospitals of five Latin American
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psnet.ahrq.gov/issue/connected-care-reducing-errors-through-automated-vital-signs-data-upload
September 01, 2018 - upload of clinical information directly into the electronic medical record, nearly eliminated errors in … August 26, 2020
Medication errors from over-the-counter cough and cold medications in … March 13, 2019
El Camino Hospital: using health information technology to promote patient … May 26, 2011
Preventing medication errors in hospitals through a systems approach and … critical access hospitals.
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psnet.ahrq.gov/issue/developing-action-plan-patient-radiation-safety-adult-cardiovascular-medicine
August 04, 2021 - Commentary
Developing an action plan for patient radiation safety in adult cardiovascular … Developing an action plan for patient radiation safety in adult cardiovascular medicine: proceedings … hospital practice: factors associated with turnover, outcomes, and patient safety. … October 12, 2009
Families as partners in hospital error and adverse event surveillance … October 14, 2009
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Hospitals
Health
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psnet.ahrq.gov/issue/emergency-department-patient-safety-incident-characterization-observational-analysis-findings
July 29, 2020 - To characterize patient safety incidents in a tertiary care emergency department, researchers investigated … July 29, 2020
Seroprevalence of SARS-CoV-2 among frontline health care personnel in a … multistate hospital network--13 academic medical centers, April-June 2020. … March 10, 2021
Incidence and trends of sepsis in US hospitals using clinical vs claims … April 26, 2023
Families as partners in hospital error and adverse event surveillance.
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psnet.ahrq.gov/issue/effect-opioid-prescribing-guidelines-prescriptions-emergency-physicians-ohio
April 24, 2018 - The effect of opioid prescribing guidelines on prescriptions by emergency physicians in … The Effect of Opioid Prescribing Guidelines on Prescriptions by Emergency Physicians in Ohio. … in Ohio in 2012. … The Effect of Opioid Prescribing Guidelines on Prescriptions by Emergency Physicians in Ohio. … hospital error and adverse event surveillance.
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psnet.ahrq.gov/issue/key-potentially-inappropriate-drugs-pediatrics-kids-list
September 23, 2020 - Key potentially inappropriate drugs in pediatrics: the KIDs list. … Key potentially inappropriate drugs in pediatrics: the KIDs list. … a multistate hospital network--13 academic medical centers, April-June 2020. … November 16, 2022
Prevalence of Errors in Anaphylaxis in Kids (PEAK): a multicenter simulation-based … Language Barrier
April 1, 2006
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Hospitals
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psnet.ahrq.gov/issue/association-between-frequency-self-reported-medical-errors-and-anesthesia-trainee-supervision
July 19, 2017 - October 7, 2013
Components of hospital perioperative infrastructure can overcome the … weekend effect in urgent general surgery procedures. … October 1, 2014
The interpretability of doctor identification badges in UK hospitals: … failures in communication during the event. … June 25, 2010
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Hospitals
Physicians
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psnet.ahrq.gov/issue/potential-preanalytical-and-analytical-vulnerabilities-laboratory-diagnosis-coronavirus
August 10, 2016 - Commentary
Potential preanalytical and analytical vulnerabilities in the laboratory … Potential preanalytical and analytical vulnerabilities in the laboratory diagnosis of coronavirus disease … care units and hospital emergency services. … Developing a programme for medication reconciliation at the time of admission into hospital … an outpatient hospital pharmacy.
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psnet.ahrq.gov/issue/use-checklist-pediatric-oncology-clinic
April 24, 2019 - Study
The use of a checklist in a pediatric oncology clinic. … The use of a checklist in a pediatric oncology clinic. … The use of a checklist in a pediatric oncology clinic. … April 24, 2019
Families as partners in hospital error and adverse event surveillance. … cancer unit in a resource-limited setting.
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psnet.ahrq.gov/issue/regional-surveillance-emergency-department-visits-outpatient-adverse-drug-events
September 21, 2022 - This study found that many adverse drug events led to hospital admission. … August 4, 2021
Association of diagnostic stewardship for blood cultures in critically … a nosocomial outbreak of coronavirus disease (COVID-19) in hospital care. … January 20, 2021
Medication-related hospital readmissions within 30 days of discharge … medication error interception in the emergency department.
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psnet.ahrq.gov/issue/optimizing-smart-pump-technology-increasing-critical-safety-alerts-and-reducing-clinically
February 12, 2014 - Enhancing alarm management to decrease unnecessary alerts is a critical step in making decision support … February 12, 2014
Antimicrobial residual drug error in the intensive care unit; a single … Acute Hospital Care Units
April 26, 2023
Emergency department monitor alarms … February 14, 2007
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Hospitals
Engineers … Hospital Medicine
Infusion Pumps
Alert fatigue
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psnet.ahrq.gov/issue/using-simulation-identify-sources-medical-diagnostic-error-child-physical-abuse
January 12, 2022 - Using simulation to identify sources of medical diagnostic error in child physical abuse. … who were injured in a traumatic accident. … hospital practice: factors associated with turnover, outcomes, and patient safety. … July 19, 2023
A system-wide hospital child maltreatment patient safety program. … August 21, 2008
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Hospitals
Physicians
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psnet.ahrq.gov/issue/opportunities-enhance-laboratory-professionals-role-diagnostic-team
April 13, 2022 - professionals in assisting with diagnostic challenges. … or hospital outpatient settings has COVID-19 disease. … physician-staffed emergency medical teams: a retrospective observational cohort study of prehospital versus hospital … diagnosis in a 10-year interval. … Latch
September 1, 2008
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Hospitals
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psnet.ahrq.gov/issue/effect-checklist-quality-post-anaesthesia-patient-handover-randomized-controlled-trial
February 15, 2012 - Implementing a checklist for post-surgical handoffs resulted in more information being included in … older people with dementia in care homes: a retrospective analysis. … care units and hospital emergency services. … Developing a programme for medication reconciliation at the time of admission into hospital … September 7, 2011
Inappropriate hospital admission as a risk factor for the subsequent
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psnet.ahrq.gov/issue/analysis-human-performance-deficiencies-associated-surgical-adverse-events
April 15, 2016 - found that those types of human errors were responsible for 51.6% of 188 surgical adverse events at 3 hospitals … January 12, 2022
Risk-adjusted cumulative sum for early detection of hospitals with excess … May 10, 2023
Role of intraoperative cholangiography in avoiding bile duct injury. … ; assessment and impact on the first 32 facilities in the programme. … August 18, 2010
Teamwork in the operating room: frontline perspectives among hospitals
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psnet.ahrq.gov/issue/analysis-and-prioritization-near-miss-adverse-events-radiology-department
June 15, 2016 - Analysis and prioritization of near-miss adverse events in a radiology department. … Analysis and prioritization of near-miss adverse events in a radiology department. … multistate hospital network--13 academic medical centers, April-June 2020. … Acute Hospital Care Units
April 26, 2023
Perspectives on Safety … January 19, 2011
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General Hospitals
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psnet.ahrq.gov/issue/novel-process-audit-standardized-perioperative-handoff-protocols
June 27, 2018 - 15, 2020
Simulation-debriefing enhanced needs assessment to address quality markers in … January 12, 2022
Cold debriefings after in-hospital cardiac arrest in an international … July 2, 2019
Alert burden in pediatric hospitals: a cross-sectional analysis of six academic … November 3, 2021
Preventing harm in the ICU—building a culture of safety and engaging … September 1, 2007
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Hospitals