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psnet.ahrq.gov/issue/reducing-clinical-errors-cancer-education-interpreter-training
October 19, 2022 - Reducing clinical errors in cancer education: interpreter training. … terminology to patients, in this study conducted in an outpatient oncology clinic. … Reducing clinical errors in cancer education: interpreter training. … November 2, 2010
Out-of-hospital medication errors: a 6-year analysis of the national … November 13, 2009
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Hospitals
Quality
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psnet.ahrq.gov/issue/what-constitutes-prescribing-error-paediatrics
March 05, 2010 - Study
What constitutes a prescribing error in paediatrics? … UK hospitals: mixed method evaluation. … July 8, 2008
Multiple component patient safety intervention in English hospitals: controlled … February 13, 2008
Minimising medication errors in children. … Decision-making in acute paediatrics.
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psnet.ahrq.gov/issue/community-validation-approach-detect-delayed-diagnosis-appendicitis-big-databases
October 26, 2022 - Community validation of an approach to detect delayed diagnosis of appendicitis in … Community validation of an approach to detect delayed diagnosis of appendicitis in big databases. … pediatric patients in community emergency department (ED) settings. … five pediatric hospitals. … at US Children's Hospitals, 2016-2019.
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psnet.ahrq.gov/issue/implementing-national-strategy-patient-safety-lessons-national-health-service-england
March 02, 2011 - Implementing a national strategy for patient safety: lessons from the National Health Service in … Implementing a national strategy for patient safety: lessons from the National Health Service in England … Using the example of the National Health Service in England, this article highlights the importance of … strategic policy analysis in designing a national patient safety strategy. … a multistate hospital network--13 academic medical centers, April-June 2020.
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psnet.ahrq.gov/issue/analysis-medical-malpractice-claims-improve-quality-care-cautionary-remarks
May 09, 2012 - March 15, 2023
An inpatient fall prevention initiative in a tertiary care hospital. … August 10, 2011
Classifying errors in preventable and potentially preventable trauma … September 11, 2024
Improving resident physician participation in reporting patient safety … August 28, 2024
Interview
In Conversation with...Patrick … April 7, 2021
Comparing the evolution of risk culture in radiation oncology, aviation
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psnet.ahrq.gov/issue/technical-mistakes-during-acquisition-electrocardiogram
March 09, 2022 - Author(s)
Predictive power of the "trigger tool" for the detection of adverse events in … March 9, 2022
Inappropriate hospital admission as a risk factor for the subsequent development … September 13, 2023
Measuring experiences and outcomes of patient safety in primary care … January 12, 2022
Factors influencing witnesses' perception of patient safety during pre-hospital … August 11, 2021
Higher incidence of adverse events in isolated patients compared with
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psnet.ahrq.gov/issue/patient-safety-actioning-and-communicating-blood-test-results-primary-care-uk-wide-audit
August 03, 2022 - Study
Patient safety in actioning and communicating blood test results in primary … October 19, 2022
Electronic prescribing systems in hospitals to improve medication safety … August 12, 2015
Differential safety between top-ranked cancer hospitals and their affiliates … a multistate hospital network--13 academic medical centers, April-June 2020. … to 20 hospitals in England during implementation of the 7-day services national health policy.
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psnet.ahrq.gov/issue/evaluation-quality-do-not-use-medication-abbreviation-audits-key-enabler-successful
September 15, 2021 - patients: a prospective chart review in the Netherlands. … May 25, 2010
Characteristics of medication errors and adverse drug events in hospitals … participating in the California Pediatric Patient Safety Initiative. … November 12, 2008
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Hospitals
Quality … and Safety Professionals
Hospital Pharmacy
Medication Errors/Preventable Adverse Drug Events
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psnet.ahrq.gov/issue/effectiveness-and-safety-pulse-oximetry-remote-patient-monitoring-patients-covid-19
October 05, 2022 - Review
Effectiveness and safety of pulse oximetry in remote patient monitoring of … Results show RPM was safe for patients in identifying risk of deterioration. … care units and hospital emergency services. … September 23, 2020
Hospital- and system-wide interventions for health care-associated … event reports from 71 hospitals in Pennsylvania.
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psnet.ahrq.gov/issue/implementing-2009-institute-medicine-recommendations-resident-physician-work-hours
September 28, 2010 - In 2003 ACGME regulations came out and, for the first time, limited housestaff work hours . … The report serves as a guide and foundation for policymakers, hospital administrators, and residency … July 11, 2017
Parent-reported errors and adverse events in hospitalized children. … May 8, 2017
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Related Resources
Associations between in-hospital … October 1, 2008
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Hospitals
Physicians
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psnet.ahrq.gov/issue/clinicians-use-health-information-exchange-technologies-medication-reconciliation-us
August 04, 2021 - a multistate hospital network--13 academic medical centers, April-June 2020. … February 12, 2020
Families as partners in hospital error and adverse event surveillance … Monitoring and reducing central line-associated bloodstream infections: a national survey of state hospital … April 17, 2024
Informatics tools in deprescribing and medication optimization in older … Avoidable Error
March 21, 2009
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Hospitals
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psnet.ahrq.gov/issue/exploring-association-between-organizational-culture-and-large-scale-adverse-events-evidence
August 18, 2021 - Results suggest that in hospitals with reciprocal engagement (i.e., staff perceptions that the organization … Johnson VA Medical Center in Clarksburg, West Virginia. … November 23, 2011
Hospital safety climate and safety outcomes: is there a relationship … in the VA? … April 1, 2010
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Hospitals
Organizational
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psnet.ahrq.gov/issue/improving-perceptions-patient-safety-through-standardizing-handoffs-emergency-department
December 21, 2022 - that little data exists on the impact of standardizing handoffs from the emergency department to the hospital … Effect of a pharmacist intervention on clinically important medication errors after hospital … April 5, 2013
Medication order errors at hospital admission among children with medical … complexity
July 8, 2020
The dichotomy of the application of a systems approach in … July 21, 2021
High delayed and missed injury rate after inter-hospital transfer of severely
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psnet.ahrq.gov/issue/remember-patient-you-saw-last-week-characteristics-and-frequency-patients-experiencing
March 10, 2021 - December 15, 2021
Discrepancy between emergency department admission diagnosis and hospital … February 16, 2022
Drug-drug interactions and prescription appropriateness at hospital … Post-discharge adverse events among African American and Caucasian patients of an urban community hospital … The tradeoffs between safety and alert fatigue: data from a national evaluation of hospital … an urban emergency department in the US.
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psnet.ahrq.gov/issue/could-breaks-reduce-general-practitioner-burnout-and-improve-safety-daily-diary-study
August 24, 2016 - hospital nurses. … multistate hospital network--13 academic medical centers, April-June 2020. … practice during COVID-19: a descriptive analysis in 38 countries (PRICOV-19). … hospitals in six European countries. … hospitals and federally qualified health centers.
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psnet.ahrq.gov/issue/how-induce-error-management-climate-experimental-evidence-newly-formed-teams
August 24, 2022 - As hypothesized, participants in the error management groups performed better, particularly those in … , 2022
Nurses' harm prevention practices during admission of an older person to the hospital … leadership skills and environmental factors that influence missed nursing care - a qualitative study on hospital … November 17, 2021
A human factors intervention in a hospital--evaluating the outcome … : a repeated cross-sectional intervention study at two hospital sites.
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psnet.ahrq.gov/issue/association-between-handover-anesthesiology-care-and-1-year-mortality-among-adults-undergoing
June 08, 2022 - July 13, 2022
Quality and safety outcomes of a hospital merger following a full integration … at a safety net hospital. … November 30, 2022
Assessment of changes in visits and antibiotic prescribing during the … July 20, 2022
Analysis of hospital-level readmission rates and variation in adverse events … among patients with pneumonia in the United States.
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psnet.ahrq.gov/issue/high-delayed-and-missed-injury-rate-after-inter-hospital-transfer-severely-injured-trauma
December 02, 2020 - Study
High delayed and missed injury rate after inter-hospital transfer of severely … High delayed and missed injury rate after inter-hospital transfer of severely injured trauma patients … This cohort study conducted at a large trauma center found that inter-hospital transfer of severely … High delayed and missed injury rate after inter-hospital transfer of severely injured trauma patients … in the USA.
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psnet.ahrq.gov/issue/association-adverse-events-opioid-addiction-treatment-quality-measure-continuity
March 09, 2022 - community-based care in England and Wales. … November 11, 2020
Root causes of adverse drug events in hospitals and artificial intelligence … hospitalisation: identifying root causes and developing a surveillance and learning system at an urban community hospital … October 14, 2020
Care quality, patient safety, and nurse outcomes at hospitals serving … economically disadvantaged patients: a case for investment in nursing.
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psnet.ahrq.gov/issue/understanding-medication-safety-challenges-patients-mental-illness-primary-care-scoping
July 17, 2024 - Understanding the medication safety challenges for patients with mental illness in … transitions from mental health hospitals to the community: a prioritisation nominal group technique. … mental health settings: findings from the MedicAtion relateD harm in mEntal health hospitals (MADE) … hospital inpatients: prospective study in 20 UK hospitals. … May 4, 2022
To what extent are patients involved in researching safety in acute mental