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psnet.ahrq.gov/node/37226/psn-pdf
December 15, 2011 - Adverse drug events in pediatric outpatients.
December 15, 2011
Kaushal R, Goldmann DA, Keohane C, et al. Adverse drug events in pediatric outpatients. Ambul Pediatr.
2007;7(5):383-9.
https://psnet.ahrq.gov/issue/adverse-drug-events-pediatric-outpatients
The incidence of adverse drug events (ADEs) among children h…
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psnet.ahrq.gov/node/39387/psn-pdf
July 23, 2014 - Medication errors involving oral chemotherapy.
July 23, 2014
Weingart SN, Toro J, Spencer J, et al. Medication errors involving oral chemotherapy. Cancer.
2010;116(10):2455-2464. doi:10.1002/cncr.25027.
https://psnet.ahrq.gov/issue/medication-errors-involving-oral-chemotherapy
Widely publicized errors associated w…
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psnet.ahrq.gov/primer/checklists
September 15, 2024 - Checklists
Citation Text:
Checklists. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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psnet.ahrq.gov/node/37856/psn-pdf
June 16, 2011 - Improving patient safety in intensive care units in
Michigan.
June 16, 2011
Pronovost P, Berenholtz SM, Goeschel CA, et al. Improving patient safety in intensive care units in
Michigan. J Crit Care. 2008;23(2):207-212. doi:10.1016/j.jcrc.2007.09.002.
https://psnet.ahrq.gov/issue/improving-patient-safety-intensive-…
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psnet.ahrq.gov/node/36551/psn-pdf
February 17, 2011 - An intervention to decrease catheter-related bloodstream
infections in the ICU.
February 17, 2011
Pronovost P, Needham DM, Berenholtz SM, et al. An intervention to decrease catheter-related
bloodstream infections in the ICU. N Engl J Med. 2006;355(26):2725-2732.
https://psnet.ahrq.gov/issue/intervention-decrease-c…
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psnet.ahrq.gov/node/42114/psn-pdf
March 20, 2013 - Hospital-initiated transitional care interventions as a
patient safety strategy: a systematic review.
March 20, 2013
Rennke S, Nguyen OK, Shoeb MH, et al. Hospital-initiated transitional care interventions as a patient safety
strategy: a systematic review. Ann Intern Med. 2013;158(5 Pt 2):433-40. doi:10.7326/0003-4…
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psnet.ahrq.gov/node/38505/psn-pdf
February 10, 2015 - Health information technology and patient safety:
evidence from panel data.
February 10, 2015
Parente ST, McCullough JS. Health information technology and patient safety: evidence from panel data.
Health Aff (Millwood). 2009;28(2):357-360. doi:10.1377/hlthaff.28.2.357.
https://psnet.ahrq.gov/issue/health-informati…
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psnet.ahrq.gov/node/37480/psn-pdf
January 23, 2008 - Lost opportunities: how physicians communicate about
medical errors.
January 23, 2008
Garbutt J, Waterman AD, Kapp JM, et al. Lost Opportunities: How Physicians Communicate About Medical
Errors. Health Aff (Millwood). 2008;27(1):246-255. doi:10.1377/hlthaff.27.1.246.
https://psnet.ahrq.gov/issue/lost-opportunities…
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psnet.ahrq.gov/node/36303/psn-pdf
October 25, 2010 - Medication dispensing errors and potential adverse drug
events before and after implementing bar code
technology in the pharmacy.
October 25, 2010
Poon EG, Cina J, Churchill WW, et al. Medication dispensing errors and potential adverse drug events
before and after implementing bar code technology in the pharmacy. …
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psnet.ahrq.gov/node/41570/psn-pdf
August 27, 2012 - Exploring relationships between patient safety culture
and patients' assessments of hospital care.
August 27, 2012
Sorra J, Khanna K, Dyer N, et al. Exploring relationships between patient safety culture and patients'
assessments of hospital care. J Patient Saf. 2012;8(3):131-9. doi:10.1097/PTS.0b013e318258ca46.
h…
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psnet.ahrq.gov/node/37425/psn-pdf
March 28, 2012 - Frequency and outcome of cervical cancer prevention
failures in the United States.
March 28, 2012
Raab SS, Grzybicki DM, Zarbo RJ, et al. Frequency and outcome of cervical cancer prevention failures in
the United States. Am J Clin Pathol. 2007;128(5):817-24.
https://psnet.ahrq.gov/issue/frequency-and-outcome-cervi…
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psnet.ahrq.gov/node/43205/psn-pdf
April 04, 2018 - Placing Diagnosis Errors on the Policy Agenda.
April 4, 2018
Berenson RA, Upadhyay D, Kaye DR. Washington, DC: Urban Institute. Princeton, NJ: Robert Wood
Johnson Foundation; 2014.
https://psnet.ahrq.gov/issue/placing-diagnosis-errors-policy-agenda
This comprehensive policy brief emphasizes the importance of addre…
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psnet.ahrq.gov/node/36386/psn-pdf
July 14, 2010 - Learning from different lenses: reports of medical errors
in primary care by clinicians, staff, and patients: a project
of the American Academy of Family Physicians National
Research Network.
July 14, 2010
Phillips RL, Dovey SM, Graham D, et al. Learning From Different Lenses: Reports of Medical Errors in
Primary…
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psnet.ahrq.gov/node/40839/psn-pdf
December 30, 2014 - How event reporting by US hospitals has changed from
2005 to 2009.
December 30, 2014
Farley DO, Haviland AM, Haas A, et al. How event reporting by US hospitals has changed from 2005 to
2009. BMJ Qual Saf. 2011;21(1). doi:10.1136/bmjqs-2011-000114.
https://psnet.ahrq.gov/issue/how-event-reporting-us-hospitals-has-c…
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psnet.ahrq.gov/node/35969/psn-pdf
August 10, 2010 - Systematic review: impact of health information
technology on quality, efficiency, and costs of medical
care.
August 10, 2010
Chaudhry B, Wang J, Wu S, et al. Systematic review: impact of health information technology on quality,
efficiency, and costs of medical care. Ann Intern Med. 2006;144(10):742-52.
https://…
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psnet.ahrq.gov/node/44513/psn-pdf
September 23, 2015 - Improving Diagnosis in Health Care.
September 23, 2015
Committee on Diagnostic Error in Health Care, National Academies of Science, Engineering, and Medicine.
Washington, DC: National Academies Press; 2015. ISBN: 9780309377690.
https://psnet.ahrq.gov/issue/improving-diagnosis-health-care
The National Academy of Me…
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psnet.ahrq.gov/node/38798/psn-pdf
May 18, 2019 - Working conditions in primary care: physician reactions
and care quality.
May 18, 2019
Linzer M, Manwell LB, Williams E, et al. Working conditions in primary care: physician reactions and care
quality. Ann Intern Med. 2009;151(1):28-36, W6-9.
https://psnet.ahrq.gov/issue/working-conditions-primary-care-physician-r…
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psnet.ahrq.gov/node/42113/psn-pdf
March 20, 2013 - Preventing in-facility pressure ulcers as a patient safety
strategy: a systematic review.
March 20, 2013
Sullivan N, Schoelles KM. Preventing in-facility pressure ulcers as a patient safety strategy: a systematic
review. Ann Intern Med. 2013;158(5 Pt 2):410-416. doi:10.7326/0003-4819-158-5-201303051-00008.
https:/…
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psnet.ahrq.gov/node/41777/psn-pdf
April 05, 2013 - Effect of nonpayment for preventable infections in U.S.
hospitals.
April 5, 2013
Lee GM, Kleinman K, Soumerai SB, et al. Effect of nonpayment for preventable infections in U.S. hospitals.
N Engl J Med. 2012;367(15):1428-37. doi:10.1056/NEJMsa1202419.
https://psnet.ahrq.gov/issue/effect-nonpayment-preventable-infec…
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psnet.ahrq.gov/node/40674/psn-pdf
October 16, 2012 - The care transitions intervention: translating from
efficacy to effectiveness.
October 16, 2012
Voss R, Gardner R, Baier R, et al. The care transitions intervention: translating from efficacy to
effectiveness. Arch Intern Med. 2011;171(14):1232-7. doi:10.1001/archinternmed.2011.278.
https://psnet.ahrq.gov/issue/ca…