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psnet.ahrq.gov/node/41732/psn-pdf
October 03, 2012 - Double checking the administration of medicines: what is
the evidence? A systematic review.
October 3, 2012
Alsulami Z, Conroy S, Choonara I. Double checking the administration of medicines: what is the evidence?
A systematic review. Arch Dis Child. 2012;97(9):833-7. doi:10.1136/archdischild-2011-301093.
https://p…
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psnet.ahrq.gov/node/866644/psn-pdf
September 04, 2024 - The impact of independent chemotherapy prescribing by
advanced practice providers on patient safety and
clinician satisfaction.
September 4, 2024
LeStrange N, Walton AM, Watson JL, et al. The impact of independent chemotherapy prescribing by
advanced practice providers on patient safety and clinician satisfaction.…
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psnet.ahrq.gov/node/41963/psn-pdf
February 01, 2013 - National study on the distribution, causes, and
consequences of voluntarily reported medication errors
between the ICU and non-ICU settings.
February 1, 2013
Latif A, Rawat N, Pustavoitau A, et al. National study on the distribution, causes, and consequences of
voluntarily reported medication errors between the IC…
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psnet.ahrq.gov/node/45392/psn-pdf
August 17, 2016 - Boosting medical diagnostics by pooling independent
judgments.
August 17, 2016
Kurvers RHJM, Herzog SM, Hertwig R, et al. Boosting medical diagnostics by pooling independent
judgments. Proc Natl Acad Sci U S A. 2016;113(31):8777-8782. doi:10.1073/pnas.1601827113.
https://psnet.ahrq.gov/issue/boosting-medical-diagn…
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psnet.ahrq.gov/node/839314/psn-pdf
November 02, 2022 - Correlation between the number of patient-reported
adverse events, adverse drug events, and quality of life in
older patients: an observational study.
November 2, 2022
Beerlage-Davids CJ, Ponjee GHM, Vanhommerig JW, et al. Correlation between the number of patient-
reported adverse events, adverse drug events, and…
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psnet.ahrq.gov/node/46450/psn-pdf
August 20, 2018 - Improving Diagnostic Quality and Safety Final Report.
August 20, 2018
Washington, DC: National Quality Forum. September 19, 2017.
https://psnet.ahrq.gov/issue/improving-diagnostic-quality-and-safety-final-report
Although diagnostic error is a well-recognized source of preventable patient harm, measuring and
mitiga…
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psnet.ahrq.gov/node/852272/psn-pdf
January 01, 2024 - Investigating racial and ethnic disparities in maternal care
at the system level using patient safety incident reports.
August 9, 2023
Alfred MC, Wilson D, DeForest E, et al. Investigating racial and ethnic disparities in maternal care at the
system level using patient safety incident reports. Jt Comm J Qual Patien…
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psnet.ahrq.gov/node/61016/psn-pdf
October 14, 2020 - Complications associated with the anesthesia transport
of pediatric patients: an analysis of the Wake Up Safe
database.
October 14, 2020
Haydar B, Baetzel A, Stewart M, et al. Complications associated with the anesthesia transport of pediatric
patients: an analysis of the Wake Up Safe database. Anesth Analg. 2020;…
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psnet.ahrq.gov/node/42266/psn-pdf
May 15, 2013 - Medication errors in the home: a multisite study of
children with cancer.
May 15, 2013
Walsh KE, Roblin DW, Weingart SN, et al. Medication errors in the home: a multisite study of children with
cancer. Pediatrics. 2013;131(5):e1405-14. doi:10.1542/peds.2012-2434.
https://psnet.ahrq.gov/issue/medication-errors-home…
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psnet.ahrq.gov/node/38142/psn-pdf
April 30, 2014 - Medical error disclosure among pediatricians: choosing
carefully what we might say to parents.
April 30, 2014
Loren DJ, Klein EJ, Garbutt J, et al. Medical Error Disclosure Among Pediatricians. Arch Pediatr Adolesc
Med. 2008;162(10):922-927. doi:10.1001/archpedi.162.10.922.
https://psnet.ahrq.gov/issue/medical-err…
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psnet.ahrq.gov/node/849318/psn-pdf
May 24, 2023 - The impact of a nursing-led intervention bundle with a
bedside checklist to reduce mortality during the initial
COVID-19 pandemic and implications for future
emergencies.
May 24, 2023
Pugh S, Chan F, Han S, et al. The impact of a nursing-led intervention bundle with a bedside checklist to
reduce mortality during …
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psnet.ahrq.gov/node/41119/psn-pdf
July 03, 2016 - How can we make diagnosis safer?
July 3, 2016
Schiff G, Leape L. Commentary: how can we make diagnosis safer? Acad Med. 2012;87(2):135-138.
doi:10.1097/ACM.0b013e31823f711c.
https://psnet.ahrq.gov/issue/how-can-we-make-diagnosis-safer
Autopsy studies spanning five decades consistently show an error rate of almost …
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psnet.ahrq.gov/node/844050/psn-pdf
February 08, 2023 - Using automated methods to detect safety problems with
health information technology: a scoping review.
February 8, 2023
Surian D, Wang Y, Coiera E, et al. Using automated methods to detect safety problems with health
information technology: a scoping review. J Am Med Inform Assoc. 2022;30(2):382-392.
doi:10.1093/…
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psnet.ahrq.gov/node/44963/psn-pdf
January 23, 2017 - The frequency of intravenous medication administration
errors related to smart infusion pumps: a multihospital
observational study.
January 23, 2017
Schnock KO, Dykes PC, Albert J, et al. The frequency of intravenous medication administration errors
related to smart infusion pumps: a multihospital observational st…
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psnet.ahrq.gov/node/47516/psn-pdf
December 19, 2018 - Patient groups, clinicians and healthcare professionals
agree—all test results need to be seen, understood and
followed up.
December 19, 2018
Dahm MR, Georgiou A, Herkes R, et al. Patient groups, clinicians and healthcare professionals agree - all
test results need to be seen, understood and followed up. Diagnosis…
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psnet.ahrq.gov/node/44601/psn-pdf
February 23, 2018 - Emergency department visits for adverse events related
to dietary supplements.
February 23, 2018
Geller AI, Shehab N, Weidle NJ, et al. Emergency Department Visits for Adverse Events Related to Dietary
Supplements. N Engl J Med. 2015;373(16):1531-40. doi:10.1056/NEJMsa1504267.
https://psnet.ahrq.gov/issue/emergenc…
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psnet.ahrq.gov/node/60228/psn-pdf
April 15, 2020 - How safety is compromised when hospital equipment is a
poor fit for patients who are obese.
April 15, 2020
Kukielka E. How safety is compromised when hospital equipment is a poor fit for patients who are obese.
Patient Saf J. 2020;2(1):48-56. doi:10.33940/data/2020.3.4.
https://psnet.ahrq.gov/issue/how-safety-comp…
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psnet.ahrq.gov/node/849129/psn-pdf
November 01, 2023 - Patient safety trends in 2022: an analysis of 256,679
serious events and incidents from the nation’s largest
event reporting database.
May 17, 2023
Kepner S, Jones RM. Patient Safety Trends in 2022: an analysis of 256,679 serious events and incidents
from the nation’s largest event reporting database. Patient Saf.…
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psnet.ahrq.gov/node/50863/psn-pdf
February 05, 2020 - Patient safety in inpatient mental health settings: a
systematic review.
February 5, 2020
Thibaut BI, Dewa LH, Ramtale SC, et al. Patient safety in inpatient mental health settings: a systematic
review. BMJ Open. 2019;9(12):e030230. doi:10.1136/bmjopen-2019-030230.
https://psnet.ahrq.gov/issue/patient-safety-inpat…
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psnet.ahrq.gov/node/867337/psn-pdf
December 11, 2024 - Perspectives on anesthesia and perioperative patient
safety: past, present, and future.
December 11, 2024
Kanjia MK, Kurth CD, Hyman D, et al. Perspectives on anesthesia and perioperative patient safety: past,
present, and future. Anesthesiology. 2024;141(5):835-848. doi:10.1097/aln.0000000000005164.
https://psnet…