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psnet.ahrq.gov/node/39751/psn-pdf
August 11, 2010 - Interpreting adverse drug reaction (ADR) reports as
hospital patient safety incidents.
August 11, 2010
Davies EC, Green CF, Mottram DR, et al. Interpreting adverse drug reaction (ADR) reports as hospital
patient safety incidents. Br J Clin Pharmacol. 2010;70(1):102-8. doi:10.1111/j.1365-2125.2010.03671.x.
https://…
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psnet.ahrq.gov/node/50757/psn-pdf
December 18, 2019 - As university hospital hounds debtors, doctors say it's
doing harm.
December 18, 2019
Garcia-Navarro L. Weekend Edition Sunday. National Public Radio. December 1, 2019.
https://psnet.ahrq.gov/issue/university-hospital-hounds-debtors-doctors-say-its-doing-harm
Financial harms occur in health care due to a variety o…
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psnet.ahrq.gov/node/41040/psn-pdf
January 04, 2012 - Implementing an electronic medical record with
computerized prescriber order entry at a critical access
hospital.
January 4, 2012
Horning R. Implementing an electronic medical record with computerized prescriber order entry at a critical
access hospital. Am J Health Syst Pharm. 2011;68(23):2288-92. doi:10.2146/ajh…
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psnet.ahrq.gov/node/42203/psn-pdf
April 17, 2013 - What do hospital staff in the UK think are the causes of
penicillin medication errors?
April 17, 2013
Wilcock M, Harding G, Moore L, et al. What do hospital staff in the UK think are the causes of penicillin
medication errors? Int J Clin Pharm. 2012;35(1). doi:10.1007/s11096-012-9708-1.
https://psnet.ahrq.gov/issu…
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psnet.ahrq.gov/node/42477/psn-pdf
August 07, 2013 - Review into the Quality of Care and Treatment Provided
by 14 Hospital Trusts in England: Overview Report.
August 7, 2013
Keogh B. London, UK: National Health Service; July 2013.
https://psnet.ahrq.gov/issue/review-quality-care-and-treatment-provided-14-hospital-trusts-england-
overview-report
Outlining findings f…
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psnet.ahrq.gov/node/43621/psn-pdf
October 22, 2014 - Multidisciplinary in-hospital teams improve patient
outcomes: a review.
October 22, 2014
Epstein NE. Multidisciplinary in-hospital teams improve patient outcomes: A review. Surg Neurol Int.
2014;5(Suppl 7):S295-303. doi:10.4103/2152-7806.139612.
https://psnet.ahrq.gov/issue/multidisciplinary-hospital-teams-improve…
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psnet.ahrq.gov/node/846459/psn-pdf
March 22, 2023 - Few hospitals are willing to bear the cost of providing
psychiatric care for kids.
March 22, 2023
Schorsch K, Karp S. WBEZ Chicago. March 9, 2023.
https://psnet.ahrq.gov/issue/few-hospitals-are-willing-bear-cost-providing-psychiatric-care-kids
Pediatric mental health is a patient safety concern. This news story ou…
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psnet.ahrq.gov/node/38561/psn-pdf
April 15, 2009 - Health-Care–Associated Infections in Hospitals:
Continuing Leadership Needed from HHS to Prioritize
Prevention Practices and Improve Data on These
Infections.
April 15, 2009
Subcommittee on Health Care, Committee on Finance, US Senate, Government Accountability Office,
GAO-09-516T (March 18, 2009)
https://psnet.…
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psnet.ahrq.gov/node/40537/psn-pdf
June 15, 2011 - Rural nurses' safeguarding work: reembodying patient
safety.
June 15, 2011
MacKinnon K. Rural nurses' safeguarding work: reembodying patient safety. ANS Adv Nurs Sci.
2011;34(2):119-129. doi:10.1097/ANS.0b013e3182186b86.
https://psnet.ahrq.gov/issue/rural-nurses-safeguarding-work-reembodying-patient-safety
Rural …
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psnet.ahrq.gov/node/46605/psn-pdf
January 24, 2018 - The impact of interruptions on medication errors in
hospitals: an observational study of nurses.
January 24, 2018
Johnson M, Sanchez P, Langdon R, et al. The impact of interruptions on medication errors in hospitals: an
observational study of nurses. J Nurs Manag. 2017;25(7):498-507. doi:10.1111/jonm.12486.
https:…
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psnet.ahrq.gov/node/34788/psn-pdf
March 28, 2005 - Cost of medication-related problems at a university
hospital.
March 28, 2005
Schneider PJ; Gift MG; Lee YP; Rothermich EA; Sill BE
https://psnet.ahrq.gov/issue/cost-medication-related-problems-university-hospital
This study used retrospective chart review to determine estimated costs of defined medication-related
…
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psnet.ahrq.gov/node/845655/psn-pdf
March 08, 2023 - Crisis in the Lakeshore Hospital ER.
March 8, 2023
Derfel A. Montreal Gazette. February 24- March 1, 2023
https://psnet.ahrq.gov/issue/crisis-lakeshore-hospital-er
Emergency room failures are often rooted in system weaknesses. This series examines six patient deaths
associated with emergency care that, w…
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psnet.ahrq.gov/node/41302/psn-pdf
April 18, 2012 - A review of patient safety measures based on routinely
collected hospital data.
April 18, 2012
Tsang C, Palmer WL, Bottle A, et al. A review of patient safety measures based on routinely collected
hospital data. Am J Med Qual. 2012;27(2):154-69. doi:10.1177/1062860611414697.
https://psnet.ahrq.gov/issue/review-pat…
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psnet.ahrq.gov/node/48054/psn-pdf
June 26, 2019 - Lessons learned from a death outside a hospital's
doorstep.
June 26, 2019
Palmer J. Patient Saf Qual Healthc. May/June 2019.
https://psnet.ahrq.gov/issue/lessons-learned-death-outside-hospitals-doorstep
Organizations must learn from adverse events to prevent similar incidents. Reporting on lessons to be
learned f…
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psnet.ahrq.gov/perspective/overuse-patient-safety-problem
September 01, 2014 - patterns have been shown to undergo more tests, more procedures, more visits with specialists, and more hospitalizations
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psnet.ahrq.gov/node/37622/psn-pdf
May 26, 2011 - Effect of computer order entry on prevention of serious
medication errors in hospitalized children.
May 26, 2011
Walsh KE, Landrigan CP, Adams WG, et al. Effect of computer order entry on prevention of serious
medication errors in hospitalized children. Pediatrics. 2008;121(3):e421-e427. doi:10.1542/peds.2007-
022…
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psnet.ahrq.gov/issue/dangerous-infections-are-more-likely-pediatric-intensive-care-units
December 18, 2019 - Newspaper/Magazine Article
Dangerous infections are more likely in pediatric intensive-care units.
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February 15, 2012
Consumer Re…
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psnet.ahrq.gov/node/45814/psn-pdf
March 22, 2017 - Emergency medical services responders' perceptions of
the effect of stress and anxiety on patient safety in the
out-of-hospital emergency care of children: a qualitative
study.
March 22, 2017
Guise J-M, Hansen M, O'Brien K, et al. Emergency medical services responders' perceptions of the effect
of stress and anxi…
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psnet.ahrq.gov/node/45905/psn-pdf
December 22, 2017 - Safe practice recommendations for the use of copy-
forward with nursing flow sheets in hospital settings.
December 22, 2017
Patterson ES, Sillars DM, Staggers N, et al. Safe Practice Recommendations for the Use of Copy-Forward
with Nursing Flow Sheets in Hospital Settings. Jt Comm J Qual Patient Saf. 2017;43(8):375…
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psnet.ahrq.gov/node/46986/psn-pdf
June 27, 2018 - A multi-hospital before–after observational study using a
point-prevalence approach with an infusion safety
intervention bundle to reduce intravenous medication
administration errors.
June 27, 2018
Schnock KO, Dykes PC, Albert J, et al. A Multi-hospital Before-After Observational Study Using a Point-
Prevalence A…