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psnet.ahrq.gov/node/60725/psn-pdf
July 29, 2020 - The tradeoffs between safety and alert fatigue: data from
a national evaluation of hospital medication-related
clinical decision support.
July 29, 2020
Co Z, Holmgren AJ, Classen DC, et al. The tradeoffs between safety and alert fatigue: data from a national
evaluation of hospital medication-related clinical decis…
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psnet.ahrq.gov/node/45680/psn-pdf
February 22, 2017 - Pediatric medication safety in adult community hospital
settings: a glimpse into nationwide practice.
February 22, 2017
Alvarez F, Ismail L, Markowsky A. Pediatric Medication Safety in Adult Community Hospital Settings: A
Glimpse Into Nationwide Practice. Hosp Pediatr. 2016;6(12):744-749.
https://psnet.ahrq.gov/is…
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psnet.ahrq.gov/node/46118/psn-pdf
December 20, 2017 - Predictors of in-hospital postoperative opioid overdose
after major elective operations: a nationally
representative cohort study.
December 20, 2017
Cauley CE, Anderson G, Haynes AB, et al. Predictors of In-hospital Postoperative Opioid Overdose After
Major Elective Operations: A Nationally Representative Cohort S…
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psnet.ahrq.gov/node/47080/psn-pdf
May 02, 2018 - The next generation of doctors may be learning bad
habits at teaching hospitals with many safety violations.
May 2, 2018
Blau M. STAT. April 20, 2018.
https://psnet.ahrq.gov/issue/next-generation-doctors-may-be-learning-bad-habits-teaching-hospitals-many-
safety-violations
The hidden curriculum, staff burnout, an…
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psnet.ahrq.gov/node/39893/psn-pdf
November 02, 2010 - Surgical safety and hospital volume across a wide range
of interventions.
November 2, 2010
Eggli Y, Halfon P, Meylan D, et al. Surgical safety and hospital volume across a wide range of
interventions. Med Care. 2010;48(11):962-71. doi:10.1097/MLR.0b013e3181eaf9f6.
https://psnet.ahrq.gov/issue/surgical-safety-and-h…
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psnet.ahrq.gov/node/837428/psn-pdf
June 15, 2022 - A retrospective review of serious surgical incidents in 5
large UK teaching hospitals: a system-based approach.
June 15, 2022
Serou N, Slight RD, Husband AK, et al. A retrospective review of serious surgical incidents in 5 large UK
teaching hospitals: a system-based approach. J Patient Saf. 2022;18(4):358-364.
doi…
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psnet.ahrq.gov/node/35840/psn-pdf
May 27, 2011 - Development of the Leapfrog methodology for evaluating
hospital implemented inpatient computerized physician
order entry systems.
May 27, 2011
Kilbridge PM, Welebob EM, Classen DC. Development of the Leapfrog methodology for evaluating hospital
implemented inpatient computerized physician order entry systems. Qual…
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psnet.ahrq.gov/node/39462/psn-pdf
April 21, 2010 - Comparing safety climate in naval aviation and hospitals:
implications for improving patient safety.
April 21, 2010
Singer SJ, Rosen AK, Zhao S, et al. Comparing safety climate in naval aviation and hospitals: implications
for improving patient safety. Health Care Manag Rev. 2010;35(2):134-146.
doi:10.1097/HMR.0b0…
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psnet.ahrq.gov/node/837031/psn-pdf
May 04, 2022 - Indicators for implementation outcome monitoring of
reporting and learning systems in hospitals: an
underestimated need for patient safety.
May 4, 2022
Kuske S, Willmeroth T, Schneider J, et al. Indicators for implementation outcome monitoring of reporting
and learning systems in hospitals: an underestimated need …
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psnet.ahrq.gov/node/36314/psn-pdf
June 13, 2011 - Discontinuity of chronic medications in patients
discharged from the intensive care unit.
June 13, 2011
Bell CM, Rahimi-Darabad P, Orner AI. Discontinuity of chronic medications in patients discharged from the
intensive care unit. J Gen Intern Med. 2006;21(9):937-41.
https://psnet.ahrq.gov/issue/discontinuity-chro…
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psnet.ahrq.gov/node/847541/psn-pdf
April 12, 2023 - Improving medication safety in a paediatric hospital: a
mixed-methods evaluation of a newly implemented
computerised provider order entry system.
April 12, 2023
Liang MQ, Thibault M, Jouvet P, et al. BMJ Health Care Inform. 2023;30(1):e100622.
https://psnet.ahrq.gov/issue/improving-medication-safety-paediatric-hos…
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psnet.ahrq.gov/node/43192/psn-pdf
December 15, 2014 - Using estimated true safety event rates versus flagged
safety event rates: does it change hospital profiling and
payment?
December 15, 2014
Rosen AK, Chen Q, Borzecki A, et al. Using estimated true safety event rates versus flagged safety event
rates: does it change hospital profiling and payment? Health Serv Res.…
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psnet.ahrq.gov/node/37995/psn-pdf
September 19, 2016 - Inpatient suicide and suicide attempts in Veterans Affairs
hospitals.
September 19, 2016
Mills PD, DeRosier JM, Ballot BA, et al. Inpatient suicide and suicide attempts in Veterans Affairs hospitals.
Jt Comm J Qual Patient Saf. 2008;34(8):482-488.
https://psnet.ahrq.gov/issue/inpatient-suicide-and-suicide-attempts…
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psnet.ahrq.gov/node/45296/psn-pdf
September 21, 2016 - Comparison of medication safety systems in critical
access hospitals: combined analysis of two studies.
September 21, 2016
Cochran GL, Barrett RS, Horn SD. Comparison of medication safety systems in critical access hospitals:
Combined analysis of two studies. Am J Health Syst Pharm. 2016;73(15):1167-73.
doi:10.214…
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psnet.ahrq.gov/node/43125/psn-pdf
December 12, 2014 - Detection of adverse events in an acute geriatric hospital
over a 6-year period using the Global Trigger Tool.
December 12, 2014
Suarez C, Menendez MD, Alonso J, et al. Detection of adverse events in an acute geriatric hospital over a
6-year period using the Global Trigger Tool. J Am Geriatr Soc. 2014;62(5):896-900…
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psnet.ahrq.gov/node/866280/psn-pdf
July 10, 2024 - Visitor restrictions during the COVID-19 pandemic and
increased falls with harm at a Canadian hospital: an
exploratory study.
July 10, 2024
Shennan S, Coyle N, Lockwood B, et al. Visitor restrictions during the COVID-19 pandemic and increased
falls with harm at a Canadian hospital: an exploratory study. J Patient …
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psnet.ahrq.gov/node/851651/psn-pdf
July 26, 2023 - Using failure mode and effect analysis to identify
potential failures in a psychiatric hospital emergency
department.
July 26, 2023
Gur-Arieh S, Mendlovic S, Rozenblum R, et al. Using failure mode and effect analysis to identify potential
failures in a psychiatric hospital emergency department. J Patient Saf. 2023…
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psnet.ahrq.gov/node/838188/psn-pdf
September 28, 2022 - Changes in unprofessional behaviour, teamwork, and co-
operation among hospital staff during the COVID-19
pandemic.
September 28, 2022
Westbrook JI, McMullan R, Urwin R, et al. Changes in unprofessional behaviour, teamwork and co?
operation among hospital staff during the COVID?19 pandemic. Intern Med J. 2022;52(1…
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psnet.ahrq.gov/node/46665/psn-pdf
June 19, 2018 - A qualitative study of patient involvement in medicines
management after hospital discharge: an under-
recognised source of systems resilience.
June 19, 2018
Fylan B, Armitage G, Naylor D, et al. A qualitative study of patient involvement in medicines management
after hospital discharge: an under-recognised source…
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psnet.ahrq.gov/node/35783/psn-pdf
July 10, 2008 - Role of pharmacist counseling in preventing adverse drug
events after hospitalization.
July 10, 2008
Schnipper JL, Kirwin JL, Cotugno MC, et al. Role of pharmacist counseling in preventing adverse drug
events after hospitalization. Arch Intern Med. 2006;166(5):565-571.
https://psnet.ahrq.gov/issue/role-pharmacist-…