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psnet.ahrq.gov/node/35708/psn-pdf
March 28, 2011 - Interventions in primary care to reduce medication related
adverse events and hospital admissions: systematic
review and meta-analysis.
March 28, 2011
Royal S, Smeaton L, Avery A, et al. Interventions in primary care to reduce medication related adverse
events and hospital admissions: systematic review and meta-an…
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psnet.ahrq.gov/node/40133/psn-pdf
January 19, 2011 - Outcomes of classroom-based team training
interventions for multiprofessional hospital staff. A
systematic review.
January 19, 2011
Rabol LI, Ostergaard D, Mogensen T. Outcomes of classroom-based team training interventions for
multiprofessional hospital staff. A systematic review. BMJ Qual Saf. 2010;19(6).
doi:1…
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psnet.ahrq.gov/node/39622/psn-pdf
June 23, 2010 - Safety concerns of hospital-based new-to-practice
registered nurses and their preceptors.
June 23, 2010
Myers S, Reidy P, French B, et al. Safety concerns of hospital-based new-to-practice registered nurses and
their preceptors. J Contin Educ Nurs. 2010;41(4):163-71. doi:10.3928/00220124-20100326-02.
https://psnet…
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psnet.ahrq.gov/node/37497/psn-pdf
February 15, 2011 - Reporting medical errors to improve patient safety: a
survey of physicians in teaching hospitals.
February 15, 2011
Kaldjian LC, Jones EW, Wu BJ, et al. Reporting medical errors to improve patient safety: a survey of
physicians in teaching hospitals. Arch Intern Med. 2008;168(1):40-6. doi:10.1001/archinternmed.2007…
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psnet.ahrq.gov/node/38431/psn-pdf
February 25, 2009 - Surgical team training: the Northwestern Memorial
Hospital experience.
February 25, 2009
Halverson AL, Andersson JL, Anderson K, et al. Surgical team training: the Northwestern Memorial
Hospital experience. Arch Surg. 2009;144(2):107-12. doi:10.1001/archsurg.2008.545.
https://psnet.ahrq.gov/issue/surgical-team-tra…
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psnet.ahrq.gov/node/39659/psn-pdf
July 07, 2010 - Influence of language barriers on outcomes of hospital
care for general medicine inpatients.
July 7, 2010
Karliner LS, Kim SE, Meltzer DO, et al. Influence of language barriers on outcomes of hospital care for
general medicine inpatients. J Hosp Med. 2010;5(5):276-82. doi:10.1002/jhm.658.
https://psnet.ahrq.gov/is…
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psnet.ahrq.gov/node/39989/psn-pdf
December 21, 2014 - The incidence and cost of unexpected hospital use after
scheduled outpatient endoscopy.
December 21, 2014
Leffler DA, Kheraj R, Garud S, et al. The incidence and cost of unexpected hospital use after scheduled
outpatient endoscopy. Arch Intern Med. 2010;170(19):1752-7. doi:10.1001/archinternmed.2010.373.
https://p…
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psnet.ahrq.gov/node/36166/psn-pdf
June 14, 2011 - Identification of root causes for emergency diagnostic
imaging delays at three Canadian hospitals.
June 14, 2011
Worster A, Fernandes CMB, Malcolmson C, et al. Identification of root causes for emergency diagnostic
imaging delays at three Canadian hospitals. J Emerg Nurs. 2006;32(4):276-280.
https://psnet.ahrq.gov…
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psnet.ahrq.gov/node/43985/psn-pdf
December 06, 2017 - Development of a medication safety and quality survey
for small rural hospitals.
December 6, 2017
Winterstein AG, Johns TE, Campbell KN, et al. Development of a Medication Safety and Quality Survey for
Small Rural Hospitals. J Patient Saf. 2017;13(4):249-254. doi:10.1097/PTS.0000000000000154.
https://psnet.ahrq.go…
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psnet.ahrq.gov/node/37619/psn-pdf
March 19, 2008 - Learning from error: identifying contributory causes of
medication errors in an Australian hospital.
March 19, 2008
Nichols P, Copeland T-S, Craib IA, et al. Learning from error: identifying contributory causes of medication
errors in an Australian hospital. Med J Aust. 2008;188(5):276-9.
https://psnet.ahrq.gov/is…
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psnet.ahrq.gov/node/42013/psn-pdf
March 06, 2013 - Handoff communication between hospital and outpatient
dialysis units at patient discharge: a qualitative study.
March 6, 2013
Reilly JB, Marcotte LM, Berns JS, et al. Handoff communication between hospital and outpatient dialysis
units at patient discharge: a qualitative study. Jt Comm J Qual Patient Saf. 2013;39(2…
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psnet.ahrq.gov/node/40174/psn-pdf
December 21, 2014 - Physician implicit review to identify preventable errors
during in-hospital cardiac arrest.
December 21, 2014
Jain R, Kuhn L, Repaskey W, et al. Physician implicit review to identify preventable errors during in-hospital
cardiac arrest. Arch Intern Med. 2011;171(1):89-90. doi:10.1001/archinternmed.2010.475.
https:…
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psnet.ahrq.gov/node/35995/psn-pdf
October 28, 2010 - FDA Guidance Document: Hospital Bed System
Dimensional and Assessment Guidance to Reduce
Entrapment.
October 28, 2010
Rockville MD: Center for Devices and Radiological Health, Food and Drug Administration: March 10, 2006.
https://psnet.ahrq.gov/issue/fda-guidance-document-hospital-bed-system-dimensional-and-assess…
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psnet.ahrq.gov/node/42533/psn-pdf
October 24, 2013 - Health information technology and hospital patient safety:
a conceptual model to guide research.
October 24, 2013
Paez K, Roper RA, Andrews RM. Health information technology and hospital patient safety: a conceptual
model to guide research. Jt Comm J Qual Patient Saf. 2013;39(9):415-425.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/38994/psn-pdf
March 04, 2011 - Computerized surveillance for adverse drug events in a
pediatric hospital.
March 4, 2011
Kilbridge PM, Noirot LA, Reichley RM, et al. Computerized surveillance for adverse drug events in a
pediatric hospital. J Am Med Inform Assoc. 2009;16(5):607-12. doi:10.1197/jamia.M3167.
https://psnet.ahrq.gov/issue/computeriz…
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psnet.ahrq.gov/node/37675/psn-pdf
April 09, 2008 - Hospital progress in reducing error: the impact of
external interventions.
April 9, 2008
Hosford SB. Hospital progress in reducing error: the impact of external interventions. Hosp Top.
2008;86(1):9-19. doi:10.3200/HTPS.86.1.9-20.
https://psnet.ahrq.gov/issue/hospital-progress-reducing-error-impact-external-interv…
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psnet.ahrq.gov/node/37652/psn-pdf
September 24, 2010 - Case study: getting boards on board at Allen Memorial
Hospital, Iowa Health System.
September 24, 2010
Slessor SR, Crandall JB, Nielsen GA. Case study: getting boards on board at Allen Memorial Hospital,
Iowa Health System. Jt Comm J Qual Patient Saf. 2008;34(4):221-227.
https://psnet.ahrq.gov/issue/case-study-get…
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psnet.ahrq.gov/node/44097/psn-pdf
June 10, 2015 - Hospital nurses' perceptions of human factors
contributing to nursing errors.
June 10, 2015
Roth C, Wieck L, Fountain R, et al. Hospital nurses' perceptions of human factors contributing to nursing
errors. J Nurs Adm. 2015;45(5):263-9. doi:10.1097/NNA.0000000000000196.
https://psnet.ahrq.gov/issue/hospital-nurses-…
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psnet.ahrq.gov/node/39844/psn-pdf
November 02, 2010 - Safety through redundancy: a case study of in-hospital
patient transfers.
November 2, 2010
Ong M-S, Coiera E. Safety through redundancy: a case study of in-hospital patient transfers. Qual Saf
Health Care. 2010;19(5):e32. doi:10.1136/qshc.2009.035972.
https://psnet.ahrq.gov/issue/safety-through-redundancy-case-stu…
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psnet.ahrq.gov/node/40791/psn-pdf
February 09, 2012 - Adverse event rates as measures of hospital
performance.
February 9, 2012
Hauck K, Zhao X, Jackson T. Adverse event rates as measures of hospital performance. Health Policy
(New York). 2012;104(2):146-154. doi:10.1016/j.healthpol.2011.06.010.
https://psnet.ahrq.gov/issue/adverse-event-rates-measures-hospital-perfo…