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psnet.ahrq.gov/node/46188/psn-pdf
June 21, 2017 - Death by suicide within 1 week of hospital discharge: a
retrospective study of root cause analysis reports.
June 21, 2017
Riblet N, Shiner B, Watts B, et al. Death by Suicide Within 1 Week of Hospital Discharge: A Retrospective
Study of Root Cause Analysis Reports. J Nerv Ment Dis. 2017;205(6):436-442.
doi:10.1097…
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psnet.ahrq.gov/node/837705/psn-pdf
July 20, 2022 - Understanding hazards for adverse drug events among
older adults after hospital discharge: insights from
frontline care professionals.
July 20, 2022
Xiao Y, Smith A, Abebe E, et al. Understanding hazards for adverse drug events among older adults after
hospital discharge: insights from frontline care professionals…
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psnet.ahrq.gov/node/866107/psn-pdf
June 12, 2024 - Hospital inpatient nutrition service errors and patient
safety interventions: a scoping review.
June 12, 2024
Austria D, McConnell C, Pope C. Hospital inpatient nutrition service errors and patient safety interventions:
a scoping review. J Patient Saf. 2024;20(4):272-278. doi:10.1097/pts.0000000000001223.
https://…
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psnet.ahrq.gov/node/764405/psn-pdf
March 02, 2022 - Evaluation of communication and safety behaviors during
hospital-wide code response simulation.
March 2, 2022
Ren DM, Abrams A, Banigan M, et al. Evaluation of communication and safety behaviors during hospital-
wide code response simulation. Simul Healthc. 2022;17(1):e45-e50. doi:10.1097/sih.0000000000000575.
htt…
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psnet.ahrq.gov/node/47001/psn-pdf
August 17, 2018 - Realist synthesis of intentional rounding in hospital
wards: exploring the evidence of what works, for whom,
in what circumstances and why.
August 17, 2018
Sims S, Leamy M, Davies N, et al. Realist synthesis of intentional rounding in hospital wards: exploring the
evidence of what works, for whom, in what circumst…
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psnet.ahrq.gov/node/856585/psn-pdf
November 29, 2023 - Overnight stay in the emergency department and
mortality in older patients.
November 29, 2023
Roussel M, Teissandier D, Yordanov Y, et al. Overnight stay in the emergency department and mortality in
older patients. JAMA Intern Med. 2023;183(12):1378-1385. doi:10.1001/jamainternmed.2023.5961.
https://psnet.ahrq.gov…
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psnet.ahrq.gov/node/846760/psn-pdf
March 29, 2023 - Electronic health record-based prediction models for in-
hospital adverse drug event diagnosis or prognosis: a
systematic review.
March 29, 2023
Yasrebi-de Kom IAR, Dongelmans DA, de Keizer NF, et al. Electronic health record-based prediction
models for in-hospital adverse drug event diagnosis or prognosis: a syst…
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psnet.ahrq.gov/node/34694/psn-pdf
February 10, 2011 - Computerized surveillance of adverse drug events in
hospital patients.
February 10, 2011
Classen DC, Pestotnik SL, Evans RS, et al. Computerized surveillance of adverse drug events in hospital
patients. JAMA. 1991;266(20):2847-51.
https://psnet.ahrq.gov/issue/computerized-surveillance-adverse-drug-events-hospital-…
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psnet.ahrq.gov/node/837742/psn-pdf
July 27, 2022 - Room of hazards: a comparison of differences in safety
hazard recognition among various hospital-based
healthcare professionals and trainees in a simulated
patient room.
July 27, 2022
Wang M, Banda B, Rodwin BA, et al. Room of hazards: a comparison of differences in safety hazard
recognition among various hospita…
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psnet.ahrq.gov/node/46566/psn-pdf
June 25, 2018 - A systematic review of interventions to follow-up test
results pending at discharge.
June 25, 2018
Darragh PJ, Bodley T, Orchanian-Cheff A, et al. A Systematic Review of Interventions to Follow-Up Test
Results Pending at Discharge. J Gen Intern Med. 2018;33(5):750-758. doi:10.1007/s11606-017-4290-9.
https://psnet.…
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psnet.ahrq.gov/node/850163/psn-pdf
June 07, 2023 - Managing near-miss reporting in hospitals: the dynamics
between staff members’ willingness to report and
management’s handling of near-miss events.
June 7, 2023
Caspi H, Perlman Y, Westreich S. Managing near-miss reporting in hospitals: the dynamics between staff
members’ willingness to report and management’s han…
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psnet.ahrq.gov/node/844754/psn-pdf
September 18, 2019 - How do stakeholders experience the adoption of
electronic prescribing systems in hospitals? A systematic
review and thematic synthesis of qualitative studies.
September 18, 2019
Farre A, Heath G, Shaw K, et al. How do stakeholders experience the adoption of electronic prescribing
systems in hospitals? A systematic…
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psnet.ahrq.gov/node/74059/psn-pdf
January 01, 2022 - Medication dose calculation errors and other numeracy
mishaps in hospitals: analysis of the nature and enablers
of incident reports.
November 10, 2021
Mulac A, Hagesaether E, Granas AG. Medication dose calculation errors and other numeracy mishaps in
hospitals: analysis of the nature and enablers of incident repor…
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psnet.ahrq.gov/node/842768/psn-pdf
January 18, 2023 - Addressing patient safety hazards using critical incident
reporting in hospitals: a systematic review.
January 18, 2023
Goekcimen K, Schwendimann R, Pfeiffer Y, et al. Addressing patient safety hazards using critical incident
reporting in hospitals: a systematic review. J Patient Saf. 2023;19(1):e1-e8.
doi:10.1097…
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psnet.ahrq.gov/node/72851/psn-pdf
March 17, 2021 - Effect of a multifaceted clinical pharmacist intervention
on medication safety after hospitalization in persons
prescribed high-risk medications: a randomized clinical
trial.
March 17, 2021
Gurwitz JH, Kapoor A, Garber L, et al. Effect of a multifaceted clinical pharmacist intervention on
medication safety after …
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psnet.ahrq.gov/node/36424/psn-pdf
January 07, 2008 - Teamwork in the operating room: frontline perspectives
among hospitals and operating room personnel.
January 7, 2008
Sexton JB; Makary MA; Tersigni AR; Pryor D; Hendrich A; Thomas EJ; Holzmueller CG; Knight AP; Wu Y;
Pronovost PJ.
https://psnet.ahrq.gov/issue/teamwork-operating-room-frontline-perspectives-among-ho…
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psnet.ahrq.gov/node/60900/psn-pdf
September 09, 2020 - State policies for prescription drug monitoring programs
and adverse opioid-related hospital events.
September 9, 2020
Wen K, Johnson P, Jeng PJ, et al. State policies for prescription drug monitoring programs and adverse
opioid-related hospital events. Med Care. 2020;58(7):610-616.
doi:http://doi.org/10.1097/mlr.…
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psnet.ahrq.gov/node/47566/psn-pdf
January 30, 2019 - Important factors for effective patient safety governance
auditing: a questionnaire survey.
January 30, 2019
van Gelderen SC, Zegers M, Robben PB, et al. Important factors for effective patient safety governance
auditing: a questionnaire survey. BMC Health Serv Res. 2018;18(1):798. doi:10.1186/s12913-018-3577-9.
h…
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psnet.ahrq.gov/node/47654/psn-pdf
February 27, 2019 - The Swiss Cheese Conference: integrating and aligning
quality improvement education with hospital patient
safety initiatives.
February 27, 2019
Durstenfeld MS, Statman S, Dikman A, et al. The Swiss Cheese Conference: integrating and aligning
quality improvement education with hospital patient safety initiatives. A…
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psnet.ahrq.gov/node/46979/psn-pdf
January 01, 2021 - Improving patient safety in public hospitals: developing
standard measures to track medical errors and process
breakdowns.
April 4, 2018
Ackerman SL, Gourley G, Le G, et al. Improving Patient Safety in Public Hospitals: Developing Standard
Measures to Track Medical Errors and Process Breakdowns. J Patient Saf. 202…