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psnet.ahrq.gov/node/852270/psn-pdf
August 09, 2023 - Final Report on Prioritization of Patient Safety Practices
for a New Rapid Review or Rapid Response. Making
Healthcare Safer IV Series.
August 9, 2023
Rosen M, Dy SM, Stewart CM, et al. Making Healthcare Safer IV Series. Rockville, MD: Agency for
Healthcare Research and Quality; July 2023. AHRQ Publication n…
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psnet.ahrq.gov/node/43959/psn-pdf
September 01, 2016 - Evaluation of an automated surveillance system using
trigger alerts to prevent adverse drug events in the
intensive care unit and general ward.
September 1, 2016
DiPoto JP, Buckley MS, Kane-Gill SL. Evaluation of an automated surveillance system using trigger alerts
to prevent adverse drug events in the intensive …
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psnet.ahrq.gov/node/34597/psn-pdf
March 28, 2005 - The difficulty in identifying "error" is framed in the work of Rasmussen
and Hollnagel.
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psnet.ahrq.gov/node/34001/psn-pdf
April 16, 2018 - is an independent state agency charged with taking steps to reduce and
eliminate medical errors by identifying
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psnet.ahrq.gov/node/33968/psn-pdf
July 08, 2016 - the emerging field of health literacy by discussing promotional strategies to raise
awareness and by identifying
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psnet.ahrq.gov/node/38921/psn-pdf
September 09, 2009 - using-medical-emergency-teams-detect-preventable-adverse-events
Structured analysis of medical emergency team calls proved to be an effective method of identifying
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psnet.ahrq.gov/node/73554/psn-pdf
July 28, 2021 - compliance with medical protocols.9 The process can also serve to support quality
improvement efforts by identifying
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psnet.ahrq.gov/node/33821/psn-pdf
December 01, 2016 - Identifying errors and near-miss events can be challenging.
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psnet.ahrq.gov/perspective/ahrq-psnet-annual-perspective-impact-covid-19-pandemic-patient-safety
August 31, 2020 - patient harm events into healthcare systems and a human factors lens can be particularly useful for identifying
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psnet.ahrq.gov/node/36958/psn-pdf
September 12, 2011 - psnet.ahrq.gov/issue/sleepy-nurses-are-we-willing-accept-challenge-today
The authors discuss research identifying
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psnet.ahrq.gov/node/42366/psn-pdf
June 19, 2013 - /psnet.ahrq.gov/issue/quality-patient-safety-and-cardiac-surgical-team
https://psnet.ahrq.gov/issue/identifying-and-categorising-patient-safety-hazards-cardiovascular-operating-rooms-using
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psnet.ahrq.gov/node/35694/psn-pdf
July 13, 2010 - analyzed Australian hospital administrative data and found that ICD-10 codes alone are less
accurate in identifying
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psnet.ahrq.gov/node/38285/psn-pdf
December 10, 2008 - practices-ambulatory-care
This AHRQ grantee announcement lists 13 projects funded to demonstrate effective strategies in
identifying
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psnet.ahrq.gov/node/34975/psn-pdf
June 14, 2011 - She cautions against “stopping short” by only identifying problems but not supporting initiatives to
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psnet.ahrq.gov/node/34105/psn-pdf
December 24, 2008 - barcode-technology-its-role-increasing-safety-blood-transfusion
https://psnet.ahrq.gov/issue/improving-patient-safety-identifying-side-effects-introducing-bar-coding-medication
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psnet.ahrq.gov/node/38041/psn-pdf
July 02, 2009 - serious-errors-2007
https://psnet.ahrq.gov/issue/utah-tenth-anniversary-2001-2011-patient-safety-report-identifying-opportunities-improvement
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psnet.ahrq.gov/node/36703/psn-pdf
March 28, 2011 - assessing-system-failures-operating-rooms-and-intensive-care-units
The authors describe an instrument for identifying
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psnet.ahrq.gov/node/43437/psn-pdf
August 13, 2014 - issue/diagnostic-error-untapped-potential-improving-patient-safety
Highlighting how uncertainty around identifying
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psnet.ahrq.gov/node/35120/psn-pdf
November 03, 2015 - They conclude that this strategy is effective for identifying preventable adverse events.
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psnet.ahrq.gov/node/39804/psn-pdf
October 13, 2010 - patient-misidentifications-caused-errors-standard-barcode-technology
https://psnet.ahrq.gov/issue/improving-patient-safety-identifying-side-effects-introducing-bar-coding-medication