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psnet.ahrq.gov/node/72500/psn-pdf
January 01, 2021 - Survey of cancer care providers' attitude toward care for
older adults with cancer during the COVID-19 pandemic.
November 25, 2020
BrintzenhofeSzoc K. Survey of cancer care providers' attitude toward care for older adults with cancer
during the COVID-19 pandemic. J Geriatr Onco. 2021;12(2):196-205. doi:10.1016/j.jg…
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psnet.ahrq.gov/node/862608/psn-pdf
February 14, 2024 - Communication and birth experiences among Black
birthing people who experienced preterm birth.
February 14, 2024
Gregory EF, Johnson GT, Barreto A, et al. Communication and birth experiences among Black birthing
people who experienced preterm birth. Ann Fam Med. 2024;22(1):31-36. doi:10.1370/afm.3048.
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psnet.ahrq.gov/node/848035/psn-pdf
April 26, 2023 - Diagnostic error among vulnerable populations
presenting to the emergency department with
cardiovascular and cerebrovascular or neurological
symptoms: a systematic review.
April 26, 2023
Herasevich S, Soleimani J, Huang C, et al. Diagnostic error among vulnerable populations presenting to
the emergency department…
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psnet.ahrq.gov/node/43193/psn-pdf
June 17, 2014 - Risks in the implementation and use of smart pumps in a
pediatric intensive care unit: application of the failure
mode and effects analysis.
June 17, 2014
Manrique-Rodríguez S, Sánchez-Galindo AC, López-Herce J, et al. Risks in the implementation and use of
smart pumps in a pediatric intensive care unit: applicati…
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psnet.ahrq.gov/node/47769/psn-pdf
May 11, 2019 - Avoiding chemotherapy prescribing errors: analysis and
innovative strategies.
May 11, 2019
Reinhardt H, Otte P, Eggleton AG, et al. Avoiding chemotherapy prescribing errors: Analysis and innovative
strategies. Cancer. 2019;125(9):1547-1557. doi:10.1002/cncr.31950.
https://psnet.ahrq.gov/issue/avoiding-chemotherapy…
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psnet.ahrq.gov/node/41858/psn-pdf
November 21, 2012 - Disorganized care: the findings of an iterative, in-depth
analysis of surgical morbidity and mortality.
November 21, 2012
Anderson CI, Nelson CS, Graham CF, et al. Disorganized care: the findings of an iterative, in-depth
analysis of surgical morbidity and mortality. J Surg Res. 2012;177(1):43-8. doi:10.1016/j.jss.…
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psnet.ahrq.gov/node/38454/psn-pdf
January 02, 2017 - Comparing process- and outcome-oriented approaches to
voluntary incident reporting in two hospitals.
January 2, 2017
Nuckols TK, Bell D, Paddock SM, et al. Comparing process- and outcome-oriented approaches to
voluntary incident reporting in two hospitals. Jt Comm J Qual Patient Saf. 2009;35(3):139-45.
https://psn…
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psnet.ahrq.gov/node/39405/psn-pdf
March 31, 2010 - ED overcrowding is associated with an increased
frequency of medication errors.
March 31, 2010
Kulstad EB, Sikka R, Sweis RT, et al. ED overcrowding is associated with an increased frequency of
medication errors. Am J Emerg Med. 2010;28(3):304-309. doi:10.1016/j.ajem.2008.12.014.
https://psnet.ahrq.gov/issue/ed-ov…
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psnet.ahrq.gov/node/42882/psn-pdf
November 23, 2016 - Structuring patient and family involvement in medical
error event disclosure and analysis.
November 23, 2016
Etchegaray J, Ottosen M, Burress L, et al. Structuring patient and family involvement in medical error event
disclosure and analysis. Health Aff (Millwood). 2014;33(1):46-52. doi:10.1377/hlthaff.2013.0831.
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psnet.ahrq.gov/node/74864/psn-pdf
February 23, 2022 - Exploring changes in patient safety incidents during the
COVID-19 pandemic in a Canadian regional hospital
system: a retrospective time series analysis.
February 23, 2022
Lombardi J, Strobel S, Pullar V, et al. Exploring changes in patient safety incidents during the COVID-19
pandemic in a Canadian regional hospit…
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psnet.ahrq.gov/node/866587/psn-pdf
January 01, 2025 - Professionalising patient safety? Findings from a mixed-
methods formative evaluation of the patient safety
specialist role in the English National Health Service.
August 28, 2024
Martin G, Pralat R, Waring J, et al. Professionalising patient safety? Findings from a mixed-methods
formative evaluation of the patien…
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psnet.ahrq.gov/node/61016/psn-pdf
October 14, 2020 - Complications associated with the anesthesia transport
of pediatric patients: an analysis of the Wake Up Safe
database.
October 14, 2020
Haydar B, Baetzel A, Stewart M, et al. Complications associated with the anesthesia transport of pediatric
patients: an analysis of the Wake Up Safe database. Anesth Analg. 2020;…
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psnet.ahrq.gov/node/857453/psn-pdf
December 06, 2023 - Post-implementation optimization of medication alerts in
hospital computerized provider order entry systems: a
scoping review.
December 6, 2023
Ledger TS, Brooke-Cowden K, Coiera E. Post-implementation optimization of medication alerts in hospital
computerized provider order entry systems: a scoping review. J Am M…
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psnet.ahrq.gov/node/45944/psn-pdf
August 15, 2018 - Orders on file but no labs drawn: investigation of machine
and human errors caused by an interface idiosyncrasy.
August 15, 2018
Schreiber R, Sittig DF, Ash JS, et al. Orders on file but no labs drawn: investigation of machine and human
errors caused by an interface idiosyncrasy. J Am Med Inform Assoc. 2017;24(5):9…
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psnet.ahrq.gov/node/40993/psn-pdf
December 14, 2011 - Anticoagulation-associated adverse drug events.
December 14, 2011
Piazza G, Nguyen TN, Cios D, et al. Anticoagulation-associated Adverse Drug Events. Am J Med.
2011;124(12). doi:10.1016/j.amjmed.2011.06.009.
https://psnet.ahrq.gov/issue/anticoagulation-associated-adverse-drug-events
Warfarin and other anticoagulan…
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psnet.ahrq.gov/node/47178/psn-pdf
July 10, 2018 - Defining, estimating, and communicating overdiagnosis
in cancer screening.
July 10, 2018
Davies L, Petitti DB, Martin L, et al. Defining, estimating, and communicating overdiagnosis in cancer
screening. Ann Intern Med. 2018;169(1):36-43. doi:10.7326/M18-0694.
https://psnet.ahrq.gov/issue/defining-estimating-and-co…
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psnet.ahrq.gov/node/41898/psn-pdf
December 05, 2012 - Pharmacy dispensing of electronically discontinued
medications.
December 5, 2012
Allen AS, Sequist TD. Pharmacy dispensing of electronically discontinued medications. Ann Intern Med.
2012;157(10):700-705. doi:10.7326/0003-4819-157-10-201211200-00006.
https://psnet.ahrq.gov/issue/pharmacy-dispensing-electronically-…
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psnet.ahrq.gov/node/39802/psn-pdf
November 16, 2010 - "Water cooler" learning: knowledge sharing at the clinical
"backstage" and its contribution to patient safety.
November 16, 2010
Waring J, Bishop S. "Water cooler" learning: knowledge sharing at the clinical "backstage" and its
contribution to patient safety. J Health Organ Manag. 2010;24(4):325-42.
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psnet.ahrq.gov/node/38205/psn-pdf
November 12, 2008 - Characteristics of medication errors and adverse drug
events in hospitals participating in the California Pediatric
Patient Safety Initiative.
November 12, 2008
Takata GS, Taketomo CK, Waite S, et al. Characteristics of medication errors and adverse drug events in
hospitals participating in the California Pediatri…
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psnet.ahrq.gov/node/38291/psn-pdf
April 08, 2011 - Medical diagnoses commonly associated with pediatric
malpractice lawsuits in the United States.
April 8, 2011
McAbee GN, Donn SM, Mendelson RA, et al. Medical diagnoses commonly associated with pediatric
malpractice lawsuits in the United States. Pediatrics. 2008;122(6):e1282-e1286. doi:10.1542/peds.2008-
1594.
h…