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psnet.ahrq.gov/node/43308/psn-pdf
May 01, 2015 - An analysis of electronic health record–related patient
safety concerns.
May 1, 2015
Meeks DW, Smith MW, Taylor L, et al. An analysis of electronic health record-related patient safety
concerns. J Am Med Inform Assoc. 2014;21(6):1053-9. doi:10.1136/amiajnl-2013-002578.
https://psnet.ahrq.gov/issue/analysis-electro…
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psnet.ahrq.gov/node/853427/psn-pdf
January 01, 2024 - Patient and family contributions to improve the diagnostic
process through the OurDX electronic health record tool:
a mixed method analysis.
September 13, 2023
Bell SK, Harcourt K, Dong J, et al. Patient and family contributions to improve the diagnostic process
through the OurDX electronic health record tool: a m…
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psnet.ahrq.gov/node/36184/psn-pdf
June 13, 2011 - Developing and implementing new safe practices:
voluntary adoption through statewide collaboratives.
June 13, 2011
Leape L, Rogers G, Hanna D, et al. Developing and implementing new safe practices: voluntary adoption
through statewide collaboratives. Qual Saf Health Care. 2006;15(4):289-95.
https://psnet.ahrq.gov/…
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psnet.ahrq.gov/node/36105/psn-pdf
May 27, 2011 - Computerized provider order entry implementation: no
association with increased mortality rates in an intensive
care unit.
May 27, 2011
Del Beccaro MA, Jeffries HE, Eisenberg MA, et al. Computerized provider order entry implementation: no
association with increased mortality rates in an intensive care unit. Pediat…
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psnet.ahrq.gov/node/39368/psn-pdf
May 04, 2010 - Results of the Medications At Transitions and Clinical
Handoffs (MATCH) study: an analysis of medication
reconciliation errors and risk factors at hospital
admission.
May 4, 2010
Gleason KM, McDaniel MR, Feinglass J, et al. Results of the Medications At Transitions and Clinical
Handoffs (MATCH) Study: An Analysis…
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psnet.ahrq.gov/issue/e-collection-safety-and-error-prevention-health
June 24, 2020 - Journal Article
E-collection: Safety and Error Prevention in Health.
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May 3, 2017
The increasing implementation of health informati…
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psnet.ahrq.gov/node/43514/psn-pdf
April 25, 2016 - A qualitative analysis of physician perspectives on
missed and delayed outpatient diagnosis: the focus on
system-related factors.
April 25, 2016
Sarkar U, Simchowitz B, Bonacum D, et al. A Qualitative Analysis of Physician Perspectives on Missed and
Delayed Outpatient Diagnosis: The Focus on System-Related Factors…
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psnet.ahrq.gov/node/850160/psn-pdf
June 07, 2023 - The Ohio Maternal Safety Quality Improvement Project:
initial results of a statewide perinatal hypertension quality
improvement initiative implemented during the COVID-19
pandemic.
June 7, 2023
Schneider P, Lorenz A, Menegay MC, et al. The Ohio Maternal Safety Quality Improvement Project: initial
results of a sta…
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psnet.ahrq.gov/node/44151/psn-pdf
July 03, 2016 - Safety incidents in the primary care office setting.
July 3, 2016
Rees P, Edwards A, Panesar S, et al. Safety incidents in the primary care office setting. Pediatrics.
2015;135(6):1027-35. doi:10.1542/peds.2014-3259.
https://psnet.ahrq.gov/issue/safety-incidents-primary-care-office-setting
Patient safety in outpat…
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psnet.ahrq.gov/node/847042/psn-pdf
April 05, 2023 - The relationship between patient safety culture and the
intentions of the nursing staff to report a near-miss event
during the COVID-19 crisis.
April 5, 2023
Idilbi N, Dokhi M, Malka-Zeevi H, et al. The relationship between patient safety culture and the intentions of
the nursing staff to report a near-miss event …
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psnet.ahrq.gov/node/46781/psn-pdf
August 20, 2018 - Learning from high risk industries may not be
straightforward: a qualitative study of the hierarchy of
risk controls approach in healthcare.
August 20, 2018
Liberati EG, Peerally MF, Dixon-Woods M. Learning from high risk industries may not be straightforward: a
qualitative study of the hierarchy of risk controls …
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psnet.ahrq.gov/node/48187/psn-pdf
August 21, 2019 - How medical error shapes physicians' perceptions of
learning: an exploratory study.
August 21, 2019
Shepherd L, LaDonna KA, Cristancho SM, et al. How Medical Error Shapes Physicians' Perceptions of
Learning: An Exploratory Study. Acad Med. 2019;94(8):1157-1163. doi:10.1097/ACM.0000000000002752.
https://psnet.ahrq.…
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psnet.ahrq.gov/node/46700/psn-pdf
November 19, 2018 - Promising practices for improving hospital patient safety
culture.
November 19, 2018
Campione J, Famolaro T. Promising Practices for Improving Hospital Patient Safety Culture. Jt Comm J
Qual Patient Saf. 2018;44(1):23-32. doi:10.1016/j.jcjq.2017.09.001.
https://psnet.ahrq.gov/issue/promising-practices-improving-ho…
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psnet.ahrq.gov/node/46545/psn-pdf
March 27, 2018 - Safety culture and mortality after acute myocardial
infarction: a study of Medicare beneficiaries at 171
hospitals.
March 27, 2018
Shahian DM, Liu X, Rossi LP, et al. Safety Culture and Mortality after Acute Myocardial Infarction: A Study
of Medicare Beneficiaries at 171 Hospitals. Health Serv Res. 2018;53(2):608-…
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psnet.ahrq.gov/node/45992/psn-pdf
January 01, 2020 - Barriers and facilitators of adverse event reporting by
adolescent patients and their families.
March 29, 2017
Sawhney PN, Davis LS, Daraiseh NM, et al. Barriers and Facilitators of Adverse Event Reporting by
Adolescent Patients and Their Families. J Patient Saf. 2020;16(3):232-237.
doi:10.1097/pts.000000000000029…
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psnet.ahrq.gov/node/43670/psn-pdf
November 12, 2014 - Incidents resulting from staff leaving normal duties to
attend medical emergency team calls.
November 12, 2014
Investigators CMETIS, Cheung W, Sahai V, et al. Incidents resulting from staff leaving normal duties to
attend medical emergency team calls. Med J Aust. 2014;201(9):528-31.
https://psnet.ahrq.gov/issue/in…
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psnet.ahrq.gov/node/43378/psn-pdf
August 14, 2014 - Interventions to reduce pediatric medication errors: a
systematic review.
August 14, 2014
Rinke ML, Bundy DG, Velasquez CA, et al. Interventions to reduce pediatric medication errors: a
systematic review. Pediatrics. 2014;134(2):338-360. doi:10.1542/peds.2013-3531.
https://psnet.ahrq.gov/issue/interventions-reduce…
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psnet.ahrq.gov/node/41986/psn-pdf
January 23, 2013 - Slow progress on meeting hospital safety standards:
learning from the Leapfrog Group's efforts.
January 23, 2013
Moran J, Scanlon D. Slow progress on meeting hospital safety standards: learning from the Leapfrog
Group's efforts. Health Aff (Millwood). 2013;32(1):27-35. doi:10.1377/hlthaff.2011.0056.
https://psnet.…
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psnet.ahrq.gov/node/45471/psn-pdf
September 21, 2016 - Vital signs: epidemiology of sepsis: prevalence of health
care factors and opportunities for prevention.
September 21, 2016
Novosad SA, Sapiano MRP, Grigg C, et al. Vital Signs: Epidemiology of Sepsis: Prevalence of Health Care
Factors and Opportunities for Prevention. MMWR Morb Mortal Wkly Rep. 2016;65(33):864-869…
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psnet.ahrq.gov/node/40695/psn-pdf
December 31, 2014 - Factors contributing to an increase in duplicate
medication order errors after CPOE implementation.
December 31, 2014
Wetterneck TB, Walker JM, Blosky MA, et al. Factors contributing to an increase in duplicate medication
order errors after CPOE implementation. J Am Med Inform Assoc. 2011;18(6):774-782.
doi:10.113…