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psnet.ahrq.gov/node/60680/psn-pdf
July 15, 2020 - Contributing factors for pediatric ambulatory diagnostic
process errors: Project RedDE.
July 15, 2020
Dadlez NM, Adelman JS, Bundy DG, et al. Contributing factors for pediatric ambulatory diagnostic process
errors: Project RedDE. Ped Qual Saf. 2020;5(3):e299-e305. doi:10.1097/pq9.0000000000000299.
https://psnet.ah…
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psnet.ahrq.gov/node/61113/psn-pdf
January 01, 2021 - Do falls and other safety issues occur more often during
handovers when nurses are away from patients? Findings
from a retrospective study design.
November 11, 2020
Demaria J, Valent F, Danielis M, et al. Do falls and other safety issues occur more often during handovers
when nurses are away from patients? Finding…
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psnet.ahrq.gov/node/837198/psn-pdf
May 25, 2022 - The association of acute COVID-19 infection with Patient
Safety Indicator-12 events in a multisite healthcare
system.
May 25, 2022
Bhakta S, Pollock BD, Erben YM, et al. The association of acute COVID?19 infection with Patient Safety
Indicator?12 events in a multisite healthcare system. J Hosp Med. 2022;17(5):350-…
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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/39402/psn-pdf
August 08, 2010 - The quest to eliminate intrathecal vincristine errors: a 40-
year journey.
August 8, 2010
Noble DJ, Donaldson LJ. The quest to eliminate intrathecal vincristine errors: a 40-year journey. Qual Saf
Health Care. 2010;19(4):323-326. doi:10.1136/qshc.2008.030874.
https://psnet.ahrq.gov/issue/quest-eliminate-intratheca…
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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/45907/psn-pdf
December 22, 2017 - Primary care collaboration to improve diagnosis and
screening for colorectal cancer.
December 22, 2017
Schiff G, Bearden T, Hunt LS, et al. Primary Care Collaboration to Improve Diagnosis and Screening for
Colorectal Cancer. Jt Comm J Qual Patient Saf. 2017;43(7):338-350. doi:10.1016/j.jcjq.2017.03.004.
https://ps…
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psnet.ahrq.gov/node/41942/psn-pdf
July 24, 2017 - Improving situation awareness to reduce unrecognized
clinical deterioration and serious safety events.
July 24, 2017
Brady PW, Muething S, Kotagal U, et al. Improving situation awareness to reduce unrecognized clinical
deterioration and serious safety events. Pediatrics. 2013;131(1):e298-308. doi:10.1542/peds.2012-…
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psnet.ahrq.gov/node/74029/psn-pdf
January 01, 2022 - Patient safety strategies in psychiatry and how they
construct the notion of preventable harm: a scoping
review.
November 3, 2021
Svensson J. Patient safety strategies in psychiatry and how they construct the notion of preventable harm:
a scoping review. J Patient Saf. 2022;18(3):245-252. doi:10.1097/pts.000000000…
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psnet.ahrq.gov/node/35855/psn-pdf
October 25, 2013 - HealthGrades Quality Study: Third Annual Patient Safety
in American Hospitals Study.
October 25, 2013
Denver, CO: HealthGrades; 2006.
https://psnet.ahrq.gov/issue/healthgrades-quality-study-third-annual-patient-safety-american-hospitals-
study
This third annual report on the safety of hospitalized Medicare patien…
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psnet.ahrq.gov/node/855429/psn-pdf
November 15, 2023 - Effect of complementary interventions to redesign care
on teamwork and quality for hospitalized medical
patients: a pragmatic controlled trial.
November 15, 2023
O’Leary KJ, Johnson JK, Williams MV, et al. Effect of complementary interventions to redesign care on
teamwork and quality for hospitalized medical patie…
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psnet.ahrq.gov/node/45475/psn-pdf
October 11, 2017 - Perceptions of quality and safety and experience of
adverse events in 27 European Union healthcare systems,
2009–2013.
October 11, 2017
Filippidis FT, Mian SS, Millett C. Perceptions of quality and safety and experience of adverse events in 27
European Union healthcare systems, 2009-2013. Int J Qual Health Care. 2…
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psnet.ahrq.gov/node/44601/psn-pdf
February 23, 2018 - Emergency department visits for adverse events related
to dietary supplements.
February 23, 2018
Geller AI, Shehab N, Weidle NJ, et al. Emergency Department Visits for Adverse Events Related to Dietary
Supplements. N Engl J Med. 2015;373(16):1531-40. doi:10.1056/NEJMsa1504267.
https://psnet.ahrq.gov/issue/emergenc…
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psnet.ahrq.gov/node/34689/psn-pdf
February 10, 2011 - Incidence of adverse drug events and potential adverse
drug events: implications for prevention.
February 10, 2011
Bates DW, Cullen DJ, Laird N, et al. Incidence of adverse drug events and potential adverse drug events.
Implications for prevention. ADE Prevention Study Group. JAMA. 1995;274(1):29-34.
https://psnet…
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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/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.
https://psnet.…
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psnet.ahrq.gov/node/47529/psn-pdf
January 21, 2019 - Community-acquired and hospital-acquired medication
harm among older inpatients and impact of a state-wide
medication management intervention.
January 21, 2019
Pellegrin K, Lozano A, Miyamura J, et al. Community-acquired and hospital-acquired medication harm
among older inpatients and impact of a state-wide medica…
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psnet.ahrq.gov/node/39655/psn-pdf
July 07, 2010 - Errors of diagnosis in pediatric practice: a multisite
survey.
July 7, 2010
Singh H, Thomas EJ, Wilson L, et al. Errors of diagnosis in pediatric practice: a multisite survey. Pediatrics.
2010;126(1):70-9. doi:10.1542/peds.2009-3218.
https://psnet.ahrq.gov/issue/errors-diagnosis-pediatric-practice-multisite-survey…
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psnet.ahrq.gov/node/72566/psn-pdf
January 01, 2021 - Incidence, nature and causes of avoidable significant
harm in primary care in England: retrospective case note
review.
December 16, 2020
Avery AJ, Sheehan C, Bell BG, et al. Incidence, nature and causes of avoidable significant harm in primary
care in England: retrospective case note review. BMJ Qual Saf. 2021;30(…