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psnet.ahrq.gov/node/37995/psn-pdf
September 19, 2016 - Inpatient suicide and suicide attempts in Veterans Affairs
hospitals.
September 19, 2016
Mills PD, DeRosier JM, Ballot BA, et al. Inpatient suicide and suicide attempts in Veterans Affairs hospitals.
Jt Comm J Qual Patient Saf. 2008;34(8):482-488.
https://psnet.ahrq.gov/issue/inpatient-suicide-and-suicide-attempts…
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psnet.ahrq.gov/node/866163/psn-pdf
June 19, 2024 - Performance evaluation of ChatGPT in detecting
diagnostic errors and their contributing factors: an
analysis of 545 case reports of diagnostic errors.
June 19, 2024
Harada Y, Suzuki T, Harada T, et al. Performance evaluation of ChatGPT in detecting diagnostic errors
and their contributing factors: an analysis of 5…
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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/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/60022/psn-pdf
March 11, 2020 - Work system barriers and facilitators in inpatient care
transitions of pediatric trauma patients.
March 11, 2020
Wooldridge AR, Carayon P, Hoonakker P, et al. Work system barriers and facilitators in inpatient care
transitions of pediatric trauma patients. App Ergon. 2020;85:103059. doi:10.1016/j.apergo.2020.103059…
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psnet.ahrq.gov/node/50654/psn-pdf
November 13, 2019 - Exploring stakeholder perceptions around
implementation of the Operating Room Black Box for
patient safety research: a qualitative study using the
theoretical domains framework.
November 13, 2019
Etherington N, Usama A, Patey AM, et al. Exploring stakeholder perceptions around implementation of the
Operating Room…
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psnet.ahrq.gov/node/60188/psn-pdf
January 01, 2021 - Uncertain diagnoses in a children's hospital: patient
characteristics and outcomes.
April 1, 2020
Sump CA, Marshall TL, Ipsaro AJ, et al. Uncertain diagnoses in a children’s hospital: patient characteristics
and outcomes. Diagnosis. 2021;8(3):353-357. doi:10.1515/dx-2019-0058.
https://psnet.ahrq.gov/issue/uncertai…
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psnet.ahrq.gov/node/45919/psn-pdf
July 05, 2017 - Managing the patient identification crisis in healthcare
and laboratory medicine.
July 5, 2017
Lippi G, Mattiuzzi C, Bovo C, et al. Managing the patient identification crisis in healthcare and laboratory
medicine. Clin Biochem. 2017;50(10-11):562-567. doi:10.1016/j.clinbiochem.2017.02.004.
https://psnet.ahrq.gov/i…
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psnet.ahrq.gov/node/866436/psn-pdf
August 07, 2024 - Using name overlap analysis to understand medication
name search safety.
August 7, 2024
Flynn AJ, Mieure KD, Myers C. Using name overlap analysis to understand medication name search
safety. Am J Health Syst Pharm. 2024;81(14):622-633. doi:10.1093/ajhp/zxae048.
https://psnet.ahrq.gov/issue/using-name-overlap-analy…
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psnet.ahrq.gov/node/866819/psn-pdf
September 25, 2024 - Machine learning to enhance electronic detection of
diagnostic errors.
September 25, 2024
Zimolzak AJ, Wei L, Mir U, et al. Machine learning to enhance electronic detection of diagnostic errors.
JAMA Netw Open. 2024;7(9):e2431982. doi:10.1001/jamanetworkopen.2024.31982.
https://psnet.ahrq.gov/issue/machine-learnin…
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psnet.ahrq.gov/node/836748/psn-pdf
March 16, 2022 - Analysis of the interprofessional clinical learning
environment for quality improvement and patient safety
from perspectives of interprofessional teams.
March 16, 2022
Cheng MKW, Collins S, Baron RB, et al. Analysis of the interprofessional clinical learning environment for
quality improvement and patient safety f…
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psnet.ahrq.gov/node/856588/psn-pdf
November 29, 2023 - It depends who you ask: divergences in staff and external
stakeholder narratives about the causes of a healthcare
failure.
November 29, 2023
Hald EJ, Gillespie A, Reader TW. It depends who you ask: divergences in staff and external stakeholder
narratives about the causes of a healthcare failure. J Contingencies Cr…
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psnet.ahrq.gov/node/50627/psn-pdf
November 06, 2019 - Change?of?shift nursing handoff interruptions:
implications for evidence?based practice.
November 6, 2019
Rhudy LM, Johnson MR, Krecke CA, et al. Change-of-Shift Nursing Handoff Interruptions: Implications for
Evidence-Based Practice. Worldviews Evid Based Nurs. 2019;16(5):362-370. doi:10.1111/wvn.12390.
https://p…
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psnet.ahrq.gov/node/50852/psn-pdf
January 29, 2020 - Failure mode and effects analysis to reduce risk of
heparin use.
January 29, 2020
Pino FA, Weidemann DK, Schroeder LL, et al. Failure mode and effects analysis to reduce risk of heparin
use. Am J Health Syst Pharm. 2019;76(23):1972-1979. doi:10.1093/ajhp/zxz229.
https://psnet.ahrq.gov/issue/failure-mode-and-effect…
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psnet.ahrq.gov/node/849325/psn-pdf
January 01, 2024 - Medication safety event reporting: factors that contribute
to safety events during times of organizational stress.
May 24, 2023
Cohen TN, Berdahl CT, Coleman BL, et al. Medication safety event reporting: factors that contribute to
safety events during times of organizational stress. J Nurs Care Qual. 2024;39(1):51-…
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psnet.ahrq.gov/node/847535/psn-pdf
April 12, 2023 - Using the Generic Analysis Method to analyze sentinel
event reports across hospitals: a retrospective cross-
sectional study.
April 12, 2023
Baartmans MC, van Schoten SM, Smit BJ, et al. Using the Generic Analysis Method to analyze sentinel
event reports across hospitals: a retrospective cross-sectional study. J P…
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psnet.ahrq.gov/node/838915/psn-pdf
October 26, 2022 - Predictors of response rates of safety culture
questionnaires in healthcare: a systematic review and
analysis.
October 26, 2022
Ellis LA, Pomare C, Churruca K, et al. Predictors of response rates of safety culture questionnaires in
healthcare: a systematic review and analysis. BMJ Open. 2022;12(9):e065320. doi:10.…
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psnet.ahrq.gov/node/46359/psn-pdf
September 21, 2017 - Parent–provider miscommunications in hospitalized
children.
September 21, 2017
Khan A, Furtak SL, Melvin P, et al. Parent-Provider Miscommunications in Hospitalized Children. Hosp
Pediatr. 2017;7(9):505-515. doi:10.1542/hpeds.2016-0190.
https://psnet.ahrq.gov/issue/parent-provider-miscommunications-hospitalized-ch…
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psnet.ahrq.gov/node/862990/psn-pdf
February 21, 2024 - Assessing the excess costs of the in-hospital adverse
events covered by the AHRQ's Patient Safety Indicators in
Switzerland.
February 21, 2024
Giese A, Khanam R, Nghiem S, et al. Assessing the excess costs of the in-hospital adverse events
covered by the AHRQ’s Patient Safety Indicators in Switzerland. PLoS ONE. 2…
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psnet.ahrq.gov/node/48103/psn-pdf
June 26, 2019 - An opportunity to engage obstetrics and gynecology
patients through shared visit notes.
June 26, 2019
Herlihy M, Harcourt K, Fossa A, et al. An Opportunity to Engage Obstetrics and Gynecology Patients
Through Shared Visit Notes. Obstet Gynecol. 2019;134(1):128-137. doi:10.1097/AOG.0000000000003309.
https://psnet.a…