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psnet.ahrq.gov/node/33892/psn-pdf
May 03, 2016 - Critical Incident Technique Bibliography—2001.
May 3, 2016
Fivars G; Fitzpatrick R
https://psnet.ahrq.gov/issue/critical-incident-technique-bibliography-2001
A research tool to identify critical requirements for performance in applied areas of psychology and
behavioral science. This technique, used in anesthesia t…
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psnet.ahrq.gov/issue/adverse-events-toolkit-clinical-guidance-identifying-harm
July 26, 2023 - Tools/Toolkit
Adverse Events Toolkit: Clinical Guidance for Identifying Harm
Citation Text:
Adverse Events Toolkit: Clinical Guidance for Identifying Harm Maxwell A. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; July 2023. Report n…
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psnet.ahrq.gov/issue/hospital-experiences-responding-covid-19-pandemic-results-national-pulse-survey-march-23-27
December 23, 2020 - Book/Report
Classic
Hospital Experiences Responding to the COVID-19 Pandemic: Results of a National Pulse Survey March 23-27, 2020.
Citation Text:
Hospital Experiences Responding to the COVID-19 Pandemic: Results of a National Pulse Survey March 23-27, 2020. Was…
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psnet.ahrq.gov/node/42004/psn-pdf
March 11, 2013 - The incidence of adverse events among home care
patients.
March 11, 2013
Sears NA, Baker R, Barnsley J, et al. The incidence of adverse events among home care patients. Int J
Qual Health Care. 2013;25(1):16-28. doi:10.1093/intqhc/mzs075.
https://psnet.ahrq.gov/issue/incidence-adverse-events-among-home-care-patient…
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psnet.ahrq.gov/node/36053/psn-pdf
June 18, 2013 - The incidence and cost of adverse events in Victorian
hospitals 2003-04.
June 18, 2013
Ehsani JP, Jackson T, Duckett SJ. The incidence and cost of adverse events in Victorian hospitals 2003-
04. Med J Aust. 2006;184(11):551-5.
https://psnet.ahrq.gov/issue/incidence-and-cost-adverse-events-victorian-hospitals-2003-…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/methods-balancing-harms-benefits_research.pdf
February 01, 2014 - Protocol for Quantitative Assessment of Benefit and Harm analysis of Aspirin for primary prevention
Methods Research Report
Evaluation of the Benefits and Harms of Aspirin for
Primary Prevention of Cardiovascular Events: A
Comparison of Quantitative Approaches
…
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psnet.ahrq.gov/node/40065/psn-pdf
January 12, 2012 - Possible solutions for barriers in incident reporting by
residents.
January 12, 2012
Martowirono K, Jansma JD, van Luijk SJ, et al. Possible solutions for barriers in incident reporting by
residents. J Eval Clin Pract. 2012;18(1):76-81. doi:10.1111/j.1365-2753.2010.01544.x.
https://psnet.ahrq.gov/issue/possible-so…
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psnet.ahrq.gov/issue/identifying-risks-areas-related-medication-administrations-text-mining-analysis-using-free
December 18, 2019 - Study
Identifying risks areas related to medication administrations - text mining analysis using free-text descriptions of incident reports.
Citation Text:
Härkänen M, Paananen J, Murrells T, et al. Identifying risks areas related to medication administrations - text mining analysis usin…
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psnet.ahrq.gov/node/45831/psn-pdf
January 25, 2017 - Incident and long-term opioid therapy among patients
with psychiatric conditions and medications: a national
study of commercial health care claims.
January 25, 2017
Quinn PD, Hur K, Chang Z, et al. Incident and long-term opioid therapy among patients with psychiatric
conditions and medications: a national study o…
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psnet.ahrq.gov/node/47457/psn-pdf
January 17, 2019 - Developing a reporting culture: learning from close calls
and hazardous conditions.
January 17, 2019
Developing a reporting culture: Learning from close calls and hazardous conditions. Sentinel Event Alert.
2018;(60):1-8.
https://psnet.ahrq.gov/issue/developing-reporting-culture-learning-close-calls-and-hazardous-…
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psnet.ahrq.gov/node/37345/psn-pdf
May 26, 2011 - Impact of computerized prescriber order entry on the
incidence of adverse drug events in pediatric inpatients.
May 26, 2011
Holdsworth MT, Fichtl RE, Raisch DW, et al. Impact of computerized prescriber order entry on the
incidence of adverse drug events in pediatric inpatients. Pediatrics. 2007;120(5):1058-66.
htt…
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psnet.ahrq.gov/node/37114/psn-pdf
October 04, 2011 - A descriptive study of morbidity and mortality
conferences and their conformity to medical incident
analysis models: results of the morbidity and mortality
conference improvement study, phase 1.
October 4, 2011
Aboumatar HJ, Blackledge CG, Dickson C, et al. A descriptive study of morbidity and mortality conference…
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psnet.ahrq.gov/node/40728/psn-pdf
October 21, 2011 - What prevents incident disclosure, and what can be done
to promote it?
October 21, 2011
Iedema R, Allen S, Sorensen R, et al. What prevents incident disclosure, and what can be done to promote
it? Jt Comm J Qual Patient Saf. 2011;37(9):409-417.
https://psnet.ahrq.gov/issue/what-prevents-incident-disclosure-and-wha…
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psnet.ahrq.gov/node/39625/psn-pdf
June 23, 2010 - Cultural and associated enablers of, and barriers to,
adverse incident reporting.
June 23, 2010
Braithwaite J, Westbrook MT, Travaglia J, et al. Cultural and associated enablers of, and barriers to,
adverse incident reporting. Qual Saf Health Care. 2010;19(3):229-233. doi:10.1136/qshc.2008.030213.
https://psnet.ah…
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psnet.ahrq.gov/node/39715/psn-pdf
May 25, 2011 - Barriers to incident notification in a regional prehospital
setting.
May 25, 2011
Jennings PA, Stella J. Barriers to incident notification in a regional prehospital setting. Emerg Med J.
2011;28(6):526-9. doi:10.1136/emj.2010.090738.
https://psnet.ahrq.gov/issue/barriers-incident-notification-regional-prehospital-…
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psnet.ahrq.gov/node/39954/psn-pdf
November 26, 2014 - Incidence of adverse drug events and medication errors
in Japan: the JADE Study.
November 26, 2014
Sakuma M, Bates DW, Morimoto T. Clinical prediction rule to identify high-risk inpatients for adverse drug
events: the JADE Study. Pharmacoepidemiol Drug Saf. 2012;21(11). doi:10.1002/pds.3331.
https://psnet.ahrq.gov…
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psnet.ahrq.gov/node/44223/psn-pdf
November 22, 2016 - Patient Safety and Incident Management Toolkit.
November 22, 2016
Edmonton, AB: Canadian Patient Safety Institute. June 2015.
https://psnet.ahrq.gov/issue/patient-safety-and-incident-management-toolkit
Engaging patients and families in safety can uncover concerns and inform improvement efforts. This three-
compone…
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psnet.ahrq.gov/issue/medicares-oversight-compounded-pharmaceuticals-used-hospitals
October 16, 2012 - Government Resource
Medicare’s Oversight of Compounded Pharmaceuticals Used in Hospitals.
Citation Text:
Medicare’s Oversight of Compounded Pharmaceuticals Used in Hospitals. Levinson DR. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; January…
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psnet.ahrq.gov/node/43037/psn-pdf
October 31, 2014 - Adverse Events in Skilled Nursing Facilities: National
Incidence Among Medicare Beneficiaries.
October 31, 2014
Levinson DR. Washington, DC: US Department of Health and Human Services, Office of the Inspector
General; February 2014. Report No. OEI-06-11-00370.
https://psnet.ahrq.gov/issue/adverse-events-skilled-nu…
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psnet.ahrq.gov/node/37908/psn-pdf
June 10, 2010 - Incidence and characteristics of potential and actual
retained foreign object events in surgical patients.
June 10, 2010
Cima RR, Kollengode A, Garnatz J, et al. Incidence and characteristics of potential and actual retained
foreign object events in surgical patients. J Am Coll Surg. 2008;207(1):80-7.
doi:10.1016/…