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psnet.ahrq.gov/node/867039/psn-pdf
October 30, 2024 - Correlates of missed or late versus timely diagnosis of
dementia in healthcare settings.
October 30, 2024
Chen Y, Power MC, Grodstein F, et al. Correlates of missed or late versus timely diagnosis of dementia in
healthcare settings. Alzheimers Dement. 2024;20(8):5551-5560. doi:10.1002/alz.14067.
https://psnet.ahrq…
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psnet.ahrq.gov/node/867044/psn-pdf
October 30, 2024 - "Near miss": a mixed-methods analysis of medical
student assignments in patient safety.
October 30, 2024
Plugge T, Breviu A, Lappé K, et al. "Near miss": a mixed-methods analysis of medical student assignments
in patient safety. Am J Med Qual. 2024;39(4):168-173. doi:10.1097/jmq.0000000000000196.
https://psnet.ahr…
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psnet.ahrq.gov/node/38505/psn-pdf
February 10, 2015 - Health information technology and patient safety:
evidence from panel data.
February 10, 2015
Parente ST, McCullough JS. Health information technology and patient safety: evidence from panel data.
Health Aff (Millwood). 2009;28(2):357-360. doi:10.1377/hlthaff.28.2.357.
https://psnet.ahrq.gov/issue/health-informati…
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psnet.ahrq.gov/node/74757/psn-pdf
February 09, 2022 - Characteristics of disease-specific and generic diagnostic
pitfalls: a qualitative study.
February 9, 2022
Schiff GD, Volodarskaya M, Ruan E, et al. Characteristics of disease-specific and generic diagnostic
pitfalls: a qualitative study. JAMA Netw Open. 2022;5(1):e2144531.
doi:10.1001/jamanetworkopen.2021.44531.
…
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psnet.ahrq.gov/node/853069/psn-pdf
August 30, 2023 - Estimating breast cancer overdiagnosis after screening
mammography among older women in the United States.
August 30, 2023
Richman IB, Long JB, Soulos PR, et al. Estimating breast cancer overdiagnosis after screening
mammography among older women in the United States. Ann Intern Med. 2023;176(9):1172-1180.
doi:10.…
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psnet.ahrq.gov/node/862604/psn-pdf
February 14, 2024 - A text mining approach to categorize patient safety event
reports by medication error type.
February 14, 2024
Boxley C, Fujimoto M, Ratwani RM, et al. A text mining approach to categorize patient safety event reports
by medication error type. Sci Rep. 2023;13(1):18354. doi:10.1038/s41598-023-45152-w.
https://psnet…
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psnet.ahrq.gov/node/38625/psn-pdf
November 19, 2009 - The design of the SAFE or SORRY? study: a cluster
randomised trial on the development and testing of an
evidence based inpatient safety program for the
prevention of adverse events.
November 19, 2009
van Gaal BGI, Schoonhoven L, Hulscher M, et al. The design of the SAFE or SORRY? study: a cluster
randomised trial…
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psnet.ahrq.gov/node/36486/psn-pdf
June 13, 2011 - Design and implementation of an application and
associated services to support interdisciplinary
medication reconciliation efforts at an integrated
healthcare delivery network.
June 13, 2011
Poon EG, Blumenfeld B, Hamann C, et al. Design and Implementation of an Application and Associated
Services to Support Inte…
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psnet.ahrq.gov/node/44508/psn-pdf
November 20, 2015 - Outcomes associated with the nationwide introduction of
rapid response systems in the Netherlands.
November 20, 2015
Ludikhuize J, Brunsveld-Reinders AH, Dijkgraaf MGW, et al. Outcomes Associated With the Nationwide
Introduction of Rapid Response Systems in The Netherlands. Crit Care Med. 2015;43(12):2544-51.
doi:…
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psnet.ahrq.gov/node/848364/psn-pdf
May 03, 2023 - Health care-associated infections among hospitalized
patients with COVID-19, March 2020-March 2022.
May 3, 2023
Sands KE, Blanchard EJ, Fraker S, et al. Health care-associated infections among hospitalized patients
with COVID-19, March 2020-March 2022. JAMA Netw Open. 2023;6(4):e238059.
doi:10.1001/jamanetworkopen…
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psnet.ahrq.gov/node/73131/psn-pdf
April 14, 2021 - Identification of common themes from never events data
published by NHS England.
April 14, 2021
Omar I, Graham Y, Singhal R, et al. Identification of common themes from never events data published by
NHS England. World J Surg. 2021;45(3):697-704. doi:10.1007/s00268-020-05867-7.
https://psnet.ahrq.gov/issue/identif…
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psnet.ahrq.gov/node/36154/psn-pdf
September 29, 2010 - Harmful medication errors in children: a 5-year analysis of
data from the USP's MEDMARX(R) program.
September 29, 2010
Hicks RW, Becker SC, Cousins DD. Harmful medication errors in children: a 5-year analysis of data from
the USP's MEDMARX program. J Pediatr Nurs. 2006;21(4):290-8.
https://psnet.ahrq.gov/issue/har…
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psnet.ahrq.gov/node/72720/psn-pdf
February 10, 2021 - Health system leaders' role in addressing racism: time to
prioritize eliminating health care disparities.
February 10, 2021
Austin JM, Weeks K, Pronovost PJ. Health System Leaders’ Role in Addressing Racism: Time to Prioritize
Eliminating Health Care Disparities. Jt Comm J Qual Patient Saf. 2020;47(4):265-267.
doi…
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psnet.ahrq.gov/node/41265/psn-pdf
January 03, 2017 - Detecting unapproved abbreviations in the electronic
medical record.
January 3, 2017
Capraro A, Stack AM, Harper MB, et al. Detecting unapproved abbreviations in the electronic medical
record. Jt Comm J Qual Patient Saf. 2012;38(4):178-183. doi:10.1016/s1553-7250(12)38023-9.
https://psnet.ahrq.gov/issue/detecting-…
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psnet.ahrq.gov/node/39579/psn-pdf
June 11, 2014 - Outpatient adverse drug events identified by screening
electronic health records.
June 11, 2014
Gandhi TK, Seger AC, Overhage M, et al. Outpatient adverse drug events identified by screening electronic
health records. J Patient Saf. 2010;6(2):91-6. doi:10.1097/PTS.0b013e3181dcae06.
https://psnet.ahrq.gov/issue/out…
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psnet.ahrq.gov/node/838631/psn-pdf
October 19, 2022 - An asset-based quality improvement tool for health care
organizations: cultivating organization wide quality
improvement and health care professional engagement.
October 19, 2022
Loving VA, Nolan C, Bessel M. An asset-based quality improvement tool for health care organizations:
cultivating organization wide quali…
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psnet.ahrq.gov/node/60251/psn-pdf
April 22, 2020 - Exploring the association between organizational culture
and large-scale adverse events: evidence from the
Veterans Health Administration.
April 22, 2020
George J, Elwy AR, Charns MP, et al. Exploring the Association Between Organizational Culture and
Large-Scale Adverse Events: Evidence from the Veterans Health A…
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psnet.ahrq.gov/node/72726/psn-pdf
February 10, 2021 - Wrong administration route of medications in the
domestic setting: a review of an underestimated public
health topic.
February 10, 2021
Gualano MR, Lo Moro G, Voglino G, et al. Wrong administration route of medications in the domestic
setting: a review of an underestimated public health topic. Expert Opin Pharmaco…
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psnet.ahrq.gov/node/36303/psn-pdf
October 25, 2010 - Medication dispensing errors and potential adverse drug
events before and after implementing bar code
technology in the pharmacy.
October 25, 2010
Poon EG, Cina J, Churchill WW, et al. Medication dispensing errors and potential adverse drug events
before and after implementing bar code technology in the pharmacy. …
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psnet.ahrq.gov/node/851051/psn-pdf
June 28, 2023 - The impact of safety culture, quality of care, missed care
and nurse staffing on patient falls: a multisource
association study.
June 28, 2023
Alanazi FK, Lapkin S, Molloy L, et al. The impact of safety culture, quality of care, missed care and nurse
staffing on patient falls: a multisource association study. J Cl…