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psnet.ahrq.gov/node/46532/psn-pdf
July 30, 2018 - Efficiency and safety of speech recognition for
documentation in the electronic health record.
July 30, 2018
Hodgson T, Magrabi F, Coiera E. Efficiency and safety of speech recognition for documentation in the
electronic health record. J Am Med Inform Assoc. 2017;24(6):1127-1133. doi:10.1093/jamia/ocx073.
https://…
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psnet.ahrq.gov/node/39236/psn-pdf
May 25, 2010 - Do emergency physicians attribute drug-related
emergency department visits to medication-related
problems?
May 25, 2010
Hohl CM, Zed PJ, Brubacher JR, et al. Do emergency physicians attribute drug-related emergency
department visits to medication-related problems? Ann Emerg Med. 2010;55(6):493-502.e4.
doi:10.1016…
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psnet.ahrq.gov/node/35050/psn-pdf
May 27, 2011 - High rates of adverse drug events in a highly
computerized hospital.
May 27, 2011
Nebeker JR, Hoffman JM, Weir C, et al. High rates of adverse drug events in a highly computerized
hospital. Arch Intern Med. 2005;165(10):1111-6.
https://psnet.ahrq.gov/issue/high-rates-adverse-drug-events-highly-computerized-hospita…
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psnet.ahrq.gov/node/47942/psn-pdf
July 01, 2019 - Responding to health information technology reported
safety events: insights from patient safety event reports.
July 1, 2019
Adams KT, Kim TC, Fong A, et al. J Patient Saf Risk Manag. 2019;24:118–124.
https://psnet.ahrq.gov/issue/responding-health-information-technology-reported-safety-events-insights-
patient-saf…
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psnet.ahrq.gov/node/44556/psn-pdf
December 23, 2016 - Preventing falls and fall-related injuries in health care
facilities.
December 23, 2016
Sentinel Event Alert. September 28, 2015;(55):1-5.
https://psnet.ahrq.gov/issue/preventing-falls-and-fall-related-injuries-health-care-facilities
Falls in the hospital are common, particularly among elderly patients, and falls …
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psnet.ahrq.gov/node/37655/psn-pdf
September 24, 2010 - Reducing anticoagulant medication adverse events and
avoidable patient harm.
September 24, 2010
Jennings HR, Miller EC, Williams TS, et al. Reducing anticoagulant medication adverse vents and
avoidable patient harm. Jt Comm J Qual Patient Saf. 2008;34(4):196-200.
https://psnet.ahrq.gov/issue/reducing-anticoagulant…
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psnet.ahrq.gov/node/36833/psn-pdf
March 03, 2011 - Achieving the National Quality Forum's "Never Events":
prevention of wrong site, wrong procedure, and wrong
patient operations.
March 3, 2011
Michaels RK, Makary MA, Dahab Y, et al. Achieving the National Quality Forum's "Never Events":
prevention of wrong site, wrong procedure, and wrong patient operations. Ann S…
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psnet.ahrq.gov/node/862612/psn-pdf
February 14, 2024 - Factors influencing witnesses' perception of patient
safety during pre-hospital health care from emergency
medical services: a multi-center cross-sectional study.
February 14, 2024
Péculo-Carrasco J-A, Rodríguez-Ruiz H-J, Puerta-Córdoba A, et al. Factors influencing witnesses’
perception of patient safety during p…
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psnet.ahrq.gov/node/865976/psn-pdf
May 29, 2024 - What do patients and families observe about pediatric
safety?: A thematic analysis of real-time narratives.
May 29, 2024
Studenmund C, Lyndon A, Stotts JR, et al. What do patients and families observe about pediatric safety?:
A thematic analysis of real?time narratives. J Hosp Med. 2024;19(9):765-776. doi:10.1002/j…
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psnet.ahrq.gov/node/41570/psn-pdf
August 27, 2012 - Exploring relationships between patient safety culture
and patients' assessments of hospital care.
August 27, 2012
Sorra J, Khanna K, Dyer N, et al. Exploring relationships between patient safety culture and patients'
assessments of hospital care. J Patient Saf. 2012;8(3):131-9. doi:10.1097/PTS.0b013e318258ca46.
h…
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psnet.ahrq.gov/node/45147/psn-pdf
May 25, 2016 - Are evidence-based practices associated with effective
prevention of hospital-acquired pressure ulcers in US
academic medical centers?
May 25, 2016
Padula W, Gibbons RD, Valuck RJ, et al. Are Evidence-based Practices Associated With Effective
Prevention of Hospital-acquired Pressure Ulcers in US Academic Medical C…
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psnet.ahrq.gov/node/841148/psn-pdf
December 07, 2022 - How does workplace violence-reporting culture affect
workplace violence, nurse burnout, and patient safety?
December 7, 2022
Kim S, Lynn MR, Baernholdt MB, et al. How does workplace violence-reporting culture affect Workplace
violence, nurse burnout, and patient safety? J Nurs Care Qual. 2022;38(1):11-18.
doi:10.1…
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psnet.ahrq.gov/node/37425/psn-pdf
March 28, 2012 - Frequency and outcome of cervical cancer prevention
failures in the United States.
March 28, 2012
Raab SS, Grzybicki DM, Zarbo RJ, et al. Frequency and outcome of cervical cancer prevention failures in
the United States. Am J Clin Pathol. 2007;128(5):817-24.
https://psnet.ahrq.gov/issue/frequency-and-outcome-cervi…
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psnet.ahrq.gov/node/36605/psn-pdf
January 14, 2011 - Drug-related hospitalizations in a tertiary care internal
medicine service of a Canadian hospital: a prospective
study.
January 14, 2011
Samoy LJ, Zed PJ, Wilbur K, et al. Drug-related hospitalizations in a tertiary care internal medicine service
of a Canadian hospital: a prospective study. Pharmacotherapy. 2006;2…
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psnet.ahrq.gov/node/40291/psn-pdf
September 09, 2011 - Outcomes of emergency department patients presenting
with adverse drug events.
September 9, 2011
Hohl CM, Nosyk B, Kuramoto L, et al. Outcomes of emergency department patients presenting with
adverse drug events. Ann Emerg Med. 2011;58(3):270-279.e4. doi:10.1016/j.annemergmed.2011.01.003.
https://psnet.ahrq.gov/is…
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psnet.ahrq.gov/node/43975/psn-pdf
July 18, 2016 - Influence of the Comprehensive Unit-based Safety
Program in ICUs: evidence from the Keystone ICU project.
July 18, 2016
Hsu Y-J, Marsteller JA. Influence of the Comprehensive Unit-based Safety Program in ICUs: Evidence
From the Keystone ICU Project. Am J Med Qual. 2016;31(4):349-357. doi:10.1177/1062860615571963.
…
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psnet.ahrq.gov/node/45458/psn-pdf
November 30, 2016 - Request for comments on the proposed measures and
2020 targets for the National Action Plan for Adverse Drug
Event Prevention: inpatient and outpatient measures for
reduction of adverse drug events from anticoagulants,
diabetes agents, and opioid analgesics.
November 30, 2016
Office of Disease Prevention and Heal…
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psnet.ahrq.gov/node/60540/psn-pdf
November 01, 2016 - Quality improvement initiatives lead to reduction in
nulliparous term singleton vertex cesarean delivery rate.
November 1, 2016
Vadnais MA, Hacker MR, Shah NT, et al. Quality improvement initiatives lead to reduction in nulliparous
term singleton vertex cesarean delivery rate. Jt Comm J Qual Patient Saf. 2016;43(2)…
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psnet.ahrq.gov/node/40839/psn-pdf
December 30, 2014 - How event reporting by US hospitals has changed from
2005 to 2009.
December 30, 2014
Farley DO, Haviland AM, Haas A, et al. How event reporting by US hospitals has changed from 2005 to
2009. BMJ Qual Saf. 2011;21(1). doi:10.1136/bmjqs-2011-000114.
https://psnet.ahrq.gov/issue/how-event-reporting-us-hospitals-has-c…
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psnet.ahrq.gov/node/838249/psn-pdf
October 05, 2022 - Rooting an error review process in just culture: lessons
learned.
October 5, 2022
Neiswender K, Figueroa-Altmann A, Granahan K, et al. Rooting an error review process in just culture:
lessons learned. Patient Safety. 2022;4(3):34-38. doi:10.33940/culture/2022.9.5.
https://psnet.ahrq.gov/issue/rooting-error-review-…