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psnet.ahrq.gov/node/42711/psn-pdf
October 31, 2014 - Characterising the complexity of medication safety using
a human factors approach: an observational study in two
intensive care units.
October 31, 2014
Carayon P, Wetterneck TB, Cartmill R, et al. Characterising the complexity of medication safety using a
human factors approach: an observational study in two inten…
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psnet.ahrq.gov/node/37484/psn-pdf
April 01, 2010 - Using patient safety indicators to estimate the impact of
potential adverse events on outcomes.
April 1, 2010
Rivard PE, Luther SL, Christiansen CL, et al. Using Patient Safety Indicators to Estimate the Impact of
Potential Adverse Events on Outcomes. Med Care Res Rev. 2008;65(1):67-87.
doi:10.1177/107755870730961…
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psnet.ahrq.gov/node/74853/psn-pdf
February 24, 2022 - The Top Six: standardized safety practices in U.S. Army
Medical Department treatment facilities worldwide.
February 24, 2022
Hartstein B, Munante M, Toor PA. The Top Six: Standardized safety practices in U.S. Army Medical
Department treatment facilities worldwide. NEJM Catal Innov Care Deliv. 2022;3(2):e1-e20.
doi…
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psnet.ahrq.gov/node/42118/psn-pdf
March 20, 2013 - Simulation exercises as a patient safety strategy: a
systematic review.
March 20, 2013
Schmidt E, Goldhaber-Fiebert SN, Ho LA, et al. Simulation exercises as a patient safety strategy: a
systematic review. Ann Intern Med. 2013;158(5 Pt 2):426-32. doi:10.7326/0003-4819-158-5-201303051-
00010.
https://psnet.ahrq.go…
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psnet.ahrq.gov/node/38354/psn-pdf
September 24, 2010 - Barriers to emergency departments' adherence to four
medication safety–related Joint Commission National
Patient Safety Goals.
September 24, 2010
Juarez A, Gacki-Smith J, Bauer MR, et al. Barriers to emergency departments' adherence to four
medication safety-related Joint Commission National Patient Safety Goals. …
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psnet.ahrq.gov/node/45814/psn-pdf
March 22, 2017 - Emergency medical services responders' perceptions of
the effect of stress and anxiety on patient safety in the
out-of-hospital emergency care of children: a qualitative
study.
March 22, 2017
Guise J-M, Hansen M, O'Brien K, et al. Emergency medical services responders' perceptions of the effect
of stress and anxi…
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psnet.ahrq.gov/node/41455/psn-pdf
June 13, 2012 - Medication errors during medical emergencies in a large,
tertiary care, academic medical center.
June 13, 2012
Gokhman R, Seybert AL, Phrampus P, et al. Medication errors during medical emergencies in a large,
tertiary care, academic medical center. Resuscitation. 2012;83(4):482-7.
doi:10.1016/j.resuscitation.2011…
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psnet.ahrq.gov/node/37756/psn-pdf
December 15, 2008 - Do the AHRQ Patient Safety Indicators flag conditions
that are present at the time of hospital admission?
December 15, 2008
Bahl V, Thompson MA, Kau T-Y, et al. Do the AHRQ patient safety indicators flag conditions that are
present at the time of hospital admission? Med Care. 2008;46(5):516-22.
doi:10.1097/MLR.0b0…
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psnet.ahrq.gov/node/41226/psn-pdf
April 22, 2012 - Defining impact of a rapid response team: qualitative
study with nurses, physicians and hospital
administrators.
April 22, 2012
Benin AL, Borgstrom CP, Jenq GY, et al. Defining impact of a rapid response team: qualitative study with
nurses, physicians and hospital administrators. BMJ Qual Saf. 2012;21(5):391-8. do…
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psnet.ahrq.gov/node/42150/psn-pdf
July 03, 2014 - Effects of the 2011 duty hour reforms on interns and their
patients: a prospective longitudinal cohort study.
July 3, 2014
Sen S, Kranzler HR, Didwania AK, et al. Effects of the 2011 duty hour reforms on interns and their patients:
a prospective longitudinal cohort study. JAMA Intern Med. 2013;173(8):657-62; discus…
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psnet.ahrq.gov/web-mm/ounce-prevention
February 17, 2011 - Trauma, particularly of the lower extremities and pelvis, increases the risk of VTE. … attributed to PE in as many as 50% of patients dying after hip fracture.( 8 ) The incidence of VTE increases … In this setting, lower-extremity DVT often is caused by prolonged bed rest; the risk increases when surgery
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psnet.ahrq.gov/node/49606/psn-pdf
August 01, 2010 - , and lung
volume is further reduced when they lie flat.(8) The supine position causes significant increases … the
laryngoscopist's view during direct laryngoscopy, and most importantly recruits lung volume and increases … references
elevated so that an imaginary horizontal line can be drawn from the sternum to the ear, increases
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psnet.ahrq.gov/web-mm/cardiac-arrest-woman-uti-case-qt-prolongation
March 27, 2024 - is estimated to be 5.4 cases for every 10 million prescriptions. 6 The overall risk is low, but it increases … associated with a high risk of causing QTc prolongation and recognize that the risk of torsades de pointes increases
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psnet.ahrq.gov/node/74253/psn-pdf
January 12, 2022 - COVID-19 on the safety of care has revealed several areas of
concern and potential root causes for increases … diagnosis and management of COVID-19
or sepsis, or the identification of sepsis among COVID-19 patients, increases
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psnet.ahrq.gov/web-mm/weighing-surgical-safety
August 04, 2021 - and lung volume is further reduced when they lie flat.( 8 ) The supine position causes significant increases … the laryngoscopist's view during direct laryngoscopy, and most importantly recruits lung volume and increases … upper body are elevated so that an imaginary horizontal line can be drawn from the sternum to the ear, increases
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psnet.ahrq.gov/issue/effects-introduction-who-surgical-safety-checklist-hospital-mortality-cohort-study
April 24, 2018 - January 9, 2013
The implementation of a perioperative checklist increases patients' perioperative
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psnet.ahrq.gov/web-mm/insert-omission
May 09, 2014 - The presence of an IUC increases the risk of spontaneous abortion nearly three-fold, so, whether a pregnancy … should be removed as soon as possible because the risk of spontaneous abortion in the presence of an IUC increases
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psnet.ahrq.gov/node/49503/psn-pdf
February 01, 2006 - Nurses feel that they must respond to these interruptions and
hassles (5), but doing so increases the … In addition to interruptions and hassles, another factor that increases the risks to patients is low
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psnet.ahrq.gov/node/49826/psn-pdf
April 01, 2018 - The use of checklists in clinical environments increases adherence to protocols, reduces complications … The use of checklists in clinical environments increases adherence to protocols, reduces
complications
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psnet.ahrq.gov/node/49473/psn-pdf
March 01, 2005 - The tendency to take
shortcuts and save time is a very human one, but it also increases the risk of … Lack of predictability greatly
increases the risk of mistakes.