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psnet.ahrq.gov/issue/vaccination-errors-reported-vaccine-adverse-event-reporting-system-vaers-united-states-2000
May 18, 2022 - Study
Vaccination errors reported to the Vaccine Adverse Event Reporting System (VAERS), United States, 2000–2013.
Citation Text:
Hibbs BF, Moro PL, Lewis P, et al. Vaccination errors reported to the Vaccine Adverse Event Reporting System, (VAERS) United States, 2000-2013. Vaccine. 2015;…
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psnet.ahrq.gov/issue/hospital-board-oversight-quality-and-safety-stakeholder-analysis-exploring-role-trust-and
April 21, 2015 - Study
Hospital board oversight of quality and safety: a stakeholder analysis exploring the role of trust and intelligence.
Citation Text:
Millar R, Freeman T, Mannion R. Hospital board oversight of quality and safety: a stakeholder analysis exploring the role of trust and intelligence. B…
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psnet.ahrq.gov/issue/medical-emergency-team-system-and-not-resuscitation-orders-results-merit-study
June 02, 2010 - Study
The medical emergency team system and not-for-resuscitation orders: results from the MERIT Study.
Citation Text:
Chen J, Flabouris A, Bellomo R, et al. The Medical Emergency Team System and not-for-resuscitation orders: results from the MERIT study. Resuscitation. 2008;79(3):391-…
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psnet.ahrq.gov/issue/cardiopulmonary-arrest-and-mortality-trends-and-their-association-rapid-response-system
January 15, 2009 - Study
Cardiopulmonary arrest and mortality trends, and their association with rapid response system expansion.
Citation Text:
Chen J, Ou L, Hillman KM, et al. Cardiopulmonary arrest and mortality trends, and their association with rapid response system expansion. Med J Aust. 2014;201(3):…
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psnet.ahrq.gov/issue/wrong-site-surgery-california-2007-2014
July 27, 2023 - Study
Wrong-site surgery in California, 2007–2014.
Citation Text:
Moshtaghi O, Haidar YM, Sahyouni R, et al. Wrong-site surgery in California, 2007-2014. Otolaryngol Head Neck Surg. 2017;157(1):48-52. doi:10.1177/0194599817693226.
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psnet.ahrq.gov/issue/systematic-review-clinical-outcomes-associated-intrahospital-transitions
October 02, 2019 - Review
A systematic review of clinical outcomes associated with intrahospital transitions
Citation Text:
Bristol AA, Schneider CE, Lin S-Y, et al. A Systematic Review of Clinical Outcomes Associated With Intrahospital Transitions. J Healthc Qual. 2019. doi:10.1097/JHQ.0000000000000232.
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psnet.ahrq.gov/issue/enhancing-safety-system-wide-situ-simulation-program-using-no-go-considerations
June 13, 2018 - Study
Enhancing safety of a system-wide in situ simulation program using no-go considerations.
Citation Text:
Minors AM, Yusaf TC, Bentley SK, et al. Enhancing safety of a system-wide in situ simulation program using no-go considerations. Simul Healthc. 2023;18(4):226-231. doi:10.1097/si…
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psnet.ahrq.gov/issue/errors-detected-pediatric-oral-liquid-medication-doses-prepared-automated-workflow-management
June 22, 2009 - Study
Errors detected in pediatric oral liquid medication doses prepared in an automated workflow management system.
Citation Text:
Bledsoe S, Van Buskirk A, Falconer J, et al. Errors detected in pediatric oral liquid medication doses prepared in an automated workflow management system. …
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psnet.ahrq.gov/issue/prospective-study-suicide-screening-tools-and-their-association-near-term-adverse-events-ed
October 07, 2020 - Study
A prospective study of suicide screening tools and their association with near-term adverse events in the ED.
Citation Text:
Chang BP, Tan TM. Suicide screening tools and their association with near-term adverse events in the ED. Am J Emerg Med. 2015;33(11):1680-1683. doi:10.1016/j…
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psnet.ahrq.gov/issue/suicide-attempts-after-emergency-room-visits-effect-patient-safety-goals
August 04, 2021 - Study
Suicide attempts after emergency room visits: the effect of patient safety goals.
Citation Text:
Robst J. Suicide Attempts After Emergency Room Visits: The Effect of Patient Safety Goals. Psych Q. 2015;86(4):497-504. doi:10.1007/s11126-015-9345-7.
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psnet.ahrq.gov/issue/artificial-intelligence-anesthetic-care-survey-physician-anesthesiologists
March 15, 2016 - Study
Artificial intelligence in anesthetic care: a survey of physician anesthesiologists.
Citation Text:
Estrada Alamo CE, Diatta F, Monsell SE, et al. Artificial intelligence in anesthetic care: a survey of physician anesthesiologists. Anesth Analg. 2024;138(5):938-950. doi:10.1213/ane…
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psnet.ahrq.gov/issue/pharmacy-e-prescription-dispensing-and-after-cancelrx-implementation
October 05, 2022 - Study
Pharmacy e-prescription dispensing before and after CancelRx implementation.
Citation Text:
Pitts SI, Olson S, Yanek LR, et al. Pharmacy e-prescription dispensing before and after CancelRx implementation. JAMA Intern Med. 2023;183(10):1120-1126. doi:10.1001/jamainternmed.2023.4192.…
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psnet.ahrq.gov/issue/additional-cost-perioperative-medication-errors
July 24, 2024 - Study
The additional cost of perioperative medication errors
Citation Text:
Langlieb ME, Sharma P, Hocevar M, et al. The additional cost of perioperative medication errors. J Patient Saf. 2023;19(6):375-378. doi:10.1097/pts.0000000000001136.
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psnet.ahrq.gov/issue/assessing-impact-new-pediatric-healthcare-facility-medication-administration-human-factors
February 07, 2024 - Study
Assessing the impact of a new pediatric healthcare facility on medication administration: a human factors approach.
Citation Text:
Godin MR, Nasr AS. Assessing the impact of a new pediatric healthcare facility on medication administration: a human factors approach. J Nurs Adm. 2023…
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psnet.ahrq.gov/issue/classification-health-information-technology-safety-events-pediatric-tertiary-care-hospital
May 20, 2019 - Study
Classification of health information technology safety events in a pediatric tertiary care hospital.
Citation Text:
Khan A, Karavite DJ, Muthu N, et al. Classification of health information technology safety events in a pediatric tertiary care hospital. J Patient Saf. 2023;19(4):25…
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psnet.ahrq.gov/issue/correlates-diagnostic-accuracy-patients-nonspecific-complaints
August 18, 2021 - Study
Correlates of diagnostic accuracy in patients with nonspecific complaints.
Citation Text:
Hertwig R, Meier N, Nickel C, et al. Correlates of diagnostic accuracy in patients with nonspecific complaints. Med Decis Making. 2013;33(4):533-43. doi:10.1177/0272989X12470975.
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psnet.ahrq.gov/issue/enhancing-high-alert-medication-knowledge-among-pharmacy-nursing-and-medical-staff
December 15, 2021 - Study
Enhancing high alert medication knowledge among pharmacy, nursing, and medical staff.
Citation Text:
Sullivan KM, Le PL, Ditoro MJ, et al. Enhancing high alert medication knowledge among pharmacy, nursing, and medical staff. J Patient Saf. 2021;17(4):311-315. doi:10.1097/pts.0b013e…
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psnet.ahrq.gov/issue/self-reported-learning-srl-voluntary-incident-reporting-system-experience-within-large-health
October 26, 2022 - Study
Self-Reported Learning (SRL), a voluntary incident reporting system experience within a large health care organization.
Citation Text:
Lurvey LD, Fassett MJ, Kanter MH. Self-Reported Learning (SRL), a voluntary incident reporting system experience within a large health care organiz…
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psnet.ahrq.gov/issue/preparing-clinicians-transitioning-patients-across-care-settings-and-home-through-simulation
August 04, 2021 - Commentary
Preparing clinicians for transitioning patients across care settings and into the home through simulation.
Citation Text:
Molloy MA, Cary MP, Brennan-Cook J, et al. Preparing Clinicians for Transitioning Patients Across Care Settings and Into the Home Through Simulation. Home …
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psnet.ahrq.gov/issue/quality-measures-patients-risk-adverse-outcomes-veterans-health-administration-expert-panel
June 22, 2022 - Commentary
Quality measures for patients at risk of adverse outcomes in the Veterans Health Administration: expert panel recommendations.
Citation Text:
Chang ET, Newberry S, Rubenstein LV, et al. Quality Measures for Patients at Risk of Adverse Outcomes in the Veterans Health Administra…