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psnet.ahrq.gov/node/852276/psn-pdf
August 09, 2023 - Parent experiences with the process of sharing inpatient
safety concerns for children with medical complexity: a
qualitative analysis.
August 9, 2023
Kieren MQ, Kelly MM, Garcia MA, et al. Parent experiences with the process of sharing inpatient safety
concerns for children with medical complexity: a qualitative a…
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psnet.ahrq.gov/node/34845/psn-pdf
June 30, 2011 - The JCAHO patient safety event taxonomy: a
standardized terminology and classification schema for
near misses and adverse events.
June 30, 2011
Chang A, Schyve PM, Croteau RJ, et al. The JCAHO patient safety event taxonomy: a standardized
terminology and classification schema for near misses and adverse events. In…
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psnet.ahrq.gov/node/43463/psn-pdf
October 06, 2016 - Predictors of unit-level medication administration
accuracy: microsystem impacts on medication safety.
October 6, 2016
Donaldson N, Aydin C, Fridman M. Predictors of unit-level medication administration accuracy:
microsystem impacts on medication safety. J Nurs Adm. 2014;44(6):353-61.
doi:10.1097/NNA.0000000000000…
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psnet.ahrq.gov/node/46684/psn-pdf
January 24, 2018 - Threats to patient safety in primary care reported by older
people with multimorbidity: baseline findings from a
longitudinal qualitative study and implications for
intervention.
January 24, 2018
Hays R, Daker-White G, Esmail A, et al. Threats to patient safety in primary care reported by older people
with multim…
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psnet.ahrq.gov/node/36853/psn-pdf
June 07, 2016 - Potential drug interactions and duplicate prescriptions
among cancer patients.
June 7, 2016
Riechelmann RP, Tannock IF, Wang L, et al. Potential drug interactions and duplicate prescriptions among
cancer patients. J Natl Cancer Inst. 2007;99(8):592-600.
https://psnet.ahrq.gov/issue/potential-drug-interactions-and-…
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psnet.ahrq.gov/node/47612/psn-pdf
February 27, 2019 - The impact of computerised physician order entry and
clinical decision support on pharmacist–physician
communication in the hospital setting: a qualitative study.
February 27, 2019
Pontefract SK, Coleman JJ, Vallance HK, et al. The impact of computerised physician order entry and
clinical decision support on pharm…
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psnet.ahrq.gov/node/47046/psn-pdf
April 18, 2018 - Smart pumps in practice: survey results reveal
widespread use, but optimization is challenging.
April 18, 2018
ISMP Medication Safety Alert! Acute Care Edition. April 5, 2018;23:1-5.
https://psnet.ahrq.gov/issue/smart-pumps-practice-survey-results-reveal-widespread-use-optimization-
challenging
Smart pumps are co…
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psnet.ahrq.gov/node/851910/psn-pdf
August 02, 2023 - Relationship between in-hospital adverse events and
hospital performance on 30-day all-cause mortality and
readmission for patients with heart failure.
August 2, 2023
Wang Y, Eldridge N, Metersky ML, et al. Relationship between in-hospital adverse events and hospital
performance on 30-Day all-cause mortality and r…
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psnet.ahrq.gov/node/851193/psn-pdf
July 05, 2023 - Overlapping surgery in arthroplasty - a systematic review
and meta-analysis.
July 5, 2023
Kim RG, An VVG, Lee SLK, et al. Overlapping surgery in arthroplasty – a systematic review and meta-
analysis. Orthop Traumatol Surg Res. 2023;109(4):103299. doi:10.1016/j.otsr.2022.103299.
https://psnet.ahrq.gov/issue/overlap…
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psnet.ahrq.gov/node/836822/psn-pdf
March 30, 2022 - Leveraging a safety event management system to
improve organizational learning and safety culture.
March 30, 2022
Dawson R, Saulnier T, Campbell A, et al. Leveraging a safety event management system to improve
organizational learning and safety culture. Hosp Pediatr. 2022;12(4):407-417. doi:10.1542/hpeds.2021-
006…
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psnet.ahrq.gov/node/74183/psn-pdf
December 15, 2021 - Identifying safe care processes when GPs work in or
alongside emergency departments: a realist evaluation.
December 15, 2021
Cooper A, Carson-Stevens A, Edwards M, et al. Identifying safe care processes when GPs work in or
alongside emergency departments: a realist evaluation. Br J Gen Pract. 2021;71(713):e931-e940…
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psnet.ahrq.gov/node/854385/psn-pdf
October 11, 2023 - Perioperative team-based morbidity and mortality
conferences: a systematic review of the literature.
October 11, 2023
Samost-Williams A, Rosen R, Hannenberg A, et al. Perioperative team-based morbidity and mortality
conferences: a systematic review of the literature. Ann Surg Open. 2023;4(3):e321.
doi:10.1097/as9.…
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psnet.ahrq.gov/node/60726/psn-pdf
January 01, 2021 - User-testing guidelines to improve the safety of
intravenous medicines administration: a randomised in
situ simulation study.
July 29, 2020
Jones MD, McGrogan A, Raynor DK, et al. User-testing guidelines to improve the safety of intravenous
medicines administration: a randomised in situ simulation study. BMJ Qual …
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psnet.ahrq.gov/node/42379/psn-pdf
August 08, 2013 - Prevalence and nature of adverse medical device events
in hospitalized children.
August 8, 2013
Brady PW, Varadarajan K, Peterson LE, et al. Prevalence and nature of adverse medical device events in
hospitalized children. J Hosp Med. 2013;8(7):390-3. doi:10.1002/jhm.2058.
https://psnet.ahrq.gov/issue/prevalence-an…
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psnet.ahrq.gov/node/853068/psn-pdf
August 30, 2023 - Healthcare fragmentation, multimorbidity, potentially
inappropriate medication, and mortality: a Danish
nationwide cohort study.
August 30, 2023
Prior A, Vestergaard CH, Vedsted P, et al. Healthcare fragmentation, multimorbidity, potentially
inappropriate medication, and mortality: a Danish nationwide cohort study…
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psnet.ahrq.gov/node/867235/psn-pdf
December 04, 2024 - HCUP Statistical Brief #312. Trends in Severe Maternal
Morbidity Complications by Patient Characteristics, 2016-
2021.
December 4, 2024
Reid LD. Hcup Statistical Brief #313. Trends In Severe Maternal Morbidity Complications By Patient
Characteristics, 2016-2021. Rockville, MD: Agency for Healthcare Research and Qu…
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psnet.ahrq.gov/node/45720/psn-pdf
April 13, 2017 - Medical morbidity and mortality conferences: past,
present and future.
April 13, 2017
George J. Medical morbidity and mortality conferences: past, present and future. Postgrad Med J.
2017;93(1097):148-152. doi:10.1136/postgradmedj-2016-134103.
https://psnet.ahrq.gov/issue/medical-morbidity-and-mortality-conference…
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psnet.ahrq.gov/node/37454/psn-pdf
January 09, 2008 - Quantifying nursing workflow in medication
administration.
January 9, 2008
Keohane CA, Bane AD, Featherstone E, et al. Quantifying nursing workflow in medication administration. J
Nurs Adm. 2007;38(1):19-26. doi:10.1097/01.nna.0000295628.87968.bc.
https://psnet.ahrq.gov/issue/quantifying-nursing-workflow-medicatio…
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psnet.ahrq.gov/node/46078/psn-pdf
June 14, 2017 - Prescription opioid exposures among children and
adolescents in the United States: 2000–2015.
June 14, 2017
Allen JD, Casavant MJ, Spiller HA, et al. Prescription Opioid Exposures Among Children and Adolescents
in the United States: 2000-2015. Pediatrics. 2017;139(4). doi:10.1542/peds.2016-3382.
https://psnet.ahrq…
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psnet.ahrq.gov/node/851358/psn-pdf
July 12, 2023 - Enhancing resident education by embedding
improvement specialists into a quality and safety
curriculum.
July 12, 2023
Levy KL, Grzyb K, Heidemann LA, et al. Enhancing resident education by embedding improvement
specialists into a quality and safety curriculum. J Grad Med Educ. 2023;15(3):348-355. doi:10.4300/jgme-…