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psnet.ahrq.gov/node/44304/psn-pdf
September 09, 2015 - Association of the 2011 ACGME resident duty hour reform
with postoperative patient outcomes in surgical
specialties.
September 9, 2015
Rajaram R, Chung JW, Cohen ME, et al. Association of the 2011 ACGME Resident Duty Hour Reform with
Postoperative Patient Outcomes in Surgical Specialties. J Am Coll Surg. 2015;221(…
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psnet.ahrq.gov/node/50886/psn-pdf
February 12, 2020 - Identifying risks areas related to medication
administrations - text mining analysis using free-text
descriptions of incident reports.
February 12, 2020
Härkänen M, Paananen J, Murrells T, et al. Identifying risks areas related to medication administrations -
text mining analysis using free-text descriptions of in…
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psnet.ahrq.gov/node/45216/psn-pdf
June 08, 2016 - Ambulatory computerized prescribing and preventable
adverse drug events.
June 8, 2016
Overhage JM, Gandhi TK, Hope C, et al. Ambulatory Computerized Prescribing and Preventable Adverse
Drug Events. J Patient Saf. 2016;12(2):69-74. doi:10.1097/PTS.0000000000000194.
https://psnet.ahrq.gov/issue/ambulatory-computeriz…
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psnet.ahrq.gov/node/43436/psn-pdf
August 13, 2014 - Decreasing handoff-related care failures in children's
hospitals.
August 13, 2014
Bigham MT, Logsdon TR, Manicone PE, et al. Decreasing handoff-related care failures in children's
hospitals. Pediatrics. 2014;134(2):e572-e579. doi:10.1542/peds.2013-1844.
https://psnet.ahrq.gov/issue/decreasing-handoff-related-care-…
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psnet.ahrq.gov/node/866104/psn-pdf
June 12, 2024 - When agency fails: an analysis of the association
between hospital agency staffing and quality outcomes.
June 12, 2024
Beauvais B, Pradhan R, Ramamonjiarivelo Z, et al. When agency fails: an analysis of the association
between hospital agency staffing and quality outcomes. Risk Manag Healthc Policy. 2024;17:1361-13…
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psnet.ahrq.gov/node/865336/psn-pdf
March 27, 2024 - Transfusion-related errors and associated adverse
reactions and blood product wastage as reported to the
National Healthcare Safety Network Hemovigilance
Module, 2014-2022.
March 27, 2024
Chavez Ortiz JL, Griffin I, Kazakova SV, et al. Transfusion?related errors and associated adverse reactions
and blood product …
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psnet.ahrq.gov/node/47434/psn-pdf
January 21, 2019 - Estimating the hospital costs of inpatient harms.
January 21, 2019
Anand P, Kranker K, Chen AY. Estimating the hospital costs of inpatient harms. Health Serv Res.
2019;54(1):86-96. doi:10.1111/1475-6773.13066.
https://psnet.ahrq.gov/issue/estimating-hospital-costs-inpatient-harms
Pressure ulcers, surgical site inf…
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psnet.ahrq.gov/node/850166/psn-pdf
June 07, 2023 - Classification of health information technology safety
events in a pediatric tertiary care hospital.
June 7, 2023
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):251-257. doi:10.1097/pts.0000000000001…
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psnet.ahrq.gov/node/39931/psn-pdf
April 24, 2011 - Emotional influences in patient safety.
April 24, 2011
Croskerry P, Abbass A, Wu AW. Emotional Influences in Patient Safety. J Patient Saf. 2010;6(4):199-205.
doi:10.1097/pts.0b013e3181f6c01a.
https://psnet.ahrq.gov/issue/emotional-influences-patient-safety
Clinicians are intimately familiar with the pressures of …
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psnet.ahrq.gov/node/47787/psn-pdf
February 20, 2019 - How to be a very safe maternity unit: an ethnographic
study.
February 20, 2019
Liberati EG, Tarrant C, Willars J, et al. How to be a very safe maternity unit: An ethnographic study. Soc
Sci Med. 2019;223:64-72. doi:10.1016/j.socscimed.2019.01.035.
https://psnet.ahrq.gov/issue/how-be-very-safe-maternity-unit-ethnog…
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psnet.ahrq.gov/node/74163/psn-pdf
December 08, 2008 - Follow-up of abnormal screening mammograms among
low-income ethnically diverse women: findings from a
qualitative study.
December 8, 2008
Allen JD, Shelton RC, Harden E, et al. Follow-up of abnormal screening mammograms among low-income
ethnically diverse women: findings from a qualitative study. Patient Educ Coun…
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psnet.ahrq.gov/node/846449/psn-pdf
March 22, 2023 - Healthcare professionals' perception of safety culture and
the Operating Room (OR) Black Box technology before
clinical implementation: a cross-sectional survey.
March 22, 2023
Strandbygaard J, Dose N, Moeller KE, et al. Healthcare professionals’ perception of safety culture and the
Operating Room (OR) Black Box t…
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psnet.ahrq.gov/node/74864/psn-pdf
February 23, 2022 - Exploring changes in patient safety incidents during the
COVID-19 pandemic in a Canadian regional hospital
system: a retrospective time series analysis.
February 23, 2022
Lombardi J, Strobel S, Pullar V, et al. Exploring changes in patient safety incidents during the COVID-19
pandemic in a Canadian regional hospit…
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psnet.ahrq.gov/node/39908/psn-pdf
October 06, 2010 - Use of temporary nurses and nurse and patient safety
outcomes in acute care hospital units.
October 6, 2010
Bae S-H, Mark BA, Fried B. Use of temporary nurses and nurse and patient safety outcomes in acute care
hospital units. Health Care Manage Rev. 2010;35(4):333-344. doi:10.1097/HMR.0b013e3181dac01c.
https://ps…
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psnet.ahrq.gov/node/40548/psn-pdf
March 23, 2012 - Potentially inappropriate medications defined by STOPP
criteria and the risk of adverse drug events in older
hospitalized patients.
March 23, 2012
Hamilton H, Gallagher P, Ryan C, et al. Potentially inappropriate medications defined by STOPP criteria
and the risk of adverse drug events in older hospitalized patien…
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psnet.ahrq.gov/node/46197/psn-pdf
September 24, 2017 - Implementation and evaluation of a prototype consumer
reporting system for patient safety events.
September 24, 2017
Weingart SN, Weissman JS, Zimmer KP, et al. Implementation and evaluation of a prototype consumer
reporting system for patient safety events. Int J Qual Health Care. 2017;29(4):521-526.
doi:10.1093/…
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psnet.ahrq.gov/node/41131/psn-pdf
February 15, 2012 - Effects of two commercial electronic prescribing systems
on prescribing error rates in hospital in-patients: a before
and after study.
February 15, 2012
Westbrook JI, Reckmann MH, Li L, et al. Effects of two commercial electronic prescribing systems on
prescribing error rates in hospital in-patients: a before and …
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psnet.ahrq.gov/node/46892/psn-pdf
June 13, 2018 - AHRQ National Scorecard on Hospital-Acquired
Conditions Updated Baseline Rates and Preliminary
Results 2014–2016.
June 13, 2018
Rockville, MD: Agency for Healthcare Research and Quality; June 2018.
https://psnet.ahrq.gov/issue/ahrq-national-scorecard-hospital-acquired-conditions-updated-baseline-rates-
and-prelim…
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psnet.ahrq.gov/node/42515/psn-pdf
October 24, 2013 - Using four-phased unit-based patient safety walkrounds
to uncover correctable system flaws.
October 24, 2013
Taylor AM, Chuo J, Figueroa-Altmann A, et al. Using four-phased unit-based patient safety walkrounds to
uncover correctable system flaws. Jt Comm J Qual Patient Saf. 2013;39(9):396-403.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/43190/psn-pdf
September 04, 2015 - Pediatric obesity and safety in inpatient settings: a
systematic literature review.
September 4, 2015
Halvorson EE, Irby MB, Skelton JA. Pediatric obesity and safety in inpatient settings: a systematic literature
review. Clin Pediatr (Phila). 2014;53(10):975-87. doi:10.1177/0009922814533406.
https://psnet.ahrq.gov…