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psnet.ahrq.gov/node/38309/psn-pdf
December 23, 2016 - Safely implementing health information and converging
technologies.
December 23, 2016
Safely implementing health information and converging technologies. Sentinel event alert. 2008;(42):1-4.
https://psnet.ahrq.gov/issue/safely-implementing-health-information-and-converging-technologies
As health information techno…
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psnet.ahrq.gov/node/61046/psn-pdf
October 21, 2020 - The effect of implementing bar-code medication
administration in an emergency department on
medication administration errors and nursing
satisfaction.
October 21, 2020
Owens K, Palmore M, Penoyer D, et al. The effect of implementing bar-code medication administration in
an emergency department on medication admin…
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psnet.ahrq.gov/node/73635/psn-pdf
August 25, 2021 - Impact of smart pump-electronic health record
interoperability on patient safety and finances at a
community hospital
August 25, 2021
Wei W, Coffey W, Adeola M, et al. Impact of smart pump-electronic health record interoperability on patient
safety and finances at a community hospital. Am J Health Syst Pharm. 2021…
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psnet.ahrq.gov/node/73239/psn-pdf
May 12, 2021 - Patient factors associated with new prescribing of
potentially inappropriate medications in multimorbid US
older adults using multiple medications.
May 12, 2021
Jungo KT, Streit S, Lauffenburger JC. Patient factors associated with new prescribing of potentially
inappropriate medications in multimorbid US older adu…
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psnet.ahrq.gov/node/47654/psn-pdf
February 27, 2019 - The Swiss Cheese Conference: integrating and aligning
quality improvement education with hospital patient
safety initiatives.
February 27, 2019
Durstenfeld MS, Statman S, Dikman A, et al. The Swiss Cheese Conference: integrating and aligning
quality improvement education with hospital patient safety initiatives. A…
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psnet.ahrq.gov/node/35405/psn-pdf
December 14, 2007 - Use of administrative data to find substandard care:
validation of the complications screening program.
December 14, 2007
Weingart SN, Iezzoni LI, Davis RB, et al. Use of Administrative Data to Find Substandard Care. Med Care.
2003;38(8):796-806. doi:10.1097/00005650-200008000-00004.
https://psnet.ahrq.gov/issue/u…
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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/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/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…