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psnet.ahrq.gov/node/36280/psn-pdf
May 27, 2011 - Types of unintended consequences related to
computerized provider order entry.
May 27, 2011
Campbell EM, Sittig DF, Ash JS, et al. Types of unintended consequences related to computerized
provider order entry. J Am Med Inform Assoc. 2006;13(5):547-56.
https://psnet.ahrq.gov/issue/types-unintended-consequences-rela…
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psnet.ahrq.gov/node/34703/psn-pdf
December 24, 2008 - An alternative strategy for studying adverse events in
medical care.
December 24, 2008
Andrews LB, Stocking C, Krizek T, et al. An alternative strategy for studying adverse events in medical
care. Lancet. 1997;349(9048):309-13.
https://psnet.ahrq.gov/issue/alternative-strategy-studying-adverse-events-medical-care
…
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psnet.ahrq.gov/node/837026/psn-pdf
May 04, 2022 - Drug-related problems and polypharmacy in nursing
home residents: a cross-sectional study.
May 4, 2022
Díez R, Cadenas R, Susperregui J, et al. Drug-related problems and polypharmacy in nursing home
residents: a cross-sectional study. Int J Environ Res Public Health. 2022;19(7):4313.
doi:10.3390/ijerph19074313.
h…
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psnet.ahrq.gov/node/46000/psn-pdf
April 26, 2017 - Diagnostic error in the emergency department: follow up
of patients with minor trauma in the outpatient clinic.
April 26, 2017
Moonen P-J, Mercelina L, Boer W, et al. Diagnostic error in the Emergency Department: follow up of
patients with minor trauma in the outpatient clinic. Scand J Trauma Resusc Emerg Med. 2017…
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psnet.ahrq.gov/node/44322/psn-pdf
June 21, 2016 - Emotional harm from disrespect: the neglected
preventable harm.
June 21, 2016
Sokol-Hessner L, Folcarelli P, Sands KEF. Emotional harm from disrespect: the neglected preventable
harm. BMJ Qual Saf. 2015;24(9):550-3. doi:10.1136/bmjqs-2015-004034.
https://psnet.ahrq.gov/issue/emotional-harm-disrespect-neglected-pre…
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psnet.ahrq.gov/node/45674/psn-pdf
September 29, 2017 - Pain Management and Prescription Opioid-related Harms:
Exploring the State of the Evidence: Proceedings of a
Workshop—in Brief.
September 29, 2017
Forstag EH; Committee on Pain Management and Regulatory Strategies to Address Prescription Opioid
Abuse; Health and Medicine Division. Washington, DC: National Academy …
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psnet.ahrq.gov/node/43131/psn-pdf
December 12, 2014 - Nurse staffing and education and hospital mortality in
nine European countries: a retrospective observational
study.
December 12, 2014
Aiken LH, Sloane DM, Bruyneel L, et al. Nurse staffing and education and hospital mortality in nine
European countries: a retrospective observational study. Lancet. 2014;383(9931):…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb-pda.pdf
June 02, 2025 - NICU Family Information Packet, Appendix B, Patent Ductus Arteriosus
Patent Ductus Arteriosus
Characteristics
■ A persistent open connection beyond 3 months of age between the pulmonary artery and the
aorta with blood flow from the aorta to the pulmonary artery.
■ An open ductus may lead to:
– Congestive heart…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/impl-guide/implementation-guide-appendix-g.pdf
September 01, 2015 - AHRQ Safety Program for Reducing CAUTI in Hospitals - Appendix G. Urinary Catheter Project Fact Sheet.
AHRQ Safety Program for Reducing CAUTI in Hospitals
Appendix G. Urinary Catheter Project Fact Sheet
…
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psnet.ahrq.gov/node/60340/psn-pdf
May 20, 2020 - Association between cancer-specific adverse event
triggers and mortality: a validation study.
May 20, 2020
Weingart SN, Nelson J, Koethe B, et al. Association between cancer?specific adverse event triggers and
mortality: A validation study. Cancer Med. 2020;9(12):4447-4459. doi:10.1002/cam4.3033.
https://psnet.ahr…
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psnet.ahrq.gov/node/845636/psn-pdf
March 08, 2023 - The effects of leadership for self-worth, inclusion, trust,
and psychological safety on medical error reporting.
March 8, 2023
Brimhall KC, Tsai C-Y, Eckardt R, et al. The effects of leadership for self-worth, inclusion, trust, and
psychological safety on medical error reporting. Health Care Manage Rev. 2023;48(2):…
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psnet.ahrq.gov/node/73291/psn-pdf
May 19, 2021 - How can never event data be used to reflect or improve
hospital safety performance?
May 19, 2021
Olivarius?McAllister J, Pandit M, Sykes A, et al. How can never event data be used to reflect or improve
hospital safety performance? Anaesthesia. 2021;76(12):1616-1624. doi:10.1111/anae.15476.
https://psnet.ahrq.gov/i…
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psnet.ahrq.gov/node/866733/psn-pdf
September 18, 2024 - A coproduced family reporting intervention to improve
safety surveillance and reduce disparities.
September 18, 2024
Khan A, Baird JD, Mauskar S, et al. A coproduced family reporting intervention to improve safety
surveillance and reduce disparities. Pediatrics. 2024;154(4):e2023065245. doi:10.1542/peds.2023-065245…
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psnet.ahrq.gov/node/43581/psn-pdf
December 26, 2014 - Moving beyond misuse and diversion: the urgent need to
consider the role of iatrogenic addiction in the current
opioid epidemic.
December 26, 2014
Beauchamp GA, Winstanley EL, Ryan SA, et al. Moving beyond misuse and diversion: the urgent need to
consider the role of iatrogenic addiction in the current opioid epid…
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psnet.ahrq.gov/node/74200/psn-pdf
January 01, 2022 - Association of surgeon-patient sex concordance with
postoperative outcomes.
December 22, 2021
Wallis CJD, Jerath A, Coburn N, et al. Association of surgeon-patient sex concordance with postoperative
outcomes. JAMA Surg. 2022;157(2):146-156. doi:10.1001/jamasurg.2021.6339.
https://psnet.ahrq.gov/issue/association-s…
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psnet.ahrq.gov/node/35551/psn-pdf
June 08, 2010 - Validity of unplanned admission to an intensive care unit
as a measure of patient safety in surgical patients.
June 8, 2010
Haller G, Myles PS, Wolfe R, et al. Validity of unplanned admission to an intensive care unit as a measure
of patient safety in surgical patients. Anesthesiology. 2005;103(6):1121-1129.
https…
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psnet.ahrq.gov/node/845634/psn-pdf
March 08, 2023 - Compliance with and barriers to implementing the
surgical safety checklist: a mixed-methods study.
March 8, 2023
Aydin Akbuga G, Sürme Y, Esenkaya D. Compliance with and barriers to implementing the surgical safety
checklist: a mixed-methods study. AORN J. 2023;117(2):e1-e10. doi:10.1002/aorn.13861.
https://psnet.…
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www.ahrq.gov/sites/default/files/wysiwyg/data/infographics/heart-failure-hospital.pdf
January 01, 2019 - Heart Failure Admissions Down but Hospital Deaths Higher in First Year of COVID-19 - Infographic
This Is a Sample Two Line
Infographic Arial BK - 24 PT
Source: The source should be in 8.5/10 point Arial. The source should be in 8.5/10 point Arial. The source should be in 8.5/10 point
Arial. The source should be in …
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psnet.ahrq.gov/node/50746/psn-pdf
December 18, 2019 - The influence of organizational culture, climate and
commitment on speaking up about medical errors.
December 18, 2019
Levine KJ, Carmody M, Silk KJ. The influence of organizational culture, climate and commitment on
speaking up about medical errors. J Nurs Manag. 2019;28(1):130-138. doi:10.1111/jonm.12906.
https:…
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digital.ahrq.gov/principal-investigator/abujarad-fuad
January 01, 2023 - Abujarad, Fuad
Patient-Centered Virtual Multimedia Interactive Informed Consent (VIC) - Final Report
Citation
Abujarad, F. Patient-Centered Virtual Multimedia Interactive Informed Consent (VIC) - Final Report. (Prepared by Yale University under Grant No. R21 HS023987). Rockvil…