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psnet.ahrq.gov/node/866901/psn-pdf
October 09, 2024 - Reader bias in breast cancer screening related to cancer
prevalence and artificial intelligence decision support-a
reader study.
October 9, 2024
Al-Bazzaz H, Janicijevic M, Strand F. Reader bias in breast cancer screening related to cancer prevalence
and artificial intelligence decision support—a reader study. Eur…
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psnet.ahrq.gov/node/73427/psn-pdf
June 23, 2021 - Incidence and OR team awareness of “near-miss” and
retained surgical sharps: a national survey on United
States operating rooms.
June 23, 2021
Weprin SA, Meyer D, Li R, et al. Incidence and OR team awareness of “near-miss” and retained surgical
sharps: a national survey on United States operating rooms. Patient Sa…
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psnet.ahrq.gov/node/44328/psn-pdf
August 22, 2015 - Accidents and incidents related to intravenous drug
administration: a pre-post study following implementation
of smart pumps in a teaching hospital.
August 22, 2015
Guérin A, Tourel J, Delage E, et al. Accidents and Incidents Related to Intravenous Drug Administration: A
Pre-Post Study Following Implementation of …
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psnet.ahrq.gov/node/838912/psn-pdf
December 01, 2005 - Discrepancies between clinical and autopsy diagnosis
and the value of post mortem histology: a meta-analysis
and review.
December 1, 2005
Roulson J, Benbow EW, Hasleton PS. Discrepancies between clinical and autopsy diagnosis and the value
of post mortem histology; a meta-analysis and review. Histopathology. 2005;…
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psnet.ahrq.gov/node/42040/psn-pdf
September 28, 2016 - The intended and unintended consequences of
communication systems on general internal medicine
inpatient care delivery: a prospective observational case
study of five teaching hospitals.
September 28, 2016
Wu RC, Lo V, Morra D, et al. The intended and unintended consequences of communication systems on
general in…
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psnet.ahrq.gov/node/50711/psn-pdf
January 01, 2020 - Unscheduled return visits to the emergency department
with ICU admission: a trigger tool for diagnostic error.
December 4, 2019
Aaronson E, Jansson P, Wittbold K, et al. Unscheduled return visits to the emergency department with ICU
admission: A trigger tool for diagnostic error. Am J Emerg Med. 2020;38(8):1584-158…
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psnet.ahrq.gov/node/851351/psn-pdf
July 12, 2023 - Healthcare workers' experiences of patient safety in the
intensive care unit during the COVID-19 pandemic: a
multicentre qualitative study.
July 12, 2023
Berggren K, Ekstedt M, Joelsson?Alm E, et al. Healthcare workers' experiences of patient safety in the
intensive care unit during the COVID?19 pandemic: a multic…
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psnet.ahrq.gov/node/38538/psn-pdf
January 02, 2017 - Rating recommendations for consumers about patient
safety: sense, common sense, or nonsense?
January 2, 2017
Weingart SN, Morway L, Brouillard D, et al. Rating recommendations for consumers about patient safety:
sense, common sense, or nonsense? Jt Comm J Qual Patient Saf. 2009;35(4):206-15.
https://psnet.ahrq.gov…
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psnet.ahrq.gov/node/849129/psn-pdf
November 01, 2023 - Patient safety trends in 2022: an analysis of 256,679
serious events and incidents from the nation’s largest
event reporting database.
May 17, 2023
Kepner S, Jones RM. Patient Safety Trends in 2022: an analysis of 256,679 serious events and incidents
from the nation’s largest event reporting database. Patient Saf.…
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psnet.ahrq.gov/node/46652/psn-pdf
July 14, 2018 - The effects of crew resource management on teamwork
and safety climate at Veterans Health Administration
facilities.
July 14, 2018
Schwartz ME, Welsh DE, Paull DE, et al. The effects of crew resource management on teamwork and
safety climate at Veterans Health Administration facilities. J Healthc Risk Manag. 2018;…
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psnet.ahrq.gov/node/42038/psn-pdf
June 03, 2013 - A systematic review of simulation for multidisciplinary
team training in operating rooms.
June 3, 2013
Cumin D, Boyd MJ, Webster CS, et al. A systematic review of simulation for multidisciplinary team training
in operating rooms. Simul Healthc. 2013;8(3):171-179. doi:10.1097/SIH.0b013e31827e2f4c.
https://psnet.ahr…
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psnet.ahrq.gov/node/37453/psn-pdf
March 03, 2011 - Managing the prevention of retained surgical instruments:
what is the value of counting?
March 3, 2011
Egorova NN, Moskowitz A, Gelijns A, et al. Managing the prevention of retained surgical instruments: what
is the value of counting? Ann Surg. 2008;247(1):13-8.
https://psnet.ahrq.gov/issue/managing-prevention-ret…
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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…