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psnet.ahrq.gov/node/60176/psn-pdf
April 01, 2020 - Health and social care-associated harm amongst
vulnerable children in primary care: mixed methods
analysis of national safety reports.
April 1, 2020
Omar A, Rees P, Cooper A, et al. Health and social care-associated harm amongst vulnerable children in
primary care: mixed methods analysis of national safety reports…
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psnet.ahrq.gov/node/867088/psn-pdf
November 06, 2024 - Deficiencies in electronic medical record inpatient list
capabilities negatively impact patient safety, resident
education, and wellness.
November 6, 2024
Davalos RA, Aden J, Pluta N, et al. Deficiencies in electronic medical record inpatient list capabilities
negatively impact patient safety, resident education, …
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psnet.ahrq.gov/node/38245/psn-pdf
February 18, 2011 - Physicians' attitudes towards copy and pasting in
electronic note writing.
February 18, 2011
O'Donnell HC, Kaushal R, Barrón Y, et al. Physicians' attitudes towards copy and pasting in electronic note
writing. J Gen Intern Med. 2009;24(1):63-8. doi:10.1007/s11606-008-0843-2.
https://psnet.ahrq.gov/issue/physicians…
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psnet.ahrq.gov/node/44710/psn-pdf
May 09, 2017 - The vulnerabilities of computerized physician order entry
systems: a qualitative study.
May 9, 2017
Slight SP, Eguale T, Amato MG, et al. The vulnerabilities of computerized physician order entry systems: a
qualitative study: Table 1. J Am Med Inform Assoc. 2015;23(2):311-316. doi:10.1093/jamia/ocv135.
https://psn…
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psnet.ahrq.gov/node/43771/psn-pdf
May 01, 2015 - The Public's Views on Medical Error in Massachusetts.
May 1, 2015
Boston, MA: Harvard School of Public Health; December 2014.
https://psnet.ahrq.gov/issue/publics-views-medical-error-massachusetts
This statewide public telephone survey in Massachusetts found that more than 20% of respondents
experienced a medical …
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psnet.ahrq.gov/node/44382/psn-pdf
June 21, 2016 - Patient safety reporting: a qualitative study of thoughts
and perceptions of experts 15 years after 'To Err is
Human.'
June 21, 2016
Mitchell I, Schuster A, Smith K, et al. Patient safety incident reporting: a qualitative study of thoughts and
perceptions of experts 15 years after 'To Err is Human'. BMJ Qual Saf. …
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psnet.ahrq.gov/node/41863/psn-pdf
November 21, 2012 - How reliable are patient-completed medication
reconciliation forms compared with pharmacy lists?
November 21, 2012
Meyer C, Stern M, Woolley W, et al. How reliable are patient-completed medication reconciliation forms
compared with pharmacy lists? Am J Emerg Med. 2012;30(7):1048-54. doi:10.1016/j.ajem.2011.06.038.
…
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psnet.ahrq.gov/node/60181/psn-pdf
April 01, 2020 - Adapting rapid assessment procedures for
implementation research using a team-based approach to
analysis: a case example of patient quality and safety
interventions in the ICU.
April 1, 2020
Holdsworth LM, Safaeinili N, Winget M, et al. Adapting rapid assessment procedures for implementation
research using a team…
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psnet.ahrq.gov/node/42223/psn-pdf
August 15, 2013 - Development of a checklist of safe discharge practices for
hospital patients.
August 15, 2013
Soong C, Daub S, Lee J, et al. Development of a checklist of safe discharge practices for hospital patients.
J Hosp Med. 2013;8(8):444-9. doi:10.1002/jhm.2032.
https://psnet.ahrq.gov/issue/development-checklist-safe-disch…
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psnet.ahrq.gov/issue/bringing-patient-safety-technology-bedside
May 27, 2011 - Newspaper/Magazine Article
Bringing patient safety technology to the bedside.
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August 24, 2005
This case study presents a Louisia…
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psnet.ahrq.gov/node/60339/psn-pdf
May 20, 2020 - We Want to Know-a mixed methods evaluation of a
comprehensive program designed to detect and address
patient-reported breakdowns in care.
May 20, 2020
Fisher KA, Smith KM, Gallagher TH, et al. We Want to Know-a mixed methods evaluation of a
comprehensive program designed to detect and address patient-reported brea…
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psnet.ahrq.gov/node/40842/psn-pdf
September 24, 2016 - A systematic review of the psychological literature on
interruption and its patient safety implications.
September 24, 2016
Li SYW, Magrabi F, Coiera E. A systematic review of the psychological literature on interruption and its
patient safety implications. J Am Med Inform Assoc. 2012;19(1):6-12. doi:10.1136/amiajn…
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psnet.ahrq.gov/node/40326/psn-pdf
May 25, 2011 - The impact of computerized provider order entry systems
on medical-imaging services: a systematic review.
May 25, 2011
Georgiou A, Prgomet M, Markewycz A, et al. The impact of computerized provider order entry systems on
medical-imaging services: a systematic review. J Am Med Inform Assoc. 2011;18(3):335-40.
doi:1…
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psnet.ahrq.gov/node/37757/psn-pdf
March 10, 2011 - Workarounds to barcode medication administration
systems: their occurrences, causes, and threats to patient
safety.
March 10, 2011
Koppel R, Wetterneck TB, Telles JL, et al. Workarounds to barcode medication administration systems:
their occurrences, causes, and threats to patient safety. J Am Med Inform Assoc. 20…
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psnet.ahrq.gov/node/45562/psn-pdf
October 12, 2016 - Characterising the nature of primary care patient safety
incident reports in the England and Wales National
Reporting and Learning System: a mixed-methods
agenda-setting study for general practice.
October 12, 2016
Carson-Stevens A, Hibbert P, Williams H, et al. Characterising The Nature Of Primary Care Patient Sa…
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psnet.ahrq.gov/node/36200/psn-pdf
February 15, 2011 - Choosing your words carefully: how physicians would
disclose harmful medical errors to patients.
February 15, 2011
Gallagher TH, Garbutt J, Waterman AD, et al. Choosing your words carefully: how physicians would
disclose harmful medical errors to patients. Arch Intern Med. 2006;166(15):1585-1593.
https://psnet.ahr…
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psnet.ahrq.gov/node/867750/psn-pdf
March 12, 2025 - Doing 'detective work' to find a cancer: how are non-
specific symptom pathways for cancer investigation
organised, and what are the implications for safety and
quality of care? A multisite qualitative approach.
March 12, 2025
Black GB, Nicholson BD, Moreland J-A, et al. Doing ‘detective work’ to find a cancer: ho…
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psnet.ahrq.gov/node/35868/psn-pdf
July 10, 2008 - Incidence, patterns, and prevention of wrong-site surgery.
July 10, 2008
Kwaan MR, Studdert DM, Zinner MJ, et al. Incidence, patterns, and prevention of wrong-site surgery. Arch
Surg. 2006;141(4):353-358.
https://psnet.ahrq.gov/issue/incidence-patterns-and-prevention-wrong-site-surgery
This AHRQ-supported study an…
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psnet.ahrq.gov/node/852443/psn-pdf
August 16, 2023 - Healthcare-associated infections in adult intensive care
units: a multisource study examining nurses' safety
attitudes, quality of care, missed care, and nurse staffing.
August 16, 2023
Alanazi FK, Lapkin S, Molloy L, et al. Healthcare-associated infections in adult intensive care units: a
multisource study examin…
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psnet.ahrq.gov/issue/ismp-announces-11th-annual-cheers-awards-recipients
February 01, 2023 - Award Recipient
ISMP Announces 11th Annual Cheers Awards Recipients.
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December 17, 2008
The Cheers awards annually recognize lead…