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psnet.ahrq.gov/issue/one-pen-one-patient-achievable-hospital-quality-improvement-project-reduce-risks-inadvertent
April 10, 2024 - A quality improvement project to reduce risks of inadvertent insulin pen sharing at a large academic … A Quality Improvement Project to Reduce Risks of Inadvertent Insulin Pen Sharing at a Large Academic … A Quality Improvement Project to Reduce Risks of Inadvertent Insulin Pen Sharing at a Large Academic
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psnet.ahrq.gov/issue/impact-pharmacist-led-admission-medication-reconciliation-patient-outcomes-large-health
March 17, 2010 - Impact of pharmacist-led admission medication reconciliation on patient outcomes in a large … Impact of pharmacist-led admission medication reconciliation on patient outcomes in a large health system … Impact of pharmacist-led admission medication reconciliation on patient outcomes in a large health system … Impact of pharmacist-led discharge medication reconciliation on error and patient harm prevention at a large
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psnet.ahrq.gov/issue/harmful-medication-errors-involving-unfractionated-and-low-molecular-weight-heparin-three
October 23, 2018 - This study reviewed reported heparin errors from three large patient safety reporting systems— MEDMARX … As this was the first study to combine three large sources of reporting data for a single process, the … name confusion rates in laboratory-based memory and perception tests and corresponding error rates in large
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psnet.ahrq.gov/issue/four-year-impact-alert-notification-system-closed-loop-communication-critical-test-results
June 21, 2016 - This study describes an automated alert notification system for critical imaging results at a large … An initiative to improve the management of clinically significant test results in a large … An initiative to improve the management of clinically significant test results in a large
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psnet.ahrq.gov/issue/accuracy-skin-cancer-diagnosis-physician-assistants-compared-dermatologists-large-health-care
August 04, 2021 - Accuracy of skin cancer diagnosis by physician assistants compared with dermatologists in a large … Accuracy of Skin Cancer Diagnosis by Physician Assistants Compared With Dermatologists in a Large Health … Accuracy of Skin Cancer Diagnosis by Physician Assistants Compared With Dermatologists in a Large Health
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psnet.ahrq.gov/issue/burden-hospitalizations-related-adverse-drug-events-usa-retrospective-analysis-large
April 15, 2020 - Burden of hospitalizations related to adverse drug events in the USA: a retrospective analysis from large … Burden of hospitalizations related to adverse drug events in the USA: a retrospective analysis from large … Burden of hospitalizations related to adverse drug events in the USA: a retrospective analysis from large
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psnet.ahrq.gov/node/34893/psn-pdf
February 26, 2009 - The incidence of adverse drug events in two large
academic long-term care facilities. … The incidence of adverse drug events in two large academic long-term
care facilities. … https://psnet.ahrq.gov/issue/incidence-adverse-drug-events-two-large-academic-long-term-care-facilities … https://psnet.ahrq.gov/issue/incidence-adverse-drug-events-two-large-academic-long-term-care-facilities
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psnet.ahrq.gov/node/38033/psn-pdf
September 24, 2010 - Implementing online medication reconciliation at a large
academic medical center. … Implementing online medication reconciliation at a large academic medical
center. … https://psnet.ahrq.gov/issue/implementing-online-medication-reconciliation-large-academic-medical-center … https://psnet.ahrq.gov/issue/implementing-online-medication-reconciliation-large-academic-medical-center
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psnet.ahrq.gov/issue/patient-complaints-and-malpractice-risk
November 08, 2013 - A retrospective review of 645 physicians in a large U.S. medical group was performed. … November 8, 2013
An effective program to reduce malpractice claims and payments in a large … Related Resources
An effective program to reduce malpractice claims and payments in a large
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psnet.ahrq.gov/issue/taking-heat-or-taking-temperature-qualitative-study-large-scale-exercise-seeking-measure
November 02, 2016 - A qualitative study of a large-scale exercise in seeking to measure for improvement, not blame. … A qualitative study of a large-scale exercise in seeking to measure for improvement, not blame. … A qualitative study of a large-scale exercise in seeking to measure for improvement, not blame. … Citation
Related Resources From the Same Author(s)
Multimethod study of a large-scale
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psnet.ahrq.gov/issue/frequency-diagnostic-errors-outpatient-care-estimations-three-large-observational-studies
April 09, 2013 - Classic
The frequency of diagnostic errors in outpatient care: estimations from three large … The frequency of diagnostic errors in outpatient care: estimations from three large observational studies … The frequency of diagnostic errors in outpatient care: estimations from three large observational studies … December 30, 2014
Medical large language models are vulnerable to data-poisoning attacks
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psnet.ahrq.gov/issue/incidence-adverse-drug-events-two-large-academic-long-term-care-facilities
February 11, 2009 - Study
The incidence of adverse drug events in two large academic long-term care facilities … The incidence of adverse drug events in two large academic long-term care facilities. … The incidence of adverse drug events in two large academic long-term care facilities. … March 21, 2017
Disclosing large scale adverse events in the US Veterans Health Administration
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psnet.ahrq.gov/issue/multimethod-study-large-scale-programme-improve-patient-safety-using-harm-free-care-approach
January 23, 2019 - Study
Multimethod study of a large-scale programme to improve patient safety using … Multimethod study of a large-scale programme to improve patient safety using a harm-free care approach … Multimethod study of a large-scale programme to improve patient safety using a harm-free care approach … A qualitative study of a large-scale exercise in seeking to measure for improvement, not blame.
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psnet.ahrq.gov/issue/healthcare-associated-infections-national-patient-safety-problem-and-coordinated-response
May 20, 2016 - June 15, 2022
From implementation to sustainment: a large-scale adverse event disclosure … August 18, 2021
Intended and unintended effects of large-scale adverse event disclosure … : a controlled before-after analysis of five large-scale notifications. … November 3, 2015
Improving healthcare systems' disclosures of large-scale adverse events … Ensuring sufficient patient notification efforts after a large-scale adverse event.
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psnet.ahrq.gov/issue/systematic-approach-identification-and-classification-near-miss-events-labor-and-delivery
May 21, 2019 - systematic approach to the identification and classification of near-miss events on labor and delivery in a large … systematic approach to the identification and classification of near-miss events on labor and delivery in a large … systematic approach to the identification and classification of near-miss events on labor and delivery in a large
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psnet.ahrq.gov/issue/factors-associated-neuroradiologic-diagnostic-errors-large-tertiary-care-academic-medical
August 17, 2022 - Study
Factors associated with neuroradiologic diagnostic errors at a large tertiary-care … Factors associated with neuroradiologic diagnostic errors at a large tertiary-care academic medical center … Factors associated with neuroradiologic diagnostic errors at a large tertiary-care academic medical center
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psnet.ahrq.gov/issue/standardisation-handoffs-large-academic-paediatric-emergency-department-using-i-pass
October 21, 2020 - Study
The standardisation of handoffs in a large academic paediatric emergency department … The Standardisation of handoffs in a large academic paediatric emergency department using I-PASS. … The Standardisation of handoffs in a large academic paediatric emergency department using I-PASS.
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psnet.ahrq.gov/issue/missing-clinical-and-behavioral-health-data-large-electronic-health-record-ehr-system
July 19, 2023 - Study
Missing clinical and behavioral health data in a large electronic health record … Missing clinical and behavioral health data in a large electronic health record (EHR) system. … Missing clinical and behavioral health data in a large electronic health record (EHR) system.
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psnet.ahrq.gov/issue/self-reported-learning-srl-voluntary-incident-reporting-system-experience-within-large-health
October 26, 2022 - Self-Reported Learning (SRL), a voluntary incident reporting system experience within a large … Self-Reported Learning (SRL), a voluntary incident reporting system experience within a large health … Self-Reported Learning (SRL), a voluntary incident reporting system experience within a large health
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psnet.ahrq.gov/issue/applying-human-factors-engineering-address-telemetry-alarm-problem-large-medical-center
February 10, 2021 - Applying human factors engineering to address the telemetry alarm problem in a large … Applying human factors engineering to address the telemetry alarm problem in a large medical center. … Applying human factors engineering to address the telemetry alarm problem in a large medical center.