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psnet.ahrq.gov/issue/broken-trust-making-patient-safety-more-just-promise
October 07, 2020 - commitment as the central activation lever necessary to achieve collective, coordinated effort and motivate large-scale … Ensuring sufficient patient notification efforts after a large-scale adverse event.
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psnet.ahrq.gov/issue/recommendations-ensure-safety-ai-real-world-clinical-care
December 06, 2023 - Implementation of large-scale health information technologies requires a sociotechnical approach to … Ensuring sufficient patient notification efforts after a large-scale adverse event.
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psnet.ahrq.gov/issue/underdiagnosis-hypertension-using-electronic-health-records
November 16, 2022 - New cases of hypertension were frequently not diagnosed in a large ambulatory health care system, despite … July 3, 2016
Large language model influence on diagnostic reasoning: a randomized clinical
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psnet.ahrq.gov/issue/provider-risk-factors-medication-administration-error-alerts-analyses-large-scale-closed-loop
September 01, 2016 - Provider risk factors for medication administration error alerts: analyses of a large-scale … Provider risk factors for medication administration error alerts: analyses of a large-scale closed-loop … Provider risk factors for medication administration error alerts: analyses of a large-scale closed-loop
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psnet.ahrq.gov/issue/medication-errors-during-medical-emergencies-large-tertiary-care-academic-medical-center
July 31, 2013 - Study
Medication errors during medical emergencies in a large, tertiary care, academic … Medication errors during medical emergencies in a large, tertiary care, academic medical center. … Medication errors during medical emergencies in a large, tertiary care, academic medical center.
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psnet.ahrq.gov/issue/transition-new-electronic-health-record-and-pediatric-medication-safety-lessons-learned
April 12, 2011 - new electronic health record and pediatric medication safety: lessons learned in pediatrics within a large … new electronic health record and pediatric medication safety: lessons learned in pediatrics within a large … new electronic health record and pediatric medication safety: lessons learned in pediatrics within a large
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psnet.ahrq.gov/issue/large-scale-observational-study-ai-based-patient-and-surgical-material-verification-system
August 27, 2012 - Study
Large-scale observational study of AI-based patient and surgical material verification … Large-scale observational study of AI-based patient and surgical material verification system in ophthalmology … Large-scale observational study of AI-based patient and surgical material verification system in ophthalmology
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psnet.ahrq.gov/issue/large-scale-implementation-i-pass-handover-system-academic-medical-centre
March 27, 2018 - Study
Large-scale implementation of the I-PASS handover system at an academic medical … Large-scale implementation of the I-PASS handover system at an academic medical centre. … Large-scale implementation of the I-PASS handover system at an academic medical centre.
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psnet.ahrq.gov/issue/deriving-icd-10-codes-patient-safety-indicators-large-scale-surveillance-using-administrative
December 29, 2014 - Study
Deriving ICD-10 codes for patient safety indicators for large-scale surveillance … Deriving ICD-10 Codes for Patient Safety Indicators for Large-scale Surveillance Using Administrative … Deriving ICD-10 Codes for Patient Safety Indicators for Large-scale Surveillance Using Administrative
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psnet.ahrq.gov/issue/association-opioid-related-adverse-drug-events-clinical-and-cost-outcomes-among-surgical
March 12, 2014 - of opioid-related adverse drug events with clinical and cost outcomes among surgical patients in a large … of Opioid-Related Adverse Drug Events With Clinical and Cost Outcomes Among Surgical Patients in a Large … of Opioid-Related Adverse Drug Events With Clinical and Cost Outcomes Among Surgical Patients in a Large
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psnet.ahrq.gov/issue/board-bedside-how-application-financial-structures-safety-and-quality-can-drive
January 29, 2015 - bedside: how the application of financial structures to safety and quality can drive accountability in a large … Bedside: How the Application of Financial Structures to Safety and Quality Can Drive Accountability in a Large … Bedside: How the Application of Financial Structures to Safety and Quality Can Drive Accountability in a Large
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psnet.ahrq.gov/issue/patient-reported-safety-incidents-older-patients-long-term-conditions-large-cross-sectional
October 14, 2015 - Patient-reported safety incidents in older patients with long-term conditions: a large … Patient-reported safety incidents in older patients with long-term conditions: a large cross-sectional … Patient-reported safety incidents in older patients with long-term conditions: a large cross-sectional
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psnet.ahrq.gov/node/845631/psn-pdf
March 08, 2023 - on opioid
prescribing and patient pain in opioid-naive patients
undergoing elective surgery in a large … exposure on opioid
prescribing and patient pain in opioid-naive patients undergoing elective surgery in a large … alerts, and limits on
postoperative opioid supply – implemented by one opioid stewardship program in a large
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psnet.ahrq.gov/node/72791/psn-pdf
March 03, 2021 - minimal reduction in
overall risk of adverse event rates that can be attributed to implementation of large-scale … The authors note a need for
more research (particularly large-scale implementation studies) to establish … psnet.ahrq.gov/issue/developing-and-implementing-standardized-process-global-trigger-tool-application-across-large
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psnet.ahrq.gov/node/45863/psn-pdf
August 28, 2017 - Large-scale implementation of the I-PASS handover
system at an academic medical centre. … Large-scale implementation of the I-PASS handover system at
an academic medical centre. … https://psnet.ahrq.gov/issue/large-scale-implementation-i-pass-handover-system-academic-medical-centre … https://psnet.ahrq.gov/issue/large-scale-implementation-i-pass-handover-system-academic-medical-centre
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psnet.ahrq.gov/issue/surgeons-disclosures-clinical-adverse-events
August 18, 2021 - Related Resources From the Same Author(s)
From implementation to sustainment: a large-scale … August 18, 2021
Improving healthcare systems' disclosures of large-scale adverse events … July 13, 2009
Intended and unintended effects of large-scale adverse event disclosure … : a controlled before-after analysis of five large-scale notifications.
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psnet.ahrq.gov/issue/improvement-cymru
October 20, 2014 - This national program draws from other large collaborative efforts to engage health care organizations … A qualitative study of a large-scale exercise in seeking to measure for improvement, not blame.
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psnet.ahrq.gov/issue/rapid-response-teams-and-failure-rescue-one-communitys-experience
March 14, 2022 - between rapid response team implementation and mortality from failure to rescue among hospitals in a large … May 31, 2023
Pilot testing of a model for insurer-driven, large-scale multicenter simulation
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psnet.ahrq.gov/issue/anticoagulation-associated-adverse-drug-events
July 26, 2023 - an academic medical center identified the underlying cause of these events and found evidence that a large … A large proportion of the errors were ascribed to incorrect transcription of orders.
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psnet.ahrq.gov/issue/pediatric-radiology-malpractice-claims-characteristics-and-comparison-adult-radiology-claims
December 01, 2021 - This study used data from a large risk management database to characterize the frequency and type of … June 3, 2020
Pilot testing of a model for insurer-driven, large-scale multicenter simulation