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psnet.ahrq.gov/node/72579/psn-pdf
January 01, 2021 - Registration errors among patients receiving blood
transfusions: a national analysis from 2008 to 2017.
December 16, 2020
Vijenthira S, Armali C, Downie H, et al. Registration errors among patients receiving blood transfusions: a
national analysis from 2008 to 2017. Vox Sang. 2021;116(2):225-233. doi:10.1111/vox.13…
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psnet.ahrq.gov/node/50883/psn-pdf
February 12, 2020 - Time series evaluation of improvement interventions to
reduce alarm notifications in a paediatric hospital.
February 12, 2020
Pater CM, Sosa TK, Boyer J, et al. Time series evaluation of improvement interventions to reduce alarm
notifications in a paediatric hospital. BMJ Qual Saf. 2020;29(9):717-726. doi:10.1136/b…
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psnet.ahrq.gov/node/764389/psn-pdf
March 02, 2022 - Hospital-acquired functional decline and clinical
outcomes in older cardiac surgical patients: a multicenter
prospective cohort study.
March 2, 2022
Morisawa T, Saitoh M, Otsuka S, et al. Hospital-acquired functional decline and clinical outcomes in older
cardiac surgical patients: a multicenter prospective cohort…
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psnet.ahrq.gov/node/837662/psn-pdf
July 13, 2022 - Analysis of variation between diagnosis at admission vs
discharge and clinical outcomes among adults with
possible bacteremia.
July 13, 2022
Dregmans E, Kaal AG, Meziyerh S, et al. Analysis of variation between diagnosis at admission vs
discharge and clinical outcomes among adults with possible bacteremia. JAMA Ne…
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psnet.ahrq.gov/node/44508/psn-pdf
November 20, 2015 - Outcomes associated with the nationwide introduction of
rapid response systems in the Netherlands.
November 20, 2015
Ludikhuize J, Brunsveld-Reinders AH, Dijkgraaf MGW, et al. Outcomes Associated With the Nationwide
Introduction of Rapid Response Systems in The Netherlands. Crit Care Med. 2015;43(12):2544-51.
doi:…
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psnet.ahrq.gov/node/837069/psn-pdf
January 01, 2024 - Usability of a human factors-based clinical decision
support in the emergency department: lessons learned
for design and implementation.
May 11, 2022
Salwei ME, Hoonakker PLT, Carayon P, et al. Usability of a human factors-based clinical decision support
in the emergency department: lessons learned for design and …
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psnet.ahrq.gov/node/73564/psn-pdf
August 04, 2021 - Communication in health care: impact of language and
accent on health care safety, quality, and patient
experience.
August 4, 2021
Ellahham S. Communication in health care: impact of language and accent on health care safety, quality,
and patient experience. Am J Med Qual. 2021;36(5):355-364. doi:10.1097/01.jmq.00…
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psnet.ahrq.gov/node/45252/psn-pdf
September 04, 2016 - Pediatric airway management and prehospital patient
safety: results of a national Delphi survey by the
Children's Safety Initiative-Emergency Medical Services
for Children.
September 4, 2016
Hansen M, Meckler G, O?Brien K, et al. Pediatric Airway Management and Prehospital Patient Safety:
Results of a National De…
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psnet.ahrq.gov/node/44501/psn-pdf
January 22, 2016 - Patient safety perceptions in pediatric out-of-hospital
emergency care: Children's Safety Initiative.
January 22, 2016
Guise J-M, Meckler G, O'Brien K, et al. Patient Safety Perceptions in Pediatric Out-of-Hospital Emergency
Care: Children's Safety Initiative. J Pediatr. 2015;167(5):1143-8.e1. doi:10.1016/j.jpeds.2…
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psnet.ahrq.gov/node/862600/psn-pdf
February 14, 2024 - The effect of computerised decision support alerts
tailored to intensive care on the administration of high-
risk drug combinations, and their monitoring: a cluster
randomised stepped-wedge trial.
February 14, 2024
Bakker T, Klopotowska JE, Dongelmans DA, et al. The effect of computerised decision support alerts
…
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psnet.ahrq.gov/node/42682/psn-pdf
January 01, 2015 - Review article: improving the hospital clinical handover
between paramedics and emergency department staff in
the deteriorating patient.
November 13, 2013
Dawson S, King L, Grantham H. Review article: Improving the hospital clinical handover between
paramedics and emergency department staff in the deteriorating pa…
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psnet.ahrq.gov/node/842762/psn-pdf
January 18, 2023 - Support for healthcare workers and patients after medical
error through mutual healing: another step towards
patient safety.
January 18, 2023
Aubin DL, Soprovich A, Diaz Carvallo F, et al. Support for healthcare workers and patients after medical
error through mutual healing: another step towards patient safety. B…
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psnet.ahrq.gov/node/41301/psn-pdf
April 18, 2012 - Voluntary electronic reporting of laboratory errors: an
analysis of 37,532 laboratory event reports from 30 health
care organizations.
April 18, 2012
Snydman LK, Harubin B, Kumar S, et al. Voluntary electronic reporting of laboratory errors: an analysis of
37,532 laboratory event reports from 30 health care organi…
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psnet.ahrq.gov/node/60180/psn-pdf
April 01, 2020 - Incidence of wrong-site surgery list errors for a 2-year
period in a single national health service board.
April 1, 2020
Geraghty A, Ferguson L, McIlhenny C, et al. Incidence of wrong-site surgery list errors for a 2-year period
in a single national health service board. J Patient Saf. 2020;16(1):79-83.
doi:10.109…
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psnet.ahrq.gov/node/46532/psn-pdf
July 30, 2018 - Efficiency and safety of speech recognition for
documentation in the electronic health record.
July 30, 2018
Hodgson T, Magrabi F, Coiera E. Efficiency and safety of speech recognition for documentation in the
electronic health record. J Am Med Inform Assoc. 2017;24(6):1127-1133. doi:10.1093/jamia/ocx073.
https://…
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psnet.ahrq.gov/node/866564/psn-pdf
August 21, 2024 - Care quality and safety in long-term aged care settings: a
systematic review and narrative analysis of missed care
measurements.
August 21, 2024
Wang X, Rihari?Thomas J, Bail K, et al. Care quality and safety in long?term aged care settings: a
systematic review and narrative analysis of missed care measurements. J…
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psnet.ahrq.gov/node/39236/psn-pdf
May 25, 2010 - Do emergency physicians attribute drug-related
emergency department visits to medication-related
problems?
May 25, 2010
Hohl CM, Zed PJ, Brubacher JR, et al. Do emergency physicians attribute drug-related emergency
department visits to medication-related problems? Ann Emerg Med. 2010;55(6):493-502.e4.
doi:10.1016…
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psnet.ahrq.gov/node/37891/psn-pdf
June 09, 2011 - Classifying and predicting errors of inpatient medication
reconciliation.
June 9, 2011
Pippins JR, Gandhi TK, Hamann C, et al. Classifying and predicting errors of inpatient medication
reconciliation. J Gen Intern Med. 2008;23(9):1414-22. doi:10.1007/s11606-008-0687-9.
https://psnet.ahrq.gov/issue/classifying-and-…
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psnet.ahrq.gov/node/48163/psn-pdf
July 31, 2019 - The MedSafer Study: a controlled trial of an electronic
decision support tool for deprescribing in acute care.
July 31, 2019
McDonald EG, Wu PE, Rashidi B, et al. The MedSafer Study: A Controlled Trial of an Electronic Decision
Support Tool for Deprescribing in Acute Care. J Am Geriatr Soc. 2019;67(9):1843-1850.
d…
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psnet.ahrq.gov/node/35907/psn-pdf
October 03, 2017 - Transparent and open discussion of errors does not
increase malpractice risk in trauma patients.
October 3, 2017
Stewart RM, Corneille MG, Johnston J, et al. Transparent and open discussion of errors does not increase
malpractice risk in trauma patients. Ann Surg. 2006;243(5):645-9; discussion 649-51.
https://psne…