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psnet.ahrq.gov/node/72532/psn-pdf
December 02, 2020 - Association of display of patient photographs in the
electronic health record with wrong-patient order entry
errors.
December 2, 2020
Salmasian H, Blanchfield BB, Joyce K, et al. Association of display of patient photographs in the electronic
health record with wrong-patient order entry errors. JAMA Netw Open. 202…
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psnet.ahrq.gov/node/843085/psn-pdf
January 25, 2023 - Assessment of the use of patient vital sign data for
preventing misidentification and medical errors.
January 25, 2023
Maul J, Straub J. Assessment of the use of patient vital sign data for preventing misidentification and
medical errors. Healthcare (Basel). 2022;10(12):2440. doi:10.3390/healthcare10122440.
https:…
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psnet.ahrq.gov/node/46574/psn-pdf
October 25, 2017 - Effect of a hospital-wide measure on the readmissions
reduction program.
October 25, 2017
Zuckerman RB, Maddox KEJ, Sheingold SH, et al. Effect of a Hospital-wide Measure on the Readmissions
Reduction Program. N Engl J Med. 2017;377(16):1551-1558. doi:10.1056/NEJMsa1701791.
https://psnet.ahrq.gov/issue/effect-hosp…
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psnet.ahrq.gov/node/47523/psn-pdf
December 05, 2018 - Developing standardized "receiver-driven" handoffs
between referring providers and the emergency
department: results of a multidisciplinary needs
assessment.
December 5, 2018
Huth K, Stack AM, Chi G, et al. Developing Standardized "Receiver-Driven" Handoffs Between Referring
Providers and the Emergency Department…
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psnet.ahrq.gov/node/42640/psn-pdf
November 08, 2013 - The Safe Patient Flow Initiative: a collaborative quality
improvement journey at Yale-New Haven Hospital.
November 8, 2013
Jweinat J, Damore P, Morris V, et al. The safe patient flow initiative: a collaborative quality improvement
journey at Yale-New Haven Hospital. Jt Comm J Qual Patient Saf. 2013;39(10):447-59.
…
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psnet.ahrq.gov/node/837699/psn-pdf
July 20, 2022 - Influence of a general practice pharmacist on medication
management for patients at risk of medicine-related harm:
a qualitative evaluation.
July 20, 2022
Jordan M, Young-Whitford M, Mullan J, et al. Influence of a general practice pharmacist on medication
management for patients at risk of medicine-related harm: …
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psnet.ahrq.gov/node/867047/psn-pdf
October 30, 2024 - Therapeutic errors involving diabetes medications
reported to United States poison centers.
October 30, 2024
Thurgood Giarman A, Hays HL, Badeti J, et al. Therapeutic errors involving diabetes medications reported
to United States poison centers. Inj Epidemiol. 2024;11(1):51. doi:10.1186/s40621-024-00536-y.
https:…
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psnet.ahrq.gov/node/60528/psn-pdf
May 27, 2020 - The prevalence and impact of potentially inappropriate
prescribing among older persons in primary care
settings: multilevel meta-analysis.
May 27, 2020
Liew TM, Lee CS, Goh SKL, et al. The prevalence and impact of potentially inappropriate prescribing
among older persons in primary care settings: multilevel meta-a…
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psnet.ahrq.gov/node/34889/psn-pdf
March 04, 2011 - Effect of electronic health records in ambulatory care:
retrospective, serial, cross sectional study.
March 4, 2011
Garrido T, Jamieson L, Zhou Y, et al. Effect of electronic health records in ambulatory care: retrospective,
serial, cross sectional study. BMJ. 2005;330(7491):581.
https://psnet.ahrq.gov/issue/effec…
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psnet.ahrq.gov/node/41045/psn-pdf
July 02, 2014 - Relating faults in diagnostic reasoning with diagnostic
errors and patient harm.
July 2, 2014
Zwaan L, Thijs A, Wagner C, et al. Relating faults in diagnostic reasoning with diagnostic errors and patient
harm. Acad Med. 2012;87(2):149-156. doi:10.1097/ACM.0b013e31823f71e6.
https://psnet.ahrq.gov/issue/relating-fau…
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psnet.ahrq.gov/node/41186/psn-pdf
January 03, 2017 - The costs of adverse drug events in community hospitals.
January 3, 2017
Hug BL, Keohane C, Seger DL, et al. The costs of adverse drug events in community hospitals. Jt Comm J
Qual Patient Saf. 2012;38(3):120-6.
https://psnet.ahrq.gov/issue/costs-adverse-drug-events-community-hospitals
Adverse drug events (ADEs) a…
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psnet.ahrq.gov/node/74720/psn-pdf
February 02, 2022 - Improving medical residents’ self-assessment of their
diagnostic accuracy: does feedback help?
February 2, 2022
Kuhn J, van den Berg P, Mamede S, et al. Improving medical residents’ self-assessment of their diagnostic
accuracy: does feedback help? Adv Health Sci Edu. 2022;27(1):189-200. doi:10.1007/s10459-021-10080…
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psnet.ahrq.gov/node/47689/psn-pdf
February 06, 2019 - Appropriateness of outpatient antibiotic prescribing
among privately insured US patients: ICD-10-CM based
cross sectional study.
February 6, 2019
Chua K-P, Fischer MA, Linder JA. Appropriateness of outpatient antibiotic prescribing among privately
insured US patients: ICD-10-CM based cross sectional study. BMJ. 20…
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psnet.ahrq.gov/node/855096/psn-pdf
November 08, 2023 - Systematic workup of transfusion reactions reveals
passive co-reporting of handling errors.
November 8, 2023
Nitsche E, Dreßler J, Henschler R. Systematic workup of transfusion reactions reveals passive co-reporting
of handling errors. J Blood Med. 2023;14:435-443. doi:10.2147/jbm.s411188.
https://psnet.ahrq.gov/i…
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psnet.ahrq.gov/node/74059/psn-pdf
January 01, 2022 - Medication dose calculation errors and other numeracy
mishaps in hospitals: analysis of the nature and enablers
of incident reports.
November 10, 2021
Mulac A, Hagesaether E, Granas AG. Medication dose calculation errors and other numeracy mishaps in
hospitals: analysis of the nature and enablers of incident repor…
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psnet.ahrq.gov/node/73208/psn-pdf
May 05, 2021 - Accuracy of practitioner estimates of probability of
diagnosis before and after testing.
May 5, 2021
Morgan DJ, Pineles L, Owczarzak J, et al. Accuracy of practitioner estimates of probability of diagnosis
before and after testing. JAMA Intern Med. 2021;181(6):747-755. doi:10.1001/jamainternmed.2021.0269.
https://…
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psnet.ahrq.gov/node/40079/psn-pdf
December 18, 2014 - Adverse events from cough and cold medications after a
market withdrawal of products labeled for infants.
December 18, 2014
Shehab N, Schaefer MK, Kegler SR, et al. Adverse events from cough and cold medications after a market
withdrawal of products labeled for infants. Pediatrics. 2010;126(6):1100-7. doi:10.1542/p…
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psnet.ahrq.gov/node/865925/psn-pdf
May 22, 2024 - Effect of interventions to improve safety culture on
healthcare workers in hospital settings: a systematic
review of the international literature.
May 22, 2024
Finn M, Walsh A, Rafter N, et al. Effect of interventions to improve safety culture on healthcare workers in
hospital settings: a systematic review of the …
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psnet.ahrq.gov/node/60188/psn-pdf
January 01, 2021 - Uncertain diagnoses in a children's hospital: patient
characteristics and outcomes.
April 1, 2020
Sump CA, Marshall TL, Ipsaro AJ, et al. Uncertain diagnoses in a children’s hospital: patient characteristics
and outcomes. Diagnosis. 2021;8(3):353-357. doi:10.1515/dx-2019-0058.
https://psnet.ahrq.gov/issue/uncertai…
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psnet.ahrq.gov/node/46429/psn-pdf
October 04, 2017 - Clinician perspectives on the management of abnormal
subcritical tests in an urban academic safety-net health
care system.
October 4, 2017
Clarity C, Sarkar U, Lee J, et al. Clinician Perspectives on the Management of Abnormal Subcritical Tests
in an Urban Academic Safety-Net Health Care System. Jt Comm J Qual Pat…