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psnet.ahrq.gov/issue/july-spike-fatal-medication-errors-possible-effect-new-medical-residents
February 15, 2011 - Study
Classic
A July spike in fatal medication errors: a possible effect of new medical residents.
Citation Text:
Phillips DP, Barker GEC. A July spike in fatal medication errors: a possible effect of new medical residents. J Gen Intern Med. 2010;25(8):774-9. …
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psnet.ahrq.gov/issue/complication-rates-central-venous-catheters-systematic-review-and-meta-analysis
December 07, 2016 - Review
Complication rates of central venous catheters: a systematic review and meta-analysis.
Citation Text:
Teja B, Bosch NA, Diep C, et al. Complication rates of central venous catheters: a systematic review and meta-analysis. JAMA Intern Med. 2024;184(5):474-482. doi:10.1001/jamainter…
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psnet.ahrq.gov/issue/feasibility-prospective-error-reporting-home-palliative-care-mixed-methods-study
November 11, 2020 - Study
Feasibility of prospective error reporting in home palliative care: a mixed methods study.
Citation Text:
Kurahashi AM, Kim G, Parry N, et al. Feasibility of prospective error reporting in home palliative care: a mixed methods study. Palliat Med. 2025;39(1):22-30. doi:10.1177/02692…
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psnet.ahrq.gov/issue/suboptimal-compliance-surgical-safety-checklists-colorado-prospective-observational-study
May 23, 2018 - Study
Suboptimal compliance with surgical safety checklists in Colorado: a prospective observational study reveals differences between surgical specialties.
Citation Text:
Biffl WL, Gallagher AW, Pieracci FM, et al. Suboptimal compliance with surgical safety checklists in Colorado: A pro…
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psnet.ahrq.gov/issue/learning-patients-experiences-related-diagnostic-errors-essential-progress-patient-safety
May 20, 2020 - Study
Emerging Classic
Learning from patients' experiences related to diagnostic errors is essential for progress in patient safety.
Citation Text:
Giardina TD, Haskell H, Menon S, et al. Learning From Patients' Experiences Related To Diagnostic Errors Is Essent…
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psnet.ahrq.gov/issue/variation-electronic-test-results-management-and-its-implications-patient-safety-multisite
June 02, 2021 - Study
Variation in electronic test results management and its implications for patient safety: a multisite investigation.
Citation Text:
Thomas J, Dahm MR, Li J, et al. Variation in electronic test results management and its implications for patient safety: a multisite investigation. J A…
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psnet.ahrq.gov/issue/checklist-based-intervention-improve-surgical-outcomes-michigan-evaluation-keystone-surgery
May 01, 2015 - Study
Classic
A checklist-based intervention to improve surgical outcomes in Michigan: evaluation of the Keystone Surgery program.
Citation Text:
Reames BN, Krell RW, Campbell D, et al. A checklist-based intervention to improve surgical outcomes in Michigan: eva…
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psnet.ahrq.gov/issue/prescription-errors-related-use-computerized-provider-order-entry-system-pediatric-patients
November 07, 2018 - Study
Prescription errors related to the use of computerized provider order-entry system for pediatric patients.
Citation Text:
Alhanout K, Bun S-S, Retornaz K, et al. Prescription errors related to the use of computerized provider order-entry system for pediatric patients. Int J Med Inf…
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psnet.ahrq.gov/issue/laboratory-medicine-handoff-gaps-experienced-primary-care-practices-report-shared-networks
September 01, 2012 - Study
Laboratory medicine handoff gaps experienced by primary care practices: a report from the Shared Networks of Collaborative Ambulatory Practices and Partners (SNOCAP).
Citation Text:
West DR, James KA, Fernald DH, et al. Laboratory medicine handoff gaps experienced by primary care p…
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psnet.ahrq.gov/issue/association-primary-care-clinic-appointment-time-opioid-prescribing
September 01, 2021 - Study
Association of primary care clinic appointment time with opioid prescribing.
Citation Text:
Neprash HT, Barnett ML. Association of Primary Care Clinic Appointment Time With Opioid Prescribing. JAMA Netw Open. 2019;2(8):e1910373. doi:10.1001/jamanetworkopen.2019.10373.
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psnet.ahrq.gov/issue/clinical-safety-englands-national-programme-it-retrospective-analysis-all-reported-safety
December 31, 2014 - Study
Classic
Clinical safety of England's national programme for IT: a retrospective analysis of all reported safety events 2005 to 2011.
Citation Text:
Magrabi F, Baker M, Sinha I, et al. Clinical safety of England's national programme for IT: a retrospective …
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psnet.ahrq.gov/issue/sustaining-reductions-central-line-associated-bloodstream-infections-michigan-intensive-care
June 16, 2011 - Study
Sustaining reductions in central line-associated bloodstream infections in Michigan intensive care units: a 10-year analysis.
Citation Text:
Pronovost P, Watson S, Goeschel CA, et al. Sustaining Reductions in Central Line-Associated Bloodstream Infections in Michigan Intensive Care…
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psnet.ahrq.gov/issue/medication-related-interventions-delivered-both-hospital-and-following-discharge-systematic
August 26, 2020 - Review
Medication-related interventions delivered both in hospital and following discharge: a systematic review and meta-analysis.
Citation Text:
Daliri S, Boujarfi S, el Mokaddam A, et al. Medication-related interventions delivered both in hospital and following discharge: a systematic …
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psnet.ahrq.gov/issue/ed-misdiagnosis-cerebrovascular-events-era-modern-neuroimaging-meta-analysis
August 19, 2020 - Review
ED misdiagnosis of cerebrovascular events in the era of modern neuroimaging: a meta-analysis.
Citation Text:
Tarnutzer AA, Lee S-H, Robinson K, et al. ED misdiagnosis of cerebrovascular events in the era of modern neuroimaging: A meta-analysis. Neurology. 2017;88(15):1468-1477. do…
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psnet.ahrq.gov/issue/frequency-diagnostic-errors-outpatient-care-estimations-three-large-observational-studies
April 09, 2013 - Study
Classic
The frequency of diagnostic errors in outpatient care: estimations from three large observational studies involving US adult populations.
Citation Text:
Singh H, Meyer AND, Thomas EJ. The frequency of diagnostic errors in outpatient care: estimatio…
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psnet.ahrq.gov/issue/how-does-who-surgical-safety-checklist-fit-existing-perioperative-risk-management-strategies
March 18, 2020 - Study
How does the WHO Surgical Safety Checklist fit with existing perioperative risk management strategies? An ethnographic study across surgical specialties.
Citation Text:
Wæhle HV, Haugen AS, Wiig S, et al. How does the WHO Surgical Safety Checklist fit with existing perioperative ri…
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psnet.ahrq.gov/issue/listen-me-i-really-am-sick-patient-and-family-narratives-clinical-deterioration-and-during
June 25, 2018 - Study
Listen to me, I really am sick! Patient and family narratives of clinical deterioration before and during rapid response system intervention.
Citation Text:
Bucknall TK, Guinane J, McCormack B, et al. Listen to me, I really am sick! Patient and family narratives of clinical deterio…
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psnet.ahrq.gov/node/33798/psn-pdf
January 01, 2015 - ineffective strategy for preventing further patient safety mishaps, particularly
considering that the majority … The majority of respondents, in all groups,
endorsed punitive measures such as fines, suspensions, or
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psnet.ahrq.gov/node/60362/psn-pdf
April 13, 2018 - High-Risk Pregnancy Program links clinicians and
patients across the state with UAMS, where the vast majority … Pregnancy Program links patients and clinicians across the state with the medical center,
where the vast majority … The majority of
referrals continue to be managed locally, but patients with abnormal findings may be … access to consultations: Since the implementation of the High-Risk Pregnancy
Program in 2003, the vast majority … Renewing annually, the program contract dedicates
the majority of funding toward the telemedicine infrastructure
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psnet.ahrq.gov/node/33853/psn-pdf
March 01, 2018 - But it is
disappointing that in the majority of hospitals there has been no change, and some hospitals … A majority of nurses say that they and other staff feel like their mistakes are held against them
and … RW: The majority of nurses in hospitals are working with and through technology.