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psnet.ahrq.gov/issue/measuring-adverse-events-and-levels-harm-pediatric-inpatients-global-trigger-tool
December 18, 2013 - Study
Measuring adverse events and levels of harm in pediatric inpatients with the Global Trigger Tool.
Citation Text:
Kirkendall E, Kloppenborg E, Papp J, et al. Measuring adverse events and levels of harm in pediatric inpatients with the Global Trigger Tool. Pediatrics. 2012;130(5):e12…
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psnet.ahrq.gov/issue/parent-participation-morbidity-and-mortality-review-parent-and-physician-perspectives
May 18, 2022 - Study
Parent participation in morbidity and mortality review: parent and physician perspectives.
Citation Text:
de Loizaga SR, Clarke-Myers K, R Khoury P, et al. Parent participation in morbidity and mortality review: parent and physician perspectives. J Patient Exp. 2022;9:2374373522110…
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psnet.ahrq.gov/issue/novel-analysis-clinically-relevant-diagnostic-errors-point-care-devices
June 21, 2016 - Study
Novel analysis of clinically relevant diagnostic errors in point-of-care devices.
Citation Text:
Shermock KM, Streiff MB, Pinto BL, et al. Novel analysis of clinically relevant diagnostic errors in point-of-care devices. J Thromb Haemost. 2011;9(9):1769-1775. doi:10.1111/j.1538-7…
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psnet.ahrq.gov/issue/adverse-events-veterans-affairs-inpatient-psychiatric-units-staff-perspectives-contributing
January 30, 2019 - Study
Adverse events in Veterans Affairs inpatient psychiatric units: staff perspectives on contributing and protective factors.
Citation Text:
True G, Frasso R, Cullen SW, et al. Adverse events in veterans affairs inpatient psychiatric units: Staff perspectives on contributing and prote…
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psnet.ahrq.gov/issue/hospital-initiated-transitional-care-interventions-patient-safety-strategy-systematic-review
August 12, 2014 - Review
Hospital-initiated transitional care interventions as a patient safety strategy: a systematic review.
Citation Text:
Rennke S, Nguyen OK, Shoeb MH, et al. Hospital-initiated transitional care interventions as a patient safety strategy: a systematic review. Ann Intern Med. 2013;15…
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psnet.ahrq.gov/issue/artificial-intelligence-supported-screen-reading-versus-standard-double-reading-mammography
March 27, 2019 - Study
Artificial intelligence-supported screen reading versus standard double reading in the Mammography Screening with Artificial Intelligence trial (MASAI): a clinical safety analysis of a randomised, controlled, non-inferiority, single-blinded, screening accuracy study.
Citation Text:
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psnet.ahrq.gov/issue/patient-safety-beyond-hospital
August 24, 2011 - A prospective hazard and improvement analytic approach to predicting the effectiveness of medication … error interventions.
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psnet.ahrq.gov/issue/intended-and-unintended-consequences-changes-opioid-prescribing-practices-postsurgical-acute
August 10, 2022 - May 5, 2021
Frequency and nature of medication errors and adverse drug events in mental
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psnet.ahrq.gov/issue/ecri-announces-top-10-healthcare-technology-hazards
May 22, 2013 - September 28, 2016
Medication errors involving overrides of healthcare technology.
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psnet.ahrq.gov/issue/thinking-about-our-thinking-physicians
August 24, 2016 - January 4, 2009
Preventing Medication Errors: Quality Chasm Series.
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psnet.ahrq.gov/issue/brigham-and-womens-airing-medical-mistakes
August 24, 2016 - August 24, 2016
Report faults Children's Hospital for medication errors.
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psnet.ahrq.gov/node/50376/psn-pdf
September 25, 2019 - Stakeholder perceptions of smart infusion pumps and
drug library updates: a multisite, interdisciplinary study.
September 25, 2019
DeLaurentis P, Walroth TA, Fritschle AC, et al. Stakeholder perceptions of smart infusion pumps and drug
library updates: A multisite, interdisciplinary study. Am J Health Syst Pharm. 2…
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psnet.ahrq.gov/node/49490/psn-pdf
September 01, 2005 - Insights from the sharp end of intravenous medication errors:
implications for infusion pump technology … Causes of intravenous medication errors: an ethnographic study.
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psnet.ahrq.gov/issue/standardized-assessment-medication-reconciliation-post-acute-care
December 16, 2020 - See More About The Topic
Long-Term Care
Quality and Safety Professionals
Geriatrics
Medication … Errors/Preventable Adverse Drug Events
Specific to High-Risk Drugs
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psnet.ahrq.gov/issue/health-care-professionals-tools
January 30, 2003 - Multi-use Website
Health Care Professionals Tools.
Citation Text:
Health Care Professionals Tools. Little Rock, AR: National Transitions of Care Coalition; April 2008.
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psnet.ahrq.gov/issue/contextual-errors-medical-decision-making-overlooked-and-understudied
May 01, 2020 - Commentary
Contextual errors in medical decision making: overlooked and understudied.
Citation Text:
Weiner SJ, Schwartz A. Contextual Errors in Medical Decision Making: Overlooked and Understudied. Acad Med. 2016;91(5):657-62. doi:10.1097/ACM.0000000000001017.
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psnet.ahrq.gov/issue/educational-intervention-enhance-nurse-leaders-perceptions-patient-safety-culture
February 14, 2015 - the relationship among ambulatory surgical settings work environment, nurses' characteristics, and medication … errors reporting.
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psnet.ahrq.gov/issue/impact-electronic-medical-records-hospital-acquired-adverse-safety-events-differential
October 24, 2012 - October 4, 2011
Effect of a pharmacist intervention on clinically important medication … errors after hospital discharge: a randomized trial.
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psnet.ahrq.gov/issue/secondary-analysis-hand-offs-internal-medicine-using-i-pass-mnemonic
April 22, 2013 - October 13, 2021
Effectiveness of a ‘do not interrupt’ vest intervention to reduce medication … errors during medication administration: a multicenter cluster randomized controlled trial.
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psnet.ahrq.gov/issue/key-considerations-ensuring-safe-regional-telehealth-care-model-systematic-review
August 25, 2021 - August 25, 2021
Medication errors' causes analysis in home care setting: a systematic