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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/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/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/how-medical-error-shapes-physicians-perceptions-learning-exploratory-study
August 16, 2023 - Study
How medical error shapes physicians' perceptions of learning: an exploratory study.
Citation Text:
Shepherd L, LaDonna KA, Cristancho SM, et al. How Medical Error Shapes Physicians' Perceptions of Learning: An Exploratory Study. Acad Med. 2019;94(8):1157-1163. doi:10.1097/ACM.00000…
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psnet.ahrq.gov/issue/impact-morbidity-and-mortality-conferences-analysis-mortality-and-critical-events-intensive
December 02, 2020 - Study
Impact of morbidity and mortality conferences on analysis of mortality and critical events in intensive care practice.
Citation Text:
Ksouri H, Balanant P-Y, Tadié J-M, et al. Impact of morbidity and mortality conferences on analysis of mortality and critical events in intensive c…
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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/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/competent-surgeon-individual-accountability-era-systems-failure
May 30, 2014 - Commentary
The competent surgeon: individual accountability in the era of "systems" failure.
Citation Text:
Whittemore A. The competent surgeon: individual accountability in the era of "systems" failure. Ann Surg. 2009;250(3):357-62. doi:10.1097/SLA.0b013e3181b28c93.
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psnet.ahrq.gov/issue/patient-safety-pediatric-emergency-care-setting
March 14, 2018 - Organizational Policy/Guidelines
Patient safety in the pediatric emergency care setting.
Citation Text:
Medicine AMERICANACADEMYOFPEDIATRICSC on PE, Krug SE, Frush K. Patient safety in the pediatric emergency care setting. Pediatrics. 2007;120(6):1367-1375.
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Format:
…
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psnet.ahrq.gov/issue/excess-mortality-caused-medical-injury
June 29, 2011 - Study
Excess mortality caused by medical injury.
Citation Text:
Meurer LN, Yang H, Guse CE, et al. Excess mortality caused by medical injury. Ann Fam Med. 2006;4(5):410-6.
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Format:
Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMe…
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psnet.ahrq.gov/node/72854/psn-pdf
March 17, 2021 - issue/oral-chemotherapy-prescription-safe-patients-cross-sectional-survey
https://psnet.ahrq.gov/issue/medication-errors-involving-oral-chemotherapy
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psnet.ahrq.gov/node/865340/psn-pdf
March 27, 2024 - This review summarizes
how AI can be used to prevent adverse events (e.g., medication errors) and improve
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psnet.ahrq.gov/node/45961/psn-pdf
June 23, 2017 - https://psnet.ahrq.gov/issue/healthcare-cost-and-utilization-project-hcup
https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events
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psnet.ahrq.gov/node/850348/psn-pdf
June 14, 2023 - Most of the studies focused on decreasing risk of falls and/or medication errors, mostly in
the home
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psnet.ahrq.gov/node/50823/psn-pdf
January 22, 2020 - reducing-inappropriate-polypharmacy-primary-care-through-pharmacy-led-interventions
https://psnet.ahrq.gov/issue/polypharmacy
https://psnet.ahrq.gov/issue/predictors-medication-errors-among-elderly-hospital-patients
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psnet.ahrq.gov/issue/coming-clean-medical-mistakes
February 20, 2019 - 21, 2007
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See More About The Topic
Hospitals
Patients
Medication … Errors/Preventable Adverse Drug Events
Medical Complications
Epidemiology of Errors and Adverse
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digital.ahrq.gov/ahrq-funded-projects/computer-based-provider-order-entry-cpoe-implementation-intensive-care-units-11
January 01, 2023 - Factors contributing to an increase in duplicate medication order errors after CPOE implementation.
Citation
Wetterneck TB, Walker JM, Blosky MA, et al. Factors contributing to an increase in duplicate medication order errors after CPOE implementation. J Am Med Inform Assoc 2011; 18(6): 774-82.
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psnet.ahrq.gov/issue/insulin-treatment-tracer-identifying-latent-patient-safety-risks-home-based-diabetes-care
September 28, 2010 - Study
Insulin treatment as a tracer for identifying latent patient safety risks in home-based diabetes care.
Citation Text:
Insulin treatment as a tracer for identifying latent patient safety risks in home-based diabetes care. Odegard S; Andersson DK. J Nurs Manag. 2006;14(2):116-127…
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psnet.ahrq.gov/issue/reducing-disruptive-effects-interruption-cognitive-framework-analysing-costs-and-benefits
September 11, 2013 - Commentary
Reducing the disruptive effects of interruption: a cognitive framework for analysing the costs and benefits of intervention strategies.
Citation Text:
Boehm-Davis DA, Remington R. Reducing the disruptive effects of interruption: a cognitive framework for analysing the costs an…