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psnet.ahrq.gov/node/837509/psn-pdf
June 22, 2022 - Scoping review of studies evaluating frailty and its
association with medication harm.
June 22, 2022
Lam JYJ, Barras M, Scott IA, et al. Scoping review of studies evaluating frailty and its association with
medication harm. Drugs Aging. 2022;39(5):333-353. doi:10.1007/s40266-022-00940-3.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/35709/psn-pdf
September 12, 2016 - Taking risky business out of the MRI suite.
September 12, 2016
Rozovsky FA, Gilk TB, Latina RJ. Managing liability exposure and safety. Taking risky business out of the
MRI suite. Materials management in health care. 2006;15(1):18-23.
https://psnet.ahrq.gov/issue/taking-risky-business-out-mri-suite
This article di…
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psnet.ahrq.gov/node/39982/psn-pdf
January 17, 2012 - Hand-off Communications.
January 17, 2012
DeRosier JM, Stalhandske E, Bagian JP, et al. Using health care Failure Mode and Effect Analysis: the VA
National Center for Patient Safety's prospective risk analysis system.
https://psnet.ahrq.gov/issue/hand-communications
The Joint Commission Center for Transforming Hea…
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psnet.ahrq.gov/node/41817/psn-pdf
November 07, 2012 - The economic burden of patient safety targets in acute
care: a systematic review.
November 7, 2012
Mittmann N, Matlow A. The economic burden of patient safety targets in acute care: a systematic review.
Drug Healthc Patient Saf. 2012. doi:10.2147/dhps.s33288.
https://psnet.ahrq.gov/issue/economic-burden-patient-sa…
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psnet.ahrq.gov/node/40906/psn-pdf
November 16, 2011 - What is the value and impact of quality and safety teams?
A scoping review.
November 16, 2011
White DE, Straus SE, Stelfox T, et al. What is the value and impact of quality and safety teams? A scoping
review. Implement Sci. 2011;6:97. doi:10.1186/1748-5908-6-97.
https://psnet.ahrq.gov/issue/what-value-and-impact-q…
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psnet.ahrq.gov/node/40120/psn-pdf
January 05, 2011 - The effect of medical emergency teams on patient
outcome: a review of the literature.
January 5, 2011
Laurens NH, Dwyer TA. The effect of medical emergency teams on patient outcome: a review of the
literature. Int J Nurs Pract. 2010;16(6):533-44. doi:10.1111/j.1440-172X.2010.01879.x.
https://psnet.ahrq.gov/issue/e…
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psnet.ahrq.gov/issue/impact-closed-loop-electronic-prescribing-and-administration-system-prescribing-errors
November 13, 2009 - Study
The impact of a closed-loop electronic prescribing and administration system on prescribing errors, administration errors and staff time: a before-and-after study.
Citation Text:
Franklin BD, O'Grady K, Donyai P, et al. The impact of a closed-loop electronic prescribing and admin…
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psnet.ahrq.gov/node/38203/psn-pdf
November 05, 2008 - Addressing prehospital patient safety using the science
of injury prevention and control.
November 5, 2008
Meisel ZF, Hargarten S, Vernick J. Addressing prehospital patient safety using the science of injury
prevention and control. Prehosp Emerg Care. 2008;12(4):411-6. doi:10.1080/10903120802290851.
https://psnet.…
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psnet.ahrq.gov/node/42481/psn-pdf
August 14, 2013 - Drug administration errors in hospital inpatients: a
systematic review.
August 14, 2013
Berdot S, Gillaizeau F, Caruba T, et al. Drug administration errors in hospital inpatients: a systematic
review. PLoS One. 2013;8(6):e68856. doi:10.1371/journal.pone.0068856.
https://psnet.ahrq.gov/issue/drug-administration-err…
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psnet.ahrq.gov/node/36225/psn-pdf
July 10, 2008 - Transfers of patient care between house staff on internal
medicine wards: a national survey.
July 10, 2008
Horwitz LI, Krumholz HM, Green M, et al. Transfers of patient care between house staff on internal
medicine wards: a national survey. Arch Intern Med. 2006;166(11):1173-7.
https://psnet.ahrq.gov/issue/transfe…
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psnet.ahrq.gov/node/43825/psn-pdf
January 28, 2015 - A systematic review of adult admissions to ICUs related
to adverse drug events.
January 28, 2015
Jolivot P-A, Hindlet P, Pichereau C, et al. A systematic review of adult admissions to ICUs related to
adverse drug events. Crit Care. 2014;18(6):643. doi:10.1186/s13054-014-0643-5.
https://psnet.ahrq.gov/issue/systema…
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psnet.ahrq.gov/node/42360/psn-pdf
April 16, 2018 - Wrong-patient medication errors: an analysis of event
reports in Pennsylvania and strategies for prevention.
April 16, 2018
Yang A, Grissinger M. PA-PSRS Patient Saf Advis. June 2013;10:41-49.
https://psnet.ahrq.gov/issue/wrong-patient-medication-errors-analysis-event-reports-pennsylvania-and-
strategies-preventio…
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psnet.ahrq.gov/node/43898/psn-pdf
February 11, 2015 - Special Section on Patient Safety and Quality in
Healthcare.
February 11, 2015
Andersen HB, Lipczak H, Borch-Johnsen K, eds. Cogn Technol Work. 2015;17:1-155.
https://psnet.ahrq.gov/issue/special-section-patient-safety-and-quality-healthcare
Articles in this special issue explore patient safety from a sociotechnic…
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psnet.ahrq.gov/node/40577/psn-pdf
July 06, 2011 - Reducing potentially fatal errors associated with high
doses of insulin: a successful multifaceted
multidisciplinary prevention strategy.
July 6, 2011
Dooley MJ, Wiseman M, McRae A, et al. Reducing potentially fatal errors associated with high doses of
insulin: a successful multifaceted multidisciplinary preventio…
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psnet.ahrq.gov/node/46614/psn-pdf
November 29, 2017 - Interventions to improve hand hygiene compliance in the
ICU: a systematic review.
November 29, 2017
Lydon S, Power M, McSharry J, et al. Interventions to Improve Hand Hygiene Compliance in the ICU. Crit
Care Med. 2017;45(11). doi:10.1097/ccm.0000000000002691.
https://psnet.ahrq.gov/issue/interventions-improve-hand…
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psnet.ahrq.gov/node/34927/psn-pdf
June 23, 2009 - Health Care Quality and Disparities: Lessons from the
First National Reports.
June 23, 2009
Kelley E, Moy E, Dayton E, et al. Med Care. 2005:43(3):I1-I88.
https://psnet.ahrq.gov/issue/health-care-quality-and-disparities-lessons-first-national-reports
Highlights from AHRQ's two inaugural reports, the 2003 National …
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psnet.ahrq.gov/node/35619/psn-pdf
June 24, 2010 - Studying patient safety in health care organizations:
accentuate the qualitative.
June 24, 2010
Hoff TJ, Sutcliffe K. Studying patient safety in health care organizations: accentuate the qualitative. Jt
Comm J Qual Patient Saf. 2006;32(1):5-15.
https://psnet.ahrq.gov/issue/studying-patient-safety-health-care-organ…
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psnet.ahrq.gov/node/41390/psn-pdf
January 31, 2013 - A systematic review of patient tracking systems for use
in the pediatric emergency department.
January 31, 2013
Dobson I, Doan Q, Hung G. A systematic review of patient tracking systems for use in the pediatric
emergency department. J Emerg Med. 2013;44(1):242-8. doi:10.1016/j.jemermed.2012.02.017.
https://psnet.a…
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psnet.ahrq.gov/node/36335/psn-pdf
February 01, 2011 - Rapid response teams—walk, don't run.
February 1, 2011
Winters BD, Pham JC, Pronovost PJ. Rapid Response Teams—Walk, Don't Run. JAMA. 2006;296(13).
doi:10.1001/jama.296.13.1645.
https://psnet.ahrq.gov/issue/rapid-response-teams-walk-dont-run
Rapid response teams (RRTs) have been widely advocated as a means of aver…
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psnet.ahrq.gov/node/35006/psn-pdf
October 25, 2013 - HealthGrades Quality Study: Second Annual Patient
Safety in American Hospitals Study.
October 25, 2013
Health Grades, Inc; 2005.
https://psnet.ahrq.gov/issue/healthgrades-quality-study-second-annual-patient-safety-american-hospitals-
study
The first version of this now annual report on the safety of hospitalized …