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psnet.ahrq.gov/issue/national-action-alliance-advance-patient-safety-webinar-series
April 01, 2024 - April 1, 2024
Adverse Events Toolkit: Medical Record Review Methodology.
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psnet.ahrq.gov/issue/using-lean-automation-human-touch-improve-medication-safety-step-closer-perfect-dose
September 16, 2015 - Study
Using Lean "automation with a human touch" to improve medication safety: a step closer to the "perfect dose."
Citation Text:
Ching JM, Williams BL, Idemoto LM, et al. Using lean "automation with a human touch" to improve medication safety: a step closer to the "perfect dose". Jt Co…
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psnet.ahrq.gov/issue/failure-mode-and-effects-analysis-too-little-too-much
November 25, 2009 - Commentary
Failure mode and effects analysis: too little for too much?
Citation Text:
Franklin BD, Shebl NA, Barber N. Failure mode and effects analysis: too little for too much? BMJ Qual Saf. 2012;21(7):607-11. doi:10.1136/bmjqs-2011-000723.
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psnet.ahrq.gov/issue/failure-mode-and-effect-analysis-reliable
August 15, 2012 - Study
Is failure mode and effect analysis reliable?
Citation Text:
Shebl NA, Franklin BD, Barber N. Is failure mode and effect analysis reliable? J Patient Saf. 2009;5(2):86-94. doi:10.1097/PTS.0b013e3181a6f040.
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psnet.ahrq.gov/node/45036/psn-pdf
February 15, 2017 - This report used similar methodology based on trigger tools to determine adverse
event incidence among
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psnet.ahrq.gov/issue/harm-healing-partnering-patients-who-have-been-harmed
May 08, 2019 - to improve patient safety when GPs work in or alongside emergency departments: incorporating realist methodology
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psnet.ahrq.gov/issue/patient-safety-and-quality
January 19, 2022 - Understanding the heterogeneity of labor and delivery units: using design thinking methodology
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psnet.ahrq.gov/issue/high-cost-retained-surgical-items
February 22, 2023 - October 27, 2021
An objective methodology for task analysis and workload assessment in
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psnet.ahrq.gov/issue/diagnostic-safety-event-reporting
August 05, 2020 - analysis employing insurance claims data using Symptom-Disease Pair Analysis of Diagnostic Error (SPADE) methodology
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psnet.ahrq.gov/issue/prevalence-and-nature-medication-administration-errors-health-care-settings-systematic-review
April 01, 2015 - Review
Prevalence and nature of medication administration errors in health care settings: a systematic review of direct observational evidence.
Citation Text:
Keers RN, Williams SD, Cooke J, et al. Prevalence and nature of medication administration errors in health care settings: a sys…
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psnet.ahrq.gov/node/42083/psn-pdf
March 13, 2013 - Detailing methodology that the report's authors used to systematically
review the evidence on effectiveness
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psnet.ahrq.gov/issue/dermatology-faces-reckoning-lack-darker-skin-textbooks-and-journals-harms-care-patients-color
February 14, 2024 - April 29, 2020
Adverse Events Toolkit: Medical Record Review Methodology.
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psnet.ahrq.gov/issue/technologists-role-patient-safety-and-quality-medical-imaging
May 15, 2024 - in deprescribing and medication optimization in older adults: development and dissemination of VIONE methodology
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psnet.ahrq.gov/issue/failure-mode-and-effects-analysis-outputs-are-they-valid
November 25, 2009 - Study
Failure mode and effects analysis outputs: are they valid?
Citation Text:
Shebl NA, Franklin BD, Barber N. Failure mode and effects analysis outputs: are they valid? BMC Health Serv Res. 2012;12:150. doi:10.1186/1472-6963-12-150.
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psnet.ahrq.gov/issue/medication-errors-electronic-prescribing-ep-two-views-same-picture
November 13, 2009 - Study
Medication errors with electronic prescribing (eP): two views of the same picture.
Citation Text:
Savage I, Cornford T, Klecun E, et al. Medication errors with electronic prescribing (eP): Two views of the same picture. BMC Health Serv Res. 2010;10:135. doi:10.1186/1472-6963-10-1…
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psnet.ahrq.gov/node/867393/psn-pdf
December 18, 2024 - The predictors of patient safety culture in hospital setting:
a systematic review.
December 18, 2024
Vibe A, Rasmussen SH, Rasmussen NOP, et al. The predictors of patient safety culture in hospital setting:
a systematic review. J Patient Saf. 2024;20(8):576-592. doi:10.1097/pts.0000000000001285.
https://psnet.ahrq…
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psnet.ahrq.gov/issue/simple-checklist-preventing-major-complications-associated-cesarean-delivery
January 10, 2024 - and potentially preventable trauma deaths: a 9-year review using the Joint Commission's standardized methodology
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psnet.ahrq.gov/node/50803/psn-pdf
January 15, 2020 - Measuring safety of healthcare: an exercise in futility?
January 15, 2020
Sauro K, Ghali WA, Stelfox HT. Measuring safety of healthcare: an exercise in futility? BMJ Qual Saf.
2019;29(4):341-344. doi:10.1136/bmjqs-2019-009824.
https://psnet.ahrq.gov/issue/measuring-safety-healthcare-exercise-futility
This commenta…
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psnet.ahrq.gov/node/60944/psn-pdf
September 23, 2020 - Flexibilization of science, cognitive biases, and the
COVID-19 pandemic.
September 23, 2020
Oliveira J. e Silva L, Vidor MV, Zarpellon de Araújo V, et al. Flexibilization of science, cognitive biases, and
the COVID-19 pandemic. Mayo Clin Proc. 2020;95(9):1842-1844. doi:10.1016/j.mayocp.2020.06.037.
https://psnet.a…
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psnet.ahrq.gov/node/853443/psn-pdf
September 13, 2023 - Complications and Errors in Periodontal and Implant
Therapy.
September 13, 2023
Zucchelli G, Stefanini M, eds. Periodontol 2000. 2023;92(1):1-398.
https://psnet.ahrq.gov/issue/complications-and-errors-periodontal-and-implant-therapy
Patient safety in dentistry shares common challenges with medicine and t…