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psnet.ahrq.gov/perspective/are-we-safer-today
February 26, 2025 - The studies utilized methodology current to the time. … Using an updated methodology that assesses electronic health records using a trigger method, 23.6% of … Disease Control and Prevention (CDC) created a reliable and valid measure that used the best available methodology
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psnet.ahrq.gov/node/74859/psn-pdf
February 23, 2022 - Characteristics of registered clinical trials assessing
strategies of medication errors prevention- an unusual
cross sectional analysis.
February 23, 2022
doi:http://doi.org/10.23750/abm.v92iS2.11507.
https://psnet.ahrq.gov/issue/characteristics-registered-clinical-trials-assessing-strategies-medication-errors-
p…
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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/40609/psn-pdf
July 13, 2011 - Human reliability analysis: a critique and review for
managers.
July 13, 2011
French S, Bedford T, Pollard SJT, et al. Human reliability analysis: A critique and review for managers. Saf
Sci. 2011;49(6). doi:10.1016/j.ssci.2011.02.008.
https://psnet.ahrq.gov/issue/human-reliability-analysis-critique-and-review-man…
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psnet.ahrq.gov/node/867535/psn-pdf
January 15, 2025 - Perioperative patient safety recommendations:
systematic review of clinical practice guidelines.
January 15, 2025
Martínez-Nicolas I, Arnal-Velasco D, Romero-García E, et al. Perioperative patient safety
recommendations: systematic review of clinical practice guidelines. BJS Open. 2024;8(6):zrae143.
doi:10.1093/bj…
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psnet.ahrq.gov/node/865661/psn-pdf
April 24, 2024 - Pay-for-performance and patient safety in acute care: a
systematic review.
April 24, 2024
Slawomirski L, Hensher M, Campbell JL, et al. Pay-for-performance and patient safety in acute care: a
systematic review. Health Policy. 2024;143:105051. doi:10.1016/j.healthpol.2024.105051.
https://psnet.ahrq.gov/issue/pay-pe…
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psnet.ahrq.gov/node/60604/psn-pdf
June 17, 2020 - The limits of current A.I. in health care: patient safety
policing in hospitals.
June 17, 2020
Furrow BR. NE Univ Law Rev. 2020;12(1):1-55.
https://psnet.ahrq.gov/issue/limits-current-ai-health-care-patient-safety-policing-hospitals
Artificial intelligence (AI) has the potential to improve the use of big data to e…
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psnet.ahrq.gov/node/74014/psn-pdf
October 27, 2021 - Adopting system models for multiple incident analysis:
utility and usability.
October 27, 2021
Wheway JL, Jun GT. Adopting systems models for multiple incident analysis: utility and usability. Int J Qual
Health Care. 2021;33(4):mzab135. doi:10.1093/intqhc/mzab135.
https://psnet.ahrq.gov/issue/adopting-system-model…
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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/47684/psn-pdf
March 20, 2019 - The impact of mobile technology on teamwork and
communication in hospitals: a systematic review.
March 20, 2019
Martin G, Khajuria A, Arora S, et al. The impact of mobile technology on teamwork and communication in
hospitals: a systematic review. J Am Med Inform Assoc. 2019;26(4):339-355. doi:10.1093/jamia/ocy175.
…
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psnet.ahrq.gov/issue/doctors-perform-thousands-unnecessary-surgeries
March 20, 2013 - adverse events in hospitalized patients with ischemic stroke or TIA: a cohort study using trigger tool methodology
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psnet.ahrq.gov/issue/medication-management-detailed-use-case
June 29, 2016 - July 5, 2016
Adverse Events Toolkit: Medical Record Review Methodology.
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psnet.ahrq.gov/issue/computerized-medication-order-errors-studied
March 26, 2014 - May 27, 2011
Development of the Leapfrog methodology for evaluating hospital implemented
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psnet.ahrq.gov/issue/patient-safety-handbook-second-edition
March 27, 2005 - analysis employing insurance claims data using Symptom-Disease Pair Analysis of Diagnostic Error (SPADE) methodology
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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/48004/psn-pdf
May 08, 2019 - Organizing Patient Safety: Failsafe Fantasies and
Pragmatic Practices.
May 8, 2019
Pedersen KZ. London, United Kingdom: Palgrave Macmillan; 2018. ISBN: 9781137537850.
https://psnet.ahrq.gov/issue/organizing-patient-safety-failsafe-fantasies-and-pragmatic-practices
The book suggests that though a systems orientatio…
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psnet.ahrq.gov/node/74176/psn-pdf
December 15, 2021 - Reducing medication errors for adults in hospital
settings.
December 15, 2021
Ciapponi A, Fernandez Nievas SE, Seijo M, et al. Reducing medication errors for adults in hospital settings.
Cochrane Database Syst Rev. 2021;11(11):CD009985. doi:10.1002/14651858.cd009985.pub2.
https://psnet.ahrq.gov/issue/reducing-medi…
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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…