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psnet.ahrq.gov/issue/institute-medicine-report-medical-errors-could-it-do-harm
February 18, 2011 - Commentary
Classic
The Institute of Medicine report on medical errors—could it do harm?
Citation Text:
Brennan TA. The Institute of Medicine report on medical errors--could it do harm? N Engl J Med. 2002;342(15):1123-1125. doi:10.1056/nejm200004133421510.
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psnet.ahrq.gov/issue/confused-and-bewildered-hospital-adverse-event-discovery-pay-performance-and-big-data-tools
September 23, 2020 - Commentary
The confused and bewildered hospital: adverse event discovery, pay-for-performance, and big data tools as halfway technologies.
Citation Text:
Furrow BR. The confused and bewildered hospital: adverse event discovery, pay-for-performance, and big data tools as halfway technolog…
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psnet.ahrq.gov/issue/national-scorecard-rates-hospital-acquired-conditions-2010-2015-interim-data-national-efforts
December 24, 2008 - Book/Report
National Scorecard on Rates of Hospital-Acquired Conditions 2010 to 2015: Interim Data From National Efforts to Make Health Care Safer.
Citation Text:
National Scorecard on Rates of Hospital-Acquired Conditions 2010 to 2015: Interim Data From National Efforts to Make Health C…
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psnet.ahrq.gov/issue/iom-shorten-residents-work-shifts-reduce-fatigue-improve-patient-safety
January 31, 2024 - Journal Article
IOM: shorten residents' work shifts to reduce fatigue, improve patient safety.
Citation Text:
Kuehn BM. IOM: Shorten residents' work shifts to reduce fatigue, improve patient safety. JAMA. 2009;301(3):259-61. doi:10.1001/jama.2008.940.
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psnet.ahrq.gov/issue/using-portable-digital-technology-clinical-care-and-critical-incidents-new-model
June 29, 2011 - Commentary
Using portable digital technology for clinical care and critical incidents: a new model.
Citation Text:
Bolsin S, Faunce T, Colson M. Using portable digital technology for clinical care and critical incidents: a new model. Aust Health Rev. 2005;29(3):297-305.
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psnet.ahrq.gov/issue/transferring-aviation-practices-clinical-medicine-promotion-high-reliability
September 12, 2018 - Review
Transferring aviation practices into clinical medicine for the promotion of high reliability.
Citation Text:
Powell-Dunford N, McPherson MK, Pina JS, et al. Transferring Aviation Practices into Clinical Medicine for the Promotion of High Reliability. Aerosp Med Hum Perform. 2017;8…
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psnet.ahrq.gov/issue/framing-patient-safety-initiatives-working-model-and-case-example
April 05, 2017 - Commentary
Framing patient safety initiatives: working model and case example.
Citation Text:
Kruger N, Hurley A, Gustafson M. Framing patient safety initiatives: working model and case example. J Nurs Adm. 2006;36(4):200-204.
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psnet.ahrq.gov/issue/discrepant-advanced-directives-and-code-status-orders-preventable-medical-error
October 31, 2018 - Journal Article
Discrepant advanced directives and code status orders: a preventable medical error.
Citation Text:
Meisenberg B, Zaidi S, Franks L, et al. Discrepant Advanced Directives and Code Status Orders: A Preventable Medical Error. J Hosp Med. 2019;14(10):716-718. doi:10.12788/jhm…
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psnet.ahrq.gov/issue/educating-medical-trainees-medication-reconciliation-systematic-review
October 16, 2019 - Review
Educating medical trainees on medication reconciliation: a systematic review.
Citation Text:
Ramjaun A, Sudarshan M, Patakfalvi L, et al. Educating medical trainees on medication reconciliation: a systematic review. BMC Med Educ. 2015;15:33. doi:10.1186/s12909-015-0306-5.
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psnet.ahrq.gov/issue/rural-community-members-perceptions-harm-medical-mistakes-high-plains-research-network-hprn
February 03, 2011 - Study
Rural community members' perceptions of harm from medical mistakes: a High Plains Research Network (HPRN) study.
Citation Text:
Van Vorst RF, Araya-Guerra R, Felzien M, et al. Rural community members' perceptions of harm from medical mistakes: a High Plains Research Network (HPRN…
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psnet.ahrq.gov/issue/wear-face-masks-no-metal-during-mri-exams
April 08, 2020 - Press Release/Announcement
Wear face masks with no metal during MRI exams.
Citation Text:
Wear face masks with no metal during MRI exams. FDA Safety Communication. MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; December 7, 2020.
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psnet.ahrq.gov/issue/adverse-drug-events-outpatient-setting-11-year-national-analysis
April 08, 2011 - Study
Adverse drug events in the outpatient setting: an 11-year national analysis.
Citation Text:
Bourgeois FT, Shannon MW, Valim C, et al. Adverse drug events in the outpatient setting: an 11-year national analysis. Pharmacoepidemiol Drug Saf. 2010;19(9):901-10. doi:10.1002/pds.1984. …
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psnet.ahrq.gov/issue/flight-deck-bedside-core-aviation-concepts-applied-acute-care-physical-therapist-practice-and
December 14, 2022 - Commentary
From the flight deck to the bedside: core aviation concepts applied to acute care physical therapist practice and education.
Citation Text:
Shoemaker MJ, Collins SM. From the flight deck to the bedside: core aviation concepts applied to acute care physical therapist practice a…
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psnet.ahrq.gov/issue/residents-perceptions-professionalism-training-and-practice-barriers-promoters-and-duty-hour
November 16, 2022 - Study
Residents' perceptions of professionalism in training and practice: barriers, promoters, and duty hour requirements.
Citation Text:
Ratanawongsa N, Bolen S, Howell EE, et al. Residents' perceptions of professionalism in training and practice: barriers, promoters, and duty hour re…
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psnet.ahrq.gov/issue/validity-selected-patient-safety-indicators-opportunities-and-concerns
June 04, 2014 - Study
Validity of selected patient safety indicators: opportunities and concerns.
Citation Text:
Kaafarani HMA, Borzecki AM, Itani KMF, et al. Validity of Selected Patient Safety Indicators: Opportunities and Concerns. J Am Coll Surg. 2010;212(6):924-934. doi:10.1016/j.jamcollsurg.2010…
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psnet.ahrq.gov/node/45126/psn-pdf
December 22, 2018 - monitoring programs are intended to identify
high-risk prescribing and patient behaviors associated with opioids
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psnet.ahrq.gov/node/46893/psn-pdf
March 21, 2018 - vital-signs-trends-emergency-department-visits-suspected-opioid-overdoses-united-states-july
https://psnet.ahrq.gov/issue/cdc-guideline-prescribing-opioids-chronic-pain-united-states
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psnet.ahrq.gov/node/46186/psn-pdf
August 02, 2017 - new-persistent-opioid-use-after-minor-and-major-surgical-procedures-us-adults
https://psnet.ahrq.gov/issue/opioids-chronic-noncancer-pain-position-paper-american-academy-neurology
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psnet.ahrq.gov/node/47333/psn-pdf
October 10, 2018 - association-household-opioid-availability-and-prescription-opioid-initiation-among-household
https://psnet.ahrq.gov/issue/cdc-guideline-prescribing-opioids-chronic-pain-united-states
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psnet.ahrq.gov/node/44819/psn-pdf
June 21, 2016 - More than 90% of patients were prescribed opioids following such
events, and within 2 years up to 17%