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psnet.ahrq.gov/issue/fatigue-nurses-and-medication-administration-errors-scoping-review
December 01, 2021 - Review
Fatigue in nurses and medication administration errors: a scoping review.
Citation Text:
Bell T, Sprajcer M, Flenady T, et al. Fatigue in nurses and medication administration errors: a scoping review. J Clin Nurs. 2023;32(17-18):5445-5460. doi:10.1111/jocn.16620.
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psnet.ahrq.gov/issue/impact-computerized-physician-order-entry-system
October 19, 2022 - Study
Impact of a computerized physician order-entry system.
Citation Text:
Stone WM, Smith BE, Shaft JD, et al. Impact of a computerized physician order-entry system. J Am Coll Surg. 2009;208(5):960-7; discussion 967-9. doi:10.1016/j.jamcollsurg.2009.01.042.
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psnet.ahrq.gov/issue/postdischarge-adverse-events-1-day-hospital-admissions-older-adults-admitted-emergency
May 18, 2022 - Study
Postdischarge adverse events for 1-day hospital admissions in older adults admitted from the emergency department.
Citation Text:
Pines JM, Mongelluzzo J, Hilton JA, et al. Postdischarge adverse events for 1-day hospital admissions in older adults admitted from the emergency depa…
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psnet.ahrq.gov/issue/diagnostic-error-pediatrics-narrative-review
June 08, 2022 - Review
Diagnostic error in pediatrics: a narrative review.
Citation Text:
Marshall TL, Rinke ML, Olson APJ, et al. Diagnostic error in pediatrics: a narrative review. Pediatrics. 2022;149(Suppl 3):e2020045948D. doi:10.1542/peds.2020-045948d.
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psnet.ahrq.gov/issue/artificial-intelligence-health-care-accountability-and-safety
December 20, 2023 - Commentary
Classic
Artificial intelligence in health care: accountability and safety.
Citation Text:
Habli I, Lawton T, Porter Z. Artificial intelligence in health care: accountability and safety. Bull World Health Organ. 2020;98(4):251-256. doi:10.2471/blt.19.2…
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psnet.ahrq.gov/issue/artificial-intelligence-can-be-regulated-using-current-patient-safety-procedures-and
March 06, 2019 - Commentary
Artificial intelligence can be regulated using current patient safety procedures and infrastructure in hospitals.
Citation Text:
Fleisher LA, Economou-Zavlanos NJ. Artificial intelligence can be regulated using current patient safety procedures and infrastructure in hospitals.…
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psnet.ahrq.gov/issue/towards-framework-managing-risk-associated-technology-induced-error
May 10, 2013 - Commentary
Towards a framework for managing risk associated with technology-induced error.
Citation Text:
Borycki EM, Kushniruk AW. Towards a Framework for Managing Risk Associated with Technology-Induced Error. Stud Health Technol Inform. 2017;234:42-48.
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psnet.ahrq.gov/issue/extended-work-shifts-and-neurobehavioral-performance-resident-physicians
July 15, 2020 - Study
Emerging Classic
Extended work shifts and neurobehavioral performance in resident-physicians.
Citation Text:
Rahman SA, Sullivan JP, Barger LK, et al. Extended Work Shifts and Neurobehavioral Performance in Resident-Physicians. Pediatrics. 2021;147(3):e202…
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psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-ethical-principles-regulatory-approach-bias-healthcare
April 21, 2021 - Commentary
Emerging Classic
Patient safety and quality improvement: ethical principles for a regulatory approach to bias in healthcare machine learning.
Citation Text:
McCradden MD, Joshi S, Anderson JA, et al. Patient safety and quality improvement: Ethical pri…
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psnet.ahrq.gov/issue/infrastructure-provide-safer-higher-quality-and-more-equitable-telehealth
February 12, 2020 - Commentary
An infrastructure to provide safer, higher quality, and more equitable telehealth.
Citation Text:
Kobeissi MM, Hickey JV. An infrastructure to provide safer, higher quality, and more equitable telehealth. Jt Comm J Qual Patient Saf. 2023;49(4):213-222. doi:10.1016/j.jcjq.2023.…
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psnet.ahrq.gov/issue/prevalence-inappropriate-antibiotic-prescriptions-among-us-ambulatory-care-visits-2010-2011
November 12, 2014 - Study
Prevalence of inappropriate antibiotic prescriptions among US ambulatory care visits, 2010–2011.
Citation Text:
Fleming-Dutra KE, Hersh AL, Shapiro DJ, et al. Prevalence of Inappropriate Antibiotic Prescriptions Among US Ambulatory Care Visits, 2010-2011. JAMA. 2016;315(17):1864-18…
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psnet.ahrq.gov/web-mm/turn-other-cheek
October 26, 2010 - Outcome of 6 years of protocol use for preventing wrong site office surgery. … February 10, 2012
Outcome of 6 years of protocol use for preventing wrong site office … August 2, 2015
Outcome of 6 years of protocol use for preventing wrong site office surgery
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psnet.ahrq.gov/web-mm/refused-medication-error
November 01, 2005 - is problematic on many levels, this commentary focuses on the three likely causes of the unfortunate outcome … transfer can be discussed and improved upon.( 11 ) Several best practices might have led to a different outcome … overcome those barriers to effectively communicate.( 7 ) Such practices might have led to a better outcome
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psnet.ahrq.gov/node/49466/psn-pdf
October 14, 2004 - studies cite practitioner communication
skills as a factor in malpractice.(1,2) Furthermore, the tragic outcome … /psnet.ahrq.gov/web-mm/hard-swallow
https://psnet.ahrq.gov//#references
were made NPO pending the outcome … clinicians at the time, could have led to follow-up actions to mitigate or avert an
adverse patient outcome
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psnet.ahrq.gov/node/49833/psn-pdf
June 01, 2018 - challenges us to
review potential system and cognitive factors that could have contributed to this outcome … This case represents the treatment of a stroke mimic or misdiagnosis that contributed to an adverse
outcome … Association of outcome with early stroke treatment: pooled
analysis of ATLANTIS, ECASS, and NINDS rt-PA
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psnet.ahrq.gov/issue/testing-classification-model-emergency-department-errors
March 02, 2010 - October 26, 2010
EMS helicopter crashes: what influences fatal outcome?
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psnet.ahrq.gov/issue/leadership-challenge-staff-nurse-perceptions-after-organizational-teamstepps-initiative
May 11, 2016 - May 11, 2016
A human factors intervention in a hospital--evaluating the outcome of a
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psnet.ahrq.gov/issue/did-hospital-engagement-networks-actually-improve-care
July 18, 2016 - surgery using criteria validated from the adult population: justifying the need for pediatric-focused outcome
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psnet.ahrq.gov/issue/systems-analysis-critical-incidents-london-protocol
April 06, 2016 - June 28, 2017
Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome
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psnet.ahrq.gov/issue/safety-inpatient-pediatric-otolaryngology-service-many-small-errors-few-adverse-events
October 27, 2010 - surgery using criteria validated from the adult population: justifying the need for pediatric-focused outcome