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psnet.ahrq.gov/issue/how-useful-are-voluntary-medication-error-reports-case-warfarin-related-medication-errors
May 27, 2011 - Study
How useful are voluntary medication error reports? The case of warfarin-related medication errors.
Citation Text:
Zhan C, Smith SR, Keyes MA, et al. How useful are voluntary medication error reports? The case of warfarin-related medication errors. Jt Comm J Qual Patient Saf. 2008;3…
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psnet.ahrq.gov/issue/lessons-learned-national-hospital-antibiotic-stewardship-implementation-project
July 20, 2022 - Study
Lessons learned from a national hospital antibiotic stewardship implementation project.
Citation Text:
Cosgrove SE, Ahn R, Dullabh P, et al. Lessons learned from a national hospital antibiotic stewardship implementation project. Jt Comm J Qual Patient Saf. 2024;50(6):435-441. doi:1…
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psnet.ahrq.gov/issue/establishing-international-baseline-medication-safety-oncology-findings-2012-ismp
May 14, 2009 - Study
Establishing an international baseline for medication safety in oncology: findings from the 2012 ISMP International Medication Safety Self Assessment for Oncology.
Citation Text:
Greenall J, Shastay A, Vaida AJ, et al. Establishing an international baseline for medication safety in…
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psnet.ahrq.gov/issue/review-article-improving-hospital-clinical-handover-between-paramedics-and-emergency
February 28, 2024 - Review
Review article: improving the hospital clinical handover between paramedics and emergency department staff in the deteriorating patient.
Citation Text:
Dawson S, King L, Grantham H. Review article: Improving the hospital clinical handover between paramedics and emergency departme…
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psnet.ahrq.gov/issue/consequences-inadequate-sign-out-patient-care
November 07, 2012 - Study
Classic
Consequences of inadequate sign-out for patient care.
Citation Text:
Horwitz LI, Moin T, Krumholz HM, et al. Consequences of inadequate sign-out for patient care. Arch Intern Med. 2008;168(16):1755-60. doi:10.1001/archinte.168.16.1755.
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psnet.ahrq.gov/issue/varying-rates-patient-identity-verification-when-using-computerized-provider-order-entry
July 07, 2021 - Study
Varying rates of patient identity verification when using computerized provider order entry.
Citation Text:
Fortman E, Hettinger AZ, Howe JL, et al. Varying rates of patient identity verification when using computerized provider order entry. J Am Med Info Assoc. 2020;27(6):924-928…
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psnet.ahrq.gov/issue/patient-safety-culture-and-association-safe-resident-care-nursing-homes
September 19, 2018 - Study
Patient safety culture and the association with safe resident care in nursing homes.
Citation Text:
Thomas KS, Hyer K, Castle NG, et al. Patient safety culture and the association with safe resident care in nursing homes. Gerontologist. 2012;52(6):802-811. doi:10.1093/geront/gns0…
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hcup-us.ahrq.gov/datainnovations/clinicaldata/FL15LOINCbriefdescription.jsp
April 15, 2011 - LOINC
An official website of the Department of Health & Human Services
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psnet.ahrq.gov/issue/how-medical-error-shapes-physicians-perceptions-learning-exploratory-study
August 16, 2023 - Study
How medical error shapes physicians' perceptions of learning: an exploratory study.
Citation Text:
Shepherd L, LaDonna KA, Cristancho SM, et al. How Medical Error Shapes Physicians' Perceptions of Learning: An Exploratory Study. Acad Med. 2019;94(8):1157-1163. doi:10.1097/ACM.00000…
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psnet.ahrq.gov/issue/paediatric-medication-incident-reporting-multicentre-comparison-study-medication-errors
January 18, 2023 - Study
Paediatric medication incident reporting: a multicentre comparison study of medication errors identified at audit, detected by staff and reported to an incident system.
Citation Text:
Li L, Badgery-Parker T, Merchant A, et al. Paediatric medication incident reporting: a multicentre…
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psnet.ahrq.gov/issue/pediatric-musculoskeletal-radiographs-anatomy-and-fractures-prone-diagnostic-error-among
March 24, 2021 - Study
Pediatric musculoskeletal radiographs: anatomy and fractures prone to diagnostic error among emergency physicians.
Citation Text:
Li W, Stimec J, Camp M, et al. Pediatric musculoskeletal radiographs: anatomy and fractures prone to diagnostic error among emergency physicians. J Emer…
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psnet.ahrq.gov/issue/healthcare-professionals-perception-safety-culture-and-operating-room-or-black-box-technology
March 02, 2022 - Study
Healthcare professionals' perception of safety culture and the Operating Room (OR) Black Box technology before clinical implementation: a cross-sectional survey.
Citation Text:
Strandbygaard J, Dose N, Moeller KE, et al. Healthcare professionals’ perception of safety culture and th…
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psnet.ahrq.gov/issue/changes-outcomes-internal-medicine-inpatients-after-work-hour-regulations
September 30, 2012 - Study
Classic
Changes in outcomes for internal medicine inpatients after work-hour regulations.
Citation Text:
Horwitz LI, Kosiborod M, Lin Z, et al. Changes in outcomes for internal medicine inpatients after work-hour regulations. Ann Intern Med. 2007;147(2):…
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psnet.ahrq.gov/issue/associations-between-self-reported-healthcare-disruption-due-covid-19-and-avoidable-hospital
September 23, 2020 - Study
Associations between self-reported healthcare disruption due to COVID-19 and avoidable hospital admission: evidence from seven linked longitudinal studies for England.
Citation Text:
Green MA, McKee M, Hamilton OKL, et al. Associations between self-reported healthcare disruption du…
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psnet.ahrq.gov/issue/residents-response-duty-hour-regulations-follow-national-survey
December 02, 2014 - Study
Classic
Residents' response to duty-hour regulations—a follow-up national survey.
Citation Text:
Drolet BC, Christopher DA, Fischer SA. Residents' response to duty-hour regulations--a follow-up national survey. N Engl J Med. 2012;366(24):e35. doi:10.1056…
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psnet.ahrq.gov/issue/accreditation-council-graduate-medical-educations-limits-residents-work-hours-and-patient
July 10, 2008 - Study
Classic
The Accreditation Council for Graduate Medical Education's limits on residents' work hours and patient safety.
Citation Text:
Jagsi R, Weinstein DF, Shapiro J, et al. The Accreditation Council for Graduate Medical Education's limits on residents'…
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psnet.ahrq.gov/issue/closer-look-associations-between-hospital-leadership-walkrounds-and-patient-safety-climate
December 31, 2012 - Study
A closer look at associations between hospital leadership walkrounds and patient safety climate and risk reduction: a cross-sectional study.
Citation Text:
Schwendimann R, Milne J, Frush K, et al. A closer look at associations between hospital leadership walkrounds and patient sa…
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psnet.ahrq.gov/issue/adverse-events-hospitalized-pediatric-patients
July 11, 2017 - Study
Emerging Classic
Adverse events in hospitalized pediatric patients.
Citation Text:
Stockwell DC, Landrigan CP, Toomey SL, et al. Adverse Events in Hospitalized Pediatric Patients. Pediatrics. 2018;142(2):e20173360. doi:10.1542/peds.2017-3360.
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psnet.ahrq.gov/issue/risk-reduction-adverse-drug-events-through-sequential-implementation-patient-safety
June 03, 2020 - Study
Risk reduction for adverse drug events through sequential implementation of patient safety initiatives in a children's hospital.
Citation Text:
Leonard MS, Cimino M, Shaha S, et al. Risk reduction for adverse drug events through sequential implementation of patient safety initiat…
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psnet.ahrq.gov/issue/adverse-events-patients-home-healthcare-retrospective-record-review-using-trigger-tool
August 05, 2020 - Study
Adverse events in patients in home healthcare: a retrospective record review using trigger tool methodology.
Citation Text:
Schildmeijer KGI, Unbeck M, Ekstedt M, et al. Adverse events in patients in home healthcare: a retrospective record review using trigger tool methodology. BMJ…