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psnet.ahrq.gov/node/852453/psn-pdf
January 01, 2024 - Racial and ethnic disparities in common inpatient safety
outcomes in a children's hospital cohort.
August 16, 2023
Lyren A, Haines E, Fanta M, et al. Racial and ethnic disparities in common inpatient safety outcomes in a
children’s hospital cohort. BMJ Qual Saf. 2024;33(2):86-97. doi:10.1136/bmjqs-2022-015786.
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psnet.ahrq.gov/node/866163/psn-pdf
June 19, 2024 - Performance evaluation of ChatGPT in detecting
diagnostic errors and their contributing factors: an
analysis of 545 case reports of diagnostic errors.
June 19, 2024
Harada Y, Suzuki T, Harada T, et al. Performance evaluation of ChatGPT in detecting diagnostic errors
and their contributing factors: an analysis of 5…
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psnet.ahrq.gov/node/42909/psn-pdf
December 12, 2014 - Does applying technology throughout the medication use
process improve patient safety with antineoplastics?
December 12, 2014
Bubalo J, Warden BA, Wiegel JJ, et al. Does applying technology throughout the medication use process
improve patient safety with antineoplastics? J Oncol Pharm Pract. 2014;20(6):445-60.
do…
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psnet.ahrq.gov/node/866070/psn-pdf
June 05, 2024 - Large language models for preventing medication
direction errors in online pharmacies.
June 5, 2024
Pais C, Liu J, Voigt R, et al. Large language models for preventing medication direction errors in online
pharmacies. Nat Med. 2024;30(6):1574-1582. doi:10.1038/s41591-024-02933-8.
https://psnet.ahrq.gov/issue/large…
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psnet.ahrq.gov/node/864848/psn-pdf
March 20, 2024 - An mHealth design to promote medication safety in
children with medical complexity.
March 20, 2024
Jolliff A, Coller RJ, Kearney H, et al. An mHealth design to promote medication safety in children with
medical complexity. Appl Clin Inform. 2024;15(1):45-54. doi:10.1055/a-2214-8000.
https://psnet.ahrq.gov/issue/mh…
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psnet.ahrq.gov/node/45072/psn-pdf
May 04, 2016 - Interventions to improve safe sleep among hospitalized
infants at eight children's hospitals.
May 4, 2016
Kuhlmann S, Ahlers-Schmidt CR, Lukasiewicz G, et al. Interventions to Improve Safe Sleep Among
Hospitalized Infants at Eight Children's Hospitals. Hosp Pediatr. 2016;6(2):88-94. doi:10.1542/hpeds.2015-
0121.
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psnet.ahrq.gov/node/46291/psn-pdf
July 26, 2017 - Experiences with Lean Six Sigma as improvement
strategy to reduce parenteral medication administration
errors and associated potential risk of harm.
July 26, 2017
van de Plas A, Slikkerveer M, Hoen S, et al. Experiences with Lean Six Sigma as improvement strategy to
reduce parenteral medication administration erro…
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psnet.ahrq.gov/node/33637/psn-pdf
August 01, 2006 - In Conversation with...Lucian Leape, MD
August 1, 2006
In Conversation with..Lucian Leape, MD. PSNet [internet]. 2006.
https://psnet.ahrq.gov/perspective/conversation-withlucian-leape-md
Dr. Robert Wachter, Editor, AHRQ WebM&M: What kind of career did you fashion for yourself prior to
getting involved in safety an…
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psnet.ahrq.gov/web-mm/picking-cause-stroke
August 07, 2024 - Picking Up the Cause of the Stroke
Citation Text:
Chopra V. Picking Up the Cause of the Stroke. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016.
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Format:
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psnet.ahrq.gov/node/841493/psn-pdf
December 14, 2022 - Shaikh, MD, MPH, MS
Associate Editor, AHRQ’s Patient Safety Network (PSNet)
Professor, Department of Pediatrics
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psnet.ahrq.gov/primer/failure-rescue
September 15, 2024 - MD, MPH Co-Editor-in-Chief, AHRQ’s Patient Safety Network (PSNet) Professor of Internal Medicine and Pediatrics
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psnet.ahrq.gov/web-mm/patient-safety-events-involving-opioid-dose-stacking
July 08, 2022 - SPOTLIGHT CASE
Patient Safety Events Involving Opioid Dose Stacking
Citation Text:
Porras H, Lammers C. Patient Safety Events Involving Opioid Dose Stacking. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022.
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psnet.ahrq.gov/perspective/improving-diagnostic-safety-and-quality
January 31, 2024 - Annual Perspective
Improving Diagnostic Safety and Quality
Jawad Al-Khafaji, MD, MHSA, Merton Lee, PhD, PharmD, Sarah Mossburg, RN, PhD
| April 26, 2023
View more articles from the same authors.
Citation Text:
Al-Khafaji J, Lee M, Mossburg S. Improving Di…
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psnet.ahrq.gov/node/845074/psn-pdf
March 02, 2011 - Preventable hospital admissions related to medication
(HARM): cost analysis of the HARM study.
March 2, 2011
Leendertse AJ, van den Bemt PMLA, Poolman JB, et al. Preventable hospital admissions related to
medication (HARM): cost analysis of the HARM study. Value Health. 2011;14(1):34-40.
doi:10.1016/j.jval.2010.10…
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psnet.ahrq.gov/node/50773/psn-pdf
January 08, 2020 - Effect of cognitive aids on adherence to best practice in
the treatment of deteriorating surgical patients: a
randomized clinical trial in a simulation setting.
January 8, 2020
Koers L, van Haperen M, Meijer CGF, et al. Effect of Cognitive Aids on Adherence to Best Practice in the
Treatment of Deteriorating Surgic…
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psnet.ahrq.gov/node/39233/psn-pdf
August 02, 2013 - Rapid response teams: a systematic review and meta-
analysis.
August 2, 2013
Chan PS, Jain R, Nallmothu BK, et al. Rapid Response Teams: A Systematic Review and Meta-analysis.
Arch Intern Med. 2010;170(1):18-26. doi:10.1001/archinternmed.2009.424.
https://psnet.ahrq.gov/issue/rapid-response-teams-systematic-review…
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psnet.ahrq.gov/node/60306/psn-pdf
May 06, 2020 - Medication errors from over-the-counter cough and cold
medications in children.
May 6, 2020
Wang GS, Reynolds KM, Banner W, et al. Medication errors from over-the-counter cough and cold
medications in children. Acad Ped. 2020;20(3):327-332. doi:10.1016/j.acap.2019.09.006.
https://psnet.ahrq.gov/issue/medication-er…
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psnet.ahrq.gov/node/860393/psn-pdf
January 10, 2024 - Methods for studying medication safety following
electronic health record implementation in acute care: a
scoping review.
January 10, 2024
Pereira N, Duff JP, Hayward T, et al. Methods for studying medication safety following electronic health
record implementation in acute care: a scoping review. J Am Med Inform …
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psnet.ahrq.gov/node/866242/psn-pdf
July 10, 2024 - Evaluating the prevalence of four recommended practices
for suicide prevention following hospital discharge.
July 10, 2024
Chitavi SO, Patrianakos J, Williams SC, et al. Evaluating the prevalence of four recommended practices for
suicide prevention following hospital discharge. Jt Comm J Qual Patient Saf. 2024;50(6…
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psnet.ahrq.gov/node/844539/psn-pdf
February 15, 2023 - Partnering with patients and families living with chronic
conditions to coproduce diagnostic safety through
OurDX: a previsit online engagement tool.
February 15, 2023
Bell SK, Dong ZJ, DesRoches CM, et al. Partnering with patients and families living with chronic conditions
to coproduce diagnostic safety through …