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psnet.ahrq.gov/node/837596/psn-pdf
June 29, 2022 - Association of patient and family reports of hospital
safety climate with language proficiency in the US.
June 29, 2022
Khan A, Parente V, Baird JD, et al. Association of patient and family reports of hospital safety climate with
language proficiency in the US. JAMA Pediatr. 2022;176(8):776-786.
doi:10.1001/jamape…
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psnet.ahrq.gov/node/74211/psn-pdf
December 22, 2021 - Filling the gaps on the Institute for Safe Medication
Practices (ISMP) Do Not Crush List for Immediate-release
Products
December 22, 2021
Uttaro E, Zhao F, Schweighardt A. Int J Pharm Compd. 2021;25(5):364-371.
https://psnet.ahrq.gov/issue/filling-gaps-institute-safe-medication-practices-ismp-do-not-crush-li…
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psnet.ahrq.gov/node/842420/psn-pdf
January 11, 2023 - Using the Assessment of Reasoning Tool to facilitate
feedback about diagnostic reasoning.
January 11, 2023
Cohen AL, Sur M, Falco C, et al. Using the Assessment of Reasoning Tool to facilitate feedback about
diagnostic reasoning. Diagnosis (Berl). 2022;9(4):476-484. doi:10.1515/dx-2022-0020.
https://psnet.ahrq.gov…
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psnet.ahrq.gov/node/47030/psn-pdf
June 06, 2018 - Creating a safer operating room: groups, team dynamics
and crew resource management principles.
June 6, 2018
Wakeman D, Langham MR. Creating a safer operating room: Groups, team dynamics and crew resource
management principles. Semin Pediatr Surg. 2018;27(2):107-113. doi:10.1053/j.sempedsurg.2018.02.008.
https://p…
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psnet.ahrq.gov/node/46925/psn-pdf
March 07, 2018 - Interventional procedures outside of the operating room:
results from the National Anesthesia Clinical Outcomes
Registry.
March 7, 2018
Chang B, Kaye AD, Diaz JH, et al. Interventional Procedures Outside of the Operating Room: Results From
the National Anesthesia Clinical Outcomes Registry. J Patient Saf. 2018;14(…
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psnet.ahrq.gov/node/46116/psn-pdf
May 24, 2017 - Elimination of emergency department medication errors
due to estimated weights.
May 24, 2017
Greenwalt M, Griffen D, Wilkerson J. Elimination of Emergency Department Medication Errors Due To
Estimated Weights. BMJ Qual Improv Rep. 2017;6(1). doi:10.1136/bmjquality.u214416.w5476.
https://psnet.ahrq.gov/issue/elimin…
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psnet.ahrq.gov/node/38057/psn-pdf
September 10, 2008 - Randomized controlled trial of a pictogram-based
intervention to reduce liquid medication dosing errors
and improve adherence among caregivers of young
children.
September 10, 2008
Yin S, Dreyer BP, van Schaick L, et al. Randomized controlled trial of a pictogram-based intervention to
reduce liquid medication do…
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psnet.ahrq.gov/node/50733/psn-pdf
December 11, 2019 - Association between measured teamwork and medical
errors: an observational study of prehospital care in the
USA
December 11, 2019
Herzberg S, Hansen M, Schoonover A, et al. Association between measured teamwork and medical errors:
an observational study of prehospital care in the USA. BMJ Open. 2019;9(10):e025314.…
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psnet.ahrq.gov/node/837073/psn-pdf
May 11, 2022 - Clinical progress note: situation awareness for clinical
deterioration in hospitalized children.
May 11, 2022
Sosa T, Galligan MM, Brady PW. Clinical progress note: situation awareness for clinical deterioration in
hospitalized children. J Hosp Med. 2022;17(3):199-202. doi:10.1002/jhm.2774.
https://psnet.ahrq.gov/…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-195-figures-1-3.pdf
June 30, 2015 - Figures 1-3
Figure 1. Path Between the Measure Focus and Health Outcome
Child Suffers
Post-Traumatic
Headache and
Seeks ED Care
•Without signs or
symptoms of
intracranial injury
•Without history of a
condition that would
warrant imaging
CT Scan or MRI
Overuse
•Imaging obtained
without lik…
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psnet.ahrq.gov/node/866319/psn-pdf
July 17, 2024 - Performance of large language models on medical
oncology examination questions.
July 17, 2024
Longwell JB, Hirsch I, Binder F, et al. Performance of large language models on medical oncology
examination questions. JAMA Netw Open. 2024;7(6):e2417641.
doi:10.1001/jamanetworkopen.2024.17641.
https://psnet.ahrq.gov/i…
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psnet.ahrq.gov/node/43413/psn-pdf
October 20, 2014 - The morbidity and mortality conference as an adverse
event surveillance tool in a paediatric intensive care unit.
October 20, 2014
Cifra CL, Jones KL, Ascenzi J, et al. The morbidity and mortality conference as an adverse event
surveillance tool in a paediatric intensive care unit. BMJ Qual Saf. 2014;23(11):930-8. …
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psnet.ahrq.gov/node/866075/psn-pdf
June 05, 2024 - Oncology patients' willingness to report their medication
safety concerns from home: a qualitative study.
June 5, 2024
Bunni D, Walters G, Hwang M, et al. Oncology patients’ willingness to report their medication safety
concerns from home: a qualitative study. Support Care Cancer. 2024;32(6):352. doi:10.1007/s00520…
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psnet.ahrq.gov/node/35739/psn-pdf
July 15, 2010 - CT for suspected appendicitis in children: an analysis of
diagnostic errors.
July 15, 2010
Taylor GA, Callahan MJ, Rodriguez D, et al. CT for suspected appendicitis in children: an analysis of
diagnostic errors. Pediatr Radiol. 2006;36(4):331-7.
https://psnet.ahrq.gov/issue/ct-suspected-appendicitis-children-analy…
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psnet.ahrq.gov/node/36837/psn-pdf
December 03, 2018 - Hospitals as cultures of entrapment: a re-analysis of the
Bristol Royal Infirmary.
December 3, 2018
Weick KE, Sutcliffe KM. Hospitals as Cultures of Entrapment: A Re-Analysis of the Bristol Royal Infirmary.
Calif Manage Rev. 2012;45(2):73-84. doi:10.2307/41166166.
https://psnet.ahrq.gov/issue/hospitals-cultures-en…
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psnet.ahrq.gov/node/44730/psn-pdf
December 08, 2015 - Why studying human behavior is a critical component of
patient safety.
December 8, 2015
Su L. Why Studying Human Behavior is a Critical Component of Patient Safety. Curr Probl Pediatr Adolesc
Health Care. 2015;45(12):367-9. doi:10.1016/j.cppeds.2015.10.004.
https://psnet.ahrq.gov/issue/why-studying-human-behavior-…
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psnet.ahrq.gov/node/866694/psn-pdf
September 11, 2024 - What's the harm? Results of an active surveillance
adverse event reporting system for chiropractors and
physiotherapists.
September 11, 2024
Pohlman KA, Funabashi M, O’Beirne M, et al. What’s the harm? Results of an active surveillance adverse
event reporting system for chiropractors and physiotherapists. PLoS ONE…
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psnet.ahrq.gov/node/838624/psn-pdf
October 19, 2022 - Association of rapid response teams with hospital
mortality in Medicare patients.
October 19, 2022
Girotra S, Jones PG, Peberdy MA, et al. Association of rapid response teams with hospital mortality in
Medicare patients. Circ Cardiovasc Qual Outcomes. 2022;15(9):e008901.
doi:10.1161/circoutcomes.122.008901.
https…
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psnet.ahrq.gov/node/867018/psn-pdf
October 23, 2024 - Parents' perceptions of patient safety in paediatric
hospital care-a mixed-methods systematic review.
October 23, 2024
Witkowska MI, Janhunen K, Sak?Dankosky N, et al. Parents' perceptions of patient safety in paediatric
hospital care—a mixed?methods systematic review. J Adv Nurs. 2024;Epub Aug 9. doi:10.1111/jan.1…
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psnet.ahrq.gov/node/43631/psn-pdf
December 19, 2014 - An internal quality improvement collaborative
significantly reduces hospital-wide medication error
related adverse drug events.
December 19, 2014
McClead RE, Catt C, Davis T, et al. An internal quality improvement collaborative significantly reduces
hospital-wide medication error related adverse drug events. J Ped…