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psnet.ahrq.gov/node/41250/psn-pdf
December 21, 2014 - Disclosure of "nonharmful" medical errors and other
events: duty to disclose.
December 21, 2014
Chamberlain CJ, Koniaris LG, Wu AW, et al. Disclosure of "nonharmful" medical errors and other events:
duty to disclose. Arch Surg. 2012;147(3):282-6. doi:10.1001/archsurg.2011.1005.
https://psnet.ahrq.gov/issue/disclos…
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psnet.ahrq.gov/node/38964/psn-pdf
November 27, 2009 - Development of a measure of patient safety event
learning responses.
November 27, 2009
Ginsburg LR, Chuang Y-T, Norton PG, et al. Development of a measure of patient safety event learning
responses. Health Serv Res. 2009;44(6):2123-47. doi:10.1111/j.1475-6773.2009.01021.x.
https://psnet.ahrq.gov/issue/development-…
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psnet.ahrq.gov/node/862128/psn-pdf
February 07, 2024 - Embracing the future-is artificial intelligence already
better? A comparative study of artificial intelligence
performance in diagnostic accuracy and decision-making.
February 7, 2024
Fonseca Â, Ferreira A, Ribeiro L, et al. Embracing the future—is artificial intelligence already better? A
comparative study of art…
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psnet.ahrq.gov/node/853234/psn-pdf
September 06, 2023 - Perceptions and attitudes of pediatricians and families
with regard to pediatric medication errors at home.
September 6, 2023
de Dios JG, Lopez-Pineda A, Juan GM-P, et al. Perceptions and attitudes of pediatricians and families with
regard to pediatric medication errors at home. BMC Pediatr. 2023;23(1):380. doi:10.…
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psnet.ahrq.gov/node/44247/psn-pdf
November 03, 2015 - Effects of interdisciplinary team care interventions on
general medical wards: a systematic review.
November 3, 2015
Pannick S, Davis R, Ashrafian H, et al. Effects of Interdisciplinary Team Care Interventions on General
Medical Wards: A Systematic Review. JAMA Intern Med. 2015;175(8):1288-98.
doi:10.1001/jamainte…
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psnet.ahrq.gov/node/72670/psn-pdf
January 27, 2021 - System issues leading to "found-on-floor" incidents: a
multi-incident analysis.
January 27, 2021
Shaw J, Bastawrous M, Burns S, et al. System Issues Leading to “Found-on-Floor” Incidents: A Multi-
Incident Analysis. J Patient Saf. 2021;17(1):30-35. doi:10.1097/pts.0000000000000294.
https://psnet.ahrq.gov/issue/sys…
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psnet.ahrq.gov/node/45117/psn-pdf
August 03, 2016 - Using computerized prescriber order entry to limit
overrides from automated dispensing cabinets.
August 3, 2016
Drake E, Srinivas P, Trujillo T. Using computerized prescriber order entry to limit overrides from automated
dispensing cabinets. Am J Health-Syst Pharm. 2016;73(14):1033-1035. doi:10.2146/ajhp150564.
ht…
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psnet.ahrq.gov/node/36975/psn-pdf
March 24, 2011 - Safety of telephone triage in general practitioner
cooperatives: do triage nurses correctly estimate
urgency?
March 24, 2011
Giesen P, Ferwerda R, Tijssen R, et al. Safety of telephone triage in general practitioner cooperatives: do
triage nurses correctly estimate urgency? Qual Saf Health Care. 2007;16(3):181-4.
…
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psnet.ahrq.gov/node/863748/psn-pdf
March 06, 2024 - Scaling the EQUIPPED medication safety program:
traditional and hub-and-spoke implementation models.
March 6, 2024
Vandenberg AE, Hwang U, Das S, et al. Scaling the EQUIPPED medication safety program: traditional and
hub?and?spoke implementation models. J Am Geriatr Soc. 2024;72(7):2184-2194. doi:10.1111/jgs.18746.…
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psnet.ahrq.gov/node/38570/psn-pdf
April 22, 2009 - Factors influencing incident reporting in surgical care.
April 22, 2009
Kreckler S, Catchpole K, McCulloch P, et al. Factors influencing incident reporting in surgical care. Qual
Saf Health Care. 2009;18(2):116-20. doi:10.1136/qshc.2008.026534.
https://psnet.ahrq.gov/issue/factors-influencing-incident-reporting-sur…
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psnet.ahrq.gov/node/38877/psn-pdf
April 08, 2011 - Computerized order entry with limited decision support to
prevent prescription errors in a PICU.
April 8, 2011
Kadmon G, Bron-Harlev E, Nahum E, et al. Computerized order entry with limited decision support to
prevent prescription errors in a PICU. Pediatrics. 2009;124(3):935-940. doi:10.1542/peds.2008-2737.
https…
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psnet.ahrq.gov/node/37499/psn-pdf
January 10, 2017 - Medicare's decision to withhold payment for hospital
errors: the devil is in the details.
January 10, 2017
Wachter R, Foster NE, Dudley A. Medicare's decision to withhold payment for hospital errors: the devil is in
the det. Jt Comm J Qual Patient Saf. 2008;34(2):116-23.
https://psnet.ahrq.gov/issue/medicares-deci…
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psnet.ahrq.gov/node/46892/psn-pdf
June 13, 2018 - AHRQ National Scorecard on Hospital-Acquired
Conditions Updated Baseline Rates and Preliminary
Results 2014–2016.
June 13, 2018
Rockville, MD: Agency for Healthcare Research and Quality; June 2018.
https://psnet.ahrq.gov/issue/ahrq-national-scorecard-hospital-acquired-conditions-updated-baseline-rates-
and-prelim…
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psnet.ahrq.gov/node/48057/psn-pdf
June 26, 2019 - Multicenter study to evaluate the benefits of technology-
assisted workflow on i.v. room efficiency, costs, and
safety.
June 26, 2019
Eckel SF, Higgins JP, Hess E, et al. Multicenter study to evaluate the benefits of technology-assisted
workflow on i.v. room efficiency, costs, and safety. Am J Health-Syst Pharm. 2…
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psnet.ahrq.gov/node/41611/psn-pdf
November 23, 2012 - Self-reported uptake of recommendations after
dissemination of medication incident alerts.
November 23, 2012
Cheung K-C, Wensing M, Bouvy ML, et al. Self-reported uptake of recommendations after dissemination of
medication incident alerts. BMJ Qual Saf. 2012;21(12):1009-18. doi:10.1136/bmjqs-2012-000828.
https://p…
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psnet.ahrq.gov/node/42509/psn-pdf
August 21, 2013 - Explaining Matching Michigan: an ethnographic study of
a patient safety program.
August 21, 2013
Dixon-Woods M, Leslie M, Tarrant C, et al. Explaining Matching Michigan: an ethnographic study of a
patient safety program. Implement Sci. 2013;8:70. doi:10.1186/1748-5908-8-70.
https://psnet.ahrq.gov/issue/explaining-…
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psnet.ahrq.gov/node/40037/psn-pdf
September 20, 2011 - Adverse Events in Hospitals: National Incidence Among
Medicare Beneficiaries.
September 20, 2011
Levinson DR. Washington, DC: US Department of Health and Human Services, Office of the Inspector
General; November 2010. Report No. OEI-06-09-00090.
https://psnet.ahrq.gov/issue/adverse-events-hospitals-national-incide…
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psnet.ahrq.gov/node/42219/psn-pdf
July 22, 2013 - Parent perceptions of children's hospital safety climate.
July 22, 2013
Cox E, Carayon P, Hansen KW, et al. Parent perceptions of children's hospital safety climate. BMJ Qual
Saf. 2013;22(8):664-71. doi:10.1136/bmjqs-2012-001727.
https://psnet.ahrq.gov/issue/parent-perceptions-childrens-hospital-safety-climate
Pat…
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psnet.ahrq.gov/node/867606/psn-pdf
February 10, 2025 - AHRQ PSNet Annual Webinar: Evidence on Advancing
Rapid Response Systems and Opioid Stewardship.
January 22, 2025
Agency for Healthcare Quality and Research. AHRQ PSNet Annual Webinar: Evidence on Advancing
Rapid Response Systems and Opioid Stewardship. February 10, 2025, 1:00pm-2:00pm (eastern).
https://psnet.ahrq…
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psnet.ahrq.gov/node/856583/psn-pdf
January 01, 2024 - Prescription opioid dose reductions and potential adverse
events: a multi-site observational cohort study in diverse
US health systems.
November 29, 2023
Metz VE, Ray GT, Palzes V, et al. Prescription opioid dose reductions and potential adverse events: a
multi-site observational cohort study in diverse US health …