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psnet.ahrq.gov/node/60231/psn-pdf
April 15, 2020 - Regret among primary care physicians: a survey of
diagnostic decisions.
April 15, 2020
Müller BS, Donner-Banzhoff N, Beyer M, et al. Regret among primary care physicians: a survey of
diagnostic decisions. BMC Fam Pract. 2020;21(1). doi:10.1186/s12875-020-01125-w.
https://psnet.ahrq.gov/issue/regret-among-primary-c…
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psnet.ahrq.gov/node/40291/psn-pdf
September 09, 2011 - Outcomes of emergency department patients presenting
with adverse drug events.
September 9, 2011
Hohl CM, Nosyk B, Kuramoto L, et al. Outcomes of emergency department patients presenting with
adverse drug events. Ann Emerg Med. 2011;58(3):270-279.e4. doi:10.1016/j.annemergmed.2011.01.003.
https://psnet.ahrq.gov/is…
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psnet.ahrq.gov/node/45350/psn-pdf
October 21, 2016 - A National Trauma Care System: Integrating Military and
Civilian Trauma Systems to Achieve Zero Preventable
Deaths After Injury.
October 21, 2016
National Academies of Sciences, Engineering, and Medicine. Washington, DC: National Academies Press;
2016.
https://psnet.ahrq.gov/issue/national-trauma-care-system-inte…
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psnet.ahrq.gov/node/47813/psn-pdf
March 06, 2019 - Using a spare medication vial to store multiple
medications: a potentially fatal in-home medication error.
March 6, 2019
Leonard JB, Klein-Schwartz W. Using a spare medication vial to store multiple medications: A potentially
fatal in-home medication error. Ame J Health-syst Pharm. 2019;76(5):264-265. doi:10.1093/a…
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psnet.ahrq.gov/node/50804/psn-pdf
January 15, 2020 - The use of patient digital facial images to confirm patient
identity in a children's hospital's anesthesia information
management system.
January 15, 2020
Thomas JJ, Yaster M, Guffey P. The Use of Patient Digital Facial Images to Confirm Patient Identity in a
Children's Hospital's Anesthesia Information Management…
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psnet.ahrq.gov/node/36867/psn-pdf
August 31, 2011 - Multidisciplinary approach to inpatient medication
reconciliation in an academic setting.
August 31, 2011
Varkey P, Cunningham J, O'Meara J, et al. Multidisciplinary approach to inpatient medication reconciliation
in an academic setting. Am J Health Syst Pharm. 2007;64(8):850-4.
https://psnet.ahrq.gov/issue/multid…
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psnet.ahrq.gov/node/73881/psn-pdf
September 29, 2021 - Changes in hospital-acquired conditions and mortality
associated with the hospital-acquired condition reduction
program.
September 29, 2021
Arntson E, Dimick JB, Nuliyalu U, et al. Changes in hospital-acquired conditions and mortality associated
with the hospital-acquired condition reduction program. Ann Surg. 202…
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psnet.ahrq.gov/node/72698/psn-pdf
February 03, 2021 - The Irish National Adverse Event Study-2 (INAES-2):
longitudinal trends in adverse event rates in the Irish
healthcare system.
February 3, 2021
Connolly W, Rafter N, Conroy RM, et al. The Irish National Adverse Event Study-2 (INAES-2): longitudinal
trends in adverse event rates in the Irish healthcare system. BMJ …
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psnet.ahrq.gov/node/72857/psn-pdf
March 17, 2021 - Results and lessons from a hospital-wide initiative
incentivised by delivery system reform to improve
infection prevention and sepsis care.
March 17, 2021
Sreeramoju P, Voy-Hatter K, White C, et al. Results and lessons from a hospital-wide initiative incentivised
by delivery system reform to improve infection prev…
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psnet.ahrq.gov/node/73137/psn-pdf
April 14, 2021 - Adverse drug event-related admissions to a pediatric
emergency unit.
April 14, 2021
Carvalho IV, Sousa VM de, Visacri MB, et al. Adverse drug event-related admissions to a pediatric
emergency unit. Pediatr Emerg Care. 2021;37(4):e152-e158. doi:10.1097/pec.0000000000001582.
https://psnet.ahrq.gov/issue/adverse-drug…
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psnet.ahrq.gov/node/38323/psn-pdf
April 27, 2010 - Medication errors among adults and children with cancer
in the outpatient setting.
April 27, 2010
Walsh KE, Dodd KS, Seetharaman K, et al. Medication errors among adults and children with cancer in the
outpatient setting. J Clin Oncol. 2009;27(6):891-6. doi:10.1200/JCO.2008.18.6072.
https://psnet.ahrq.gov/issue/me…
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psnet.ahrq.gov/node/44355/psn-pdf
September 02, 2015 - Effect of a real-time pediatric ICU safety bundle
dashboard on quality improvement measures.
September 2, 2015
Shaw SJ, Jacobs B, Stockwell DC, et al. Effect of a Real-Time Pediatric ICU Safety Bundle Dashboard on
Quality Improvement Measures. Jt Comm J Qual Patient Saf. 2015;41(9):414-420.
https://psnet.ahrq.gov/…
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psnet.ahrq.gov/node/45651/psn-pdf
November 16, 2016 - Improving patient safety through the involvement of
patients: development and evaluation of novel
interventions to engage patients in preventing patient
safety incidents and protecting them against unintended
harm.
November 16, 2016
Wright J, Lawton R, O’Hara J, et al. Improving Patient Safety Through The Involve…
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psnet.ahrq.gov/node/45953/psn-pdf
July 22, 2020 - Root Cause Analysis in Health Care: A Joint Commission
Guide to Analysis and Corrective Action of Sentinel and
Adverse Events.
July 22, 2020
Oakbrook Terrace, IL: Joint Commission Resources; 2020. ISBN: 9781635851618.
https://psnet.ahrq.gov/issue/root-cause-analysis-health-care-joint-commission-guide-analysis-and-…
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psnet.ahrq.gov/node/45709/psn-pdf
September 01, 2018 - Integrated approach to reduce perinatal adverse events:
standardized processes, interdisciplinary teamwork
training, and performance feedback.
September 1, 2018
Riley W, Begun JW, Meredith L, et al. Integrated Approach to Reduce Perinatal Adverse Events:
Standardized Processes, Interdisciplinary Teamwork Training,…
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psnet.ahrq.gov/node/47427/psn-pdf
June 19, 2019 - Failures in the respectful care of critically ill patients.
June 19, 2019
Law AC, Roche S, Reichheld A, et al. Failures in the Respectful Care of Critically Ill Patients. Jt Comm J
Qual Patient Saf. 2019;45(4):276-284. doi:10.1016/j.jcjq.2018.05.008.
https://psnet.ahrq.gov/issue/failures-respectful-care-critically-…
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psnet.ahrq.gov/node/39249/psn-pdf
September 30, 2015 - Patient participation: current knowledge and applicability
to patient safety.
September 30, 2015
Longtin Y, Sax H, Leape L, et al. Patient participation: current knowledge and applicability to patient safety.
Mayo Clin Proc. 2010;85(1):53-62. doi:10.4065/mcp.2009.0248.
https://psnet.ahrq.gov/issue/patient-particip…
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psnet.ahrq.gov/node/38865/psn-pdf
April 04, 2011 - Afraid in the hospital: parental concern for errors during a
child's hospitalization.
April 4, 2011
Tarini BA, Lozano P, Christakis DA. Afraid in the hospital: parental concern for errors during a child's
hospitalization. J Hosp Med. 2009;41(9):521-527. doi:10.1002/jhm.508.
https://psnet.ahrq.gov/issue/afraid-hosp…
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psnet.ahrq.gov/node/40477/psn-pdf
March 23, 2012 - Adverse drug events in U.S. adult ambulatory medical
care.
March 23, 2012
Sarkar U, Lopez A, Maselli JH, et al. Adverse drug events in U.S. adult ambulatory medical care. Health
Serv Res. 2011;46(5):1517-1533. doi:10.1111/j.1475-6773.2011.01269.x.
https://psnet.ahrq.gov/issue/adverse-drug-events-us-adult-ambulator…
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digital.ahrq.gov/sites/default/files/docs/citation/k08hs24764-nanji-final-report-2022.pdf
January 01, 2022 - Preventing Perioperative Medication Errors and Adverse Drug Events Through the Use of Clinical Decision Support - Final Report
Preventing Perioperati…