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psnet.ahrq.gov/issue/patient-suicide-locked-mental-health-unit-west-palm-beach-va-medical-center-florida
January 24, 2024 - Book/Report
Patient Suicide on a Locked Mental Health Unit at the West Palm Beach VA Medical Center, Florida.
Citation Text:
Patient Suicide on a Locked Mental Health Unit at the West Palm Beach VA Medical Center, Florida. Washington, DC: Department of Veterans Affairs, Office of Inspect…
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psnet.ahrq.gov/issue/why-are-patients-not-more-involved-their-own-safety-questionnaire-based-survey-multi-ethnic
September 22, 2021 - Study
Why are patients not more involved in their own safety? A questionnaire-based survey in a multi-ethnic North London hospital population.
Citation Text:
Yoong W, Assassi Z, Ahmedani I, et al. Why are patients not more involved in their own safety? A questionnaire-based survey in a m…
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psnet.ahrq.gov/issue/multicomponent-pharmacist-intervention-did-not-reduce-clinically-important-medication-errors
March 17, 2021 - Study
Multicomponent pharmacist intervention did not reduce clinically important medication errors for ambulatory patients initiating direct oral anticoagulants.
Citation Text:
Kapoor A, Patel P, Mbusa D, et al. Multicomponent pharmacist intervention did not reduce clinically important m…
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psnet.ahrq.gov/issue/impact-medicares-nonpayment-program-hospital-acquired-conditions
December 21, 2014 - Review
Impact of Medicare's nonpayment program on hospital-acquired conditions.
Citation Text:
Thirukumaran CP, Glance LG, Temkin-Greener H, et al. Impact of Medicare's Nonpayment Program on Hospital-acquired Conditions. Med Care. 2017;55(5):447-455. doi:10.1097/MLR.0000000000000680.
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psnet.ahrq.gov/issue/injury-and-liability-associated-monitored-anesthesia-care-closed-claims-analysis
June 23, 2009 - Study
Injury and liability associated with monitored anesthesia care: a closed claims analysis.
Citation Text:
Bhananker SM, Posner KL, Cheney FW, et al. Injury and liability associated with monitored anesthesia care: a closed claims analysis. Anesthesiology. 2006;104(2):228-234.
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psnet.ahrq.gov/issue/improving-end-rotation-transitions-care-among-icu-patients
September 23, 2020 - Journal Article
Improving end-of-rotation transitions of care among ICU patients
Citation Text:
Denson JL, Knoeckel J, Kjerengtroen S, et al. Improving end-of-rotation transitions of care among ICU patients. BMJ Qual Saf. 2019;29(3):250-259. doi:10.1136/bmjqs-2019-009867.
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psnet.ahrq.gov/issue/hospital-based-transfusion-error-tracking-2005-2010-identifying-key-errors-threatening
March 09, 2022 - Study
Hospital-based transfusion error tracking from 2005 to 2010: identifying the key errors threatening patient transfusion safety.
Citation Text:
Maskens C, Downie H, Wendt A, et al. Hospital-based transfusion error tracking from 2005 to 2010: identifying the key errors threatening …
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psnet.ahrq.gov/issue/parental-misinterpretations-over-counter-pediatric-cough-and-cold-medication-labels
May 04, 2012 - Study
Parental misinterpretations of over-the-counter pediatric cough and cold medication labels.
Citation Text:
Lokker N, Sanders LM, Perrin EM, et al. Parental misinterpretations of over-the-counter pediatric cough and cold medication labels. Pediatrics. 2009;123(6):1464-1471. doi:10…
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psnet.ahrq.gov/issue/executive-summary-american-college-obstetricians-and-gynecologists-presidential-task-force
September 23, 2020 - Commentary
Executive summary of the American College of Obstetricians and Gynecologists Presidential Task Force on Patient Safety in the Office Setting: reinvigorating safety in office-based gynecologic surgery.
Citation Text:
Erickson TB, Kirkpatrick DH, DeFrancesco MS, et al. Executi…
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psnet.ahrq.gov/issue/compliance-time-out-procedure-intended-prevent-wrong-surgery-hospitals-results-national
December 29, 2014 - Study
Compliance with a time-out procedure intended to prevent wrong surgery in hospitals: results of a national patient safety programme in the Netherlands.
Citation Text:
van Schoten SM, Kop V, de Blok C, et al. Compliance with a time-out procedure intended to prevent wrong surgery in …
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psnet.ahrq.gov/issue/role-feedback-emergency-ambulance-services-qualitative-interview-study
April 06, 2022 - Study
The role of feedback in emergency ambulance services: a qualitative interview study.
Citation Text:
Wilson C, Howell A-M, Janes G, et al. The role of feedback in emergency ambulance services: a qualitative interview study. BMC Health Serv Res. 2022;22(1):296. doi:10.1186/s12913-022…
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psnet.ahrq.gov/issue/computerized-physician-order-entry-clinical-decision-support-long-term-care-setting-insights
February 26, 2009 - Study
Computerized physician order entry with clinical decision support in the long-term care setting: insights from the Baycrest Centre for Geriatric Care.
Citation Text:
Rochon P, Field T, Bates DW, et al. Computerized physician order entry with clinical decision support in the long-t…
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psnet.ahrq.gov/issue/novel-analysis-clinically-relevant-diagnostic-errors-point-care-devices
June 21, 2016 - Study
Novel analysis of clinically relevant diagnostic errors in point-of-care devices.
Citation Text:
Shermock KM, Streiff MB, Pinto BL, et al. Novel analysis of clinically relevant diagnostic errors in point-of-care devices. J Thromb Haemost. 2011;9(9):1769-1775. doi:10.1111/j.1538-7…
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psnet.ahrq.gov/issue/patient-safety-factors-children-dying-paediatric-intensive-care-unit-picu-case-notes-review
December 03, 2014 - Study
Patient safety factors in children dying in a paediatric intensive care unit (PICU): a case notes review study.
Citation Text:
Monroe K, Wang D, Vincent CA, et al. Patient safety factors in children dying in a paediatric intensive care unit (PICU): a case notes review study. BMJ …
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psnet.ahrq.gov/issue/process-care-failures-breast-cancer-diagnosis
January 06, 2017 - Study
Process of care failures in breast cancer diagnosis.
Citation Text:
Weingart SN, Saadeh MG, Simchowitz B, et al. Process of care failures in breast cancer diagnosis. J Gen Intern Med. 2009;24(6):702-709. doi:10.1007/s11606-009-0982-0.
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psnet.ahrq.gov/issue/medication-errors-related-computerized-order-entry-children
May 26, 2011 - Study
Medication errors related to computerized order entry for children.
Citation Text:
Walsh KE, Adams WG, Bauchner H, et al. Medication errors related to computerized order entry for children. Pediatrics. 2006;118(5):1872-1879.
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psnet.ahrq.gov/issue/approaches-improving-patient-safety-integrated-care-scoping-review
May 18, 2022 - Review
Approaches to improving patient safety in integrated care: a scoping review.
Citation Text:
Lalani M, Wytrykowski S, Hogan H. Approaches to improving patient safety in integrated care: a scoping review. BMJ Open. 2023;13(4):e067441. doi:10.1136/bmjopen-2022-067441.
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psnet.ahrq.gov/issue/improving-safety-operating-room-medication-icon-labels-increase-visibility-and-discrimination
April 03, 2019 - Study
Improving safety in the operating room: medication icon labels increase visibility and discrimination.
Citation Text:
Lusk C, Catchpole K, Neyens DM, et al. Improving safety in the operating room: medication icon labels increase visibility and discrimination. Appl Ergon. 2022;104:1…
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psnet.ahrq.gov/issue/user-centered-collaborative-design-and-development-inpatient-safety-dashboard
July 24, 2017 - Commentary
User-centered collaborative design and development of an inpatient safety dashboard.
Citation Text:
Mlaver E, Schnipper JL, Boxer RB, et al. User-Centered Collaborative Design and Development of an Inpatient Safety Dashboard. Jt Comm J Qual Patient Saf. 2017;43(12):676-685. do…
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psnet.ahrq.gov/issue/evaluation-contributions-electronic-web-based-reporting-system-enabling-action
March 21, 2017 - Study
Evaluation of the contributions of an electronic web-based reporting system: enabling action.
Citation Text:
Levtzion-Korach O, Alcalai H, Orav EJ, et al. Evaluation of the contributions of an electronic web-based reporting system: enabling action. J Patient Saf. 2009;52(1):9-15.…