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psnet.ahrq.gov/node/41327/psn-pdf
November 27, 2012 - Multiple patient safety events within a single
hospitalization: a national profile in US hospitals.
November 27, 2012
Yu H, Greenberg MD, Haviland AM, et al. Multiple patient safety events within a single hospitalization: a
national profile in US hospitals. Am J Med Qual. 2012;27(6):472-479. doi:10.1177/10628606124…
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psnet.ahrq.gov/node/47526/psn-pdf
January 16, 2019 - US national trends in pediatric deaths from prescription
and illicit opioids, 1999–2016.
January 16, 2019
Gaither JR, Shabanova V, Leventhal JM. US National Trends in Pediatric Deaths From Prescription and
Illicit Opioids, 1999-2016. JAMA Netw Open. 2018;1(8):e186558.
doi:10.1001/jamanetworkopen.2018.6558.
https:…
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psnet.ahrq.gov/node/41317/psn-pdf
January 31, 2013 - Variation in 17 obstetric care pathways: potential danger
for health professionals and patient safety?
January 31, 2013
Sarrechia M, Van Gerven E, Hermans L, et al. Variation in 17 obstetric care pathways: potential danger for
health professionals and patient safety? J Adv Nurs. 2013;69(2):278-85. doi:10.1111/j.136…
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psnet.ahrq.gov/node/37345/psn-pdf
May 26, 2011 - Impact of computerized prescriber order entry on the
incidence of adverse drug events in pediatric inpatients.
May 26, 2011
Holdsworth MT, Fichtl RE, Raisch DW, et al. Impact of computerized prescriber order entry on the
incidence of adverse drug events in pediatric inpatients. Pediatrics. 2007;120(5):1058-66.
htt…
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psnet.ahrq.gov/node/41522/psn-pdf
December 02, 2014 - Tenfold medication errors: 5 years' experience at a
university-affiliated pediatric hospital.
December 2, 2014
Doherty C, Donnell CM. Tenfold medication errors: 5 years' experience at a university-affiliated pediatric
hospital. Pediatrics. 2012;129(5):916-924. doi:10.1542/peds.2011-2526.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/40072/psn-pdf
April 04, 2011 - Perceptions of hospital safety climate and incidence of
readmission.
April 4, 2011
Hansen LO, Williams M, Singer SJ. Perceptions of hospital safety climate and incidence of readmission.
Health Serv Res. 2011;46(2):596-616. doi:10.1111/j.1475-6773.2010.01204.x.
https://psnet.ahrq.gov/issue/perceptions-hospital-safe…
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psnet.ahrq.gov/node/40400/psn-pdf
June 20, 2011 - Determinants of patient-reported medication errors: a
comparison among seven countries.
June 20, 2011
Lu CY, Roughead E. Determinants of patient-reported medication errors: a comparison among seven
countries. Int J Clin Pract. 2011;65(7):733-40. doi:10.1111/j.1742-1241.2011.02671.x.
https://psnet.ahrq.gov/issue/de…
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psnet.ahrq.gov/node/47491/psn-pdf
November 07, 2018 - Integrating patient safety education into early medical
education utilizing cadaver, sponges, and an inter-
professional team.
November 7, 2018
Kutaimy R, Zhang L, Blok D, et al. Integrating patient safety education into early medical education utilizing
cadaver, sponges, and an inter-professional team. BMC Med Ed…
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psnet.ahrq.gov/node/44315/psn-pdf
November 20, 2015 - Expanding the scope of Critical Care Rapid Response
Teams: a feasible approach to identify adverse events. A
prospective observational cohort.
November 20, 2015
Amaral ACK-B, McDonald A, Coburn NG, et al. Expanding the scope of Critical Care Rapid Response
Teams: a feasible approach to identify adverse events. A p…
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psnet.ahrq.gov/node/43378/psn-pdf
August 14, 2014 - Interventions to reduce pediatric medication errors: a
systematic review.
August 14, 2014
Rinke ML, Bundy DG, Velasquez CA, et al. Interventions to reduce pediatric medication errors: a
systematic review. Pediatrics. 2014;134(2):338-360. doi:10.1542/peds.2013-3531.
https://psnet.ahrq.gov/issue/interventions-reduce…
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psnet.ahrq.gov/node/41706/psn-pdf
November 08, 2012 - Improving medication safety with accurate preadmission
medication lists and postdischarge education.
November 8, 2012
Gardella JE, Cardwell TB, Nnadi M. Improving medication safety with accurate preadmission medication
lists and postdischarge education. Jt Comm J Qual Patient Saf. 2012;38(10):452-458.
https://psne…
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psnet.ahrq.gov/node/40753/psn-pdf
September 07, 2011 - Preoperative surgical briefings do not delay operating
room start times and are popular with surgical team
members.
September 7, 2011
Ali M, Osborne A, Bethune R, et al. Preoperative surgical briefings do not delay operating room start times
and are popular with surgical team members. J Patient Saf. 2011;7(3):139-…
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psnet.ahrq.gov/node/36807/psn-pdf
October 25, 2013 - HealthGrades Quality Study: Fourth Annual Patient Safety
in American Hospitals Study.
October 25, 2013
Denver, CO; Health Grades Inc; 2007.
https://psnet.ahrq.gov/issue/healthgrades-quality-study-fourth-annual-patient-safety-american-hospitals-
study
This fourth annual report on the safety of hospitalized Medicar…
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psnet.ahrq.gov/node/41355/psn-pdf
April 05, 2013 - Comparative economic analyses of patient safety
improvement strategies in acute care: a systematic
review.
April 5, 2013
Etchells E, Koo M, Daneman N, et al. Comparative economic analyses of patient safety improvement
strategies in acute care: a systematic review. BMJ Qual Saf. 2012;21(6):448-56. doi:10.1136/bmjqs…
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psnet.ahrq.gov/node/40326/psn-pdf
May 25, 2011 - The impact of computerized provider order entry systems
on medical-imaging services: a systematic review.
May 25, 2011
Georgiou A, Prgomet M, Markewycz A, et al. The impact of computerized provider order entry systems on
medical-imaging services: a systematic review. J Am Med Inform Assoc. 2011;18(3):335-40.
doi:1…
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psnet.ahrq.gov/node/42917/psn-pdf
February 05, 2014 - The PROMISES Project.
February 5, 2014
Brigham and Women's Hospital; Institute for Healthcare Improvement; Massachusetts Coalition for the
Prevention of Medical Errors; Coverys; CRICO; Harvard School of Public Health; Harvard Medical School;
Health Care for All; Massachusetts Medical Society; Massachusetts Departme…
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psnet.ahrq.gov/node/37757/psn-pdf
March 10, 2011 - Workarounds to barcode medication administration
systems: their occurrences, causes, and threats to patient
safety.
March 10, 2011
Koppel R, Wetterneck TB, Telles JL, et al. Workarounds to barcode medication administration systems:
their occurrences, causes, and threats to patient safety. J Am Med Inform Assoc. 20…
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psnet.ahrq.gov/node/47760/psn-pdf
February 06, 2019 - AHRQ National Scorecard on Hospital-Acquired
Conditions Updated Baseline Rates and Preliminary
Results 2014–2017.
February 6, 2019
Rockville, MD: Agency for Healthcare Research and Quality; January 2019.
https://psnet.ahrq.gov/issue/ahrq-national-scorecard-hospital-acquired-conditions-updated-baseline-rates-
and-…
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psnet.ahrq.gov/node/840141/psn-pdf
November 16, 2022 - Toward zero harm: Mackenzie Health's journey toward
becoming a high reliability organization and eliminating
avoidable harm.
November 16, 2022
Wilson M-A, Sinno M, Hacker Teper M, et al. Toward zero harm: Mackenzie Health's journey toward
becoming a high reliability organization and eliminating avoidable harm. J P…
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psnet.ahrq.gov/node/43613/psn-pdf
December 19, 2014 - Benefits and risks of using smart pumps to reduce
medication error rates: a systematic review.
December 19, 2014
Ohashi K, Dalleur O, Dykes PC, et al. Benefits and risks of using smart pumps to reduce medication error
rates: a systematic review. Drug Saf. 2014;37(12):1011-1020. doi:10.1007/s40264-014-0232-1.
https…