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psnet.ahrq.gov/node/42923/psn-pdf
September 26, 2017 - Assessing the state of safe medication practices using
the ISMP Medication Safety Self Assessment for
Hospitals: 2000 and 2011.
September 26, 2017
Vaida AJ, Lamis RL, Smetzer JL, et al. Assessing the State of Safe Medication Practices Using the ISMP
Medication Safety Self Assessment ® for Hospitals: 2000 and 2011.…
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psnet.ahrq.gov/node/38900/psn-pdf
January 03, 2017 - Dropping the baton during the handoff from emergency
department to primary care: pediatric asthma continuity
errors.
January 3, 2017
Hsiao AL, Shiffman RN. Dropping the baton during the handoff from emergency department to primary
care: pediatric asthma continuity errors. Jt Comm J Qual Patient Saf. 2009;35(9):467…
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psnet.ahrq.gov/node/45057/psn-pdf
June 22, 2017 - Safety risks associated with the lack of integration and
interfacing of hospital health information technologies: a
qualitative study of hospital electronic prescribing
systems in England.
June 22, 2017
Cresswell K, Mozaffar H, Lee L, et al. Safety risks associated with the lack of integration and interfacing of
…
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psnet.ahrq.gov/node/41049/psn-pdf
December 31, 2014 - Are physicians' perceptions of healthcare quality and
practice satisfaction affected by errors associated with
electronic health record use?
December 31, 2014
Love JS, Wright A, Simon SR, et al. Are physicians' perceptions of healthcare quality and practice
satisfaction affected by errors associated with electroni…
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psnet.ahrq.gov/node/48112/psn-pdf
July 10, 2019 - Intravenous infusion administration: a comparative study
of practices and errors between the United States and
England and their implications for patient safety.
July 10, 2019
Blandford A, Dykes PC, Franklin BD, et al. Intravenous Infusion Administration: A Comparative Study of
Practices and Errors Between the Uni…
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psnet.ahrq.gov/node/44882/psn-pdf
July 18, 2016 - An ethical framework for allocating scarce life-saving
chemotherapy and supportive care drugs for childhood
cancer.
July 18, 2016
Unguru Y, Fernandez C, Bernhardt B, et al. An Ethical Framework for Allocating Scarce Life-Saving
Chemotherapy and Supportive Care Drugs for Childhood Cancer. J Natl Cancer Inst. 2016;1…
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psnet.ahrq.gov/node/42968/psn-pdf
February 26, 2014 - From physician intent to the pharmacy label: prevalence
and description of discrepancies from a cross-sectional
evaluation of electronic prescriptions.
February 26, 2014
Cochran GL, Klepser DG, Morien M, et al. From physician intent to the pharmacy label: prevalence and
description of discrepancies from a cross-se…
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psnet.ahrq.gov/node/38805/psn-pdf
April 04, 2011 - Disclosing medical errors to patients: it's not what you
say, it's what they hear.
April 4, 2011
Wu AW, Huang I-C, Stokes S, et al. Disclosing medical errors to patients: it's not what you say, it's what
they hear. J Gen Intern Med. 2009;24(9):1012-7. doi:10.1007/s11606-009-1044-3.
https://psnet.ahrq.gov/issue/dis…
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psnet.ahrq.gov/node/41964/psn-pdf
April 17, 2013 - Use of HIT for adverse event reporting in nursing homes:
barriers and facilitators.
April 17, 2013
Wagner LM, Castle NG, Handler S. Use of HIT for adverse event reporting in nursing homes: barriers and
facilitators. Geriatr Nurs. 2013;34(2):112-5. doi:10.1016/j.gerinurse.2012.10.003.
https://psnet.ahrq.gov/issue/u…
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psnet.ahrq.gov/node/40565/psn-pdf
June 29, 2011 - National study on the frequency, types, causes, and
consequences of voluntarily reported emergency
department medication errors.
June 29, 2011
Pham JC, Story JL, Hicks RW, et al. National study on the frequency, types, causes, and consequences of
voluntarily reported emergency department medication errors. J Emerg…
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psnet.ahrq.gov/node/45901/psn-pdf
April 12, 2017 - Development and applications of the Veterans Health
Administration's Stratification Tool for Opioid Risk
Mitigation (STORM) to improve opioid safety and prevent
overdose and suicide.
April 12, 2017
Oliva EM, Bowe T, Tavakoli S, et al. Development and applications of the Veterans Health Administration's
Stratifica…
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psnet.ahrq.gov/node/41212/psn-pdf
March 14, 2012 - A comprehensive overview of medical error in hospitals
using incident-reporting systems, patient complaints and
chart review of inpatient deaths.
March 14, 2012
de Feijter JM, de Grave WS, Muijtjens AM, et al. A comprehensive overview of medical error in hospitals
using incident-reporting systems, patient complain…
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psnet.ahrq.gov/node/42454/psn-pdf
September 09, 2013 - A perinatal care quality and safety initiative: are there
financial rewards for improved quality?
September 9, 2013
Kozhimannil KB, Sommerness SA, Rauk P, et al. A perinatal care quality and safety initiative: are there
financial rewards for improved quality? Jt Comm J Qual Patient Saf. 2013;39(8):339-48.
https://…
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psnet.ahrq.gov/node/46342/psn-pdf
October 04, 2017 - Improving reconciliation following medical injury: a
qualitative study of responses to patient safety incidents
in New Zealand.
October 4, 2017
Moore J, Mello MM. Improving reconciliation following medical injury: a qualitative study of responses to
patient safety incidents in New Zealand. BMJ Qual Saf. 2017;26(10…
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psnet.ahrq.gov/node/45553/psn-pdf
October 13, 2018 - Computerized prescriber order entry–related patient
safety reports: analysis of 2522 medication errors.
October 13, 2018
Amato MG, Salazar A, Hickman T-TT, et al. Computerized prescriber order entry-related patient safety
reports: analysis of 2522 medication errors. J Am Med Inform Assoc. 2017;24(2):316-322.
doi:1…
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psnet.ahrq.gov/node/48000/psn-pdf
May 15, 2019 - Association between hospital safety culture and surgical
outcomes in a statewide surgical quality improvement
collaborative.
May 15, 2019
Odell DD, Quinn CM, Matulewicz RS, et al. Association Between Hospital Safety Culture and Surgical
Outcomes in a Statewide Surgical Quality Improvement Collaborative. J Am Coll …
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psnet.ahrq.gov/node/45310/psn-pdf
January 03, 2017 - Minding the gaps: assessing communication outcomes of
electronic preconsultation exchange.
January 3, 2017
Price EL, Sewell JL, Chen AH, et al. Minding the Gaps: Assessing Communication Outcomes of Electronic
Preconsultation Exchange. Jt Comm J Qual Patient Saf. 2016;42(8):341-54.
https://psnet.ahrq.gov/issue/mind…
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psnet.ahrq.gov/node/39104/psn-pdf
February 16, 2011 - Is there a relationship between high-quality performance
in major teaching hospitals and residents' knowledge of
quality and patient safety?
February 16, 2011
Pingleton SK, Horak BJ, Davis DA, et al. Is there a relationship between high-quality performance in major
teaching hospitals and residents' knowledge of qu…
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psnet.ahrq.gov/node/38710/psn-pdf
September 14, 2009 - Patient readmissions, emergency visits, and adverse
events after software-assisted discharge from hospital:
cluster randomized trial.
September 14, 2009
Graumlich JF, Novotny NL, Nace S, et al. Patient readmissions, emergency visits, and adverse events after
software-assisted discharge from hospital: cluster rando…
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psnet.ahrq.gov/node/39679/psn-pdf
January 19, 2011 - Coping with medical error: a systematic review of papers
to assess the effects of involvement in medical errors on
healthcare professionals' psychological well-being.
January 19, 2011
Sirriyeh R, Lawton R, Gardner P, et al. Coping with medical error: a systematic review of papers to assess
the effects of involveme…