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psnet.ahrq.gov/node/43869/psn-pdf
November 03, 2015 - Clinical safety of England's national programme for IT: a
retrospective analysis of all reported safety events 2005
to 2011.
November 3, 2015
Magrabi F, Baker M, Sinha I, et al. Clinical safety of England's national programme for IT: a retrospective
analysis of all reported safety events 2005 to 2011. Int J Med In…
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psnet.ahrq.gov/node/42855/psn-pdf
February 06, 2014 - Responding to clinicians who fail to follow patient safety
practices: perceptions of physicians, nurses, trainees,
and patients.
February 6, 2014
Driver TH, Katz PP, Trupin L, et al. Responding to clinicians who fail to follow patient safety practices:
perceptions of physicians, nurses, trainees, and patients. J H…
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psnet.ahrq.gov/node/38902/psn-pdf
November 13, 2009 - Out-of-hospital medication errors: a 6-year analysis of the
national poison data system.
November 13, 2009
Shah K, Barker KA. Out-of-hospital medication errors: a 6-year analysis of the national poison data system.
Pharmacoepidemiol Drug Saf. 2009;18(11):1080-5. doi:10.1002/pds.1823.
https://psnet.ahrq.gov/issue/o…
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psnet.ahrq.gov/node/46493/psn-pdf
January 24, 2019 - Four states with robust prescription drug monitoring
programs reduced opioid dosages.
January 24, 2019
Haffajee RL, Mello MM, Zhang F, et al. Four States With Robust Prescription Drug Monitoring Programs
Reduced Opioid Dosages. Health Aff (Millwood). 2018;37(6):964-974. doi:10.1377/hlthaff.2017.1321.
https://psnet…
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psnet.ahrq.gov/node/47946/psn-pdf
May 22, 2019 - Vital signs: pregnancy-related deaths, United States,
2011-2015, and strategies for prevention, 13 states, 2013-
2017.
May 22, 2019
Petersen EE, Davis NL, Goodman D, et al. Vital Signs: Pregnancy-Related Deaths, United States, 2011-
2015, and Strategies for Prevention, 13 States, 2013-2017. MMWR Morb Mortal Wkly R…
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psnet.ahrq.gov/node/47441/psn-pdf
September 26, 2018 - Patient outcomes after the introduction of statewide ICU
nurse staffing regulations.
September 26, 2018
Law AC, Stevens JP, Hohmann S, et al. Patient Outcomes After the Introduction of Statewide ICU Nurse
Staffing Regulations. Crit Care Med. 2018;46(10):1563-1569. doi:10.1097/CCM.0000000000003286.
https://psnet.ah…
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psnet.ahrq.gov/node/45863/psn-pdf
August 28, 2017 - Large-scale implementation of the I-PASS handover
system at an academic medical centre.
August 28, 2017
Shahian DM, McEachern K, Rossi L, et al. Large-scale implementation of the I-PASS handover system at
an academic medical centre. BMJ Qual Saf. 2017;26(9):760-770. doi:10.1136/bmjqs-2016-006195.
https://psnet.ahr…
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psnet.ahrq.gov/node/42966/psn-pdf
November 21, 2018 - The next organizational challenge: finding and addressing
diagnostic error.
November 21, 2018
Graber ML, Trowbridge RL, Myers JS, et al. The next organizational challenge: finding and addressing
diagnostic error. Jt Comm J Qual Patient Saf. 2014;40(3):102-10.
https://psnet.ahrq.gov/issue/next-organizational-challe…
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psnet.ahrq.gov/node/44522/psn-pdf
June 21, 2016 - Impact of an electronic alert notification system
embedded in radiologists' workflow on closed-loop
communication of critical results: a time series analysis.
June 21, 2016
Lacson R, O'Connor SD, Sahni A, et al. Impact of an electronic alert notification system embedded in
radiologists' workflow on closed-loop com…
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psnet.ahrq.gov/node/45744/psn-pdf
December 19, 2017 - Complication rates, hospital size, and bias in the CMS
Hospital-Acquired Condition Reduction Program.
December 19, 2017
Koenig L, Soltoff SA, Demiralp B, et al. Complication Rates, Hospital Size, and Bias in the CMS Hospital-
Acquired Condition Reduction Program. Am J Med Qual. 2017;32(6):611-616.
doi:10.1177/1062…
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psnet.ahrq.gov/node/40213/psn-pdf
February 16, 2011 - Systematic review of medication safety assessment
methods.
February 16, 2011
Meyer-Massetti C, Cheng CM, Schwappach DLB, et al. Systematic review of medication safety
assessment methods. Am J Health Syst Pharm. 2011;68(3):227-40. doi:10.2146/ajhp100019.
https://psnet.ahrq.gov/issue/systematic-review-medication-saf…
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psnet.ahrq.gov/node/41967/psn-pdf
May 10, 2013 - A comparative review of patient safety initiatives for
national health information technology.
May 10, 2013
Magrabi F, Aarts J, Nohr C, et al. A comparative review of patient safety initiatives for national health
information technology. Int J Med Inform. 2013;82(5):e139-48. doi:10.1016/j.ijmedinf.2012.11.014.
htt…
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psnet.ahrq.gov/node/40221/psn-pdf
July 21, 2011 - The association between a prolonged stay in the
emergency department and adverse events in older
patients admitted to hospital: a retrospective cohort
study.
July 21, 2011
Ackroyd-Stolarz S, Guernsey R, Mackinnon NJ, et al. The association between a prolonged stay in the
emergency department and adverse events in…
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psnet.ahrq.gov/node/47666/psn-pdf
January 01, 2020 - A partially structured postoperative handoff protocol
improves communication in 2 mixed surgical intensive
care units: findings from the Handoffs and Transitions in
Critical Care (HATRICC) prospective cohort study.
February 6, 2019
Lane-Fall MB, Pascual JL, Peifer HG, et al. A Partially Structured Postoperative Ha…
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psnet.ahrq.gov/issue/pharmacists-play-key-role-patient-safety
March 29, 2023 - Newspaper/Magazine Article
Pharmacists play key role in patient safety.
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March 6, 2005
Description of a successful model from Duke…
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psnet.ahrq.gov/node/39031/psn-pdf
March 23, 2011 - Care homes' use of medicines study: prevalence, causes
and potential harm of medication errors in care homes for
older people.
March 23, 2011
Barber ND, Alldred DP, Raynor DK, et al. Care homes' use of medicines study: prevalence, causes and
potential harm of medication errors in care homes for older people. Qual …
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psnet.ahrq.gov/node/46012/psn-pdf
December 21, 2017 - Mortality risks associated with emergency admissions
during weekends and public holidays: an analysis of
electronic health records.
December 21, 2017
Walker S, Mason A, Quan P, et al. Mortality risks associated with emergency admissions during weekends
and public holidays: an analysis of electronic health records.…
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psnet.ahrq.gov/node/47752/psn-pdf
May 29, 2019 - How do nurses use early warning scoring systems to
detect and act on patient deterioration to ensure patient
safety? A scoping review.
May 29, 2019
Wood C, Chaboyer W, Carr P. How do nurses use early warning scoring systems to detect and act on
patient deterioration to ensure patient safety? A scoping review. Int …
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psnet.ahrq.gov/node/44958/psn-pdf
March 09, 2016 - The Sepsis Early Recognition and Response Initiative
(SERRI).
March 9, 2016
Jones SL, Ashton CM, Kiehne L, et al. The Sepsis Early Recognition and Response Initiative (SERRI). Jt
Comm J Qual Patient Saf. 2016;42(3):122-138.
https://psnet.ahrq.gov/issue/sepsis-early-recognition-and-response-initiative-serri
Early …
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psnet.ahrq.gov/node/47407/psn-pdf
January 01, 2020 - Resource-based view on safety culture's influence on
hospital performance: the moderating role of electronic
health record implementation.
September 19, 2018
Upadhyay S, Weech-Maldonado R, Lemak CH, et al. Resource-based view on safety culture’s influence on
hospital performance: The moderating role of electronic …