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psnet.ahrq.gov/node/50881/psn-pdf
February 12, 2020 - Adverse events during intrahospital transport of critically
ill children: a systematic review.
February 12, 2020
Haydar B, Baetzel A, Elliott A, et al. Adverse Events During Intrahospital Transport of Critically Ill Children:
A Systematic Review. Anesth Analg. 2020;131(4):1135-1145. doi:10.1213/ane.0000000000004585…
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psnet.ahrq.gov/node/855421/psn-pdf
November 15, 2023 - Informatics tools in deprescribing and medication
optimization in older adults: development and
dissemination of VIONE methodology in a high reliability
organization.
November 15, 2023
Winter SG, Sedgwick C, Wallace-Lacey A, et al. Informatics tools in deprescribing and medication
optimization in older adults: de…
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psnet.ahrq.gov/node/46162/psn-pdf
July 26, 2017 - The association between patient safety indicators and
medical malpractice risk: evidence from Florida and
Texas.
July 26, 2017
Black BS, Wagner AR, Zabinski Z. The Association between Patient Safety Indicators and Medical
Malpractice Risk: Evidence from Florida and Texas. Am J Health Econ. 2017;3(2).
doi:10.1162/…
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psnet.ahrq.gov/node/837632/psn-pdf
July 06, 2022 - Serious experience events: applying patient safety
concepts to improve patient experience.
July 6, 2022
Donnelly LF, Uhlhorn E, Bargmann-Losche J, et al. Serious experience events: applying patient safety
concepts to improve patient experience. J Patient Exp. 2022;9:237437352211026.
doi:10.1177/23743735221102670.
…
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psnet.ahrq.gov/node/50795/psn-pdf
January 15, 2020 - Diagnostic error in the emergency department: learning
from national patient safety incident report analysis.
January 15, 2020
Hussain F, Cooper A, Carson-Stevens A, et al. Diagnostic error in the emergency department: learning
from national patient safety incident report analysis. BMC Emerg Med. 2019;19(1):77. doi…
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psnet.ahrq.gov/node/41132/psn-pdf
March 13, 2012 - Spreading a medication administration intervention
organizationwide in six hospitals.
March 13, 2012
Kliger J, Singer SJ, Hoffman F, et al. Spreading a medication administration intervention organizationwide
in six hospitals. Jt Comm J Qual Patient Saf. 2012;38(2):51-60.
https://psnet.ahrq.gov/issue/spreading-medi…
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psnet.ahrq.gov/node/837796/psn-pdf
August 10, 2022 - Association between hospital acquired harm outcomes
and membership in a national patient safety collaborative.
August 10, 2022
Coffey M, Marino M, Lyren A, et al. Association between hospital acquired harm outcomes and
membership in a national patient safety collaborative. JAMA Pediatr. 2022;176(9):924-932.
doi:10…
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psnet.ahrq.gov/node/44563/psn-pdf
October 21, 2015 - The effect of staff nurses' shift length and fatigue on
patient safety and nurses' health: from the National
Association of Neonatal Nurses.
October 21, 2015
Samra HA, Smith BA. The Effect of Staff Nurses' Shift Length and Fatigue on Patient Safety and Nurses'
Health: From the National Association of Neonatal Nurs…
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psnet.ahrq.gov/node/72710/psn-pdf
February 03, 2021 - A poison information centre can provide important
assessment and guidance regarding medication errors in
nursing homes: a prospective cohort study.
February 3, 2021
Vinther S, Bøgevig S, Eriksen KR, et al. A poison information centre can provide important assessment and
guidance regarding medication errors in nurs…
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psnet.ahrq.gov/node/43656/psn-pdf
September 01, 2016 - Optimization of drug–drug interaction alert rules in a
pediatric hospital's electronic health record system using
a visual analytics dashboard.
September 1, 2016
Simpao AF, Ahumada LM, Desai BR, et al. Optimization of drug-drug interaction alert rules in a pediatric
hospital's electronic health record system using…
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psnet.ahrq.gov/node/47356/psn-pdf
September 05, 2018 - 'Cyberloafing' in health care: a real risk to patient safety.
September 5, 2018
Ross J. 'Cyberloafing' in Health Care: A Real Risk to Patient Safety. J Perianesth Nurs. 2018;33(4):560-
562. doi:10.1016/j.jopan.2018.05.003.
https://psnet.ahrq.gov/issue/cyberloafing-health-care-real-risk-patient-safety
The health ca…
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psnet.ahrq.gov/node/40645/psn-pdf
November 26, 2012 - Rapid-response teams.
November 26, 2012
Jones D, DeVita MA, Bellomo R. Rapid-response teams. N Engl J Med. 2011;365(2):139-46.
doi:10.1056/NEJMra0910926.
https://psnet.ahrq.gov/issue/rapid-response-teams
Delays in clinical deterioration recognition and failures to rescue lead to serious adverse events. Rapid
resp…
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psnet.ahrq.gov/node/854380/psn-pdf
October 11, 2023 - Associations between hospitalist shift busyness,
diagnostic confidence, and resource utilization: a pilot
study.
October 11, 2023
Gupta AB, Greene MT, Fowler KE, et al. Associations between hospitalist shift busyness, diagnostic
confidence, and resource utilization: a pilot study. J Patient Saf. 2023;19(7):447-452…
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psnet.ahrq.gov/node/45290/psn-pdf
July 27, 2016 - Interventions to address potentially inappropriate
prescribing in community-dwelling older adults: a
systematic review of randomized controlled trials.
July 27, 2016
Clyne B, Fitzgerald C, Quinlan A, et al. Interventions to Address Potentially Inappropriate Prescribing in
Community-Dwelling Older Adults: A Systema…
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psnet.ahrq.gov/node/47370/psn-pdf
October 10, 2018 - Development of a conceptual map of negative
consequences for patients of overuse of medical tests
and treatments.
October 10, 2018
Korenstein D, Chimonas S, Barrow B, et al. Development of a Conceptual Map of Negative Consequences
for Patients of Overuse of Medical Tests and Treatments. JAMA Intern Med. 2018;178(1…
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psnet.ahrq.gov/node/46214/psn-pdf
June 28, 2017 - Impact of the introduction of electronic prescribing on
staff perceptions of patient safety and organizational
culture.
June 28, 2017
Davies J, Pucher PH, Ibrahim H, et al. Impact of the introduction of electronic prescribing on staff
perceptions of patient safety and organizational culture. J Surg Res. 2017;212:2…
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psnet.ahrq.gov/node/837331/psn-pdf
June 08, 2022 - Can a targeted educational approach improve situational
awareness in paramedicine during 911 emergency calls?
June 8, 2022
Hunter J, Porter M, Cody P, et al. Can a targeted educational approach improve situational awareness in
paramedicine during 911 emergency calls? Int Emerg Nurs. 2022;63:101174.
doi:10.1016/j.i…
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psnet.ahrq.gov/node/43993/psn-pdf
November 29, 2017 - An evaluation of shared mental models and mutual trust
on general medical units: implications for collaboration,
teamwork, and patient safety.
November 29, 2017
McComb SA, Lemaster M, Henneman EA, et al. An Evaluation of Shared Mental Models and Mutual Trust
on General Medical Units: Implications for Collaboration…
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psnet.ahrq.gov/node/841787/psn-pdf
December 21, 2022 - Electronic prescribing systems in hospitals to improve
medication safety: a multi-methods research programme.
December 21, 2022
Sheikh A, Coleman JJ, Chuter A, et al. Electronic prescribing systems in hospitals to improve medication
safety: a multimethods research programme. Programme Grants Appl Res. 2022;10(7):1-…
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psnet.ahrq.gov/node/837903/psn-pdf
August 24, 2022 - The impact of drug error reduction software on
preventing harmful adverse drug events in England: a
retrospective database study.
August 24, 2022
Sutherland A, Gerrard WS, Patel A, et al. The impact of drug error reduction software on preventing
harmful adverse drug events in England: a retrospective database stud…