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psnet.ahrq.gov/node/846449/psn-pdf
March 22, 2023 - Healthcare professionals' perception of safety culture and
the Operating Room (OR) Black Box technology before
clinical implementation: a cross-sectional survey.
March 22, 2023
Strandbygaard J, Dose N, Moeller KE, et al. Healthcare professionals’ perception of safety culture and the
Operating Room (OR) Black Box t…
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psnet.ahrq.gov/node/836953/psn-pdf
April 20, 2022 - Systems-level factors affecting registered nurses during
care of women in labor experiencing clinical deterioration.
April 20, 2022
Bernstein SL, Catchpole K, Kelechi TJ, et al. Systems-level factors affecting registered nurses during care
of women in labor experiencing clinical deterioration. Jt Comm J Qual Patien…
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psnet.ahrq.gov/node/36208/psn-pdf
January 05, 2017 - Implementing computerized provider order entry with an
existing clinical information system.
January 5, 2017
Barron WM, Reed L, Forsythe S, et al. Implementing computerized provider order entry with an existing
clinical information system. Jt Comm J Qual Patient Saf. 2006;32(9):506-16.
https://psnet.ahrq.gov/issue…
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psnet.ahrq.gov/node/42789/psn-pdf
December 04, 2013 - Development of the just culture assessment tool:
measuring the perceptions of health-care professionals in
hospitals.
December 4, 2013
Petschonek S, Burlison JD, Cross C, et al. Development of the just culture assessment tool: measuring the
perceptions of health-care professionals in hospitals. J Patient Saf. 2013…
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psnet.ahrq.gov/node/74864/psn-pdf
February 23, 2022 - Exploring changes in patient safety incidents during the
COVID-19 pandemic in a Canadian regional hospital
system: a retrospective time series analysis.
February 23, 2022
Lombardi J, Strobel S, Pullar V, et al. Exploring changes in patient safety incidents during the COVID-19
pandemic in a Canadian regional hospit…
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psnet.ahrq.gov/node/73177/psn-pdf
April 28, 2021 - The association of nursing home characteristics and
quality with adverse events after a hospitalization.
April 28, 2021
Field TS, Fouayzi H, Crawford S, et al. The association of nursing home characteristics and quality with
adverse events after a hospitalization. J Am Med Dir Assoc. 2021;22(10):2196-2200.
doi:10.…
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psnet.ahrq.gov/node/38608/psn-pdf
January 02, 2017 - Using consumer-based kiosk technology to improve and
standardize medication reconciliation in a specialty care
setting.
January 2, 2017
Lesselroth B, Adams S, Felder R, et al. Using consumer-based kiosk technology to improve and
standardize medication reconciliation in a specialty care setting. Jt Comm J Qual Pati…
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psnet.ahrq.gov/node/40040/psn-pdf
December 21, 2014 - Patient education to prevent falls among older hospital
inpatients: a randomized controlled trial.
December 21, 2014
Haines TP, Hill A-M, Hill KD, et al. Patient education to prevent falls among older hospital inpatients: a
randomized controlled trial. Arch Intern Med. 2011;171(6):516-24. doi:10.1001/archinternmed.…
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psnet.ahrq.gov/node/41131/psn-pdf
February 15, 2012 - Effects of two commercial electronic prescribing systems
on prescribing error rates in hospital in-patients: a before
and after study.
February 15, 2012
Westbrook JI, Reckmann MH, Li L, et al. Effects of two commercial electronic prescribing systems on
prescribing error rates in hospital in-patients: a before and …
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psnet.ahrq.gov/node/38949/psn-pdf
January 28, 2010 - Implementing a pre-operative checklist to increase patient
safety: a 1-year follow-up of personnel attitudes.
January 28, 2010
Nilsson L, Lindberget O, Gupta A, et al. Implementing a pre-operative checklist to increase patient safety: a
1-year follow-up of personnel attitudes. Acta Anaesthesiol Scand. 2010;54(2):17…
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psnet.ahrq.gov/node/60200/psn-pdf
April 08, 2020 - Opioid prescribing patterns among medical providers in
the United States, 2003-17: retrospective, observational
study.
April 8, 2020
Kiang MV, Humphreys K, Cullen MR, et al. Opioid prescribing patterns among medical providers in the
United States, 2003-17: retrospective, observational study. BMJ. 2020;368. doi:10.…
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psnet.ahrq.gov/node/46892/psn-pdf
June 13, 2018 - AHRQ National Scorecard on Hospital-Acquired
Conditions Updated Baseline Rates and Preliminary
Results 2014–2016.
June 13, 2018
Rockville, MD: Agency for Healthcare Research and Quality; June 2018.
https://psnet.ahrq.gov/issue/ahrq-national-scorecard-hospital-acquired-conditions-updated-baseline-rates-
and-prelim…
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psnet.ahrq.gov/node/40993/psn-pdf
December 14, 2011 - Anticoagulation-associated adverse drug events.
December 14, 2011
Piazza G, Nguyen TN, Cios D, et al. Anticoagulation-associated Adverse Drug Events. Am J Med.
2011;124(12). doi:10.1016/j.amjmed.2011.06.009.
https://psnet.ahrq.gov/issue/anticoagulation-associated-adverse-drug-events
Warfarin and other anticoagulan…
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psnet.ahrq.gov/node/50751/psn-pdf
December 18, 2019 - Using a machine learning system to identify and prevent
medication prescribing errors: a clinical and cost analysis
evaluation.
December 18, 2019
Rozenblum R, Rodriguez-Monguio R, Volk LA, et al. Using a machine learning system to identify and
prevent medication prescribing errors: A clinical and cost analysis eva…
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psnet.ahrq.gov/node/844040/psn-pdf
February 08, 2023 - A customized triggers program: a children's hospital's
experience in improving trigger usability.
February 8, 2023
Reinhart RM, Safari-Ferra P, Badh R, et al. A customized triggers program: a children's hospital's
experience in improving trigger usability. Pediatrics. 2023;151(2):e2022056452. doi:10.1542/peds.2022-…
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psnet.ahrq.gov/node/836808/psn-pdf
March 30, 2022 - Medication safety in the emergency department: a study
of serious medication errors reported by 101 hospitals
from 2011 to 2020.
March 30, 2022
Kukielka E, Jones R. Medication safety in the emergency department: a study of serious medication errors
reported by 101 hospitals from 2011 to 2020. Patient Safety. 2022;…
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psnet.ahrq.gov/node/48143/psn-pdf
January 01, 2020 - Assessing the safety of electronic health records: a
national longitudinal study of medication-related decision
support.
August 7, 2019
Holmgren J, Co Z, Newmark L, et al. Assessing the safety of electronic health records: a national
longitudinal study of medication-related decision support. BMJ Qual Saf. 2020;29(…
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psnet.ahrq.gov/node/848819/psn-pdf
May 10, 2023 - Family conferences to facilitate deprescribing in older
outpatients with frailty and with polypharmacy: the
COFRAIL cluster randomized trial.
May 10, 2023
Mortsiefer A, Löscher S, Pashutina Y, et al. Family conferences to facilitate deprescribing in older
outpatients with frailty and with polypharmacy: the COFRAIL…
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psnet.ahrq.gov/node/34714/psn-pdf
February 18, 2011 - Relation between malpractice claims and adverse events
due to negligence. Results of the Harvard Medical
Practice Study III.
February 18, 2011
Localio AR, Lawthers AG, Brennan TA, et al. Relation between Malpractice Claims and Adverse Events
Due to Negligence. New England Journal of Medicine. 2010;325(4). doi:10.1…
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psnet.ahrq.gov/node/37803/psn-pdf
January 06, 2017 - Paying the piper: investing in infrastructure for patient
safety.
January 6, 2017
Pronovost P, Rosenstein BJ, Paine LA, et al. Paying the piper: investing in infrastructure for patient safety.
Jt Comm J Qual Patient Saf. 2008;34(6):342-8.
https://psnet.ahrq.gov/issue/paying-piper-investing-infrastructure-patient-…