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psnet.ahrq.gov/node/45532/psn-pdf
September 28, 2016 - Prevention by design: construction and renovation of
health care facilities for patient safety and infection
prevention.
September 28, 2016
Olmsted RN. Prevention by Design: Construction and Renovation of Health Care Facilities for Patient
Safety and Infection Prevention. Infect Dis Clin North Am. 2016;30(3):713-2…
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psnet.ahrq.gov/node/47283/psn-pdf
January 27, 2019 - Association of the use of a mandatory prescription drug
monitoring program with prescribing practices for
patients undergoing elective surgery.
January 27, 2019
Stucke RS, Kelly JL, Mathis KA, et al. Association of the Use of a Mandatory Prescription Drug Monitoring
Program With Prescribing Practices for Patients …
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psnet.ahrq.gov/node/855420/psn-pdf
November 15, 2023 - Artificial intelligence-supported screen reading versus
standard double reading in the Mammography Screening
with Artificial Intelligence trial (MASAI): a clinical safety
analysis of a randomised, controlled, non-inferiority,
single-blinded, screening accuracy study.
November 15, 2023
Lång K, Josefsson V, Larsson…
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psnet.ahrq.gov/node/43444/psn-pdf
August 27, 2014 - Patient-safety–related hospital deaths in England:
thematic analysis of incidents reported to a national
database, 2010–2012.
August 27, 2014
Donaldson LJ, Panesar S, Darzi A. Patient-safety-related hospital deaths in England: thematic analysis of
incidents reported to a national database, 2010-2012. PLoS Med. 201…
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psnet.ahrq.gov/node/866900/psn-pdf
October 09, 2024 - Defects in value associated with hospital-acquired
conditions: how improving quality could save U.S.
healthcare $50 billion.
October 9, 2024
Padula WV, Pronovost PJ. Defects in value associated with hospital-acquired conditions: how improving
quality could save U.S. healthcare $50 billion. J Patient Saf. 2024;20(7…
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psnet.ahrq.gov/node/45662/psn-pdf
January 23, 2017 - National trends in hospitalizations for opioid poisonings
among children and adolescents, 1997 to 2012.
January 23, 2017
Gaither JR, Leventhal JM, Ryan SA, et al. National Trends in Hospitalizations for Opioid Poisonings Among
Children and Adolescents, 1997 to 2012. JAMA Peds. 2016;170(12):1195-1201.
doi:10.1001/j…
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psnet.ahrq.gov/node/37837/psn-pdf
June 11, 2008 - Testing process errors and their harms and
consequences reported from family medicine practices: a
study of the American Academy of Family Physicians
National Research Network.
June 11, 2008
Hickner J, Graham DG, Elder NC, et al. Testing process errors and their harms and consequences
reported from family medicin…
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psnet.ahrq.gov/node/858164/psn-pdf
December 13, 2023 - Risk-adjusted cumulative sum for early detection of
hospitals with excess perioperative mortality.
December 13, 2023
Chen VW, Chidi AP, Dong Y, et al. Risk-adjusted cumulative sum for early detection of hospitals with
excess perioperative mortality. JAMA Surg. 2023;158(11):1176. doi:10.1001/jamasurg.2023.3673.
htt…
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psnet.ahrq.gov/node/35467/psn-pdf
March 11, 2011 - The impact of electronic health records on time efficiency
of physicians and nurses: a systematic review.
March 11, 2011
Poissant L, Pereira J, Tamblyn R, et al. The impact of electronic health records on time efficiency of
physicians and nurses: a systematic review. J Am Med Inform Assoc. 2005;12(5):505-16.
https…
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psnet.ahrq.gov/node/45900/psn-pdf
June 07, 2017 - Blood bank specimen mislabeling: a College of American
Pathologists Q-Probes study of 41,333 blood bank
specimens in 30 institutions.
June 7, 2017
Novis DA, Lindholm PF, Ramsey G, et al. Blood Bank Specimen Mislabeling: A College of American
Pathologists Q-Probes Study of 41 333 Blood Bank Specimens in 30 Institut…
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psnet.ahrq.gov/node/36524/psn-pdf
May 31, 2011 - A human factors engineering paradigm for patient safety:
designing to support the performance of the healthcare
professional.
May 31, 2011
Karsh B-T, Holden RJ, Alper SJ, et al. A human factors engineering paradigm for patient safety: designing
to support the performance of the healthcare professional. Qual Saf He…
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psnet.ahrq.gov/node/43655/psn-pdf
December 19, 2014 - Systematic biases in group decision-making: implications
for patient safety.
December 19, 2014
Mannion R, Thompson C. Systematic biases in group decision-making: implications for patient safety. Int J
Qual Health Care. 2014;26(6):606-12. doi:10.1093/intqhc/mzu083.
https://psnet.ahrq.gov/issue/systematic-biases-gro…
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psnet.ahrq.gov/node/74179/psn-pdf
January 01, 2022 - Establishing a multidisciplinary taskforce to improve
anticoagulation safety at a large health system.
December 12, 2021
Attia E, Fuentes A, Vassallo M, et al. Establishing a multidisciplinary taskforce to improve anticoagulation
safety at a large health system. Am J Health Syst Pharm. 2022;79(4):297-305. doi:10.10…
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psnet.ahrq.gov/node/46894/psn-pdf
June 20, 2018 - Smart pump custom concentrations without hard "low
concentration" alerts can lead to patient harm.
June 20, 2018
ISMP Medication Safety Alert! Acute Care Edition. May 31, 2018;23:1-4.
https://psnet.ahrq.gov/issue/smart-pump-custom-concentrations-without-hard-low-concentration-alerts-can-
lead-patient-harm
Smart p…
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psnet.ahrq.gov/node/865969/psn-pdf
May 29, 2024 - Impact of pharmacist-led interventions on medication-
related problems among patients treated for cancer: a
systematic review and meta-analysis of randomized
control trials.
May 29, 2024
Fentie AM, Huluka SA, Gebremariam GT, et al. Impact of pharmacist-led interventions on medication-
related problems among patie…
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psnet.ahrq.gov/node/42283/psn-pdf
February 27, 2014 - Finding and fixing mistakes: do checklists work for
clinicians with different levels of experience?
February 27, 2014
Sibbald M, de Bruin A, van Merrienboer JJG. Finding and fixing mistakes: do checklists work for clinicians
with different levels of experience? Adv Health Sci Educ Theory Pract. 2014;19(1):43-51.
d…
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psnet.ahrq.gov/node/865971/psn-pdf
May 29, 2024 - Lessons learned from a national hospital antibiotic
stewardship implementation project.
May 29, 2024
Cosgrove SE, Ahn R, Dullabh P, et al. Lessons learned from a national hospital antibiotic stewardship
implementation project. Jt Comm J Qual Patient Saf. 2024;50(6):435-441. doi:10.1016/j.jcjq.2024.04.002.
https://…
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psnet.ahrq.gov/node/35906/psn-pdf
May 27, 2011 - Error reduction in pediatric chemotherapy: computerized
order entry and failure modes and effects analysis.
May 27, 2011
Kim G, Chen AR, Arceci RJ, et al. Error reduction in pediatric chemotherapy: computerized order entry and
failure modes and effects analysis. Arch Pediatr Adolesc Med. 2006;160(5):495-8.
https:/…
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psnet.ahrq.gov/node/45355/psn-pdf
September 28, 2016 - Getting it right for patient safety: specimen collection
process improvement from operating room to pathology.
September 28, 2016
D'Angelo R, Mejabi O. Getting It Right for Patient Safety: Specimen Collection Process Improvement From
Operating Room to Pathology. Am J Clin Pathol. 2016;146(1):8-17. doi:10.1093/ajcp/…
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psnet.ahrq.gov/node/852751/psn-pdf
August 23, 2023 - Automated search methods for identifying wrong patient
order entry-a scoping review.
August 23, 2023
Garrod M, Fox A, Rutter P. Automated search methods for identifying wrong patient order entry—a scoping
review. JAMIA Open. 2023;6(3):ooad057. doi:10.1093/jamiaopen/ooad057.
https://psnet.ahrq.gov/issue/automated-s…