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psnet.ahrq.gov/node/50736/psn-pdf
December 11, 2019 - Prevalence and nature of medication errors and
preventable adverse drug events in paediatric and
neonatal intensive care settings: a systematic review.
December 11, 2019
Alghamdi AA, Keers RN, Sutherland A, et al. Prevalence and Nature of Medication Errors and Preventable
Adverse Drug Events in Paediatric and Neon…
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psnet.ahrq.gov/node/865812/psn-pdf
May 08, 2024 - The use of artificial intelligence to optimize medication
alerts generated by clinical decision support systems: a
scoping review.
May 8, 2024
Graafsma J, Murphy RM, van de Garde EMW, et al. The use of artificial intelligence to optimize medication
alerts generated by clinical decision support systems: a scoping r…
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psnet.ahrq.gov/node/60556/psn-pdf
June 03, 2020 - The impact of technology on prescribing errors in
pediatric intensive care: a before and after study.
June 3, 2020
Howlett MM, Butler E, Lavelle KM, et al. The impact of technology on prescribing errors in pediatric
intensive care: a before and after study. Appl Clin Inform. 2020;11(02). doi:10.1055/s-0040-1709508.…
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psnet.ahrq.gov/node/854258/psn-pdf
October 04, 2023 - A virtual breakthrough series collaborative to support
deprescribing interventions across Veterans Affairs
healthcare settings.
October 4, 2023
Phillips KK, Mecca MC, Baim?Lance AM, et al. A virtual breakthrough series collaborative to support
deprescribing interventions across Veterans Affairs healthcare settings…
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psnet.ahrq.gov/node/837797/psn-pdf
August 10, 2022 - Toward constructive change after making a medical error:
recovery from situations of error theory as a psychosocial
model for clinician recovery.
August 10, 2022
Harrison R, Johnson J, Mcmullan RD, et al. Toward constructive change after making a medical error:
recovery from situations of error theory as a psychos…
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psnet.ahrq.gov/node/74866/psn-pdf
February 23, 2022 - Eliminating explicit and implicit biases in health care:
evidence and research needs.
February 23, 2022
Vela MB, Erondu AI, Smith NA, et al. Eliminating explicit and implicit biases in health care: evidence and
research needs. Annu Rev Public Health. 2022;43(1):477-501. doi:10.1146/annurev-publhealth-052620-
10352…
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psnet.ahrq.gov/node/866687/psn-pdf
September 11, 2024 - An exploratory analysis of the association between
healthcare associated infections & hospital financial
performance.
September 11, 2024
Beauvais B, Dolezel D, Shanmugam R, et al. An exploratory analysis of the association between
healthcare associated infections & hospital financial performance. Healthcare (Basel…
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psnet.ahrq.gov/node/866159/psn-pdf
June 19, 2024 - Stakeholder perspectives on contributors to delayed and
inaccurate diagnosis of cardiovascular disease and their
implications for digital health technologies: a UK-based
qualitative study.
June 19, 2024
Abdullayev K, Gorvett O, Sochiera A, et al. Stakeholder perspectives on contributors to delayed and
inaccurate …
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psnet.ahrq.gov/node/837210/psn-pdf
May 25, 2022 - A learning health system agenda for organizational
approaches to enhancing occupational well-being among
clinicians.
May 25, 2022
Rotenstein LS, Melnick ER, Sinsky CA. A learning health system agenda for organizational approaches to
enhancing occupational well-being among clinicians. JAMA. 2022;327(21):2079-2080.
…
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psnet.ahrq.gov/node/857455/psn-pdf
January 01, 2024 - Addressing veteran health-related social needs: how
Joint Commission standards accelerated integration and
expansion of tools and services in the Veterans Health
Administration.
December 6, 2023
List JM, Russell LE, Hausmann LRM, et al. Addressing veteran health-related social needs: how Joint
Commission standard…
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psnet.ahrq.gov/node/838243/psn-pdf
October 05, 2022 - Evaluation of medication incidents in a long-term care
facility using electronic medication administration
records and barcode technology.
October 5, 2022
Fuller AEC, Guirguis LM, Sadowski CA, et al. Evaluation of medication incidents in a long-term care facility
using electronic medication administration records …
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psnet.ahrq.gov/node/838190/psn-pdf
September 28, 2015 - Use of an expedited review tool to screen for prior
diagnostic error in emergency department patients.
September 28, 2015
Hudspeth J, El-Kareh R, Schiff G. Use of an expedited review tool to screen for prior diagnostic error in
emergency department patients. Appl Clin Inform. 2015;06(04):619-628. doi:10.4338/aci-20…
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psnet.ahrq.gov/node/837138/psn-pdf
May 18, 2022 - Association of diagnostic stewardship for blood cultures
in critically ill children with culture rates, antibiotic use,
and patient outcomes: results of the Bright STAR
Collaborative.
May 18, 2022
Woods-Hill CZ, Colantuoni EA, Koontz DW, et al. Association of diagnostic stewardship for blood cultures
in criticall…
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psnet.ahrq.gov/node/45458/psn-pdf
November 30, 2016 - Request for comments on the proposed measures and
2020 targets for the National Action Plan for Adverse Drug
Event Prevention: inpatient and outpatient measures for
reduction of adverse drug events from anticoagulants,
diabetes agents, and opioid analgesics.
November 30, 2016
Office of Disease Prevention and Heal…
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psnet.ahrq.gov/node/72783/psn-pdf
February 24, 2021 - Measurement matters: changing penalty calculations
under the hospital acquired condition reduction program
(HACRP) cost hospitals millions.
February 24, 2021
Vsevolozhskaya OA, Manz KC, Zephyr PM, et al. Measurement matters: changing penalty calculations
under the hospital acquired condition reduction program (HAC…
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psnet.ahrq.gov/node/60540/psn-pdf
November 01, 2016 - Quality improvement initiatives lead to reduction in
nulliparous term singleton vertex cesarean delivery rate.
November 1, 2016
Vadnais MA, Hacker MR, Shah NT, et al. Quality improvement initiatives lead to reduction in nulliparous
term singleton vertex cesarean delivery rate. Jt Comm J Qual Patient Saf. 2016;43(2)…
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psnet.ahrq.gov/node/42419/psn-pdf
July 17, 2013 - Health IT Patient Safety Action and Surveillance Plan.
July 17, 2013
Washington, DC: Office of the National Coordinator for Health Information Technology; July 2, 2013.
https://psnet.ahrq.gov/issue/health-it-patient-safety-action-and-surveillance-plan
This report from the Department of Health and Human Services (HH…
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psnet.ahrq.gov/node/74839/psn-pdf
February 16, 2022 - Impact of unacceptable behaviour between healthcare
workers on clinical performance and patient outcomes: a
systematic review.
February 16, 2022
Guo L, Ryan B, Leditschke IA, et al. Impact of unacceptable behaviour between healthcare workers on
clinical performance and patient outcomes: a systematic review. BMJ Qu…
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psnet.ahrq.gov/node/866170/psn-pdf
June 19, 2024 - The World Federation of Chiropractic Global Patient
Safety Task Force: a call to action.
June 19, 2024
Coleman BC, Rubinstein SM, Salsbury SA, et al. The World Federation of Chiropractic Global Patient
Safety Task Force: a call to action. Chiropr Man Therap. 2024;32(1):15. doi:10.1186/s12998-024-00536-1.
https://p…
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psnet.ahrq.gov/node/836924/psn-pdf
April 13, 2022 - The analysis of hospital readmission rates after the
implementation of Hospital Readmissions Reduction
Program.
April 13, 2022
Muchiri S, Azadeh-Fard N, Pakdil F. The analysis of hospital readmission rates after the implementation of
hospital readmissions reduction program. J Patient Saf. 2022;18(3):237-244.
doi:…