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psnet.ahrq.gov/node/838909/psn-pdf
October 26, 2022 - Designing safety interventions for specific contexts:
results from a literature review.
October 26, 2022
Karanikas N, Khan SR, Baker PRA, et al. Designing safety interventions for specific contexts: Results from
a literature review. Safety Sci. 2022;156:105906. doi:10.1016/j.ssci.2022.105906.
https://psnet.ahrq.go…
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psnet.ahrq.gov/node/841482/psn-pdf
December 14, 2022 - Errors in surgery: a case control study.
December 14, 2022
Marsh KM, Turrentine FE, Schenk WG, et al. Errors in surgery: a case control study. Ann Surg.
2022;276(5):e347-e352. doi:10.1097/sla.0000000000005664.
https://psnet.ahrq.gov/issue/errors-surgery-case-control-study
The perioperative period represents a vuln…
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psnet.ahrq.gov/node/845075/psn-pdf
February 22, 2023 - Artificial intelligence, patient safety, and achieving the
quintuple aim in anesthesiology.
February 22, 2023
Tan JM, Cannesson MP. APSF Newsletter. 2023;38(2):1,3–4,7.
https://psnet.ahrq.gov/issue/artificial-intelligence-patient-safety-and-achieving-quintuple-aim-anesthesiology
Technological advancement…
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psnet.ahrq.gov/node/50640/psn-pdf
November 06, 2019 - Cascades of care after incidental findings in a US national
survey of physicians.
November 6, 2019
Ganguli I, Simpkin AL, Lupo C, et al. Cascades of Care After Incidental Findings in a US National Survey of
Physicians. JAMA Netw Open. 2019;2(10):e1913325. doi:10.1001/jamanetworkopen.2019.13325.
https://psnet.ahrq.…
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psnet.ahrq.gov/node/34123/psn-pdf
November 02, 2014 - Preventing Infections in the Hospital—What You As a
Patient Can Do.
November 2, 2014
National Patient Safety Foundation; NPSF
https://psnet.ahrq.gov/issue/preventing-infections-hospital-what-you-patient-can-do
Postoperative infections represent a common and often preventable event. This patient fact sheet outlines…
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psnet.ahrq.gov/web-mm/dropping-new-lows
December 18, 2024 - practices and address issues in a collaborative and timely manner.( 9 ) This committee should include representatives
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psnet.ahrq.gov/web-mm/dont-dismiss-dangerous-obstetric-hemorrhage
August 21, 2024 - a team that includes key obstetricians, nurses, anesthesiologists, pharmacists, administrators, and representatives
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psnet.ahrq.gov/primer/debriefing-clinical-learning
September 15, 2024 - A couple of the key departments did not send representatives and one member of the night staff was not
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psnet.ahrq.gov/node/851653/psn-pdf
July 26, 2023 - Content analysis of nurses' reflections on medication
errors in a regional hospital.
July 26, 2023
Issacs AN, RAYMOND A, KENT B. Content analysis of nurses’ reflections on medication errors in a
regional hospital. Contemp Nurse. 2023;59(3):202-213. doi:10.1080/10376178.2023.2220432.
https://psnet.ahrq.gov/issue/co…
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psnet.ahrq.gov/node/60535/psn-pdf
May 27, 2020 - Dramatic drop in cancer diagnoses amid COVID pandemic
is cause for concern, doctors say.
May 27, 2020
Abdelmalek M, Bruggeman L. ABC News. May 14, 2020.
https://psnet.ahrq.gov/issue/dramatic-drop-cancer-diagnoses-amid-covid-pandemic-cause-concern-
doctors-say
The COVID-19 pandemic has reduced patient use of prima…
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psnet.ahrq.gov/node/74209/psn-pdf
December 22, 2021 - Aligning patient safety and stewardship: a harm reduction
strategy for children.
December 22, 2021
Schefft M, Noda A, Godbout E. Aligning patient safety and stewardship: a harm reduction strategy for
children. Curr Treat Options Pediatr. 2021;7(3):138-151. doi:10.1007/s40746-021-00227-6.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/74128/psn-pdf
December 01, 2021 - Call to action: addressing pediatric fall safety in
ambulatory environments.
December 1, 2021
Benning S, Wolfe R, Banes M, et al. Call to action: addressing pediatric fall safety in ambulatory
environments. J Pediatr Nurs. 2021;61:372-377. doi:10.1016/j.pedn.2021.09.012.
https://psnet.ahrq.gov/issue/call-action-ad…
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psnet.ahrq.gov/node/74850/psn-pdf
February 16, 2022 - Medicare penalizes dozens of hospitals it also gives five
stars.
February 16, 2022
Rau J. Kaiser Health News. February 8, 2022.
https://psnet.ahrq.gov/issue/medicare-penalizes-dozens-hospitals-it-also-gives-five-stars
Rating systems face challenges to accurately represent the safety and quality of patient ca…
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psnet.ahrq.gov/node/856636/psn-pdf
January 01, 2024 - Public opinion of resident physician work hours in 2022.
November 29, 2023
Weaver MD, Barger LK, Sullivan JP, et al. Public opinion of resident physician work hours in 2022. Sleep
Health. 2024;10(1supp):s194-s200. doi:10.1016/j.sleh.2023.08.016.
https://psnet.ahrq.gov/issue/public-opinion-resident-physician-work-ho…
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psnet.ahrq.gov/issue/missed-diagnoses-acute-myocardial-infarction-emergency-department-variation-patient-and
April 08, 2018 - Study
Missed diagnoses of acute myocardial infarction in the emergency department: variation by patient and facility characteristics.
Citation Text:
Moy E, Barrett M, Coffey R, et al. Missed diagnoses of acute myocardial infarction in the emergency department: variation by patient and fa…
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psnet.ahrq.gov/node/38793/psn-pdf
August 12, 2016 - Pediatric Quality Indicators Overview.
August 12, 2016
Agency for Healthcare Research and Quality
https://psnet.ahrq.gov/issue/pediatric-quality-indicators-overview
The Agency for Healthcare Research and Quality's (AHRQ) Quality Indicators (QIs) represent quality
measures that make use of a hospital's available ad…
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psnet.ahrq.gov/node/865970/psn-pdf
May 29, 2024 - A scoping review of the methodological approaches used
in retrospective chart reviews to validate adverse event
rates in administrative data.
May 29, 2024
Connolly A, Kirwan M, Matthews A. A scoping review of the methodological approaches used in
retrospective chart reviews to validate adverse event rates in admin…
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psnet.ahrq.gov/node/867192/psn-pdf
November 20, 2024 - 2024 Network of Patient Safety Databases Chartbook:
Medication and Other Substance Events.
November 20, 2024
2024 Network Of Patient Safety Databases Chartbook: Medication And Other Substance Events. Rockville,
MD: Agency for Healthcare Research and Quality; 2024. AHRQ Pub. No. 24-0088
https://psnet.ahrq.gov/issue…
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psnet.ahrq.gov/node/36604/psn-pdf
June 04, 2024 - Adverse Health Events in Minnesota: Annual Reports.
June 4, 2024
St Paul, MN: Minnesota Department of Health.
https://psnet.ahrq.gov/issue/adverse-health-events-minnesota-15th-annual-public-report
The National Quality Forum has defined 29 never events—patient safety problems that should never occur,
such as wrong-…
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psnet.ahrq.gov/node/45948/psn-pdf
January 01, 2021 - Preoperative site marking: are we adhering to good
surgical practice?
July 26, 2017
Bathla S, Chadwick M, Nevins EJ, et al. Preoperative Site Marking. J Patient Saf. 2021;17(6):e503-e508.
doi:10.1097/pts.0000000000000398.
https://psnet.ahrq.gov/issue/preoperative-site-marking-are-we-adhering-good-surgical-practice…