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psnet.ahrq.gov/node/854261/psn-pdf
October 04, 2023 - Identifying and prioritizing educational content from a
malpractice claims database for clinical reasoning
education in the vocational training of general
practitioners.
October 4, 2023
van Sassen CGM, van den Berg PJ, Mamede S, et al. Identifying and prioritizing educational content from
a malpractice claims dat…
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psnet.ahrq.gov/node/50883/psn-pdf
February 12, 2020 - Time series evaluation of improvement interventions to
reduce alarm notifications in a paediatric hospital.
February 12, 2020
Pater CM, Sosa TK, Boyer J, et al. Time series evaluation of improvement interventions to reduce alarm
notifications in a paediatric hospital. BMJ Qual Saf. 2020;29(9):717-726. doi:10.1136/b…
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psnet.ahrq.gov/node/60549/psn-pdf
June 03, 2020 - Rate of diagnostic errors and serious misdiagnosis-
related harms for major vascular events, infections, and
cancers: toward a national incidence estimate using the
“Big Three”.
June 3, 2020
Newman-Toker DE, Wang Z, Zhu Y, et al. Rate of diagnostic errors and serious misdiagnosis-related
harms for major vascular …
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psnet.ahrq.gov/node/50868/psn-pdf
February 05, 2020 - Adverse medication events related to hospitalization in
the United States: a comparison between adults with
intellectual and developmental disabilities and those
without.
February 5, 2020
Erickson SR, Kamdar N, Wu C-H. Adverse Medication Events Related to Hospitalization in the United
States: A Comparison Between…
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psnet.ahrq.gov/node/72743/psn-pdf
February 17, 2021 - Preventable medication harm across health care settings:
a systematic review and meta-analysis.
February 17, 2021
Hodkinson A, Tyler N, Ashcroft DM, et al. Preventable medication harm across health care settings: a
systematic review and meta-analysis. BMC Med. 2020;18(1):313. doi:10.1186/s12916-020-01774-9.
https:…
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psnet.ahrq.gov/node/74854/psn-pdf
February 23, 2022 - Nursing guidelines for comprehensive harm prevention
strategies for adult patients in acute hospitals: an
integrative review and synthesis.
February 23, 2022
Redley B, Douglas T, Hoon L, et al. Nursing guidelines for comprehensive harm prevention strategies for
adult patients in acute hospitals: An integrative rev…
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psnet.ahrq.gov/node/72855/psn-pdf
March 17, 2021 - We asked the experts: the WHO Surgical Safety Checklist
and the COVID-19 pandemic: recommendations for
content and implementation adaptations.
March 17, 2021
Panda N, Etheridge JC, Singh T, et al. The WHO Surgical Safety Checklist and the COVID-19 pandemic:
recommendations for content and implementation adaptation…
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psnet.ahrq.gov/node/852750/psn-pdf
August 23, 2023 - Cognitive biases and moral characteristics of healthcare
workers and their treatment approach for persons with
advanced dementia in acute care settings.
August 23, 2023
Erel M, Marcus E-L, DeKeyser Ganz F. Cognitive biases and moral characteristics of healthcare workers
and their treatment approach for persons wit…
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psnet.ahrq.gov/node/33901/psn-pdf
August 01, 2023 - Patient Safety Indicators Overview.
August 1, 2023
Agency for Healthcare Research and Quality
https://psnet.ahrq.gov/issue/patient-safety-indicators-overview
The AHRQ Patient Safety Indicators (PSIs) represent quality measures that make use of a hospital's
available administrative data. The PSIs reflect the qualit…
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psnet.ahrq.gov/node/60551/psn-pdf
January 01, 2021 - Improvement in patient safety may precede policy
changes: trends in patient safety indicators in the United
States, 2000-2013.
June 3, 2020
Tedesco D, Moghavem N, Weng Y, et al. Improvement in patient safety may precede policy changes:
trends in patient safety indicators in the United States, 2000-2013. J Patient …
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psnet.ahrq.gov/issue/2024-network-patient-safety-databases-chartbook-medication-and-other-substance-events
September 11, 2024 - Book/Report
2024 Network of Patient Safety Databases Chartbook: Medication and Other Substance Events.
Citation Text:
2024 Network Of Patient Safety Databases Chartbook: Medication And Other Substance Events. Rockville, MD: Agency for Healthcare Research and Quality; 2024. AHRQ Pub. No. …
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psnet.ahrq.gov/node/34778/psn-pdf
December 23, 2008 - Anesthetic mishaps: breaking the chain of accident
evolution.
December 23, 2008
Gaba DM, Maxwell M, DeAnda A. Anesthetic mishaps: breaking the chain of accident evolution.
Anesthesiology. 1987;66(5):670-6.
https://psnet.ahrq.gov/issue/anesthetic-mishaps-breaking-chain-accident-evolution
A review of anesthesia saf…
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psnet.ahrq.gov/node/43952/psn-pdf
March 04, 2015 - Improving resident morning sign-out by use of daily
events reports.
March 4, 2015
Nabors C, Patel D, Khera S, et al. Improving resident morning sign-out by use of daily events reports. J
Patient Saf. 2015;11(1):36-41. doi:10.1097/PTS.0b013e31829e4f56.
https://psnet.ahrq.gov/issue/improving-resident-morning-sign-ou…
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psnet.ahrq.gov/node/41985/psn-pdf
October 26, 2016 - Legislative Report to the General Assembly: Adverse
Event Reporting.
October 26, 2016
Pino R, Furniss WH, Mueller L, Olson JC. Hartford, CT: Connecticut Department of Public Health; October
2016.
https://psnet.ahrq.gov/issue/legislative-report-general-assembly-adverse-event-reporting
This annual publication provi…
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psnet.ahrq.gov/node/45221/psn-pdf
July 18, 2016 - When less is better, but physicians are afraid not to
intervene.
July 18, 2016
Esserman L. When Less Is Better, but Physicians Are Afraid Not to Intervene. JAMA Intern Med.
2016;176(7):888-9. doi:10.1001/jamainternmed.2016.2257.
https://psnet.ahrq.gov/issue/when-less-better-physicians-are-afraid-not-intervene
Bia…
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psnet.ahrq.gov/node/40011/psn-pdf
November 17, 2010 - Quality of traditional surveillance for public reporting of
nosocomial bloodstream infection rates.
November 17, 2010
Lin MY, Hota B, Khan YM, et al. Quality of traditional surveillance for public reporting of nosocomial
bloodstream infection rates. JAMA. 2010;304(18):2035-41. doi:10.1001/jama.2010.1637.
https://p…
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psnet.ahrq.gov/node/46628/psn-pdf
December 18, 2017 - Residency evaluations—where is the patient voice?
December 18, 2017
Tummalapalli SL. Residency Evaluations-Where Is the Patient Voice? JAMA Intern Med.
2017;177(12):1722-1723. doi:10.1001/jamainternmed.2017.6029.
https://psnet.ahrq.gov/issue/residency-evaluations-where-patient-voice
Residents rarely receive feedba…
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psnet.ahrq.gov/node/46244/psn-pdf
June 28, 2017 - Changing the narratives for patient safety.
June 28, 2017
Pronovost P, Sutcliffe K, Basu L, et al. Changing the narratives for patient safety. Bull World Health Organ.
2017;95(6):478-480. doi:10.2471/BLT.16.178392.
https://psnet.ahrq.gov/issue/changing-narratives-patient-safety
Mental models represent established …
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psnet.ahrq.gov/node/42436/psn-pdf
August 07, 2013 - Office-based physicians are responding to incentives and
assistance by adopting and using electronic health
records.
August 7, 2013
Hsiao C-J, Jha AK, King J, et al. Office-based physicians are responding to incentives and assistance by
adopting and using electronic health records. Health Aff (Millwood). 2013;32(8…
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psnet.ahrq.gov/node/46742/psn-pdf
March 14, 2018 - Evidence-based guidelines for fatigue risk management in
emergency medical services.
March 14, 2018
Patterson D, Higgins S, Van Dongen HPA, et al. Evidence-Based Guidelines for Fatigue Risk Management
in Emergency Medical Services. Prehosp Emerg Care. 2018;22(sup1):89-101.
doi:10.1080/10903127.2017.1376137.
https…