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psnet.ahrq.gov/node/39422/psn-pdf
March 23, 2011 - Organisational readiness: exploring the preconditions for
success in organisation-wide patient safety improvement
programmes.
March 23, 2011
Burnett S, Benn J, Pinto A, et al. Organisational readiness: exploring the preconditions for success in
organisation-wide patient safety improvement programmes. Qual Saf Heal…
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psnet.ahrq.gov/node/45117/psn-pdf
August 03, 2016 - Using computerized prescriber order entry to limit
overrides from automated dispensing cabinets.
August 3, 2016
Drake E, Srinivas P, Trujillo T. Using computerized prescriber order entry to limit overrides from automated
dispensing cabinets. Am J Health-Syst Pharm. 2016;73(14):1033-1035. doi:10.2146/ajhp150564.
ht…
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psnet.ahrq.gov/node/865876/psn-pdf
May 15, 2024 - Systematic review on the frequency and quality of
reporting patient and public involvement in patient safety
research.
May 15, 2024
Hammoud S, Alsabek L, Rogers L, et al. Systematic review on the frequency and quality of reporting
patient and public involvement in patient safety research. BMC Health Serv Res. 2024…
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psnet.ahrq.gov/node/866954/psn-pdf
October 16, 2024 - Patient and public involvement in healthcare: a
systematic mapping review of systematic reviews -
identification of current research and possible directions
for future research.
October 16, 2024
Bergholtz J, Wolf A, Crine V, et al. Patient and public involvement in healthcare: a systematic mapping
review of syste…
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psnet.ahrq.gov/node/41876/psn-pdf
December 04, 2016 - Errors in palliative care: kinds, causes, and
consequences: a pilot survey of experiences and
attitudes of palliative care professionals.
December 4, 2016
Dietz I, Borasio GD, Molnar C, et al. Errors in palliative care: kinds, causes, and consequences: a pilot
survey of experiences and attitudes of palliative care…
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psnet.ahrq.gov/node/43594/psn-pdf
May 01, 2015 - Impact of introducing an electronic physiological
surveillance system on hospital mortality.
May 1, 2015
Schmidt PE, Meredith P, Prytherch DR, et al. Impact of introducing an electronic physiological surveillance
system on hospital mortality. BMJ Qual Saf. 2015;24(1):10-20. doi:10.1136/bmjqs-2014-003073.
https://p…
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psnet.ahrq.gov/node/39525/psn-pdf
March 13, 2019 - Effect of bar-code technology on the safety of medication
administration.
March 13, 2019
Poon EG, Keohane C, Yoon CS, et al. Effect of bar-code technology on the safety of medication
administration. New Engl J Med. 2010;362(18):1698-1707. doi:10.1056/NEJMsa0907115.
https://psnet.ahrq.gov/issue/effect-bar-code-tech…
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psnet.ahrq.gov/node/73206/psn-pdf
May 05, 2021 - Treatment patterns and clinical outcomes after the
introduction of the Medicare Sepsis Performance Measure
(SEP-1).
May 5, 2021
Barbash IJ, Davis BS, Yabes JG, et al. Treatment patterns and clinical outcomes after the introduction of
the Medicare Sepsis Performance Measure (SEP-1). Ann Intern Med. 2021;174(7):927-…
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psnet.ahrq.gov/node/45950/psn-pdf
July 18, 2017 - Developing and evaluating an automated all-cause harm
trigger system.
July 18, 2017
Sammer C, Miller S, Jones C, et al. Developing and Evaluating an Automated All-Cause Harm Trigger
System. Jt Comm J Qual Patient Saf. 2017;43(4):155-165. doi:10.1016/j.jcjq.2017.01.004.
https://psnet.ahrq.gov/issue/developing-and-e…
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psnet.ahrq.gov/node/41497/psn-pdf
April 05, 2013 - Avoiding handover fumbles: a controlled trial of a
structured handover tool versus traditional handover
methods.
April 5, 2013
Payne CE, Stein JM, Leong T, et al. Avoiding handover fumbles: a controlled trial of a structured handover
tool versus traditional handover methods. BMJ Qual Saf. 2012;21(11):925-32. doi:1…
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psnet.ahrq.gov/node/854626/psn-pdf
October 18, 2023 - Developing surgical and anesthesia resident patient
safety competencies through systems-based event
analysis. Guide to curricular development and evaluation
of longer-term resident perceptions.
October 18, 2023
Bagian JP, Paull DE, DeRosier JM. Developing surgical and anesthesia resident patient safety
competenci…
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psnet.ahrq.gov/node/46696/psn-pdf
January 10, 2018 - Achieving the Institute of Medicine's 6 aims for quality in
the midst of the opioid crisis: considerations for the
emergency department.
January 10, 2018
Waszak DL, Fennimore LA. Achieving the Institute of Medicine's 6 aims for quality in the midst of the opioid
crisis: considerations for the emergency department.…
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psnet.ahrq.gov/node/41963/psn-pdf
February 01, 2013 - National study on the distribution, causes, and
consequences of voluntarily reported medication errors
between the ICU and non-ICU settings.
February 1, 2013
Latif A, Rawat N, Pustavoitau A, et al. National study on the distribution, causes, and consequences of
voluntarily reported medication errors between the IC…
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psnet.ahrq.gov/node/47098/psn-pdf
August 15, 2018 - Accuracy of pediatric trauma field triage: a systematic
review.
August 15, 2018
van der Sluijs R, van Rein EAJ, Wijnand JGJ, et al. Accuracy of Pediatric Trauma Field Triage: A
Systematic Review. JAMA Surg. 2018;153(7):671-676. doi:10.1001/jamasurg.2018.1050.
https://psnet.ahrq.gov/issue/accuracy-pediatric-trauma-…
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psnet.ahrq.gov/node/854377/psn-pdf
October 11, 2023 - Can asking emergency physicians whether or not they
would have done something differently (WYHDSD) be a
useful screening tool to identify emergency department
error?
October 11, 2023
Arastehmanesh D, Mangino A, Eshraghi N, et al. Can asking emergency physicians whether or not they
would have done something differ…
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psnet.ahrq.gov/node/41437/psn-pdf
January 03, 2017 - Making the transition to nursing bedside shift reports.
January 3, 2017
Wakefield DS, Ragan R, Brandt J, et al. Making the transition to nursing bedside shift reports. Jt Comm J
Qual Patient Saf. 2012;38(6):243-53.
https://psnet.ahrq.gov/issue/making-transition-nursing-bedside-shift-reports
Efforts to improve comm…
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psnet.ahrq.gov/node/42721/psn-pdf
December 12, 2014 - Infusional chemotherapy and medication errors in a
tertiary care pediatric cancer unit in a resource-limited
setting.
December 12, 2014
Dhamija M, Kapoor G, Juneja A. Infusional chemotherapy and medication errors in a tertiary care pediatric
cancer unit in a resource-limited setting. J Pediatr Hematol Oncol. 2014;…
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psnet.ahrq.gov/node/862128/psn-pdf
February 07, 2024 - Embracing the future-is artificial intelligence already
better? A comparative study of artificial intelligence
performance in diagnostic accuracy and decision-making.
February 7, 2024
Fonseca Â, Ferreira A, Ribeiro L, et al. Embracing the future—is artificial intelligence already better? A
comparative study of art…
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psnet.ahrq.gov/node/44648/psn-pdf
February 14, 2017 - Rising drug allergy alert overrides in electronic health
records: an observational retrospective study of a decade
of experience.
February 14, 2017
Topaz M, Seger DL, Slight SP, et al. Rising drug allergy alert overrides in electronic health records: an
observational retrospective study of a decade of experience. …
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psnet.ahrq.gov/node/42040/psn-pdf
September 28, 2016 - The intended and unintended consequences of
communication systems on general internal medicine
inpatient care delivery: a prospective observational case
study of five teaching hospitals.
September 28, 2016
Wu RC, Lo V, Morra D, et al. The intended and unintended consequences of communication systems on
general in…