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psnet.ahrq.gov/issue/antidepressant-and-antipsychotic-medication-errors-reported-united-states-poison-control
March 24, 2021 - Study
Antidepressant and antipsychotic medication errors reported to United States poison control centers.
Citation Text:
Kamboj A, Spiller HA, Casavant MJ, et al. Antidepressant and antipsychotic medication errors reported to United States poison control centers. Pharmacoepidemiol Drug …
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psnet.ahrq.gov/issue/mitigating-patient-and-consumer-safety-risks-when-using-conversational-assistants-medical
September 19, 2018 - Study
Mitigating patient and consumer safety risks when using conversational assistants for medical information: exploratory mixed methods experiment.
Citation Text:
Bickmore TW, Olafsson S, O'Leary TK. Mitigating patient and consumer safety risks when using conversational assistants for…
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psnet.ahrq.gov/issue/how-dangerous-day-hospital-model-adverse-events-and-length-stay-medical-inpatients
February 09, 2012 - Study
Classic
How dangerous is a day in hospital?: A model of adverse events and length of stay for medical inpatients.
Citation Text:
Hauck K, Zhao X. How dangerous is a day in hospital? A model of adverse events and length of stay for medical inpatients. Med…
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psnet.ahrq.gov/issue/how-does-context-affect-interventions-improve-patient-safety-assessment-evidence-studies-five
September 20, 2011 - Review
How does context affect interventions to improve patient safety? An assessment of evidence from studies of five patient safety practices and proposals for research.
Citation Text:
Ovretveit JC, Shekelle PG, Dy SM, et al. How does context affect interventions to improve patient s…
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psnet.ahrq.gov/issue/longitudinal-evaluation-computed-tomography-radiation-incidents-within-multisite-nhs-trust
September 07, 2022 - Study
A longitudinal evaluation of computed tomography radiation incidents within a multisite NHS trust.
Citation Text:
Adamson HK, Foster B, Clarke R, et al. A longitudinal evaluation of computed tomography radiation incidents within a multisite NHS trust. J Patient Saf. 2022;18(7):e109…
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psnet.ahrq.gov/issue/finding-diagnostic-errors-children-admitted-picu
May 21, 2016 - Study
Finding diagnostic errors in children admitted to the PICU.
Citation Text:
Davalos MC, Samuels K, Meyer AND, et al. Finding diagnostic errors in children admitted to the PICU. Pediatr Crit Care Med. 2017;18(3):265-271. doi:10.1097/PCC.0000000000001059.
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psnet.ahrq.gov/issue/using-human-factors-framework-assess-clinician-perceptions-and-barriers-high-reliability-hand
December 02, 2020 - Study
Using a human factors framework to assess clinician perceptions of and barriers to high reliability in hand hygiene.
Citation Text:
Vaughan-Malloy AM, Chan Yuen J, Sandora TJ. Using a human factors framework to assess clinician perceptions of and barriers to high reliability in han…
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psnet.ahrq.gov/issue/national-and-local-medication-error-reporting-systems-survey-practices-16-countries
September 09, 2015 - Study
National and local medication error reporting systems—a survey of practices in 16 countries.
Citation Text:
Holmström A-R, Airaksinen M, Weiss M, et al. National and local medication error reporting systems: a survey of practices in 16 countries. J Patient Saf. 2012;8(4):165-76. …
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psnet.ahrq.gov/issue/assessing-nourishment-problems-hospital-what-can-we-learn-them
January 08, 2025 - Study
Assessing nourishment problems at a hospital: what can we learn from them?
Citation Text:
Clausen MK, Bogh SB, Schmidt-Petersen M, et al. Assessing nourishment problems at a hospital: what can we learn from them? BMJ Open Qual. 2024;13(2):e002745. doi:10.1136/bmjoq-2024-002745.
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psnet.ahrq.gov/issue/radiologist-errors-modality-anatomic-region-and-pathology-16-million-exams-what-we-have
October 18, 2023 - Study
Radiologist errors by modality, anatomic region, and pathology for 1.6 million exams: what we have learned.
Citation Text:
Lamoureux C, Hanna TN, Sprecher D, et al. Radiologist errors by modality, anatomic region, and pathology for 1.6 million exams: what we have learned. Emerg Rad…
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psnet.ahrq.gov/issue/improving-feedback-junior-doctors-prescribing-errors-mixed-methods-evaluation-quality
July 11, 2018 - Review
Improving feedback on junior doctors' prescribing errors: mixed-methods evaluation of a quality improvement project.
Citation Text:
Reynolds M, Jheeta S, Benn J, et al. Improving feedback on junior doctors' prescribing errors: mixed-methods evaluation of a quality improvement proj…
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psnet.ahrq.gov/issue/patients-negative-experiences-health-care-settings-brought-light-formal-complaints
July 21, 2021 - Review
Patients' negative experiences with health care settings brought to light by formal complaints: a qualitative metasynthesis.
Citation Text:
Eriksen AA, Fegran L, Fredwall TE, et al. Patients' negative experiences with health care settings brought to light by formal complaints: a q…
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psnet.ahrq.gov/issue/exploring-perinatal-shift-shift-handover-communication-and-process-observational-study
April 04, 2018 - Study
Exploring perinatal shift-to-shift handover communication and process: an observational study.
Citation Text:
Poot EP, de Bruijne M, Wouters MGAJ, et al. Exploring perinatal shift-to-shift handover communication and process: an observational study. J Eval Clin Pract. 2014;20(2):166…
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psnet.ahrq.gov/issue/body-evidence-do-autopsy-findings-impact-medical-malpractice-claim-outcomes
August 19, 2020 - Study
Body of evidence: do autopsy findings impact medical malpractice claim outcomes?
Citation Text:
Gartland RM, Myers LC, Iorgulescu JB, et al. Body of evidence: do autopsy findings impact medical malpractice claim outcomes? J Patient Saf. 2020;17(8):576-582. doi:10.1097/pts.000000000…
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psnet.ahrq.gov/issue/barriers-and-enablers-nurses-use-harm-prevention-strategies-older-patients-hospital-cross
August 10, 2022 - Study
Barriers and enablers to nurses' use of harm prevention strategies for older patients in hospital: a cross-sectional survey.
Citation Text:
Redley B, Taylor N, Hutchinson A. Barriers and enablers to nurses' use of harm prevention strategies for older patients in hospital: a cross‐s…
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psnet.ahrq.gov/issue/data-quality-associated-handwritten-laboratory-test-requests-classification-and-frequency
September 27, 2023 - Study
Data quality associated with handwritten laboratory test requests: classification and frequency of data-entry errors for outpatient serology tests.
Citation Text:
Vecellio E, Toouli G, Georgiou A, et al. Data quality associated with handwritten laboratory test requests: classificat…
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psnet.ahrq.gov/issue/results-national-neurosurgery-resident-survey-duty-hour-regulations
September 29, 2017 - Study
Results of a national neurosurgery resident survey on duty hour regulations.
Citation Text:
Fargen KM, Chakraborty A, Friedman WA. Results of a national neurosurgery resident survey on duty hour regulations. Neurosurgery. 2011;69(6):1162-70. doi:10.1227/NEU.0b013e3182245989.
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psnet.ahrq.gov/issue/overstating-inpatient-deaths-due-medical-error-erodes-trust-healthcare-and-patient-safety
April 01, 2020 - Commentary
Overstating inpatient deaths due to medical error erodes trust in healthcare and the patient safety movement.
Citation Text:
Gunderson CG, Rodwin BA. Overstating inpatient deaths due to medical error erodes trust in healthcare and the patient safety movement. J Hosp Med. 2022;…
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psnet.ahrq.gov/issue/effects-brief-team-training-program-surgical-teams-nontechnical-skills-interrupted-time
December 08, 2021 - Study
Effects of a brief team training program on surgical teams' nontechnical skills: an interrupted time-series study.
Citation Text:
Gillespie BM, Harbeck EL, Kang E, et al. Effects of a brief team training program on surgical teams' nontechnical skills: an interrupted time-series stu…
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psnet.ahrq.gov/issue/impact-nurse-led-rapid-response-system-adverse-major-adverse-events-and-activation-medical
December 17, 2010 - Study
The impact of a nurse led rapid response system on adverse, major adverse events and activation of the medical emergency team.
Citation Text:
Massey D, Aitken LM, Chaboyer W. The impact of a nurse led rapid response system on adverse, major adverse events and activation of the medi…