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psnet.ahrq.gov/node/40743/psn-pdf
February 01, 2019 - Radiation risks of diagnostic imaging and fluoroscopy.
December 23, 2016
Sentinel Event Alert. August 24, 2011;47:1-4. (revised February 2019).
https://psnet.ahrq.gov/issue/radiation-risks-diagnostic-imaging
The Joint Commission issues Sentinel Event Alerts periodically to highlight emerging patient safety issues
…
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psnet.ahrq.gov/node/73291/psn-pdf
May 19, 2021 - How can never event data be used to reflect or improve
hospital safety performance?
May 19, 2021
Olivarius?McAllister J, Pandit M, Sykes A, et al. How can never event data be used to reflect or improve
hospital safety performance? Anaesthesia. 2021;76(12):1616-1624. doi:10.1111/anae.15476.
https://psnet.ahrq.gov/i…
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psnet.ahrq.gov/node/866265/psn-pdf
July 31, 2024 - Example Preparation Reference (Standard)
Figure 3.
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psnet.ahrq.gov/node/866841/psn-pdf
September 23, 2024 - System Approaches to Social Determinants of Health
Screening and Intervention Innovation Summary
September 23, 2024
https://psnet.ahrq.gov/innovation/system-approaches-social-determinants-health-screening-and-
intervention-innovation
Summary
UNC Health is a nonprofit healthcare system of more than 500 clinics and…
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psnet.ahrq.gov/perspective/computerized-provider-order-entry-and-patient-safety
January 01, 2014 - Annual Perspective
Computerized Provider Order Entry and Patient Safety
Urmimala Sarkar, MD, and Kaveh Shojania, MD | January 1, 2015
View more articles from the same authors.
Citation Text:
Sarkar U, Shojania KG. Computerized Provider Order Entry and Patien…
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psnet.ahrq.gov/perspective/burnout-among-health-professionals-and-its-effect-patient-safety
December 22, 2018 - Annual Perspective
Burnout Among Health Professionals and Its Effect on Patient Safety
Audrey Lyndon, PhD | January 1, 2015
View more articles from the same authors.
Citation Text:
Lyndon A. Burnout Among Health Professionals and Its Effect on Patient Safety…
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psnet.ahrq.gov/web-mm/dropping-new-lows
December 18, 2024 - and mortality in tightly (versus moderately) controlled cohorts.( 8 ) This evidence established new standards
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psnet.ahrq.gov/node/865586/psn-pdf
April 17, 2024 - Unmasking bias in artificial intelligence: a systematic
review of bias detection and mitigation strategies in
electronic health record-based models.
April 17, 2024
Chen F, Wang L, Hong J, et al. Unmasking bias in artificial intelligence: a systematic review of bias
detection and mitigation strategies in electronic…
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psnet.ahrq.gov/node/867589/psn-pdf
January 22, 2025 - A machine learning-based clinical predictive tool to
identify patients at high risk of medication errors.
January 22, 2025
Abdo A, Gallay L, Vallecillo T, et al. A machine learning-based clinical predictive tool to identify patients at
high risk of medication errors. Sci Rep. 2024;14(1):32022. doi:10.1038/s41598-02…
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psnet.ahrq.gov/node/72815/psn-pdf
March 10, 2021 - Systematic review and meta-analysis of interventions for
operating room to intensive care unit handoffs.
March 10, 2021
Abraham J, Meng A, Tripathy S, et al. Systematic review and meta-analysis of interventions for operating
room to intensive care unit handoffs. BMJ Qual Saf. 2021;30(6):513-524. doi:10.1136/bmjqs-2…
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psnet.ahrq.gov/node/865678/psn-pdf
April 24, 2024 - Enhancing implementation of the I-PASS handoff tool
using a provider handoff task force at a Comprehensive
Cancer Center.
April 24, 2024
Franco Vega MC, Ait Aiss M, George M, et al. Enhancing implementation of the I-PASS handoff tool using
a provider handoff task force at a Comprehensive Cancer Center. Jt Comm J Q…
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psnet.ahrq.gov/node/45238/psn-pdf
September 29, 2017 - Unprofessional behaviors among tomorrow's physicians:
review of the literature with a focus on risk factors,
temporal trends, and future directions.
September 29, 2017
Fargen KM, Drolet BC, Philibert I. Unprofessional Behaviors Among Tomorrow's Physicians: Review of the
Literature With a Focus on Risk Factors, Tem…
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psnet.ahrq.gov/node/44961/psn-pdf
May 09, 2017 - Parent-reported errors and adverse events in hospitalized
children.
May 9, 2017
Khan A, Furtak SL, Melvin P, et al. Parent-reported errors and adverse events in hospitalized children.
JAMA Pediatr. 2016;170(4):e154608. doi:10.1001/jamapediatrics.2015.4608.
https://psnet.ahrq.gov/issue/parent-reported-errors-and-ad…
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psnet.ahrq.gov/node/36804/psn-pdf
August 26, 2011 - Patterns of communication breakdowns resulting in injury
to surgical patients.
August 26, 2011
Greenberg CC, Regenbogen SE, Studdert DM, et al. Patterns of communication breakdowns resulting in
injury to surgical patients. J Am Coll Surg. 2007;204(4):533-40.
https://psnet.ahrq.gov/issue/patterns-communication-brea…
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psnet.ahrq.gov/node/44850/psn-pdf
September 06, 2016 - Impact of a drug shortage on medication errors and
clinical outcomes in the pediatric intensive care unit.
September 6, 2016
Hughes KM, Goswami ES, Morris JL. Impact of a Drug Shortage on Medication Errors and Clinical
Outcomes in the Pediatric Intensive Care Unit. J Pediatr Pharmacol Ther. 2015;20(6):453-61.
doi:…
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psnet.ahrq.gov/node/46472/psn-pdf
August 20, 2018 - Wide variation and overprescription of opioids after
elective surgery.
August 20, 2018
Thiels CA, Anderson SS, Ubl DS, et al. Wide Variation and Overprescription of Opioids After Elective
Surgery. Ann Surg. 2017;266(4):564-573. doi:10.1097/SLA.0000000000002365.
https://psnet.ahrq.gov/issue/wide-variation-and-overp…
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psnet.ahrq.gov/node/41030/psn-pdf
March 04, 2015 - A systematic review to evaluate the accuracy of electronic
adverse drug event detection.
March 4, 2015
Forster AJ, Jennings A, Chow C, et al. A systematic review to evaluate the accuracy of electronic adverse
drug event detection. J Am Med Inform Assoc. 2012;19(1):31-8. doi:10.1136/amiajnl-2011-000454.
https://psn…
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psnet.ahrq.gov/node/43027/psn-pdf
July 23, 2014 - Improving team information sharing with a structured
call-out in anaesthetic emergencies: a randomized
controlled trial.
July 23, 2014
Weller JM, Torrie J, Boyd M, et al. Improving team information sharing with a structured call-out in
anaesthetic emergencies: a randomized controlled trial. Br J Anaesth. 2014;112(…
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psnet.ahrq.gov/node/36205/psn-pdf
May 27, 2011 - Physician characteristics, attitudes, and use of
computerized order entry.
May 27, 2011
Lindenauer PK, Ling D, Pekow PS, et al. Physician characteristics, attitudes, and use of computerized
order entry. J Hosp Med. 2006;1(4):221-30.
https://psnet.ahrq.gov/issue/physician-characteristics-attitudes-and-use-computeri…
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psnet.ahrq.gov/node/74175/psn-pdf
December 15, 2021 - The reduction of race and gender bias in clinical
treatment recommendations using clinician peer
networks in an experimental setting.
December 15, 2021
Centola D, Guilbeault D, Sarkar U, et al. The reduction of race and gender bias in clinical treatment
recommendations using clinician peer networks in an experimen…