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psnet.ahrq.gov/node/847534/psn-pdf
April 12, 2023 - Prevalence and causes of diagnostic errors in
hospitalized patients under investigation for COVID-19.
April 12, 2023
Auerbach AD, Astik GJ, O’Leary KJ, et al. Prevalence and causes of diagnostic errors in hospitalized
patients under investigation for COVID-19. J Gen Intern Med. 2023;38(8):1902-1910. doi:10.1007/s11…
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psnet.ahrq.gov/node/60636/psn-pdf
July 01, 2020 - Measuring the impact of medication-related interventions
on 30-day readmission rates in a skilled nursing facility.
July 1, 2020
Amin PB, Bradford CD, Rizos AL, et al. Measuring the Impact of Medication-Related Interventions on 30-
Day Readmission Rates in a Skilled Nursing Facility. J Pharm Pract. 2020;33(3):306-3…
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psnet.ahrq.gov/node/837331/psn-pdf
June 08, 2022 - Can a targeted educational approach improve situational
awareness in paramedicine during 911 emergency calls?
June 8, 2022
Hunter J, Porter M, Cody P, et al. Can a targeted educational approach improve situational awareness in
paramedicine during 911 emergency calls? Int Emerg Nurs. 2022;63:101174.
doi:10.1016/j.i…
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psnet.ahrq.gov/node/847535/psn-pdf
April 12, 2023 - Using the Generic Analysis Method to analyze sentinel
event reports across hospitals: a retrospective cross-
sectional study.
April 12, 2023
Baartmans MC, van Schoten SM, Smit BJ, et al. Using the Generic Analysis Method to analyze sentinel
event reports across hospitals: a retrospective cross-sectional study. J P…
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psnet.ahrq.gov/node/837762/psn-pdf
August 03, 2022 - A scoping review of real-time automated clinical
deterioration alerts and evidence of impacts on
hospitalised patient outcomes.
August 3, 2022
Blythe R, Parsons R, White NM, et al. A scoping review of real-time automated clinical deterioration alerts
and evidence of impacts on hospitalised patient outcomes. BMJ Qu…
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psnet.ahrq.gov/node/836957/psn-pdf
April 20, 2022 - Relationship between physician burnout and the quality
and cost of care for Medicare beneficiaries is complex.
April 20, 2022
Casalino LP, Li J, Peterson LE, et al. Relationship between physician burnout and the quality and cost of
care for Medicare beneficiaries is complex. Health Aff (Millwood). 2022;41(4):549-55…
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psnet.ahrq.gov/node/847541/psn-pdf
April 12, 2023 - Improving medication safety in a paediatric hospital: a
mixed-methods evaluation of a newly implemented
computerised provider order entry system.
April 12, 2023
Liang MQ, Thibault M, Jouvet P, et al. BMJ Health Care Inform. 2023;30(1):e100622.
https://psnet.ahrq.gov/issue/improving-medication-safety-paediatric-hos…
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psnet.ahrq.gov/node/837700/psn-pdf
July 20, 2022 - Temporal associations between EHR-derived workload,
burnout, and errors: a prospective cohort study.
July 20, 2022
Lou SS, Lew D, Harford DR, et al. Temporal associations between EHR-derived workload, burnout, and
errors: a prospective cohort study. J Gen Intern Med. 2022;37(9):2165-2172. doi:10.1007/s11606-022-
0…
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psnet.ahrq.gov/node/836715/psn-pdf
March 09, 2022 - Non-technical skills in surgery during the COVID-19
pandemic: an observational study.
March 9, 2022
Etheridge JC, Moyal-Smith R, Sonnay Y, et al. Non-technical skills in surgery during the COVID-19
pandemic: an observational study. Int J Surg. 2022;98:106210. doi:10.1016/j.ijsu.2021.106210.
https://psnet.ahrq.gov/…
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psnet.ahrq.gov/perspective/conversation-john-d-birkmeyer-md
January 31, 2024 - When our statistical analyst walked into my office with the very first analysis of the relationship between
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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/852272/psn-pdf
January 01, 2024 - Investigating racial and ethnic disparities in maternal care
at the system level using patient safety incident reports.
August 9, 2023
Alfred MC, Wilson D, DeForest E, et al. Investigating racial and ethnic disparities in maternal care at the
system level using patient safety incident reports. Jt Comm J Qual Patien…
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psnet.ahrq.gov/node/845301/psn-pdf
March 01, 2023 - Evaluation of effectiveness and safety of pharmacist
independent prescribers in care homes: cluster
randomised controlled trial.
March 1, 2023
Holland R, Bond CM, Alldred DP, et al. Evaluation of effectiveness and safety of pharmacist independent
prescribers in care homes: cluster randomised controlled trial. BMJ.…
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psnet.ahrq.gov/node/61093/psn-pdf
November 04, 2020 - Impact of a nationwide prospective drug utilization review
program to improve prescribing safety of potentially
inappropriate medications in older adults: an interrupted
time series with segmented regression analysis.
November 4, 2020
Jang S, Jeong S, Kang E, et al. Impact of a nationwide prospective drug utilizat…
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psnet.ahrq.gov/node/853620/psn-pdf
September 20, 2023 - Impact of pharmacist-led admission medication
reconciliation on patient outcomes in a large health
system.
September 20, 2023
Kramer JS, Hayley Burgess L, Warren C, et al. Impact of pharmacist-led admission medication
reconciliation on patient outcomes in a large health system. J Patient Saf Risk Manag. 2023;28(6)…
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psnet.ahrq.gov/node/49518/psn-pdf
August 01, 2006 - Statistical Abstract of the United States: 2006.
Washington, DC: US Census Bureau; 2006.
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psnet.ahrq.gov/node/46104/psn-pdf
May 03, 2017 - Secret data on hospital inspections may soon become
public.
May 3, 2017
Ornstein C. Health Shots. National Public Radio and ProPublica. April 18, 2017.
https://psnet.ahrq.gov/issue/secret-data-hospital-inspections-may-soon-become-public
Summary data about serious errors in hospitals are available, but often detail…
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psnet.ahrq.gov/node/34117/psn-pdf
December 23, 2016 - Sentinel Event.
December 23, 2016
The Joint Commission.
https://psnet.ahrq.gov/issue/sentinel-event
Since 1998, The Joint Commission has issued sentinel event alerts in response to unexpected incidents
involving death or serious physical or psychological injury (or risk thereof). These events are identified as
se…
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psnet.ahrq.gov/node/73427/psn-pdf
June 23, 2021 - Incidence and OR team awareness of “near-miss” and
retained surgical sharps: a national survey on United
States operating rooms.
June 23, 2021
Weprin SA, Meyer D, Li R, et al. Incidence and OR team awareness of “near-miss” and retained surgical
sharps: a national survey on United States operating rooms. Patient Sa…
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psnet.ahrq.gov/node/836828/psn-pdf
March 30, 2022 - Effects of state opioid prescribing laws on use of opioid
and other pain treatments among commercially insured
U.S. adults.
March 30, 2022
McGinty EE, Bicket MC, Seewald NJ, et al. Effects of state opioid prescribing laws on use of opioid and
other pain treatments among commercially insured U.S. adults. Ann Intern…