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psnet.ahrq.gov/node/42742/psn-pdf
August 02, 2015 - Impact of rapid response system implementation on
critical deterioration events in children.
August 2, 2015
Bonafide CP, Localio R, Roberts KE, et al. Impact of rapid response system implementation on critical
deterioration events in children. JAMA Pediatr. 2014;168(1):25-33. doi:10.1001/jamapediatrics.2013.3266.
…
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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/41597/psn-pdf
December 02, 2014 - Medical errors in US pediatric inpatients with chronic
conditions.
December 2, 2014
Ahuja N, Zhao W, Xiang H. Medical errors in US pediatric inpatients with chronic conditions. Pediatrics.
2012;130(4):e786-e793. doi:10.1542/peds.2011-2555.
https://psnet.ahrq.gov/issue/medical-errors-us-pediatric-inpatients-chronic…
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psnet.ahrq.gov/node/46283/psn-pdf
April 24, 2018 - Decreasing prescribing errors during pediatric
emergencies: a randomized simulation trial.
April 24, 2018
Larose G, Levy A, Bailey B, et al. Decreasing Prescribing Errors During Pediatric Emergencies: A
Randomized Simulation Trial. Pediatrics. 2017;139(3). doi:10.1542/peds.2016-3200.
https://psnet.ahrq.gov/issue/d…
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psnet.ahrq.gov/issue/do-doctors-understand-test-results
February 12, 2020 - Newspaper/Magazine Article
Do doctors understand test results?
Citation Text:
Do doctors understand test results? Kremer W.
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psnet.ahrq.gov/web-mm/its-all-syringe
February 01, 2013 - Statistical Abstract of the United States: 2006. Washington, DC: US Census Bureau; 2006.
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psnet.ahrq.gov/perspective/conversation-david-m-gaba-md
March 01, 2013 - So when we get on an airliner nowadays, we have every reason to the n th statistical degree to expect … patient-related outcomes (behaviors and direct patient effects) the benefits approached but did not reach statistical … patient effects) revealed benefits of similar direction and magnitude that approached but did not reach statistical
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psnet.ahrq.gov/node/45375/psn-pdf
September 27, 2016 - Association of a web-based handoff tool with rates of
medical errors.
September 27, 2016
Mueller SK, Yoon CS, Schnipper JL. Association of a Web-Based Handoff Tool With Rates of Medical
Errors. JAMA Intern Med. 2016;176(9):1400-2. doi:10.1001/jamainternmed.2016.4258.
https://psnet.ahrq.gov/issue/association-web-ba…
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psnet.ahrq.gov/node/35494/psn-pdf
May 27, 2011 - Hospital implementation of computerized provider order
entry systems: results from the 2003 Leapfrog Group
quality and safety survey.
May 27, 2011
Hillman JM, Given RS. Hospital implementation of computerized provider order entry systems: results from
the 2003 leapfrog group quality and safety survey. J Healthc In…
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psnet.ahrq.gov/node/43919/psn-pdf
May 01, 2015 - Association of hospital participation in a quality reporting
program with surgical outcomes and expenditures for
Medicare beneficiaries.
May 1, 2015
Osborne NH, Nicholas LH, Ryan AM, et al. Association of hospital participation in a quality reporting
program with surgical outcomes and expenditures for Medicare ben…
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psnet.ahrq.gov/node/41298/psn-pdf
November 27, 2012 - Patient safety culture and the association with safe
resident care in nursing homes.
November 27, 2012
Thomas KS, Hyer K, Castle NG, et al. Patient safety culture and the association with safe resident care in
nursing homes. Gerontologist. 2012;52(6):802-811. doi:10.1093/geront/gns007.
https://psnet.ahrq.gov/issue…
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psnet.ahrq.gov/node/49549/psn-pdf
December 06, 2007 - Elopement
December 1, 2007
Gerardi D. Elopement. PSNet [internet]. 2007.
https://psnet.ahrq.gov/web-mm/elopement
Case Objectives
Define elopement and differentiate it from wandering and leaving against medical advice.
Identify leading contributors to elopement events.
Describe strategies for preventing elopement…
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psnet.ahrq.gov/innovation/missouri-quality-initiative-moqi-reduces-hospitalizations-among-nursing-home-residents
July 23, 2024 - Missouri Quality Initiative (MOQI) Reduces Hospitalizations Among Nursing Home Residents
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July 28, 2021
Innovation
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psnet.ahrq.gov/node/73515/psn-pdf
August 01, 2022 - Missouri Quality Initiative (MOQI) Reduces
Hospitalizations Among Nursing Home Residents
July 28, 2021
https://psnet.ahrq.gov/innovation/missouri-quality-initiative-moqi-reduces-hospitalizations-among-nursing-
home-residents
Summary
The MOQI seeks to reduce avoidable hospitalization among nursing home residents b…
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psnet.ahrq.gov/issue/10-facts-patient-safety
March 09, 2022 - Fact Sheet/FAQs
10 Facts on Patient Safety.
Citation Text:
10 Facts on Patient Safety. Patient Safety and Risk Management Service Delivery and Safety. Geneva, Switzerland; World Health Organization: August 2019.
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psnet.ahrq.gov/node/40189/psn-pdf
February 02, 2011 - Addition of electronic prescription transmission to
computerized prescriber order entry: effect on dispensing
errors in community pharmacies.
February 2, 2011
Moniz TT, Seger AC, Keohane CA, et al. Addition of electronic prescription transmission to computerized
prescriber order entry: Effect on dispensing errors …
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psnet.ahrq.gov/node/45595/psn-pdf
April 19, 2017 - Estimating deaths due to medical error: the ongoing
controversy and why it matters.
April 19, 2017
Shojania KG, Dixon-Woods M. Estimating deaths due to medical error: the ongoing controversy and why it
matters. BMJ Qual Saf. 2017;26(5):423-428. doi:10.1136/bmjqs-2016-006144.
https://psnet.ahrq.gov/issue/estimating…
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psnet.ahrq.gov/node/45511/psn-pdf
July 21, 2017 - Can patient involvement improve patient safety? A cluster
randomised control trial of the Patient Reporting and
Action for a Safe Environment (PRASE) intervention.
July 21, 2017
Lawton R, O'Hara JK, Sheard L, et al. Can patient involvement improve patient safety? A cluster
randomised control trial of the Patient R…
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psnet.ahrq.gov/node/46340/psn-pdf
September 27, 2017 - A systematic review of the effectiveness of interruptive
medication prescribing alerts in hospital CPOE systems
to change prescriber behavior and improve patient safety.
September 27, 2017
Page N, Baysari MT, Westbrook JI. A systematic review of the effectiveness of interruptive medication
prescribing alerts in ho…
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psnet.ahrq.gov/node/47497/psn-pdf
December 18, 2018 - Association between patient outcomes and accreditation
in US hospitals: observational study.
December 18, 2018
Lam MB, Figueroa JF, Feyman Y, et al. Association between patient outcomes and accreditation in US
hospitals: observational study. BMJ. 2018;363:k4011. doi:10.1136/bmj.k4011.
https://psnet.ahrq.gov/issue/…