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psnet.ahrq.gov/issue/post-implementation-optimization-medication-alerts-hospital-computerized-provider-order-entry
December 31, 2014 - Review
Post-implementation optimization of medication alerts in hospital computerized provider order entry systems: a scoping review.
Citation Text:
Ledger TS, Brooke-Cowden K, Coiera E. Post-implementation optimization of medication alerts in hospital computerized provider order entry s…
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psnet.ahrq.gov/issue/relationship-between-inpatient-cardiac-surgery-mortality-and-nurse-numbers-and-educational
September 29, 2017 - Study
The relationship between inpatient cardiac surgery mortality and nurse numbers and educational level: analysis of administrative data.
Citation Text:
Van den Heede K, Lesaffre E, Diya L, et al. The relationship between inpatient cardiac surgery mortality and nurse numbers and edu…
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psnet.ahrq.gov/issue/thirty-day-all-cause-readmissions-elderly-patients-who-have-injury-related-inpatient-stay
August 03, 2017 - Study
Thirty-day, all-cause readmissions for elderly patients who have an injury-related inpatient stay.
Citation Text:
Spector WD, Mutter R, Owens P, et al. Thirty-day, all-cause readmissions for elderly patients who have an injury-related inpatient stay. Med Care. 2012;50(10):863-9. …
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psnet.ahrq.gov/issue/medical-errors-us-pediatric-inpatients-chronic-conditions
November 04, 2014 - Study
Medical errors in US pediatric inpatients with chronic conditions.
Citation Text:
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.
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psnet.ahrq.gov/issue/using-fda-reports-inform-classification-health-information-technology-safety-problems
November 03, 2015 - Study
Using FDA reports to inform a classification for health information technology safety problems.
Citation Text:
Magrabi F, Ong M-S, Runciman WB, et al. Using FDA reports to inform a classification for health information technology safety problems. J Am Med Inform Assoc. 2012;19(1):4…
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psnet.ahrq.gov/issue/adverse-events-healthcare-learning-mistakes
February 08, 2017 - Commentary
Adverse events in healthcare: learning from mistakes.
Citation Text:
Rafter N, Hickey A, Condell S, et al. Adverse events in healthcare: learning from mistakes. QJM. 2015;108(4):273-7. doi:10.1093/qjmed/hcu145.
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psnet.ahrq.gov/issue/costs-adverse-drug-events-hospitalized-patients
February 10, 2011 - Study
Classic
The costs of adverse drug events in hospitalized patients.
Citation Text:
Bates DW, Spell N, Cullen DJ, et al. The costs of adverse drug events in hospitalized patients. Adverse Drug Events Prevention Study Group. JAMA. 1997;277(4):307-11.
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psnet.ahrq.gov/issue/effectiveness-checklists-and-error-reporting-systems-enhancing-patient-safety-and-reducing
August 03, 2017 - Review
The effectiveness of checklists and error reporting systems in enhancing patient safety and reducing medical errors in hospital settings: a narrative review.
Citation Text:
Chance EA, Florence D, Sardi Abdoul I. The effectiveness of checklists and error reporting systems in enhanc…
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psnet.ahrq.gov/issue/hospital-wide-code-rates-and-mortality-and-after-implementation-rapid-response-team
October 17, 2011 - Study
Classic
Hospital-wide code rates and mortality before and after implementation of a rapid response team.
Citation Text:
Chan PS, Khalid A, Longmore LS, et al. Hospital-wide code rates and mortality before and after implementation of a rapid response team…
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psnet.ahrq.gov/issue/impact-pharmacist-led-admission-medication-reconciliation-patient-outcomes-large-health
March 17, 2010 - Study
Impact of pharmacist-led admission medication reconciliation on patient outcomes in a large health system.
Citation Text:
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 Patie…
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psnet.ahrq.gov/issue/health-care-cost-drug-related-morbidity-and-mortality-nursing-facilities
September 19, 2016 - Study
Classic
The health care cost of drug-related morbidity and mortality in nursing facilities.
Citation Text:
Bootman JL, Harrison DL, Cox E. The health care cost of drug-related morbidity and mortality in nursing facilities. Arch Intern Med. 1997;157(18):2…
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psnet.ahrq.gov/node/73434/psn-pdf
June 30, 2021 - Sentinel event statistics data: root causes by event type (2004-2014).
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psnet.ahrq.gov/node/49508/psn-pdf
January 01, 2007 - NationalCenter for Education Statistics.
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psnet.ahrq.gov/node/49403/psn-pdf
June 01, 2003 - Division of Health Care Statistics, Centers for Disease Control and Prevention.
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psnet.ahrq.gov/web-mm/eptifibatide-epilogue
March 04, 2011 - Sentinel Event Statistics. [Available at] 12. Leonard M, Graham S, Bonacum D.
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psnet.ahrq.gov/web-mm/case-patient-flow-management
February 23, 2019 - Fundamentals of Queueing Theory (Wiley Series in Probability and Statistics). 3rd ed.
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psnet.ahrq.gov/web-mm/two-wrongs-dont-make-right-kidney
April 01, 2010 - In fact, The Joint Commission sentinel event statistics database reported 1072 wrong-site surgeries among
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psnet.ahrq.gov/issue/unscheduled-returns-emergency-department-outcome-medical-errors
November 12, 2014 - Study
Unscheduled returns to the emergency department: an outcome of medical errors?
Citation Text:
Nuñez S, Hexdall A, Aguirre-Jaime A. Unscheduled returns to the emergency department: an outcome of medical errors? Qual Saf Health Care. 2006;15(2):102-8.
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psnet.ahrq.gov/issue/addition-electronic-prescription-transmission-computerized-prescriber-order-entry-effect
March 13, 2019 - Study
Addition of electronic prescription transmission to computerized prescriber order entry: effect on dispensing errors in community pharmacies.
Citation Text:
Moniz TT, Seger AC, Keohane CA, et al. Addition of electronic prescription transmission to computerized prescriber order en…
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psnet.ahrq.gov/issue/harm-susceptibility-model-method-prioritise-risks-identified-patient-safety-reporting-systems
December 29, 2014 - Study
The harm susceptibility model: a method to prioritise risks identified in patient safety reporting systems.
Citation Text:
Pham JC, Colantuoni E, Dominici F, et al. The harm susceptibility model: a method to prioritise risks identified in patient safety reporting systems. Qual Sa…