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psnet.ahrq.gov/node/43553/psn-pdf
August 28, 2017 - Analysis of adverse events associated with adult
moderate procedural sedation outside the operating
room.
August 28, 2017
Karamnov S, Sarkisian N, Grammer R, et al. Analysis of Adverse Events Associated With Adult Moderate
Procedural Sedation Outside the Operating Room. J Patient Saf. 2014;13(3):111-121.
doi:10.1…
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psnet.ahrq.gov/node/44447/psn-pdf
September 02, 2015 - Community-, healthcare-, and hospital-acquired severe
sepsis hospitalizations in the University HealthSystem
Consortium.
September 2, 2015
Page DB, Donnelly JP, Wang HE. Community-, Healthcare-, and Hospital-Acquired Severe Sepsis
Hospitalizations in the University HealthSystem Consortium. Crit Care Med. 2015;43(9…
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psnet.ahrq.gov/node/45407/psn-pdf
September 27, 2016 - Safety of the Manchester Triage System to detect
critically ill children at the emergency department.
September 27, 2016
Zachariasse JM, Kuiper JW, de Hoog M, et al. Safety of the Manchester Triage System to Detect Critically
Ill Children at the Emergency Department. J Pediatr. 2016;177:232-237.e1.
doi:10.1016/j.j…
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psnet.ahrq.gov/node/43788/psn-pdf
February 25, 2015 - Evaluating ambulatory practice safety: the PROMISES
Project administrators and practice staff surveys.
February 25, 2015
Singer SJ, Nieva HR, Brede N, et al. Evaluating ambulatory practice safety: the PROMISES project
administrators and practice staff surveys. Med Care. 2015;53(2):141-52.
doi:10.1097/MLR.000000000…
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psnet.ahrq.gov/node/46806/psn-pdf
January 01, 2020 - Examining the relationship of an all-cause harm patient
safety measure and critical performance measures at the
frontline of care.
February 28, 2018
Sammer C, Hauck L, Jones C, et al. Examining the Relationship of an All-Cause Harm Patient Safety
Measure and Critical Performance Measures at the Frontline of Care. …
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psnet.ahrq.gov/node/48137/psn-pdf
July 17, 2019 - Clinician perspectives on electronic health records,
communication, and patient safety across diverse
medical oncology practices.
July 17, 2019
Patel MR, Friese CR, Mendelsohn-Victor K, et al. Clinician Perspectives on Electronic Health Records,
Communication, and Patient Safety Across Diverse Medical Oncology Pra…
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psnet.ahrq.gov/node/44094/psn-pdf
November 03, 2015 - Intended and unintended effects of large-scale adverse
event disclosure: a controlled before-after analysis of five
large-scale notifications.
November 3, 2015
Wagner TH, Taylor T, Cowgill E, et al. Intended and unintended effects of large-scale adverse event
disclosure: a controlled before-after analysis of five …
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psnet.ahrq.gov/node/60248/psn-pdf
April 22, 2020 - Circumstances involved in unsupervised solid dose
medication exposures among young children.
April 22, 2020
Agarwal M, Lovegrove MC, Geller RJ, et al. Circumstances involved in unsupervised solid dose medication
exposures among young children. J Pediatr. 2020;219. doi:10.1016/j.jpeds.2019.12.027.
https://psnet.ahr…
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psnet.ahrq.gov/node/45901/psn-pdf
April 12, 2017 - Development and applications of the Veterans Health
Administration's Stratification Tool for Opioid Risk
Mitigation (STORM) to improve opioid safety and prevent
overdose and suicide.
April 12, 2017
Oliva EM, Bowe T, Tavakoli S, et al. Development and applications of the Veterans Health Administration's
Stratifica…
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psnet.ahrq.gov/node/43400/psn-pdf
August 13, 2014 - Readmission after delayed diagnosis of surgical site
infection: a focus on prevention using the American
College of Surgeons National Surgical Quality
Improvement Program.
August 13, 2014
Gibson A, Tevis S, Kennedy G. Readmission after delayed diagnosis of surgical site infection: a focus on
prevention using the …
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psnet.ahrq.gov/node/45279/psn-pdf
September 27, 2016 - Does clinical supervision of health professionals improve
patient safety? A systematic review and meta-analysis.
September 27, 2016
Snowdon DA, Hau R, Leggat SG, et al. Does clinical supervision of health professionals improve patient
safety? A systematic review and meta-analysis. Int J Qual Health Care. 2016;28(4)…
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psnet.ahrq.gov/node/44715/psn-pdf
May 19, 2019 - Electronic health record–related events in medical
malpractice claims.
May 19, 2019
Graber ML, Siegal D, Riah H, et al. Electronic Health Record-Related Events in Medical Malpractice
Claims. J Patient Saf. 2019;15(2):77-85. doi:10.1097/PTS.0000000000000240.
https://psnet.ahrq.gov/issue/electronic-health-record-rel…
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psnet.ahrq.gov/node/42423/psn-pdf
July 17, 2013 - National trends in hospital-acquired preventable adverse
events after major cancer surgery in the USA.
July 17, 2013
Sukumar S, Roghmann F, Trinh VQ, et al. National trends in hospital-acquired preventable adverse events
after major cancer surgery in the USA. BMJ Open. 2013;3(6). doi:10.1136/bmjopen-2013-002843.
h…
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psnet.ahrq.gov/node/43652/psn-pdf
August 04, 2015 - Do clinicians know which of their patients have central
venous catheters?: A multicenter observational study.
August 4, 2015
Chopra V, Govindan S, Kuhn L, et al. Do clinicians know which of their patients have central venous
catheters?: a multicenter observational study. Ann Intern Med. 2014;161(8):562-7. doi:10.73…
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psnet.ahrq.gov/node/41257/psn-pdf
April 22, 2012 - Development of an evidence-based framework of factors
contributing to patient safety incidents in hospital
settings: a systematic review.
April 22, 2012
Lawton R, McEachan RRC, Giles SJ, et al. Development of an evidence-based framework of factors
contributing to patient safety incidents in hospital settings: a sy…
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psnet.ahrq.gov/issue/proceedings-summit-preventing-patient-harm-and-death-iv-medication-errors
June 16, 2019 - Meeting/Conference Proceedings
Proceedings of a summit on preventing patient harm and death from IV medication errors.
Citation Text:
Proceedings of a summit on preventing patient harm and death from i.v. medication errors. doi:10.2146/ajhp080406.
Copy Citation
Format:
DO…
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psnet.ahrq.gov/node/44471/psn-pdf
September 27, 2016 - Two sides of the safety coin?: how patient engagement
and safety climate jointly affect error occurrence in
hospital units.
September 27, 2016
Schiffinger M, Latzke M, Steyrer J. Two sides of the safety coin?: How patient engagement and safety
climate jointly affect error occurrence in hospital units. Health Care …
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psnet.ahrq.gov/node/45305/psn-pdf
February 14, 2017 - Sustaining reductions in central line-associated
bloodstream infections in Michigan intensive care units: a
10-year analysis.
February 14, 2017
Pronovost P, Watson S, Goeschel CA, et al. Sustaining Reductions in Central Line-Associated
Bloodstream Infections in Michigan Intensive Care Units: A 10-Year Analysis. Am…
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psnet.ahrq.gov/perspective/response-failure-report-march-2007
June 01, 2007 - In response to "Failure to Report" (March 2007)
June 1, 2007
View more articles from the same authors.
Citation Text:
Paparella S, Vaida AJ, Spath P. In response to "Failure to Report" (March 2007). PSNet [internet]. Rockville (MD): Agency for Healthcare Research …
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.37_slideshow.ppt
November 01, 2003 - Spotlight Case [MONTH] 2003
Spotlight Case November 2003
The Missing Suction Tip
Source and Credits
This presentation is based on the Nov. 2003
AHRQ WebM&M Spotlight Case in Surgery
See the full article at http://webmm.ahrq.gov
CME credit is available through the Web site
Commentary by: Eric J. Thomas, MD,…