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psnet.ahrq.gov/issue/performance-variability-perioperative-sentinel-events-report-nationwide-data-set
November 04, 2020 - Study
Performance variability in perioperative sentinel events: report on a nationwide data set.
Citation Text:
Reijmerink IM, Bos K, Leistikow IP, et al. Performance variability in perioperative sentinel events: report on a nationwide data set. Br J Surg. 2022;109(7):573-575. doi:10.109…
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psnet.ahrq.gov/issue/white-patients-physical-responses-healthcare-treatments-are-influenced-provider-race-and
April 04, 2016 - Study
White patients’ physical responses to healthcare treatments are influenced by provider race and gender.
Citation Text:
Howe LC, Hardebeck EJ, Eberhardt JL, et al. White patients’ physical responses to healthcare treatments are influenced by provider race and gender. Proc Natl Acad …
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psnet.ahrq.gov/issue/errors-upstream-and-downstream-universal-protocol-associated-wrong-surgery-events-veterans
November 21, 2012 - Study
Errors upstream and downstream to the Universal Protocol associated with wrong surgery events in the Veterans Health Administration.
Citation Text:
Paull DE, Mazzia L, Neily J, et al. Errors upstream and downstream to the Universal Protocol associated with wrong surgery events in t…
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psnet.ahrq.gov/issue/potentially-inappropriate-prescribing-long-term-care-and-its-relationship-probable-delirium
September 23, 2020 - Study
Potentially inappropriate prescribing in long-term care and its relationship with probable delirium.
Citation Text:
Webber C, Milani C, Bjerre LM, et al. Potentially inappropriate prescribing in long-term care and its relationship with probable delirium. J Am Med Dir Assoc. 2024;25…
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psnet.ahrq.gov/issue/effect-facility-complexity-perceptions-safety-climate-operating-room-size-matters
December 21, 2014 - Study
The effect of facility complexity on perceptions of safety climate in the operating room: size matters.
Citation Text:
Carney BT, West P, Neily J, et al. The effect of facility complexity on perceptions of safety climate in the operating room: size matters. Am J Med Qual. 2010;25…
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psnet.ahrq.gov/issue/enhancing-patient-safety-national-standard-cyber-resiliency-healthcare
September 23, 2020 - Commentary
Enhancing patient safety: a national standard for cyber resiliency in healthcare.
Citation Text:
Samuelson-Kiraly C, Mitchell JI, Kingston D, et al. Enhancing patient safety: A national standard for cyber resiliency in healthcare. Healthc Manage Forum. 2024;37(1):9-12. doi:10.…
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psnet.ahrq.gov/issue/creating-safer-health-care-system-finding-constraint
February 24, 2011 - Commentary
Creating a safer health care system: finding the constraint.
Citation Text:
Pauker SG, Zane EM, Salem D. Creating a safer health care system: finding the constraint. JAMA. 2005;294(22):2906-8.
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psnet.ahrq.gov/issue/preventable-adverse-drug-events-hospitalized-patients-comparative-study-intensive-care-and
March 31, 2021 - Study
Classic
Preventable adverse drug events in hospitalized patients: a comparative study of intensive care and general care units.
Citation Text:
Cullen DJ, Sweitzer BJ, Bates DW, et al. Preventable adverse drug events in hospitalized patients. Crit Care Me…
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psnet.ahrq.gov/issue/critical-errors-infrequently-performed-trauma-procedures-after-training
June 27, 2018 - Study
Critical errors in infrequently performed trauma procedures after training.
Citation Text:
Mackenzie CF, Shackelford SA, Tisherman SA, et al. Critical errors in infrequently performed trauma procedures after training. Surgery. 2019;166(5):835-843. doi:10.1016/j.surg.2019.05.031.
…
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psnet.ahrq.gov/issue/recommendations-improve-usability-drug-drug-interaction-clinical-decision-support-alerts
February 14, 2024 - Commentary
Recommendations to improve the usability of drug–drug interaction clinical decision support alerts.
Citation Text:
Payne TH, Hines LE, Chan RC, et al. Recommendations to improve the usability of drug-drug interaction clinical decision support alerts. J Am Med Inform Assoc. 201…
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psnet.ahrq.gov/web-mm/pregnant-danger
January 12, 2011 - women younger than 40 occur during pregnancy, typically in the third trimester.( 1 ) A recent review suggests
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psnet.ahrq.gov/node/49801/psn-pdf
August 01, 2017 - Preliminary work at the
University of Michigan suggests the significant barrier to early recognition
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psnet.ahrq.gov/web-mm/e-prescribing-e-error
February 03, 2021 - While evidence suggests that implementing new technology (including e-prescribing) improves patient safety
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psnet.ahrq.gov/web-mm/empty-bag
June 01, 2018 - It also suggests making it easy for practitioners to map the IV container and associated tubing.
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psnet.ahrq.gov/web-mm/translating-normal-abnormal
October 02, 2019 - research on the accuracy of machine translation for medical records and health promotion materials suggests
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psnet.ahrq.gov/node/49522/psn-pdf
November 01, 2006 - What little is known suggests that hospital market share has been
largely unaffected by these initiatives
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psnet.ahrq.gov/node/49546/psn-pdf
October 17, 2007 - However, his dressing down of the RN suggests emotional impairment leading to cognitive
dysfunction.
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psnet.ahrq.gov/node/849679/psn-pdf
June 28, 2023 - Consensus opinion
suggests endotracheal and tracheostomy tube cuff pressures have a goal range of 20
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psnet.ahrq.gov/innovation/us-department-veterans-affairs-medical-center-houston-tx-and-baylor-college-medicine
February 26, 2025 - Stroke Dx) have found it to yield accurate results. 4 , 5
For the best results, the project team suggests
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psnet.ahrq.gov/node/49771/psn-pdf
July 01, 2016 - The literature suggests these side effects are unique and separate from the intended effects and
impact