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psnet.ahrq.gov/issue/resident-attitudes-regarding-impact-80-duty-hours-work-standards
August 24, 2015 - Study
Resident attitudes regarding the impact of the 80–duty-hours work standards.
Citation Text:
Zonia SC, 2nd RJLB, Stommel M, et al. Resident attitudes regarding the impact of the 80-duty-hours work standards. J Am Osteopath Assoc. 2005;105(7):307-313. https://www.degruyter.com/docu…
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psnet.ahrq.gov/issue/cost-effectiveness-electronic-medication-ordering-and-administration-system-reducing-adverse
June 01, 2012 - Study
Cost-effectiveness of an electronic medication ordering and administration system in reducing adverse drug events.
Citation Text:
Wu RC, Laporte A, Ungar WJ. Cost-effectiveness of an electronic medication ordering and administration system in reducing adverse drug events. J Eval …
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psnet.ahrq.gov/issue/evaluating-patient-safety-indicators-how-well-do-they-perform-veterans-health-administration
April 01, 2010 - Study
Evaluating the Patient Safety Indicators: how well do they perform on Veterans Health Administration data?
Citation Text:
Rosen AK, Rivard PE, Zhao S, et al. Evaluating the patient safety indicators: how well do they perform on Veterans Health Administration data? Med Care. 2005;…
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psnet.ahrq.gov/issue/multidisciplinary-hospital-teams-improve-patient-outcomes-review
February 03, 2011 - Review
Multidisciplinary in-hospital teams improve patient outcomes: a review.
Citation Text:
Epstein NE. Multidisciplinary in-hospital teams improve patient outcomes: A review. Surg Neurol Int. 2014;5(Suppl 7):S295-303. doi:10.4103/2152-7806.139612.
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D…
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psnet.ahrq.gov/node/846458/psn-pdf
March 22, 2024 - National Healthcare Quality and Disparities Report
Chartbook on Patient Safety.
March 22, 2024
Rockville, MD: Agency for Healthcare Research and Quality; March 2024. AHRQ Pub. No. 23-0046.
https://psnet.ahrq.gov/issue/national-healthcare-quality-and-disparities-report-chartbook-patient-safety-0
The Network of Pati…
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psnet.ahrq.gov/node/60193/psn-pdf
July 01, 2022 - Improving Diagnosis and Treatment of Maternal Sepsis.
April 1, 2020
Stanford, CA; California Maternal Quality Care Collaborative: July 1, 2022.
https://psnet.ahrq.gov/issue/improving-diagnosis-and-treatment-maternal-sepsis
This toolkit focuses on identification of, and rapid response to, sepsis in obstetric p…
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psnet.ahrq.gov/node/50759/psn-pdf
December 18, 2019 - The lurking danger in the “business case” for patient
safety
December 18, 2019
Millenson ML. Health Affairs Blog. December 2, 2019.
https://psnet.ahrq.gov/issue/lurking-danger-business-case-patient-safety
The two decades since To Err Is Human was published have raised and addressed a myriad of concerns
affecting …
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psnet.ahrq.gov/issue/national-analysis-ed-presentations-early-pregnancy-and-complications-implications-post-roe
September 07, 2016 - Study
A national analysis of ED presentations for early pregnancy and complications: implications for post-Roe America.
Citation Text:
Goodwin G, Marra E, Ramdin C, et al. A national analysis of ED presentations for early pregnancy and complications: implications for post-Roe America. Am…
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psnet.ahrq.gov/issue/impact-nationwide-prospective-drug-utilization-review-program-improve-prescribing-safety
May 17, 2017 - Study
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.
Citation Text:
Jang S, Jeong S, Kang E, et al. Impact of a natio…
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psnet.ahrq.gov/node/40135/psn-pdf
October 03, 2017 - A pinpoint beam strays invisibly, harming instead of
healing.
October 3, 2017
Bogdanich W; Rebelo K.
https://psnet.ahrq.gov/issue/pinpoint-beam-strays-invisibly-harming-instead-healing
This article explores inaccuracy of dosage, lack of protocol adherence, and absence of transparency as
trends that hinder learnin…
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psnet.ahrq.gov/node/43646/psn-pdf
January 01, 2021 - Patient Safety Systems Chapter.
January 1, 2021
In: 2021 Comprehensive Accreditation Manual for Hospitals. CAMH. Oakbrook Terrace, IL: Joint
Commission; January 2021:PS1-PS46.
https://psnet.ahrq.gov/issue/patient-safety-systems-chapter
This chapter provides information about how organizations can re-design existin…
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psnet.ahrq.gov/node/50553/psn-pdf
October 16, 2019 - Impact of an electronic health record transition on
chemotherapy error reporting
October 16, 2019
Hess E, Palmer SE, Stivers A, et al. Impact of an electronic health record transition on chemotherapy error
reporting. J Oncol Pharm Pract. 2019:1078155219870590. doi:10.1177/1078155219870590.
https://psnet.ahrq.gov/i…
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psnet.ahrq.gov/node/867524/psn-pdf
January 15, 2025 - Longitudinal analysis of culture of patient safety survey
results in surgical departments.
January 15, 2025
Butler LR, Lashani S, Mitchell C, et al. Longitudinal analysis of culture of patient safety survey results in
surgical departments. Front Health Serv. 2024;4:1419248. doi:10.3389/frhs.2024.1419248.
https://p…
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psnet.ahrq.gov/issue/i-wish-i-had-seen-test-result-earlier-dissatisfaction-test-result-management-systems-primary
February 15, 2011 - Study
"I wish I had seen this test result earlier!": dissatisfaction with test result management systems in primary care.
Citation Text:
Poon EG, Gandhi TK, Sequist TD, et al. "I wish I had seen this test result earlier!": Dissatisfaction with test result management systems in primary ca…
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psnet.ahrq.gov/issue/double-checking-administration-medicines-what-evidence-systematic-review
June 18, 2014 - Review
Double checking the administration of medicines: what is the evidence? A systematic review.
Citation Text:
Alsulami Z, Conroy S, Choonara I. Double checking the administration of medicines: what is the evidence? A systematic review. Arch Dis Child. 2012;97(9):833-7. doi:10.1136/a…
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psnet.ahrq.gov/issue/orthopaedic-error-index-development-and-application-novel-national-indicator-assessing
July 18, 2016 - Study
The Orthopaedic Error Index: development and application of a novel national indicator for assessing the relative safety of hospital care using a cross-sectional approach.
Citation Text:
Panesar SS, Netuveli G, Carson-Stevens A, et al. The orthopaedic error index: development and…
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psnet.ahrq.gov/issue/researching-adverse-events-hospital-deaths-good-way-describe-patient-safety-hospitals
March 18, 2013 - Study
Is researching adverse events in hospital deaths a good way to describe patient safety in hospitals: a retrospective patient record review study.
Citation Text:
Baines RJ, Langelaan M, de Bruijne M, et al. Is researching adverse events in hospital deaths a good way to describe pati…
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psnet.ahrq.gov/issue/using-inpatient-hospital-discharge-data-monitor-patient-safety-events
March 02, 2011 - Study
Using inpatient hospital discharge data to monitor patient safety events.
Citation Text:
Taylor JA, Pandian RS, Mao L, et al. Using inpatient hospital discharge data to monitor patient safety events. J Healthc Risk Manag. 2013;32(4):26-33. doi:10.1002/jhrm.21107.
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…
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psnet.ahrq.gov/issue/narrative-feedback-or-personnel-about-safety-their-surgical-practice-and-after-surgical
May 09, 2018 - Study
Narrative feedback from OR personnel about the safety of their surgical practice before and after a surgical safety checklist intervention.
Citation Text:
Alidina S, Hur H-C, Berry WR, et al. Narrative feedback from OR personnel about the safety of their surgical practice before an…
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psnet.ahrq.gov/node/837979/psn-pdf
August 31, 2022 - Maternal Health Research Centers of Excellence (U54
Clinical Trial Optional).
August 31, 2022
National Institutes of Health. August 11, 2022. RFA-HD-23-035.
https://psnet.ahrq.gov/issue/maternal-health-research-centers-excellence-u54-clinical-trial-optional
Maternity care is increasingly being recognized as …