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psnet.ahrq.gov/node/46044/psn-pdf
December 21, 2017 - Addressing the opioid epidemic in the United States:
lessons from the Department of Veterans Affairs.
December 21, 2017
Gellad WF, Good CB, Shulkin DJ. Addressing the Opioid Epidemic in the United States: Lessons From the
Department of Veterans Affairs. AMA Intern Med. 2017;177(5):611-612.
doi:10.1001/jamainternme…
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psnet.ahrq.gov/node/72675/psn-pdf
January 27, 2021 - How does the environment influence consumers'
perceptions of safety in acute mental health units? A
qualitative study.
January 27, 2021
Cutler NA, Halcomb E, Sim J, et al. How does the environment influence consumers' perceptions of safety
in acute mental health units? A qualitative study. J Clin Nurs. 2021;30(5-6…
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psnet.ahrq.gov/node/44117/psn-pdf
December 04, 2016 - The TRANSFORM patient safety project: a microsystem
approach to improving outcomes on inpatient units.
December 4, 2016
Braddock CH, Szaflarski N, Forsey L, et al. The TRANSFORM Patient Safety Project: a microsystem
approach to improving outcomes on inpatient units. J Gen Intern Med. 2015;30(4):425-33.
doi:10.1007…
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psnet.ahrq.gov/node/853232/psn-pdf
September 06, 2023 - Vital signs: maternity care experiences — United States,
April 2023.
September 6, 2023
Mohamoud YA, Cassidy E, Fuchs E, et al. Vital Signs: Maternity Care Experiences — United States, April
2023. MMWR Morb Mortal Wkly Rep. 2023;72(35):961–967. doi:10.15585/mmwr.mm7235e1.
https://psnet.ahrq.gov/issue/vital-signs-ma…
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psnet.ahrq.gov/node/46833/psn-pdf
December 03, 2018 - The expanding role of antimicrobial stewardship
programs in hospitals in the United States: lessons
learned from a multisite qualitative study.
December 3, 2018
Kapadia SN, Abramson EL, Carter EJ, et al. The Expanding Role of Antimicrobial Stewardship Programs in
Hospitals in the United States: Lessons Learned fro…
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psnet.ahrq.gov/node/41958/psn-pdf
April 17, 2013 - Surgical never events in the United States.
April 17, 2013
Mehtsun WT, Ibrahim AM, Diener-West M, et al. Surgical never events in the United States. Surgery.
2013;153(4):465-472. doi:10.1016/j.surg.2012.10.005.
https://psnet.ahrq.gov/issue/surgical-never-events-united-states
More than a decade ago, stories of wron…
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psnet.ahrq.gov/node/47204/psn-pdf
July 18, 2018 - The burden of opioid-related mortality in the United
States.
July 18, 2018
Gomes T, Tadrous M, Mamdani MM, et al. The burden of opioid-related mortality in the United States.
JAMA Netw Open. 2018;1(2):e180217. doi:10.1001/jamanetworkopen.2018.0217.
https://psnet.ahrq.gov/issue/burden-opioid-related-mortality-unite…
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psnet.ahrq.gov/node/867047/psn-pdf
October 30, 2024 - Therapeutic errors involving diabetes medications
reported to United States poison centers.
October 30, 2024
Thurgood Giarman A, Hays HL, Badeti J, et al. Therapeutic errors involving diabetes medications reported
to United States poison centers. Inj Epidemiol. 2024;11(1):51. doi:10.1186/s40621-024-00536-y.
https:…
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psnet.ahrq.gov/node/60839/psn-pdf
August 26, 2020 - The impact of the COVID-19 pandemic on Emergency
Department visits and patient safety in the United States.
August 26, 2020
Boserup B, McKenney M, Elkbuli A. The impact of the COVID-19 pandemic on emergency department
visits and patient safety in the United States. Am J Emerg Med. 2020;38(9):1732-1736.
doi:10.1016…
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psnet.ahrq.gov/node/46041/psn-pdf
September 20, 2017 - The economic burden of nurse-sensitive adverse events
in 22 medical-surgical units: retrospective and matching
analysis.
September 20, 2017
Tchouaket E, Dubois C-A, D'Amour D. The economic burden of nurse-sensitive adverse events in 22
medical-surgical units: retrospective and matching analysis. J Adv Nurs. 2017;7…
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psnet.ahrq.gov/node/60052/psn-pdf
March 18, 2020 - Analysis of pharmacist-identified medication-related
problems at two United Kingdom hospitals: a prospective
observational study.
March 18, 2020
Geeson C, Wei L, Franklin BD. Analysis of pharmacist-identified medication-related problems at two United
Kingdom hospitals: a prospective observational study. Int J Phar…
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psnet.ahrq.gov/node/44215/psn-pdf
November 03, 2015 - Vaccination errors reported to the Vaccine Adverse Event
Reporting System (VAERS), United States, 2000–2013.
November 3, 2015
Hibbs BF, Moro PL, Lewis P, et al. Vaccination errors reported to the Vaccine Adverse Event Reporting
System, (VAERS) United States, 2000-2013. Vaccine. 2015;33(28):3171-3178.
doi:10.1016/j…
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psnet.ahrq.gov/node/47676/psn-pdf
December 19, 2018 - Assessment of attitudes toward deprescribing in older
Medicare beneficiaries in the United States.
December 19, 2018
Reeve E, Wolff JL, Skehan M, et al. Assessment of Attitudes Toward Deprescribing in Older Medicare
Beneficiaries in the United States. JAMA Intern Med. 2018;178(12):1673-1680.
doi:10.1001/jamaintern…
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psnet.ahrq.gov/node/43993/psn-pdf
November 29, 2017 - An evaluation of shared mental models and mutual trust
on general medical units: implications for collaboration,
teamwork, and patient safety.
November 29, 2017
McComb SA, Lemaster M, Henneman EA, et al. An Evaluation of Shared Mental Models and Mutual Trust
on General Medical Units: Implications for Collaboration…
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psnet.ahrq.gov/node/60982/psn-pdf
October 07, 2020 - Delay or avoidance of medical care because of COVID-19-
related concerns--United States, June 2020.
October 7, 2020
Czeisler MÉ, Marynak K, Clarke KEN, et al. Delay or avoidance of medical care because of COVID-19-
related concerns - United States, June 2020. MMWR Morb Mortal Wkly Rep. 2020;69(36):1250-1257.
doi:1…
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psnet.ahrq.gov/node/46869/psn-pdf
April 11, 2018 - Opioid prescribing practices from 2010 through 2015
among dentists in the United States: what do claims data
tell us?
April 11, 2018
Gupta N, Vujicic M, Blatz A. Opioid prescribing practices from 2010 through 2015 among dentists in the
United States: What do claims data tell us? J Am Dent Assoc. 2018;149(4):237-24…
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psnet.ahrq.gov/node/841473/psn-pdf
December 14, 2022 - Examination of maternal near-miss experiences in the
hospital setting among Black women in the United States.
December 14, 2022
Byrd TE, Ingram LA, Okpara N. Examination of maternal near-miss experiences in the hospital setting
among Black women in the United States. Womens Health (Lond). 2022;18:174550572211338.
…
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psnet.ahrq.gov/node/47465/psn-pdf
October 17, 2018 - Mix-ups between epidural analgesia and IV antibiotics in
labor and delivery units continue to cause harm.
October 17, 2018
ISMP Medication Safety Alert! Acute Care Edition. October 4, 2018;23:1-4.
https://psnet.ahrq.gov/issue/mix-ups-between-epidural-analgesia-and-iv-antibiotics-labor-and-delivery-
units-continue-…
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psnet.ahrq.gov/node/836778/psn-pdf
March 23, 2022 - Medication errors and processes to reduce them in care
homes in the United Kingdom: a scoping review.
March 23, 2022
Irons MW, Auta A, Portlock JC, et al. Medication errors and processes to reduce them in care homes in the
United Kingdom: a scoping review. Home Health Care Serv Q. 2022;41(2):91-123.
doi:10.1080/01…
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digital.ahrq.gov/sites/default/files/docs/citation/r01hs024090-turchin-final-report-2019.pdf
January 01, 2019 - unique patient-year, starting on January 1st and ending on December 31st of a
given year served as the unit … a given year (the index date) and ended on December
31st of the same year therefore served as the unit