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psnet.ahrq.gov/web-mm/risks-absent-interoperability-medication-induced-hemolysis-patient-known-allergy
April 08, 2019 - use criteria, one relevant to this case is the Clinical Decision Support Rule.( 4 ) This requirement states
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psnet.ahrq.gov/perspective/introducing-new-ahrq-webmm-and-ahrq-patient-safety-network-psnet
April 01, 2005 - There are currently more than 100,000 residents in the United States, and most of them work these schedules
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psnet.ahrq.gov/node/49572/psn-pdf
October 01, 2008 - The United Kingdom
Patient Safety Agency reported 236 incidents and near misses in less than 2 years
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psnet.ahrq.gov/issue/fifteen-years-after-err-human-success-story-learn
August 04, 2021 - May 6, 2020
States Targeting Reduction in Infections via Engagement (STRIVE).
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psnet.ahrq.gov/issue/identification-adverse-events-orthopedics-department-sweden
May 08, 2013 - Study
Identification of adverse events at an orthopedics department in Sweden.
Citation Text:
Unbeck M, Muren O, Lillkrona U. Identification of adverse events at an orthopedics department in Sweden. Acta Orthop. 2008;79(3):396-403. doi:10.1080/17453670710015319.
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psnet.ahrq.gov/issue/digital-maturity-predictor-quality-and-safety-outcomes-us-hospitals-cross-sectional
September 04, 2024 - Study
Digital maturity as a predictor of quality and safety outcomes in US hospitals: cross-sectional observational study.
Citation Text:
Snowdon A, Hussein A, Danforth M, et al. Digital maturity as a predictor of quality and safety outcomes in US hospitals: cross-sectional observational…
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psnet.ahrq.gov/issue/cross-check-qa-quality-assurance-workflow-prevent-missed-diagnoses-alerting-inadvertent
March 04, 2015 - the Same Author(s)
Ambulatory prescribing errors among community-based providers in two states
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psnet.ahrq.gov/issue/not-just-getting-factors-influencing-providers-choice-interpreters
August 23, 2023 - Study
Not just "getting by": factors influencing providers' choice of interpreters.
Citation Text:
Hsieh E. Not just "getting by": factors influencing providers' choice of interpreters. J Gen Intern Med. 2015;30(1):75-82. doi:10.1007/s11606-014-3066-8.
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…
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psnet.ahrq.gov/issue/safety-during-night-shifts-cross-sectional-survey-junior-doctors-preparation-and-practice
August 18, 2021 - This survey of trainee physicians in one region of the United Kingdom found that most do not adhere to
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psnet.ahrq.gov/issue/transfusion-related-errors-and-associated-adverse-reactions-and-blood-product-wastage
September 23, 2020 - Study
Transfusion-related errors and associated adverse reactions and blood product wastage as reported to the National Healthcare Safety Network Hemovigilance Module, 2014-2022.
Citation Text:
Chavez Ortiz JL, Griffin I, Kazakova SV, et al. Transfusion‐related errors and associated adve…
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psnet.ahrq.gov/issue/characteristics-pediatric-chemotherapy-medication-errors-national-error-reporting-database
September 21, 2008 - Study
Characteristics of pediatric chemotherapy medication errors in a national error reporting database.
Citation Text:
Rinke ML, Shore AD, Morlock L, et al. Characteristics of pediatric chemotherapy medication errors in a national error reporting database. Cancer. 2007;110(1):186-95.…
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psnet.ahrq.gov/issue/review-modifiable-health-care-factors-contributing-inpatient-suicide-analysis-coroners
July 19, 2023 - Study
A review of modifiable health care factors contributing to inpatient suicide: an analysis of coroners' reports using the Human Factors Analysis and Classification System for Healthcare
Citation Text:
Sweeting P, Finlayson M, Hartz D. A review of modifiable health care factors contr…
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psnet.ahrq.gov/issue/introduction-medical-emergency-teams-australia-and-new-zealand-multi-centre-study
January 04, 2012 - Study
Introduction of medical emergency teams in Australia and New Zealand: a multi-centre study.
Citation Text:
Jones D, George C, Hart GK, et al. Introduction of medical emergency teams in Australia and New Zealand: a multi-centre study. Crit Care. 2008;12(2):R46. doi:10.1186/cc6857.…
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psnet.ahrq.gov/issue/performance-international-classification-diseases-9th-revision-clinical-modification-codes
May 07, 2008 - Study
Performance of International Classification of Diseases, 9th Revision, Clinical Modification codes as an adverse drug event surveillance system.
Citation Text:
Hougland P, Xu W, Pickard S, et al. Performance of International Classification Of Diseases, 9th Revision, Clinical Modi…
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psnet.ahrq.gov/issue/physician-knowledge-attitudes-and-behavior-related-reporting-adverse-drug-events
September 23, 2020 - Study
Classic
Physician knowledge, attitudes, and behavior related to reporting adverse drug events.
Citation Text:
Rogers AS, Israel E, Smith CR, et al. Physician Knowledge, Attitudes, and Behavior Related to Reporting Adverse Drug Events. Arch Intern Med. 201…
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psnet.ahrq.gov/issue/adverse-events-and-burnout-moderating-effects-workgroup-identification-and-safety-climate
February 09, 2022 - Study
Adverse events and burnout: the moderating effects of workgroup identification and safety climate.
Citation Text:
Vogus TJ, Ramanujam R, Novikov Z, et al. Adverse events and burnout: the moderating effects of workgroup identification and safety climate. Med Care. 2020;58(7):594-600…
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psnet.ahrq.gov/issue/patient-safety-trends-2021-analysis-288882-serious-events-and-incidents-nations-largest-event
May 19, 2021 - Study
Patient safety trends in 2021: an analysis of 288,882 serious events and incidents from the nation’s largest event reporting database.
Citation Text:
Kepner S, Jones RM. Patient safety trends in 2021: an analysis of 288,882 serious events and incidents from the nation’s largest eve…
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psnet.ahrq.gov/issue/multiple-failures-test-results-follow-patient-diagnosed-prostate-cancer-hampton-va-medical
July 26, 2023 - Book/Report
Multiple Failures in Test Results Follow-up for a Patient Diagnosed with Prostate Cancer at the Hampton VA Medical Center in Virginia.
Citation Text:
Multiple Failures in Test Results Follow-up for a Patient Diagnosed with Prostate Cancer at the Hampton VA Medical Center in V…
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psnet.ahrq.gov/issue/diagnostic-discrepancies-between-antemortem-clinical-diagnosis-and-autopsy-findings-pediatric
July 28, 2021 - Study
Diagnostic discrepancies between antemortem clinical diagnosis and autopsy findings in pediatric cancer patients.
Citation Text:
Raghuram N, Alodan K, Bartels U, et al. Diagnostic discrepancies between antemortem clinical diagnosis and autopsy findings in pediatric cancer patients.…
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psnet.ahrq.gov/issue/preventing-nosocomial-bloodstream-infections-nbsis-implementing-hospitalwide-department-level
February 03, 2011 - Study
Preventing nosocomial bloodstream infections (NBSIs) by implementing hospitalwide, department-level, self-investigations: a NBSIs frontline ownership intervention.
Citation Text:
Mudrik-Zohar H, Chowers M, Temkin E, et al. Preventing nosocomial bloodstream infections (NBSIs) by imp…