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psnet.ahrq.gov/node/851457/psn-pdf
July 19, 2023 - Root causes and preventability of unintentionally retained
foreign objects after surgery: a national expert survey
from Switzerland.
July 19, 2023
Schwappach DLB, Pfeiffer Y. Root causes and preventability of unintentionally retained foreign objects
after surgery: a national expert survey from Switzerland. Patient…
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psnet.ahrq.gov/node/48108/psn-pdf
July 10, 2019 - Patterns of opioid administration among opioid-naive
inpatients and associations with postdischarge opioid
use: a cohort study.
July 10, 2019
Donohue JM, Kennedy JN, Seymour CW, et al. Patterns of Opioid Administration Among Opioid-Naive
Inpatients and Associations With Postdischarge Opioid Use: A Cohort Study. An…
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psnet.ahrq.gov/node/38014/psn-pdf
March 02, 2011 - The frequency and significance of discrepancies in the
surgical count.
March 2, 2011
Greenberg CC, Regenbogen SE, Lipsitz SR, et al. The Frequency and Significance of Discrepancies in the
Surgical Count. Ann Surg. 2009;248(2). doi:10.1097/sla.0b013e318181c9a3.
https://psnet.ahrq.gov/issue/frequency-and-significanc…
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psnet.ahrq.gov/node/45348/psn-pdf
September 14, 2016 - Integrating teamwork, clinician occupational well-being
and patient safety—development of a conceptual
framework based on a systematic review.
September 14, 2016
Welp A, Manser T. Integrating teamwork, clinician occupational well-being and patient safety - development
of a conceptual framework based on a systemati…
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psnet.ahrq.gov/node/50795/psn-pdf
January 15, 2020 - Diagnostic error in the emergency department: learning
from national patient safety incident report analysis.
January 15, 2020
Hussain F, Cooper A, Carson-Stevens A, et al. Diagnostic error in the emergency department: learning
from national patient safety incident report analysis. BMC Emerg Med. 2019;19(1):77. doi…
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psnet.ahrq.gov/node/37131/psn-pdf
October 04, 2011 - Supplemental nurse staffing in hospitals and quality of
care.
October 4, 2011
Aiken LH, Xue Y, Clarke SP, et al. Supplemental Nurse Staffing in Hospitals and Quality of Care. JONA:
The Journal of Nursing Administration. 2007;37(7). doi:10.1097/01.nna.0000285119.53066.ae.
https://psnet.ahrq.gov/issue/supplemental-n…
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psnet.ahrq.gov/node/43808/psn-pdf
April 22, 2015 - Preventing iatrogenic overdose: a review of
in–emergency department opioid-related adverse drug
events and medication errors.
April 22, 2015
Beaudoin FL, Merchant RC, Janicki A, et al. Preventing iatrogenic overdose: a review of in-emergency
department opioid-related adverse drug events and medication errors. Ann …
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psnet.ahrq.gov/node/852794/psn-pdf
August 23, 2023 - The state of health, burnout, healthy behaviors, workplace
wellness support, and concerns of medication errors in
pharmacists during the COVID-19 pandemic.
August 23, 2023
Melnyk BM, Hsieh AP, Tan A, et al. The state of health, burnout, healthy behaviors, workplace wellness
support, and concerns of medication erro…
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psnet.ahrq.gov/node/867138/psn-pdf
November 13, 2024 - Could breaks reduce general practitioner burnout and
improve safety? A daily diary study.
November 13, 2024
Hall LH, Johnson J, Watt I, et al. Could breaks reduce general practitioner burnout and improve safety? A
daily diary study. PLoS ONE. 2024;19(8):e0307513. doi:10.1371/journal.pone.0307513.
https://psnet.ahr…
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psnet.ahrq.gov/node/72856/psn-pdf
March 17, 2021 - The fusion of incident learning and failure mode and
effects analysis for data-driven patient safety
improvements.
March 17, 2021
Paradis KC, Naheedy KW, Matuszak MM, et al. The fusion of incident learning and failure mode and
effects analysis for data-driven patient safety improvements. Pract Radiat Oncol. 2020;1…
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psnet.ahrq.gov/node/46623/psn-pdf
July 02, 2019 - Factors contributing to medication errors made when
using computerized order entry in pediatrics: a
systematic review.
July 2, 2019
Tolley CL, Forde NE, Coffey KL, et al. Factors contributing to medication errors made when using
computerized order entry in pediatrics: a systematic review. J Am Med Info Assoc. 2017…
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psnet.ahrq.gov/node/34680/psn-pdf
February 09, 2011 - Estimating hospital deaths due to medical errors:
preventability is in the eye of the reviewer.
February 9, 2011
Hayward RA, Hofer TP. Estimating hospital deaths due to medical errors: preventability is in the eye of the
reviewer. JAMA. 2001;286(4):415-20.
https://psnet.ahrq.gov/issue/estimating-hospital-deaths-du…
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psnet.ahrq.gov/node/36743/psn-pdf
June 16, 2011 - Measuring safety culture in the ambulatory setting: The
Safety Attitudes Questionnaire—Ambulatory Version.
June 16, 2011
Modak I, Sexton B, Lux TR, et al. Measuring safety culture in the ambulatory setting: the safety attitudes
questionnaire--ambulatory version. J Gen Intern Med. 2007;22(1):1-5.
https://psnet.ahrq…
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psnet.ahrq.gov/node/44741/psn-pdf
January 20, 2016 - System hazards in managing laboratory test requests and
results in primary care: medical protection database
analysis and conceptual model.
January 20, 2016
Bowie P, Price J, Hepworth N, et al. System hazards in managing laboratory test requests and results in
primary care: medical protection database analysis and…
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psnet.ahrq.gov/node/43796/psn-pdf
June 02, 2015 - Embedding quality and safety in otolaryngology–head
and neck surgery education.
June 2, 2015
McCormick ME, Stadler ME, Shah RK. Embedding quality and safety in otolaryngology-head and neck
surgery education. Otolaryngol Head Neck Surg. 2015;152(5):778-782. doi:10.1177/0194599814561601.
https://psnet.ahrq.gov/issue…
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psnet.ahrq.gov/node/46017/psn-pdf
July 11, 2017 - Challenging hierarchy in healthcare teams--ways to
flatten gradients to improve teamwork and patient care.
July 11, 2017
Green B, Oeppen RS, Smith DW, et al. Challenging hierarchy in healthcare teams - ways to flatten
gradients to improve teamwork and patient care. Br J Oral Maxillofac Surg. 2017;55(5):449-453.
do…
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psnet.ahrq.gov/node/47768/psn-pdf
February 27, 2019 - Challenging authority and speaking up in the operating
room environment: a narrative synthesis.
February 27, 2019
Pattni N, Arzola C, Malavade A, et al. Challenging authority and speaking up in the operating room
environment: a narrative synthesis. Br J Anaesth. 2019;122(2):233-244. doi:10.1016/j.bja.2018.10.056.
…
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psnet.ahrq.gov/node/45734/psn-pdf
January 23, 2017 - Inappropriate opioid dosing and prescribing for children:
an unintended consequence of the clinical pain score?
January 23, 2017
Voepel-Lewis T, Malviya S, Tait AR. Inappropriate Opioid Dosing and Prescribing for Children: An
Unintended Consequence of the Clinical Pain Score? JAMA Pediatr. 2017;171(1):5-6.
doi:10.…
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psnet.ahrq.gov/node/35516/psn-pdf
February 03, 2011 - Supplemental perioperative oxygen and the risk of
surgical wound infection: a randomized controlled trial.
February 3, 2011
Belda J, Aguilera L, de la Asunción JG, et al. Supplemental perioperative oxygen and the risk of surgical
wound infection: a randomized controlled trial. JAMA. 2005;294(16):2035-42.
https://p…
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psnet.ahrq.gov/node/838178/psn-pdf
September 28, 2022 - How is physicians' implicit prejudice against the obese
and mentally ill moderated by specialty and experience?
September 28, 2022
FitzGerald C, Mumenthaler C, Berner D, et al. How is physicians’ implicit prejudice against the obese and
mentally ill moderated by specialty and experience? BMC Med Ethics. 2022;23(1):…