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psnet.ahrq.gov/node/74265/psn-pdf
January 19, 2022 - Psychometric properties of the perinatal missed care
survey and missed care during labor and birth.
January 19, 2022
Lyndon A, Simpson KR, Spetz J, et al. Psychometric properties of the perinatal missed care survey and
missed care during labor and birth. Appl Nurs Res. 2022;63:151516. doi:10.1016/j.apnr.2021.151516…
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psnet.ahrq.gov/node/36276/psn-pdf
October 21, 2010 - Effects of nursing rounds on patients' call light use,
satisfaction, and safety.
October 21, 2010
Meade CM, Bursell AL, Ketelsen L. Effects of nursing rounds: on patients' call light use, satisfaction, and
safety. Am J Nurs. 2006;106(9):58-71.
https://psnet.ahrq.gov/issue/effects-nursing-rounds-patients-call-light…
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psnet.ahrq.gov/node/60334/psn-pdf
May 13, 2020 - Crisis Standards of Care: Ten Years of Successes and
Challenges–Proceedings of a Workshop.
May 13, 2020
National Academies of Sciences, Engineering, and Medicine. Washington, DC; The National Academies
Press: 2020. ISBN 9780309676250.
https://psnet.ahrq.gov/issue/crisis-standards-care-ten-years-successes-and-…
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psnet.ahrq.gov/node/837310/psn-pdf
June 01, 2022 - National cross-sectional cohort study of the relationship
between quality of mental healthcare and death by
suicide.
June 1, 2022
Shiner B, Gottlieb DJ, Levis M, et al. National cross-sectional cohort study of the relationship between
quality of mental healthcare and death by suicide. BMJ Qual Saf. 2022;31(6):434-…
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psnet.ahrq.gov/node/866694/psn-pdf
September 11, 2024 - What's the harm? Results of an active surveillance
adverse event reporting system for chiropractors and
physiotherapists.
September 11, 2024
Pohlman KA, Funabashi M, O’Beirne M, et al. What’s the harm? Results of an active surveillance adverse
event reporting system for chiropractors and physiotherapists. PLoS ONE…
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psnet.ahrq.gov/node/47659/psn-pdf
January 27, 2019 - Medical overuse as a physician cognitive error: looking
under the hood.
January 27, 2019
Korenstein D. Medical overuse as a physician cognitive error: looking under the hood. JAMA Intern Med.
2019;179(1):26-27. doi:10.1001/jamainternmed.2018.5136.
https://psnet.ahrq.gov/issue/medical-overuse-physician-cognitive-er…
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psnet.ahrq.gov/node/43769/psn-pdf
December 17, 2014 - Prospective risk analysis and incident reporting for better
pharmaceutical care at paediatric hospital discharge.
December 17, 2014
Kaestli L-Z, Cingria L, Fonzo-Christe C, et al. Prospective risk analysis and incident reporting for better
pharmaceutical care at paediatric hospital discharge. Int J Clin Pharm. 2014…
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psnet.ahrq.gov/node/73439/psn-pdf
June 30, 2021 - Nurses as 'second victims' to their patients' suicidal
attempts: a mixed-method study.
June 30, 2021
Amit Aharon A, Fariba M, Shoshana F, et al. Nurses as ‘second victims’ to their patients’ suicidal attempts:
a mixed?method study. J Clin Nurs. 2021;30(21-22):3290-3300. doi:10.1111/jocn.15839.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/838136/psn-pdf
September 21, 2022 - Exploration of a rapid response team model of care: a
descriptive dual methods study.
September 21, 2022
Shiell A, Fry M, Elliott D, et al. Exploration of a rapid response team model of care: a descriptive dual
methods study. Intensive Crit Care Nurs. 2022;73:103294. doi:10.1016/j.iccn.2022.103294.
https://psnet.a…
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psnet.ahrq.gov/node/43472/psn-pdf
September 03, 2014 - Nighttime cross-coverage is associated with decreased
intensive care unit mortality. A single-center study.
September 3, 2014
Amaral ACK-B, Barros BS, Barros CCPP, et al. Nighttime cross-coverage is associated with decreased
intensive care unit mortality. A single-center study. Am J Respir Crit Care Med. 2014;189(1…
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psnet.ahrq.gov/node/42547/psn-pdf
May 19, 2014 - Using AHRQ Patient Safety Indicators to detect
postdischarge adverse events in the Veterans Health
Administration.
May 19, 2014
Mull HJ, Borzecki A, Chen Q, et al. Using AHRQ patient safety indicators to detect postdischarge adverse
events in the Veterans Health Administration. Am J Med Qual. 2014;29(3):213-9.
do…
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psnet.ahrq.gov/node/44534/psn-pdf
April 25, 2016 - Addressing disease-related malnutrition in hospitalized
patients: a call for a national goal.
April 25, 2016
Guenter P, Jensen G, Patel V, et al. Addressing Disease-Related Malnutrition in Hospitalized Patients: A
Call for a National Goal. Jt Comm J Qual Patient Saf. 2015;41(10):469-473.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/50798/psn-pdf
January 15, 2020 - Testing alertness of emergency physicians: a novel
quantitative measure of alertness and implications for
worker and patient care.
January 15, 2020
Ferguson BA, Lauriski DR, Huecker M, et al. Testing Alertness of Emergency Physicians: A Novel
Quantitative Measure of Alertness and Implications for Worker and Patien…
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psnet.ahrq.gov/node/50555/psn-pdf
October 16, 2019 - Improving critical incident reporting in primary care
through education and involvement.
October 16, 2019
Müller BS, Beyer M, Blazejewski T, et al. Improving critical incident reporting in primary care through
education and involvement. BMJ Open Qual. 2019;8(3):e000556. doi:10.1136/bmjoq-2018-000556.
https://psnet…
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psnet.ahrq.gov/node/43521/psn-pdf
November 05, 2014 - From Science to Implementation: AHRQ's Program to
Prevent HAIs—Results and Lessons.
November 5, 2014
Battles JB, Cleeman JI, Kahn KL, Weinberg DA, eds. Am J Infect Control. 2014;42(suppl 10):S189-S296.
https://psnet.ahrq.gov/issue/science-implementation-ahrqs-program-prevent-hais-results-and-lessons
This companion…
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psnet.ahrq.gov/node/46814/psn-pdf
July 25, 2018 - The scope of drug-related problems in the home care
setting.
July 25, 2018
Meyer-Massetti C, Meier CR, Guglielmo J. The scope of drug-related problems in the home care setting. Int
J Clin Pharm. 2018;40(2):325-334. doi:10.1007/s11096-017-0581-9.
https://psnet.ahrq.gov/issue/scope-drug-related-problems-home-care-se…
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psnet.ahrq.gov/node/46116/psn-pdf
May 24, 2017 - Elimination of emergency department medication errors
due to estimated weights.
May 24, 2017
Greenwalt M, Griffen D, Wilkerson J. Elimination of Emergency Department Medication Errors Due To
Estimated Weights. BMJ Qual Improv Rep. 2017;6(1). doi:10.1136/bmjquality.u214416.w5476.
https://psnet.ahrq.gov/issue/elimin…
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psnet.ahrq.gov/node/848089/psn-pdf
April 26, 2023 - Patient Safety Advisory: fentanyl counterfeit prescription
medications that contain fentanyl and patient safety.
April 26, 2023
Jewell ML, Jewell HL, Singer R, et al. Patient Safety Advisory: fentanyl counterfeit prescription medications
that contain fentanyl and patient safety. Aesthetic Plast Surg. 2023;47(3):123…
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psnet.ahrq.gov/node/46126/psn-pdf
June 19, 2019 - A guide to evaluation of quality improvement and patient
safety educational programs: lessons from the VA Chief
Resident in Quality and Safety Program.
June 19, 2019
Butcher RL, Carluzzo KL, Watts B, et al. A Guide to Evaluation of Quality Improvement and Patient Safety
Educational Programs: Lessons From the VA Ch…
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psnet.ahrq.gov/node/46939/psn-pdf
July 23, 2018 - Underdiagnosis of dementia: an observational study of
patterns in diagnosis and awareness in US older adults.
July 23, 2018
Amjad H, Roth DL, Sheehan OC, et al. Underdiagnosis of Dementia: an Observational Study of Patterns in
Diagnosis and Awareness in US Older Adults. J Gen Intern Med. 2018;33(7):1131-1138.
doi:…