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psnet.ahrq.gov/node/854255/psn-pdf
October 04, 2023 - Empowering telemetry technicians and enhancing
communication to improve in-hospital cardiac arrest
survival.
October 4, 2023
McCoy C, Keshvani N, Warsi M, et al. Empowering telemetry technicians and enhancing communication to
improve in-hospital cardiac arrest survival. BMJ Open Qual. 2023;12(3):e002220. doi:10.11…
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psnet.ahrq.gov/node/60950/psn-pdf
September 23, 2020 - An effective intervention: limiting opioid prescribing as a
means of reducing opioid analgesic misuse, and
overdose deaths.
September 23, 2020
Fink BC, Uyttebrouck O, Larson RS. An effective intervention: limiting opioid prescribing as a means of
reducing opioid analgesic misuse, and overdose deaths. J Law Med Eth…
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psnet.ahrq.gov/node/50551/psn-pdf
October 16, 2019 - Factors affecting patient safety culture among dental
healthcare workers: A nationwide cross-sectional survey
October 16, 2019
Cheng H-C, Yen AM-F, Lee Y-H. Factors affecting patient safety culture among dental healthcare workers:
A nationwide cross-sectional survey. J Dent Sci. 2019;14(3):263-268. doi:10.1016/j.jd…
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psnet.ahrq.gov/node/47975/psn-pdf
May 29, 2019 - Surgical Innovation, New Techniques and Technologies:
A Guide to Good Practice.
May 29, 2019
London, UK: Royal College of Surgeons of England; 2019.
https://psnet.ahrq.gov/issue/surgical-innovation-new-techniques-and-technologies-guide-good-practice
Introducing innovations in practice involves taking calculated ri…
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psnet.ahrq.gov/node/39339/psn-pdf
April 01, 2010 - Sex differences in operating room care giver perceptions
of patient safety: a pilot study from the Veterans Health
Administration Medical Team Training Program.
April 1, 2010
Carney BT, Mills PD, Bagian JP, et al. Sex differences in operating room care giver perceptions of patient
safety: a pilot study from the Ve…
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psnet.ahrq.gov/node/39199/psn-pdf
January 28, 2010 - Nurse decision making in the prearrest period.
January 28, 2010
Gazarian PK, Henneman EA, Chandler GE. Nurse decision making in the prearrest period. Clin Nurs Res.
2010;19(1):21-37. doi:10.1177/1054773809353161.
https://psnet.ahrq.gov/issue/nurse-decision-making-prearrest-period
This qualitative study explored th…
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psnet.ahrq.gov/node/60001/psn-pdf
March 04, 2020 - Patient safety in marginalised groups: a narrative scoping
review
March 4, 2020
Cheraghi-Sohi S, Panagioti M, Daker-White G, et al. Patient safety in marginalised groups: a narrative
scoping review. Int J Equity Health. 2020;19(1):26. doi:10.1186/s12939-019-1103-2.
https://psnet.ahrq.gov/issue/patient-safety-margi…
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psnet.ahrq.gov/node/41305/psn-pdf
April 18, 2012 - Is computer-assisted telephone triage safe? A
prospective surveillance study in walk-in patients with
non-life-threatening medical conditions.
April 18, 2012
Meer A, Gwerder T, Duembgen L, et al. Is computer-assisted telephone triage safe? A prospective
surveillance study in walk-in patients with non-life-threaten…
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psnet.ahrq.gov/node/74699/psn-pdf
January 26, 2022 - Indication alerts to improve problem list documentation.
January 26, 2022
Grauer A, Kneifati-Hayek J, Reuland B, et al. Indication alerts to improve problem list documentation. J Am
Med Inform Assoc. 2022;29(5):909-917. doi:10.1093/jamia/ocab285.
https://psnet.ahrq.gov/issue/indication-alerts-improve-problem-list-d…
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psnet.ahrq.gov/node/72569/psn-pdf
January 01, 2021 - Risk factors associated with medication ordering errors.
December 16, 2020
Abraham J, Galanter WL, Touchette DR, et al. Risk factors associated with medication ordering errors. J
Am Med Inform Assoc. 2021;18(1):86-94. doi:10.1093/jamia/ocaa264.
https://psnet.ahrq.gov/issue/risk-factors-associated-medication-orderin…
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psnet.ahrq.gov/node/43500/psn-pdf
November 17, 2014 - A systematic review of behavioural marker systems in
healthcare: what do we know about their attributes,
validity and application?
November 17, 2014
Dietz AS, Pronovost P, Benson KN, et al. A systematic review of behavioural marker systems in
healthcare: what do we know about their attributes, validity and applica…
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psnet.ahrq.gov/node/851062/psn-pdf
June 28, 2023 - Systems approach to suicide prevention: strengthening
culture, practice, and education.
June 28, 2023
Pisani AR, Boudreaux ED. Systems approach to suicide prevention: strengthening culture, practice, and
education. Focus (Am Psychiatr Publ). 2023;21(2):152-159. doi:10.1176/appi.focus.20220081.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/853074/psn-pdf
February 06, 2024 - Patient Experience, Patient Safety, and Provider Well-
Being: Associations and Paths for Quality Improvement.
February 6, 2024
Rockville, MD: Agency for Healthcare Research and Quality; January 2024. AHRQ Publication no.
24-0030.
https://psnet.ahrq.gov/issue/patient-experience-patient-safety-and-provider-well…
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psnet.ahrq.gov/node/37610/psn-pdf
June 16, 2011 - Is yours a learning organization?
June 16, 2011
Garvin DA, Edmondson A, Gino F. Is yours a learning organization? Harv Bus Rev. 2008;86(3):109-16,
134.
https://psnet.ahrq.gov/issue/yours-learning-organization
Key tenets of improving patient safety at the organizational level include taking a systems approach to
s…
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psnet.ahrq.gov/node/47903/psn-pdf
January 01, 2021 - A qualitative analysis of outpatient medication use in
community settings: observed safety vulnerabilities and
recommendations for improved patient safety.
April 17, 2019
Lyson HC, Sharma AE, Cherian R, et al. A Qualitative Analysis of Outpatient Medication Use in Community
Settings: Observed Safety Vulnerabilitie…
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psnet.ahrq.gov/node/46002/psn-pdf
October 13, 2018 - Exploring physician perspectives of residency holdover
handoffs: a qualitative study to understand an
increasingly important type of handoff.
October 13, 2018
Duong JA, Jensen TP, Morduchowicz S, et al. Exploring Physician Perspectives of Residency Holdover
Handoffs: A Qualitative Study to Understand an Increasing…
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psnet.ahrq.gov/node/866955/psn-pdf
October 16, 2024 - Adverse diagnostic events in hospitalised patients: a
single-centre, retrospective cohort study.
October 16, 2024
Dalal AK, Plombon S, Konieczny K, et al. Adverse diagnostic events in hospitalised patients: a single-
centre, retrospective cohort study. BMJ Qual Saf. 2024;Epub Oct 1. doi:10.1136/bmjqs-2024-017183.
…
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psnet.ahrq.gov/node/60233/psn-pdf
April 15, 2020 - Identifying safety hazards associated with intravenous
vancomycin through the analysis of patient safety event
reports.
April 15, 2020
Krukas A, Franklin ES, Bonk C, et al. Identifying safety hazards associated with intravenous vancomycin
through the analysis of patient safety event reports. Patient Safety. 2020;2…
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psnet.ahrq.gov/node/43257/psn-pdf
August 14, 2014 - Barriers and success factors to the implementation of a
multi-site prospective adverse event surveillance system.
August 14, 2014
Backman C, Forster AJ, Vanderloo S. Barriers and success factors to the implementation of a multi-site
prospective adverse event surveillance system. Int J Qual Health Care. 2014;26(4):4…
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psnet.ahrq.gov/node/844780/psn-pdf
September 11, 2019 - Commissioning simulations to test new healthcare
facilities: a proactive and innovative approach to
healthcare system safety.
September 11, 2019
Kaba A, Barnes S. Commissioning simulations to test new healthcare facilities: a proactive and innovative
approach to healthcare system safety. Adv Simul (Lond). 2019;4:1…