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psnet.ahrq.gov/node/73980/psn-pdf
October 20, 2021 - Descriptive analysis of patient misidentification from
incident report system data in a large academic hospital
federation.
October 20, 2021
Abraham P, Augey L, Duclos A, et al. Descriptive analysis of patient misidentification from incident report
system data in a large academic hospital federation. J Patient Saf…
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psnet.ahrq.gov/node/73916/psn-pdf
January 01, 2022 - Use of heuristics during the clinical decision process
from family care physicians in real conditions.
October 6, 2021
Fernández?Aguilar C, Martín?Martín JJ, Minué Lorenzo S, et al. Use of heuristics during the clinical
decision process from family care physicians in real conditions. J Eval Clin Pract. 2022;28(1):1…
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psnet.ahrq.gov/node/74705/psn-pdf
January 26, 2022 - 20 years after To Err Is Human: a bibliometric analysis of
‘the IOM report’s’ impact on research on patient safety.
January 26, 2022
St.Pierre M, Grawe P, Bergström J, et al. 20 years after To Err Is Human: a bibliometric analysis of ‘the
IOM report’s’ impact on research on patient safety. Safety Sci. 2021;147:1055…
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psnet.ahrq.gov/node/856590/psn-pdf
November 29, 2023 - Team experiences of the root cause analysis process
after a sentinel event: a qualitative case study.
November 29, 2023
Liepelt S, Sundal H, Kirchhoff R. Team experiences of the root cause analysis process after a sentinel
event: a qualitative case study. BMC Health Serv Res. 2023;23(1):1224. doi:10.1186/s12913-023…
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psnet.ahrq.gov/node/838245/psn-pdf
January 01, 2023 - A novel study of situational awareness among out-of-
hospital providers during an online clinical simulation.
October 5, 2022
Hunter J, Porter M, Williams B. A novel study of situational awareness among out-of-hospital providers
during an online clinical simulation. Australas Emerg Care. 2023;26(1):96-103.
doi:10.…
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psnet.ahrq.gov/node/47240/psn-pdf
March 06, 2019 - Improving detection of intraoperative medical errors
(iMEs) and intraoperative adverse events (iAEs) and their
contribution to postoperative outcomes.
March 6, 2019
Chen Q, Rosen AK, Amirfarzan H, et al. Improving detection of intraoperative medical errors (iMEs) and
intraoperative adverse events (iAEs) and their …
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psnet.ahrq.gov/node/860728/psn-pdf
January 17, 2024 - Factors influencing second victim experiences and
support needs of OB/GYN and pediatric healthcare
professionals after adverse patient events.
January 17, 2024
Rivera-Chiauzzi EY, Riggan KA, Huang L, et al. Factors influencing second victim experiences and support
needs of OB/GYN and pediatric healthcare professio…
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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/47269/psn-pdf
August 15, 2018 - AHRQ Announces Interest in Health Services Research to
Address the Opioids Crisis.
August 15, 2018
Rockville, MD: Agency for Healthcare Research and Quality. Special Emphasis Notice. August 2, 2018.
Publication No. NOT-HS-18-015.
https://psnet.ahrq.gov/issue/ahrq-announces-interest-health-services-research-address…
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psnet.ahrq.gov/node/836956/psn-pdf
April 20, 2022 - Effectiveness and safety of pulse oximetry in remote
patient monitoring of patients with COVID-19: a
systematic review.
April 20, 2022
Alboksmaty A, Beaney T, Elkin S, et al. Effectiveness and safety of pulse oximetry in remote patient
monitoring of patients with COVID-19: a systematic review. Lancet Digit Health.…
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psnet.ahrq.gov/node/73473/psn-pdf
January 01, 2022 - Improving safety recommendations before
implementation: a simulation-based event analysis to
optimize interventions designed to prevent recurrence of
adverse events.
July 7, 2021
Langevin M, Ward N, Fitzgibbons C, et al. Improving safety recommendations before implementation: a
simulation-based event analysis to …
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psnet.ahrq.gov/node/43678/psn-pdf
April 22, 2015 - 'Connecting the dots': leveraging visual analytics to make
sense of patient safety event reports.
April 22, 2015
Ratwani RM, Fong A. 'Connecting the dots': leveraging visual analytics to make sense of patient safety
event reports. J Am Med Inform Assoc. 2015;22(2):312-7. doi:10.1136/amiajnl-2014-002963.
https://ps…
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psnet.ahrq.gov/node/838915/psn-pdf
October 26, 2022 - Predictors of response rates of safety culture
questionnaires in healthcare: a systematic review and
analysis.
October 26, 2022
Ellis LA, Pomare C, Churruca K, et al. Predictors of response rates of safety culture questionnaires in
healthcare: a systematic review and analysis. BMJ Open. 2022;12(9):e065320. doi:10.…
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psnet.ahrq.gov/node/47486/psn-pdf
January 27, 2019 - Direct oral anticoagulants: a review of common
medication errors.
January 27, 2019
Barr D, Epps QJ. Direct oral anticoagulants: a review of common medication errors. J Thromb
Thrombolysis. 2019;47(1):146-154. doi:10.1007/s11239-018-1752-9.
https://psnet.ahrq.gov/issue/direct-oral-anticoagulants-review-common-medic…
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psnet.ahrq.gov/node/837968/psn-pdf
August 31, 2022 - The perception of the patient safety climate by health
professionals during the COVID-19 pandemic-
international research.
August 31, 2022
Kosydar-Bochenek J, Krupa S, Religa D, et al. The Perception of the Patient Safety Climate by Health
Professionals during the COVID-19 Pandemic—International Research. Int J En…
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psnet.ahrq.gov/node/45195/psn-pdf
September 14, 2016 - Adverse drug event reporting systems: a systematic
review.
September 14, 2016
Bailey C, Peddie D, Wickham ME, et al. Adverse drug event reporting systems: a systematic review. Br J
Clin Pharm. 2016;82(1):17-29. doi:10.1111/bcp.12944.
https://psnet.ahrq.gov/issue/adverse-drug-event-reporting-systems-systematic-revi…
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psnet.ahrq.gov/node/862989/psn-pdf
February 21, 2024 - Peer support and second victim programs for anesthesia
professionals involved in stressful or traumatic clinical
events.
February 21, 2024
Finney RE, Jacob AK. Peer support and second victim programs for anesthesia professionals involved in
stressful or traumatic clinical events. Adv Anesth. 2023;41(1):39-52. doi:…
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psnet.ahrq.gov/node/45014/psn-pdf
July 18, 2016 - Improving patient safety through simulation training in
anesthesiology: where are we?
July 18, 2016
Green M, Tariq R, Green P. Improving Patient Safety through Simulation Training in Anesthesiology:
Where Are We? Anesthesiol Res Pract. 2016;2016:4237523. doi:10.1155/2016/4237523.
https://psnet.ahrq.gov/issue/impro…
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psnet.ahrq.gov/node/837742/psn-pdf
July 27, 2022 - Room of hazards: a comparison of differences in safety
hazard recognition among various hospital-based
healthcare professionals and trainees in a simulated
patient room.
July 27, 2022
Wang M, Banda B, Rodwin BA, et al. Room of hazards: a comparison of differences in safety hazard
recognition among various hospita…
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psnet.ahrq.gov/node/837663/psn-pdf
July 13, 2022 - Long-term risk of overdose or mental health crisis after
opioid dose tapering.
July 13, 2022
Fenton JJ, Magnan E, Tseregounis IE, et al. Long-term risk of overdose or mental health crisis after opioid
dose tapering. JAMA Netw Open. 2022;5(6):e2216726. doi:10.1001/jamanetworkopen.2022.16726.
https://psnet.ahrq.gov/…