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psnet.ahrq.gov/node/45350/psn-pdf
October 21, 2016 - A National Trauma Care System: Integrating Military and
Civilian Trauma Systems to Achieve Zero Preventable
Deaths After Injury.
October 21, 2016
National Academies of Sciences, Engineering, and Medicine. Washington, DC: National Academies Press;
2016.
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January 01, 2021 - Preventing critical failure. Can routinely collected data be
repurposed to predict avoidable patient harm? A
quantitative descriptive study.
January 29, 2020
Nowotny BM, Davies-Tuck M, Scott B, et al. Preventing critical failure. Can routinely collected data be
repurposed to predict avoidable patient harm? A quant…
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psnet.ahrq.gov/node/73608/psn-pdf
January 01, 2022 - Pharmacist-led intervention on the reduction of
inappropriate medication use in patients with heart
failure: a systematic review of randomized trials and non-
randomized intervention studies.
August 18, 2021
Hernández-Prats C, López-Pintor E, Lumbreras B. Pharmacist-led intervention on the reduction of
inappropri…
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psnet.ahrq.gov/node/60277/psn-pdf
January 01, 2021 - Evidence that nurses need to participate in diagnosis:
lessons from malpractice claims.
April 29, 2020
Gleason KT, Jones RM, Rhodes C, et al. Evidence that nurses need to participate in diagnosis: lessons
from malpractice claims. J Patient Saf. 2021;17(8):e959-e963. doi:10.1097/pts.0000000000000621.
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April 13, 2022 - The analysis of hospital readmission rates after the
implementation of Hospital Readmissions Reduction
Program.
April 13, 2022
Muchiri S, Azadeh-Fard N, Pakdil F. The analysis of hospital readmission rates after the implementation of
hospital readmissions reduction program. J Patient Saf. 2022;18(3):237-244.
doi:…
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September 14, 2022 - The Psychological Safety Scale of the Safety,
Communication, Operational, Reliability, and Engagement
(SCORE) survey: a brief, diagnostic, and actionable
metric for the ability to speak up in healthcare settings.
September 14, 2022
Adair KC, Heath A, Frye MA, et al. The Psychological Safety Scale of the Safety, Co…
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psnet.ahrq.gov/node/866689/psn-pdf
September 11, 2024 - Human-AI teaming in critical care: a comparative analysis
of data scientists' and clinicians' perspectives on AI
augmentation and automation.
September 11, 2024
Bienefeld N, Keller E, Grote G. Human-AI teaming in critical care: a comparative analysis of data scientists'
and clinicians' perspectives on AI augmentat…
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June 09, 2021 - Shift-to-shift nursing handover interventions associated
with improved inpatient outcomes - falls, pressure
injuries and medication administration errors: an
integrative review.
June 9, 2021
Hada A, Coyer F. Shift?to?shift nursing handover interventions associated with improved inpatient
outcomes—falls, pressure …
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psnet.ahrq.gov/node/45441/psn-pdf
September 21, 2016 - Psychological impact and recovery after involvement in a
patient safety incident: a repeated measures analysis.
September 21, 2016
Van Gerven E, Bruyneel L, Panella M, et al. Psychological impact and recovery after involvement in a
patient safety incident: a repeated measures analysis. BMJ oOen. 2016;6(8):e011403.
…
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December 11, 2024 - Enhancing safe medication use in home care: insights
from informal caregivers.
December 11, 2024
Gil-Hernández E, Ballester P, Guilabert M, et al. Enhancing safe medication use in home care: insights
from informal caregivers. Front Med (Lausanne). 2024;11:1494771. doi:10.3389/fmed.2024.1494771.
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March 23, 2016 - Health IT Safe Practices. Toolkit for the Safe Use of Copy
and Paste.
March 23, 2016
Partnership for Health IT Patient Safety. Plymouth Meeting, PA: ECRI; February 2016.
https://psnet.ahrq.gov/issue/health-it-safe-practices-toolkit-safe-use-copy-and-paste
Electronic health records have potential to improve health …
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psnet.ahrq.gov/node/44815/psn-pdf
November 30, 2016 - Comparing NICU teamwork and safety climate across two
commonly used survey instruments.
November 30, 2016
Profit J, Lee HC, Sharek PJ, et al. Comparing NICU teamwork and safety climate across two commonly
used survey instruments. BMJ Qual Saf. 2016;25(12):954-961. doi:10.1136/bmjqs-2014-003924.
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psnet.ahrq.gov/node/61064/psn-pdf
October 28, 2020 - Feasibility of patient-reported diagnostic errors following
emergency department discharge: a pilot study.
October 28, 2020
Gleason KT, Peterson SM, Dennison Himmelfarb CR, et al. Feasibility of patient-reported diagnostic errors
following emergency department discharge: a pilot study. Diagnosis (Berl). 2021;8(2):1…
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psnet.ahrq.gov/node/60030/psn-pdf
March 11, 2020 - Soft factors, smooth transport? The role of safety climate
and team processes in reducing adverse events during
intrahospital transport in intensive care.
March 11, 2020
Latzke M, Schiffinger M, Zellhofer D, et al. Soft Factors, Smooth Transport? The role of safety climate and
team processes in reducing adverse ev…
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psnet.ahrq.gov/node/74206/psn-pdf
December 22, 2021 - Direct oral anticoagulant-related medication incidents and
pharmacists' interventions in hospital in-patients:
evaluation using Reason's accident causation theory.
December 22, 2021
Haque H, Alrowily A, Jalal Z, et al. Direct oral anticoagulant-related medication incidents and pharmacists’
interventions in hospita…
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psnet.ahrq.gov/node/43787/psn-pdf
June 22, 2016 - Measuring variation in use of the WHO surgical safety
checklist in the operating room: a multicenter prospective
cross-sectional study.
June 22, 2016
Russ S, Rout S, Caris J, et al. Measuring variation in use of the WHO surgical safety checklist in the
operating room: a multicenter prospective cross-sectional stud…
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psnet.ahrq.gov/node/45651/psn-pdf
November 16, 2016 - Improving patient safety through the involvement of
patients: development and evaluation of novel
interventions to engage patients in preventing patient
safety incidents and protecting them against unintended
harm.
November 16, 2016
Wright J, Lawton R, O’Hara J, et al. Improving Patient Safety Through The Involve…
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psnet.ahrq.gov/node/60025/psn-pdf
March 11, 2020 - Association of work environment with missed and rushed
care: tasks among care aides in nursing homes.
March 11, 2020
Song Y, Hoben M, Norton PG, et al. Association of work environment with missed and rushed care: tasks
among care aides in nursing homes. JAMA Netw Open. 2020;3(1):e1920092.
doi:10.1001/jamanetworkop…
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psnet.ahrq.gov/node/37875/psn-pdf
July 08, 2008 - Impact of adverse events on outcomes in intensive care
unit patients.
July 8, 2008
Orgeas MG, Timsit JF, Soufir L, et al. Impact of adverse events on outcomes in intensive care unit patients.
Crit Care Med. 2008;36(7):2041-2047. doi:10.1097/CCM.0b013e31817b879c.
https://psnet.ahrq.gov/issue/impact-adverse-events-o…
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psnet.ahrq.gov/node/865809/psn-pdf
May 08, 2024 - Application of trigger tools for detecting adverse drug
events in older people: a systematic review and meta-
analysis.
May 8, 2024
Schiavo G, Forgerini M, Varallo FR, et al. Application of trigger tools for detecting adverse drug events in
older people: a systematic review and meta-analysis. Res Social Adm Pharm.…