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psnet.ahrq.gov/node/845304/psn-pdf
March 01, 2023 - For children admitted to hospital, what interventions
improve medication safety on ward rounds?
March 1, 2023
King C, Dudley J, Mee A, et al. For children admitted to hospital, what interventions improve medication
safety on ward rounds? A systematic review. Arch Dis Child. 2023;108(7):583-588.
doi:10.1136/archdis…
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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/…
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psnet.ahrq.gov/node/843461/psn-pdf
January 01, 2024 - The impact of TeamSTEPPS training on obstetric team
attitudes and outcomes on the labor and delivery unit of a
regional perinatal center.
February 1, 2023
Kwon CS, Duzyj C. The impact of TeamSTEPPS training on obstetric team attitudes and outcomes on the
labor and delivery unit of a regional perinatal center. Am J…
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psnet.ahrq.gov/node/45342/psn-pdf
October 19, 2016 - Attitudes and opinions of doctors of chiropractic
specializing in pediatric care toward patient safety: a
cross-sectional survey.
October 19, 2016
Pohlman KA, Carroll L, Hartling L, et al. Attitudes and Opinions of Doctors of Chiropractic Specializing in
Pediatric Care Toward Patient Safety: A Cross-sectional Surv…
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psnet.ahrq.gov/node/72851/psn-pdf
March 17, 2021 - Effect of a multifaceted clinical pharmacist intervention
on medication safety after hospitalization in persons
prescribed high-risk medications: a randomized clinical
trial.
March 17, 2021
Gurwitz JH, Kapoor A, Garber L, et al. Effect of a multifaceted clinical pharmacist intervention on
medication safety after …
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psnet.ahrq.gov/node/73424/psn-pdf
June 23, 2021 - The psychological experiences of nurses after inpatient
suicide: a meta-synthesis of qualitative research studies.
June 23, 2021
Shao Q, Wang Y, Hou K, et al. The psychological experiences of nurses after inpatient suicide: a meta?
synthesis of qualitative research studies. J Adv Nurs. 2021;77(10):4005-4016. doi:10…
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psnet.ahrq.gov/node/863226/psn-pdf
February 28, 2024 - Surveys on Patient Safety Culture (SOPS) Medical Office
Survey: 2024 User Database Report.
February 28, 2024
Hare R, Tyler ER, Tapia A, et al. Rockville, MD: Agency for Healthcare Research and Quality; February
2024. AHRQ Publication No. 24-0028.
https://psnet.ahrq.gov/issue/surveys-patient-safety-culture-sops-med…
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psnet.ahrq.gov/node/35571/psn-pdf
April 06, 2011 - Overestimation of clinical diagnostic performance caused
by low necropsy rates.
April 6, 2011
Shojania KG, Burton EC, McDonald KM, et al. Overestimation of clinical diagnostic performance caused by
low necropsy rates. Qual Saf Health Care. 2005;14(6):408-13.
https://psnet.ahrq.gov/issue/overestimation-clinical-dia…
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psnet.ahrq.gov/node/43192/psn-pdf
December 15, 2014 - Using estimated true safety event rates versus flagged
safety event rates: does it change hospital profiling and
payment?
December 15, 2014
Rosen AK, Chen Q, Borzecki A, et al. Using estimated true safety event rates versus flagged safety event
rates: does it change hospital profiling and payment? Health Serv Res.…
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psnet.ahrq.gov/node/837199/psn-pdf
May 25, 2022 - Development and usability testing of the Agency for
Healthcare Research and Quality Common Formats to
capture diagnostic safety events.
May 25, 2022
Bradford A, Shahid U, Schiff GD, et al. Development and usability testing of the Agency for Healthcare
Research and Quality Common Formats to capture diagnostic safet…
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psnet.ahrq.gov/node/44616/psn-pdf
November 04, 2015 - Development of "SWARM" as a model for high reliability,
rapid problem solving, and institutional learning.
November 4, 2015
Williams EA, Nikolai DA, Ladwig L, et al. Development of "SWARM" as a Model for High Reliability, Rapid
Problem Solving, and Institutional Learning. Jt Comm J Qual Patient Saf. 2015;41(11):508…
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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/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…