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psnet.ahrq.gov/node/867535/psn-pdf
January 15, 2025 - Perioperative patient safety recommendations:
systematic review of clinical practice guidelines.
January 15, 2025
Martínez-Nicolas I, Arnal-Velasco D, Romero-García E, et al. Perioperative patient safety
recommendations: systematic review of clinical practice guidelines. BJS Open. 2024;8(6):zrae143.
doi:10.1093/bj…
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psnet.ahrq.gov/issue/guidelines-adult-iv-push-medications
April 01, 2015 - Book/Report
Guidelines for Adult IV Push Medications.
Citation Text:
Guidelines for Adult IV Push Medications. Horsham, PA: The Institute for Safe Medication Practices; July 2015.
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psnet.ahrq.gov/web-mm/suicidal-man-gun
May 01, 2005 - Opioid prescribing for acute pain management in children and adolescents in outpatient settings: clinical … practice guideline.
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psnet.ahrq.gov/issue/using-claims-data-based-sentinel-system-improve-compliance-clinical-guidelines-results
October 19, 2022 - Study
Using a claims data-based sentinel system to improve compliance with clinical guidelines: results of a randomized prospective study.
Citation Text:
Javitt JC, Steinberg G, Locke T, et al. Using a claims data-based sentinel system to improve compliance with clinical guidelines: re…
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psnet.ahrq.gov/issue/implementing-nurse-shadowing-program-first-year-medical-students-improve-interprofessional
January 15, 2025 - Commentary
Implementing a nurse-shadowing program for first-year medical students to improve interprofessional collaborations on health care teams.
Citation Text:
Jain A, Luo E, Yang J, et al. Implementing a nurse-shadowing program for first-year medical students to improve interprofessi…
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psnet.ahrq.gov/issue/relationship-between-learning-and-patient-safety-climates-clinical-departments-and-residents
April 14, 2021 - Study
The relationship between the learning and patient safety climates of clinical departments and residents' patient safety behaviors.
Citation Text:
Silkens MEWM, Arah OA, Wagner C, et al. The Relationship Between the Learning and Patient Safety Climates of Clinical Departments and Re…
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psnet.ahrq.gov/issue/non-clinical-errors-using-voice-recognition-dictation-software-radiology-reports
December 29, 2014 - Study
Non-clinical errors using voice recognition dictation software for radiology reports: a retrospective audit.
Citation Text:
Chang CA, Strahan R, Jolley D. Non-clinical errors using voice recognition dictation software for radiology reports: a retrospective audit. J Digit Imaging. …
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psnet.ahrq.gov/issue/aspen-safe-practices-enteral-nutrition-therapy
June 12, 2018 - Organizational Policy/Guidelines
ASPEN Safe Practices for Enteral Nutrition Therapy.
Citation Text:
Boullata JI, Carrera AL, Harvey L, et al. ASPEN Safe Practices for Enteral Nutrition Therapy. JPEN J Parenter Enteral Nutr. 2017;41(1):15-103. doi:10.1177/0148607116673053.
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psnet.ahrq.gov/issue/first-do-no-harm-marshaling-clinician-leadership-counter-opioid-epidemic
July 19, 2017 - Book/Report
First, Do No Harm: Marshaling Clinician Leadership to Counter the Opioid Epidemic.
Citation Text:
First, Do No Harm: Marshaling Clinician Leadership to Counter the Opioid Epidemic. Adams SM, Blanco C, Chaudhry HJ, et al. Washington, DC: National Academy of Medicine; 2017. ISB…
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psnet.ahrq.gov/issue/rapid-learning-adverse-medical-event-disclosure-and-apology
November 04, 2014 - Study
Rapid learning of adverse medical event disclosure and apology.
Citation Text:
Raemer D, Locke S, Walzer TB, et al. Rapid Learning of Adverse Medical Event Disclosure and Apology. J Patient Saf. 2016;12(3):140-7. doi:10.1097/PTS.0000000000000080.
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psnet.ahrq.gov/issue/journey-no-preventable-risk-baylor-health-care-system-patient-safety-experience
November 23, 2014 - Commentary
Journey to no preventable risk: The Baylor Health Care System patient safety experience.
Citation Text:
Kennerly DA, Richter KM, Good V, et al. Journey to no preventable risk: the Baylor Health Care System patient safety experience. Am J Med Qual. 2011;26(1):43-52. doi:10.11…
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psnet.ahrq.gov/node/49643/psn-pdf
December 01, 2011 - More Treatment—Better Care?
December 1, 2011
Redberg R. More Treatment—Better Care? PSNet [internet]. 2011.
https://psnet.ahrq.gov/web-mm/more-treatment-better-care
The Case
The patient is a 27-year-old female who presented to a 250-bed community hospital with numbness and
tingling of her hands and feet. She was …
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psnet.ahrq.gov/issue/addressing-medicines-bias-against-patients-who-are-overweight
May 15, 2019 - Commentary
Addressing medicine's bias against patients who are overweight.
Citation Text:
Rubin R. Addressing Medicine's Bias Against Patients Who Are Overweight. JAMA. 2019;321(10):925-927. doi:10.1001/jama.2019.0048.
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psnet.ahrq.gov/issue/reducing-incidence-retained-surgical-instrument-fragments
June 01, 2021 - Commentary
Reducing the incidence of retained surgical instrument fragments.
Citation Text:
Reece M, Troeleman ND, McGowan JE, et al. Reducing the incidence of retained surgical instrument fragments. AORN J. 2011;94(3):301-4. doi:10.1016/j.aorn.2011.05.014.
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psnet.ahrq.gov/issue/five-ways-you-can-reduce-inappropriate-prescribing-elderly-systematic-review
September 23, 2020 - Review
Five ways you can reduce inappropriate prescribing in the elderly: a systematic review.
Citation Text:
Garcia RM. Five ways you can reduce inappropriate prescribing in the elderly: a systematic review. J Fam Pract. 2006;55(4):305-12.
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psnet.ahrq.gov/sites/default/files/2023-04/failure_to_ensure_patient_safety_leads_to_patient_falls_in_nursing_homes.pdf
January 01, 2023 - meta-analysis,15 did not find any
evidence to support the use of chair or bed alarms, while a 2022 Clinical … Practice
Guideline included a weak recommendation only because an alarm might cause more
rapid treatment … Fall prevention in hospitals and nursing homes: Clinical practice guideline.
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psnet.ahrq.gov/issue/teamwork-and-patient-safety-dynamic-domains-healthcare-review-literature
May 29, 2013 - Review
Teamwork and patient safety in dynamic domains of healthcare: a review of the literature.
Citation Text:
Manser T. Teamwork and patient safety in dynamic domains of healthcare: a review of the literature. Acta Anaesthesiol Scand. 2009;53(2):143-51. doi:10.1111/j.1399-6576.2008.…
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psnet.ahrq.gov/issue/influence-personality-psychological-safety-presence-stress-and-chosen-professional-roles
September 22, 2021 - Study
The influence of personality on psychological safety, the presence of stress and chosen professional roles in the healthcare environment.
Citation Text:
Grailey K, Lound A, Murray E, et al. The influence of personality on psychological safety, the presence of stress and chosen prof…
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psnet.ahrq.gov/issue/racial-and-ethnic-differences-experience-and-treatment-noncancer-pain
June 01, 2022 - Review
Emerging Classic
Racial and ethnic differences in the experience and treatment of noncancer pain.
Citation Text:
Meints SM, Cortes A, Morais CA, et al. Racial and ethnic differences in the experience and treatment of noncancer pain. Pain Manag. 2019;9(3):…
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psnet.ahrq.gov/issue/potentially-inappropriate-medication-administration-associated-adverse-postoperative-outcomes
October 07, 2020 - Study
Potentially inappropriate medication administration is associated with adverse postoperative outcomes in older surgical patients: a retrospective cohort study.
Citation Text:
Burfeind KG, Zarnegarnia Y, Tekkali P, et al. Potentially inappropriate medication administration is associ…