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psnet.ahrq.gov/node/42697/psn-pdf
December 05, 2013 - An initiative to improve the management of clinically
significant test results in a large health care network.
December 5, 2013
Roy CL, Rothschild JM, Dighe AS, et al. An initiative to improve the management of clinically significant
test results in a large health care network. Jt Comm J Qual Patient Saf. 2013;39(1…
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psnet.ahrq.gov/node/72602/psn-pdf
December 23, 2020 - Patient safety in chiropractic teaching programs: a mixed
methods study.
December 23, 2020
Pohlman KA, Salsbury SA, Funabashi M, et al. Patient safety in chiropractic teaching programs: a mixed
methods study. Chiropr Man Therap. 2020;28(1):50. doi:10.1186/s12998-020-00339-0.
https://psnet.ahrq.gov/issue/patient-sa…
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psnet.ahrq.gov/node/46474/psn-pdf
November 08, 2017 - Clearing the Error: Using Public Deliberation to Define
Patient Roles as Partners in the Diagnostic Process.
November 8, 2017
St. Paul, MN: Society to Improve Diagnosis in Medicine, Maxwell School of Citizenship and Public Affairs at
Syracuse University, and Jefferson Center; 2017.
https://psnet.ahrq.gov/issue/cle…
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psnet.ahrq.gov/node/60803/psn-pdf
August 12, 2020 - Interprofessional/interdisciplinary teamwork during the
early COVID-19 pandemic: experience from a children's
hospital within an academic health center.
August 12, 2020
Natale JAE, Boehmer J, Blumberg DA, et al. Interprofessional/interdisciplinary teamwork during the early
COVID-19 pandemic: experience from a chil…
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psnet.ahrq.gov/node/862129/psn-pdf
February 07, 2024 - Application of "Human Factor Analysis and Classification
System" (HFACS) model to the prevention of medical
errors and adverse events: a systematic review.
February 7, 2024
Jalali M, Dehghan H, Habibi E, et al. Int J Prev Med. 2023;14:127.
https://psnet.ahrq.gov/issue/application-human-factor-analysis-and-classifi…
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psnet.ahrq.gov/node/72502/psn-pdf
November 25, 2020 - Patient safety in primary care: conceptual meanings to
the health care team and patients.
November 25, 2020
Lai AY. Patient safety in primary care: conceptual meanings to the health care team and patients. J Am
Board Fam Med. 2020;33(5):754-764. doi:10.3122/jabfm.2020.05.200042.
https://psnet.ahrq.gov/issue/patien…
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psnet.ahrq.gov/node/72600/psn-pdf
December 23, 2020 - Improving hospital safety culture for falls prevention
through interdisciplinary health education.
December 23, 2020
Lopez-Jeng C, Eberth SD. Improving hospital safety culture for falls prevention through interdisciplinary
health education. Health Promot Pract. 2020;21(6):918-925. doi:10.1177/1524839919840337.
htt…
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psnet.ahrq.gov/node/61023/psn-pdf
October 14, 2020 - Information concerning ICU patients’ families in the
handover—the clinicians’ “game of whispers”: a
qualitative study.
October 14, 2020
Nygaard AM, Selnes Haugdahl H, Støre Brinchmann B, et al. Information concerning ICU patients’ families
in the handover—the clinicians’ “game of whispers”: a qualitative study. J …
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psnet.ahrq.gov/node/47912/psn-pdf
April 24, 2019 - A systematic literature review and narrative synthesis on
the risks of medical discharge letters for patients' safety.
April 24, 2019
Schwarz CM, Hoffmann M, Schwarz P, et al. A systematic literature review and narrative synthesis on the
risks of medical discharge letters for patients' safety. BMC Health Serv Res. …
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psnet.ahrq.gov/node/866958/psn-pdf
October 16, 2024 - Beyond error: a qualitative study of human factors in
serious adverse events.
October 16, 2024
Mujuru C, Peisah C. Beyond error: a qualitative study of human factors in serious adverse events. J
Healthc Risk Manag. 2024;44(2):7-13. doi:10.1002/jhrm.21583.
https://psnet.ahrq.gov/issue/beyond-error-qualitative-study…
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psnet.ahrq.gov/node/866857/psn-pdf
October 02, 2024 - Reducing falls in hospitalized children and adolescents
with cancer and blood disorders: a quality improvement
journey.
October 2, 2024
Morrissey LK, Ho P, Ilowite M, et al. Reducing falls in hospitalized children and adolescents with cancer
and blood disorders: a quality improvement journey. Pediatr Qual Saf. 202…
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psnet.ahrq.gov/node/44409/psn-pdf
January 22, 2016 - "Anybody on this list that you're more worried about?"
Qualitative analysis exploring the functions of questions
during end of shift handoffs.
January 22, 2016
O'Brien CM, Flanagan ME, Bergman AA, et al. "Anybody on this list that you're more worried about?"
Qualitative analysis exploring the functions of question…
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psnet.ahrq.gov/node/39074/psn-pdf
November 04, 2009 - Development and usability of a behavioural marking
system for performance assessment of obstetrical teams.
November 4, 2009
Tregunno D, Pittini R, Haley M, et al. Development and usability of a behavioural marking system for
performance assessment of obstetrical teams. Qual Saf Health Care. 2009;18(5):393-6.
doi:1…
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psnet.ahrq.gov/node/35838/psn-pdf
March 28, 2011 - Unscheduled returns to the emergency department: an
outcome of medical errors?
March 28, 2011
Nuñez S, Hexdall A, Aguirre-Jaime A. Unscheduled returns to the emergency department: an outcome of
medical errors? Qual Saf Health Care. 2006;15(2):102-8.
https://psnet.ahrq.gov/issue/unscheduled-returns-emergency-depart…
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psnet.ahrq.gov/node/73316/psn-pdf
May 26, 2021 - Racial bias among emergency providers: strategies to
mitigate its adverse effects.
May 26, 2021
Brockett-Walker C, Lall M, Evans DD, et al. Racial bias among emergency providers: strategies to mitigate
its adverse effects. Adv Emerg Nurs J. 2021;43(2):89-101. doi:10.1097/tme.0000000000000352.
https://psnet.ahrq.go…
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psnet.ahrq.gov/node/73388/psn-pdf
June 16, 2021 - Reducing surgical specimen errors through
multidisciplinary quality improvement.
June 16, 2021
Holstine JB, Samora JB. Reducing surgical specimen errors through multidisciplinary quality improvement.
Jt Comm J Qual Patient Saf. 2021;47(9):563-571. doi:10.1016/j.jcjq.2021.04.003.
https://psnet.ahrq.gov/issue/reduci…
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psnet.ahrq.gov/node/46270/psn-pdf
April 16, 2018 - Impact of a restraint management bundle on restraint use
in an intensive care unit.
April 16, 2018
Hall DK, Zimbro KS, Maduro RS, et al. Impact of a Restraint Management Bundle on Restraint Use in an
Intensive Care Unit. J Nurs Care Qual. 2018;33(2):143-148. doi:10.1097/NCQ.0000000000000273.
https://psnet.ahrq.gov…
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psnet.ahrq.gov/node/43942/psn-pdf
March 11, 2015 - FDA requires label warnings to prohibit sharing of multi-
dose diabetes pen devices among patients.
March 11, 2015
FDA Safety Communication. Silver Spring, MD: US Food and Drug Administration; February 25, 2015.
https://psnet.ahrq.gov/issue/fda-requires-label-warnings-prohibit-sharing-multi-dose-diabetes-pen-device…
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psnet.ahrq.gov/node/73491/psn-pdf
July 14, 2021 - Patient and family engagement in catheter-associated
urinary tract infection (CAUTI) prevention: a systematic
review.
July 14, 2021
Mangal S, Pho A, Arcia A, et al. Patient and family engagement in catheter-associated urinary tract
infection (CAUTI) prevention: a systematic review. Jt Comm J Qual Patient Saf. 2021…
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psnet.ahrq.gov/node/41389/psn-pdf
June 27, 2012 - Can we make postoperative patient handovers safer? A
systematic review of the literature.
June 27, 2012
Segall N, Bonifacio AS, Schroeder RA, et al. Can we make postoperative patient handovers safer? A
systematic review of the literature. Anesth Analg. 2012;115(1):102-15.
doi:10.1213/ANE.0b013e318253af4b.
https:/…