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psnet.ahrq.gov/node/60210/psn-pdf
April 08, 2020 - Patient safety and staff competence in managing
challenging behavior based on feedback from former
psychiatric patients.
April 8, 2020
Tölli S, Kontio R, Partanen P, et al. Patient safety and staff competence in managing challenging behavior
based on feedback from former psychiatric patients. Perspect Psychiatr Ca…
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psnet.ahrq.gov/node/37226/psn-pdf
December 15, 2011 - Adverse drug events in pediatric outpatients.
December 15, 2011
Kaushal R, Goldmann DA, Keohane C, et al. Adverse drug events in pediatric outpatients. Ambul Pediatr.
2007;7(5):383-9.
https://psnet.ahrq.gov/issue/adverse-drug-events-pediatric-outpatients
The incidence of adverse drug events (ADEs) among children h…
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psnet.ahrq.gov/node/837036/psn-pdf
May 04, 2022 - Engaging patients in the use of real-time electronic
clinical data to improve the safety and reliability of their
own care.
May 4, 2022
Schnock KO, Roulier S, Butler J, et al. Engaging patients in the use of real-time electronic clinical data to
improve the safety and reliability of their own care. J Patient Saf. …
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psnet.ahrq.gov/node/867381/psn-pdf
December 18, 2024 - Promoting medication safety for older adults upon
hospital discharge: guiding principles for a medication
discharge plan.
December 18, 2024
Zhang FH, Lauzon J, Payette J, et al. Promoting medication safety for older adults upon hospital discharge:
guiding principles for a medication discharge plan. Br J Clin Pharm…
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psnet.ahrq.gov/node/41068/psn-pdf
September 29, 2017 - A review of verbal order policies in acute care hospitals.
September 29, 2017
Wakefield DS, Wakefield BJ, Despins L, et al. A review of verbal order policies in acute care hospitals. Jt
Comm J Qual Patient Saf. 2012;38(1):24-33.
https://psnet.ahrq.gov/issue/review-verbal-order-policies-acute-care-hospitals
Verbal …
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psnet.ahrq.gov/node/74719/psn-pdf
February 02, 2022 - Failure to rescue following emergency surgery: a FRAM
analysis of the management of the deteriorating patient.
February 2, 2022
Sujan M, Bilbro N, Ross A, et al. Failure to rescue following emergency surgery: A FRAM analysis of the
management of the deteriorating patient. Appl Ergon. 2022;98:103608. doi:10.1016/j.a…
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psnet.ahrq.gov/node/837316/psn-pdf
June 01, 2022 - 2022 Updated Results for the AHRQ Surveys on Patient
Safety Culture (SOPS) Diagnostic Safety Supplemental
Items.
June 1, 2022
Famolaro T, Hare R, Tapia A, et al. Rockville, MD: Agency for Healthcare Research and Quality; April
2022. AHRQ Publication No. 22-0027.
https://psnet.ahrq.gov/issue/2022-updated-results-a…
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psnet.ahrq.gov/node/862601/psn-pdf
February 14, 2024 - Why simulation matters: a systematic review on medical
errors occurring during simulated health care.
February 14, 2024
Bokka L, Ciuffo F, Clapper TC. Why simulation matters: a systematic review on medical errors occurring
during simulated health care. J Patient Saf. 2024;20(2):110-118. doi:10.1097/pts.000000000000…
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psnet.ahrq.gov/node/74054/psn-pdf
November 10, 2021 - Supervision, interprofessional collaboration, and patient
safety in intensive care units during the COVID-19
pandemic.
November 10, 2021
Hennus MP, Young JQ, Hennessy M, et al. Supervision, interprofessional collaboration, and patient safety
in intensive care units during the COVID-19 pandemic. ATS Sch. 2021;2(3):…
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psnet.ahrq.gov/node/866106/psn-pdf
June 12, 2024 - Artificial intelligence and healthcare: a journey through
history, present innovations, and future possibilities.
June 12, 2024
Hirani R, Noruzi K, Khuram H, et al. Artificial intelligence and healthcare: a journey through history, present
innovations, and future possibilities. Life (Basel). 2024;14(5):557. doi:10.…
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psnet.ahrq.gov/node/42954/psn-pdf
December 04, 2016 - "Please describe from your point of view a typical case of
an error in palliative care": qualitative data from an
exploratory cross-sectional survey study among palliative
care professionals.
December 4, 2016
Dietz I, Plog A, Jox RJ, et al. "Please describe from your point of view a typical case of an error in pal…
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psnet.ahrq.gov/node/843079/psn-pdf
January 25, 2023 - Electronic health record use issues and diagnostic error:
a scoping review and framework.
January 25, 2023
Dixit RA, Boxley CL, Samuel S, et al. Electronic health record use issues and diagnostic error: a scoping
review and framework. J Patient Saf. 2023;19(1):e25-e30. doi:10.1097/pts.0000000000001081.
https://psn…
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psnet.ahrq.gov/node/36442/psn-pdf
July 23, 2023 - TeamSTEPPS: Strategies and Tools to Enhance
Performance and Patient Safety.
July 23, 2023
Department of Health and Human Services, Agency for Healthcare Research and Quality, Department of
Defense.
https://psnet.ahrq.gov/issue/teamstepps-strategies-and-tools-enhance-performance-and-patient-safety
Effective teamwo…
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psnet.ahrq.gov/node/73163/psn-pdf
April 21, 2021 - Implicit bias in healthcare: clinical practice, research and
decision making.
April 21, 2021
Gopal DP, Chetty U, O'Donnell P, et al. Implicit bias in healthcare: clinical practice, research and decision
making. Future Healthc J. 2021;8(1):40-48. doi:10.7861/fhj.2020-0233.
https://psnet.ahrq.gov/issue/implicit-bias…
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psnet.ahrq.gov/node/836779/psn-pdf
January 01, 2023 - Medication reconciliation at hospital discharge: a
qualitative exploration of acute care nurses' perceptions
of their roles and responsibilities.
March 23, 2022
Latimer S, Hewitt J, de Wet C, et al. Medication reconciliation at hospital discharge: A qualitative
exploration of acute care nurses’ perceptions of thei…
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psnet.ahrq.gov/node/60660/psn-pdf
July 09, 2020 - Pharmacist-led program to improve transitions from acute
care to skilled nursing facility care.
July 9, 2020
Achilleos M, McEwen J, Hoesly M, et al. Pharmacist-led program to improve transitions from acute care to
skilled nursing facility care. Am J Health Syst Pharm. 2020;77(12). doi:10.1093/ajhp/zxaa090.
https:/…
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psnet.ahrq.gov/node/849610/psn-pdf
May 31, 2023 - Implementation of ED I-PASS as a standardized handoff
tool in the pediatric emergency department.
May 31, 2023
Yanni E, Calaman S, Wiener E, et al. Implementation of ED I-PASS as a standardized handoff tool in the
pediatric emergency department. J Healthc Qual. 2023;45(3):140-147.
doi:10.1097/jhq.0000000000000374.…
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psnet.ahrq.gov/node/859301/psn-pdf
January 01, 2024 - Parents' understanding of medication at discharge and
potential harm in children with medical complexity.
December 20, 2023
Selzer A, Eibensteiner F, Kaltenegger L, et al. Parents’ understanding of medication at discharge and
potential harm in children with medical complexity. Arch Dis Child. 2024;109(3):215-221.
…
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psnet.ahrq.gov/node/837029/psn-pdf
May 04, 2022 - Identifying patients whose symptoms are
underrecognized during treatment with breast
radiotherapy.
May 4, 2022
doi:10.1001/jamaoncol.2022.0114.
https://psnet.ahrq.gov/issue/identifying-patients-whose-symptoms-are-underrecognized-during-treatment-
breast-radiotherapy
Concordance of patient-reported symptoms and p…
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psnet.ahrq.gov/node/853440/psn-pdf
September 13, 2023 - Radiographers' experience of preventing patient safety
incidents in the context of radiological examinations.
September 13, 2023
Wallin A, Ringdal M, Ahlberg K, et al. Radiographers' experience of preventing patient safety incidents in
the context of radiological examinations. Scand J Caring Sci. 2023;37(2):414-423…