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psnet.ahrq.gov/node/39510/psn-pdf
September 24, 2016 - Interruptions and distractions in healthcare: review and
reappraisal.
September 24, 2016
Rivera-Rodriguez AJ, Karsh B-T. Interruptions and distractions in healthcare: review and reappraisal. Qual
Saf Health Care. 2010;19(4):304-312. doi:10.1136/qshc.2009.033282.
https://psnet.ahrq.gov/issue/interruptions-and-distr…
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psnet.ahrq.gov/node/853432/psn-pdf
September 13, 2023 - Healthcare leaders' and elected politicians' approach to
support-systems and requirements for complying with
quality and safety regulation in nursing homes - a case
study.
September 13, 2023
Magerøy MR, Braut GS, Macrae C, et al. Healthcare leaders’ and elected politicians’ approach to support-
systems and requir…
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psnet.ahrq.gov/node/73161/psn-pdf
April 21, 2021 - The randomized AMBORA trial: impact of
pharmacological/pharmaceutical care on medication
safety and patient-reported outcomes during treatment
with new oral anticancer agents.
April 21, 2021
Dürr P, Schlichtig K, Kelz C, et al. The randomized AMBORA trial: impact of
pharmacological/pharmaceutical care on medicati…
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psnet.ahrq.gov/node/846749/psn-pdf
March 29, 2023 - The influence of professional identity on how the receiver
receives and responds to a speaking up message: a
cross-sectional study.
March 29, 2023
Barlow M, Watson B, Jones EW, et al. The influence of professional identity on how the receiver receives
and responds to a speaking up message: a cross-sectional study.…
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psnet.ahrq.gov/node/73242/psn-pdf
May 12, 2021 - Strategies to prevent missed nursing care: an
international qualitative study based upon a positive
deviance approach.
May 12, 2021
Longhini J, Papastavrou E, Efstathiou G, et al. Strategies to prevent missed nursing care: an international
qualitative study based upon a positive deviance approach. J Nurs Manag. 20…
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psnet.ahrq.gov/node/73682/psn-pdf
September 08, 2021 - Massive open online course (MOOC) learning builds
capacity and improves competence for patient safety
among global learners: a prospective cohort study.
September 8, 2021
Gleason KT, Commodore-Mensah Y, Wu AW, et al. Massive open online course (MOOC) learning builds
capacity and improves competence for patient saf…
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psnet.ahrq.gov/node/73537/psn-pdf
July 28, 2021 - Health literacy-related safety events: a qualitative study of
health literacy failures in patient safety events.
July 28, 2021
Morrison AK, Gibson C, Higgins C, et al. Health literacy-related safety events: a qualitative study of health
literacy failures in patient safety events. Pediatr Qual Saf. 2021;6(4):e425.
…
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psnet.ahrq.gov/node/865968/psn-pdf
May 29, 2024 - A strategic solution to preventing the harm associated
with ambulance handover delays.
May 29, 2024
Evans C, Da’Costa A. A strategic solution to preventing the harm associated with ambulance handover
delays. Emerg Nurse. 2024;32(6):32(6):15-20. doi:10.7748/en.2024.e2199.
https://psnet.ahrq.gov/issue/strategic-solu…
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psnet.ahrq.gov/node/60906/psn-pdf
August 18, 2021 - Global Patient Safety Action Plan 2021-2030: Towards
Eliminating Avoidable Harm in Health Care.
August 18, 2021
Geneva, Switzerland: World Health Organization; 2021. ISBN: 9789240032705.
https://psnet.ahrq.gov/issue/global-patient-safety-action-plan-2021-2030-towards-eliminating-avoidable-
harm-health-care
The Wo…
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psnet.ahrq.gov/node/837142/psn-pdf
January 01, 2023 - Creating psychological safety in interprofessional
simulation for health professional learners: a scoping
review of the barriers and enablers.
May 18, 2022
Lackie K, Hayward K, Ayn C, et al. Creating psychological safety in interprofessional simulation for health
professional learners: a scoping review of the barr…
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psnet.ahrq.gov/node/866404/psn-pdf
July 31, 2024 - Patient and caregiver perspectives on causes and
prevention of ambulatory adverse events: multilingual
qualitative study.
July 31, 2024
Sharma AE, Tran AS, Dy M, et al. Patient and caregiver perspectives on causes and prevention of
ambulatory adverse events: multilingual qualitative study. BMJ Qual Saf. 2024;Epub …
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psnet.ahrq.gov/node/73399/psn-pdf
June 16, 2021 - Examining causes and prevention strategies of adverse
events in deceased hospital patients: a retrospective
patient record review study in the Netherlands.
June 16, 2021
Smits M, Langelaan M, de Groot J, et al. Examining causes and prevention strategies of adverse events in
deceased hospital patients: a retrospect…
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psnet.ahrq.gov/node/837975/psn-pdf
August 31, 2022 - Analyzing and discussing human factors affecting
surgical patient safety using innovative technology:
creating a safer operating culture.
August 31, 2022
van Dalen ASHM, Jung JJ, Nieveen van Dijkum EJM, et al. Analyzing and discussing human factors
affecting surgical patient safety using innovative technology: cre…
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psnet.ahrq.gov/node/865591/psn-pdf
January 01, 2025 - "Black Women Should Not Die Giving Life": The lived
experiences of Black women diagnosed with severe
maternal morbidity in the United States.
April 17, 2024
Post W, Thomas AD, Sutton KM. “Black Women Should Not Die Giving Life”: The lived experiences of
Black women diagnosed with severe maternal morbidity in the U…
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psnet.ahrq.gov/node/50931/psn-pdf
February 26, 2020 - Timely diagnosis of esophageal perforation
February 26, 2020
Utter GH, Cooke DT. Timely diagnosis of esophageal perforation. PSNet [internet]. 2020.
https://psnet.ahrq.gov/web-mm/timely-diagnosis-esophageal-perforation
The Case
A man with mixed connective tissue disease on low-dose prednisone and methotrexate pre…
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psnet.ahrq.gov/node/33679/psn-pdf
January 01, 2009 - Disclosure of Medical Error
January 1, 2009
Kachalia A. Disclosure of Medical Error. PSNet [internet]. 2009.
https://psnet.ahrq.gov/perspective/disclosure-medical-error
Perspective
Disclosure of medical error is inextricably linked to today's patient safety efforts. Health care experts
advocate that greater discl…
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psnet.ahrq.gov/node/33631/psn-pdf
April 01, 2006 - Count and Be Counted: Preparing Future Pharmacists to
Promote a Culture of Safety
April 1, 2006
Alldredge BK, Koda-Kimble MA. Count and Be Counted: Preparing Future Pharmacists to Promote a
Culture of Safety. PSNet [internet]. 2006.
https://psnet.ahrq.gov/perspective/count-and-be-counted-preparing-future-pharmacis…
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psnet.ahrq.gov/node/33850/psn-pdf
January 01, 2018 - EHR Copy and Paste and Patient Safety
January 1, 2018
Dean SM. EHR Copy and Paste and Patient Safety. PSNet [internet]. 2018.
https://psnet.ahrq.gov/perspective/ehr-copy-and-paste-and-patient-safety
Perspective
Although the ability to copy and paste text is a central benefit of computing in general, and electronic…
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psnet.ahrq.gov/node/33815/psn-pdf
September 01, 2016 - Telemedicine and Patient Safety
September 1, 2016
Agboola SO, Kvedar JC. Telemedicine and Patient Safety. PSNet [internet]. 2016.
https://psnet.ahrq.gov/perspective/telemedicine-and-patient-safety
Perspective
A paradigm shift is ongoing in the health care sector. The traditional model of episodic and hospital-base…
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psnet.ahrq.gov/node/49578/psn-pdf
January 01, 2009 - Hospital Admission Due to High-Dose Methotrexate Drug
Interaction
January 1, 2009
Siegel LC, Gandhi TK. Hospital Admission Due to High-Dose Methotrexate Drug Interaction. PSNet
[internet]. 2009.
https://psnet.ahrq.gov/web-mm/hospital-admission-due-high-dose-methotrexate-drug-interaction
The Case
A 40-year-old wo…