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psnet.ahrq.gov/node/43658/psn-pdf
December 19, 2014 - Liability impact of the hospitalist model of care.
December 19, 2014
Schaffer A, Puopolo AL, Raman S, et al. Liability impact of the hospitalist model of care. J Hosp Med.
2014;9(12):750-5. doi:10.1002/jhm.2244.
https://psnet.ahrq.gov/issue/liability-impact-hospitalist-model-care
This review of closed malpractice …
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psnet.ahrq.gov/node/43654/psn-pdf
April 02, 2015 - Nursing bedside clinical handover—an integrated review
of issues and tools.
April 2, 2015
Anderson J, Malone L, Shanahan K, et al. Nursing bedside clinical handover - an integrated review of
issues and tools. J Clin Nurs. 2015;24(5-6):662-671. doi:10.1111/jocn.12706.
https://psnet.ahrq.gov/issue/nursing-bedside-cl…
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psnet.ahrq.gov/node/45885/psn-pdf
May 03, 2017 - E-collection: Safety and Error Prevention in Health.
May 3, 2017
https://psnet.ahrq.gov/issue/e-collection-safety-and-error-prevention-health
The increasing implementation of health information technology has introduced both benefits and
challenges to patient safety. Articles in this series explore the impacts of t…
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psnet.ahrq.gov/node/47904/psn-pdf
April 24, 2019 - Air pressure: human factors are the key to a safer flight
environment.
April 24, 2019
Erich J. EMS World. April 2019;48:26-31.
https://psnet.ahrq.gov/issue/air-pressure-human-factors-are-key-safer-flight-environment
Air transport service combines risks associated with both aviation and prehospital trauma care. Thi…
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psnet.ahrq.gov/node/48135/psn-pdf
August 28, 2019 - What causes prescribing errors in children? Scoping
review.
August 28, 2019
Conn RL, Kearney O, Tully MP, et al. What causes prescribing errors in children? Scoping review. BMJ
Open. 2019;9(8):e028680. doi:10.1136/bmjopen-2018-028680.
https://psnet.ahrq.gov/issue/what-causes-prescribing-errors-children-scoping-rev…
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psnet.ahrq.gov/node/43057/psn-pdf
January 01, 2015 - Health care huddles: managing complexity to achieve
high reliability.
December 12, 2014
Provost SM, Lanham H, Leykum LK, et al. Health care huddles: managing complexity to achieve high
reliability. Health Care Manage Rev. 2015;40(1):2-12. doi:10.1097/HMR.0000000000000009.
https://psnet.ahrq.gov/issue/health-care-h…
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psnet.ahrq.gov/node/44144/psn-pdf
May 27, 2015 - Maintaining safety in the dialysis facility.
May 27, 2015
Kliger AS. Maintaining safety in the dialysis facility. Clin J Am Soc Nephrol. 2015;10(4):688-95.
doi:10.2215/CJN.08960914.
https://psnet.ahrq.gov/issue/maintaining-safety-dialysis-facility
Failure to consider human factors and poor communication can contri…
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psnet.ahrq.gov/node/38055/psn-pdf
January 12, 2009 - Improving patient safety: patient-focused, high-reliability
team training.
January 12, 2009
McKeon LM, Cunningham PD, Oswaks JSD. Improving patient safety: patient-focused, high-reliability team
training. J Nurs Care Qual. 2009;24(1):76-82. doi:10.1097/NCQ.0b013e31818f5595.
https://psnet.ahrq.gov/issue/improving-p…
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psnet.ahrq.gov/node/72861/psn-pdf
March 17, 2021 - Keeping patients on track with preventative care during
pandemic.
March 17, 2021
Quick Safety. March 2021;58:1-2.
https://psnet.ahrq.gov/issue/keeping-patients-track-preventative-care-during-pandemic
The potential exposure to COVID-19 continues to negatively influence patient care seeking activity. This
article r…
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psnet.ahrq.gov/node/34902/psn-pdf
February 27, 2009 - Hospital rules-based system: the next generation of
medical informatics for patient safety.
February 27, 2009
Wilson JW, Oyen LJ, Ou NN, et al. Hospital rules-based system: the next generation of medical informatics
for patient safety. Am J Health Syst Pharm. 2005;62(5):499-505.
https://psnet.ahrq.gov/issue/hospit…
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psnet.ahrq.gov/node/50781/psn-pdf
January 08, 2020 - Harnessing the power of medical malpractice data to
improve patient care.
January 8, 2020
Siegal D, Swift J, Forget J, et al. Harnessing the power of medical malpractice data to improve patient care.
J Healthc Risk Manag. 2020;39(3):28-36. doi:10.1002/jhrm.21393.
https://psnet.ahrq.gov/issue/harnessing-power-medic…
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psnet.ahrq.gov/node/837907/psn-pdf
August 24, 2022 - ISMP Guidelines for Safe Medication Use in Perioperative
and Procedural Settings.
August 24, 2022
Plymouth Meeting, PA: Institute for Safe Medication Practices; 2022.
https://psnet.ahrq.gov/issue/ismp-guidelines-safe-medication-use-perioperative-and-procedural-settings
Medication errors associated with surgery and…
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psnet.ahrq.gov/node/48167/psn-pdf
August 28, 2019 - ASHP guidelines on perioperative pharmacy services.
August 28, 2019
Bickham P, Golembiewski J, Meyer T, et al. ASHP guidelines on perioperative pharmacy services. Am J
Health Syst Pharm. 2019;76(12):903-820. doi:10.1093/ajhp/zxz073.
https://psnet.ahrq.gov/issue/ashp-guidelines-perioperative-pharmacy-services
Pharm…
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psnet.ahrq.gov/node/43541/psn-pdf
August 28, 2017 - A step toward high reliability: implementation of a daily
safety brief in a children's hospital.
August 28, 2017
Saysana M, McCaskey M, Cox E, et al. A Step Toward High Reliability: Implementation of a Daily Safety
Brief in a Children's Hospital. J Patient Saf. 2017;13(3):149-152. doi:10.1097/PTS.0000000000000131.
…
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psnet.ahrq.gov/node/42720/psn-pdf
November 13, 2013 - Workplace bullying in the OR: results of a descriptive
study.
November 13, 2013
Chipps E, Stelmaschuk S, Albert NM, et al. Workplace Bullying in the OR: Results of a Descriptive Study.
AORN J. 2013;98(5). doi:10.1016/j.aorn.2013.08.015.
https://psnet.ahrq.gov/issue/workplace-bullying-or-results-descriptive-study
…
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psnet.ahrq.gov/node/37556/psn-pdf
November 21, 2016 - Unexpected intraoperative patient death: the imperatives
of family- and surgeon-centered care.
November 21, 2016
Taylor D, Hassan MA, Luterman A, et al. Unexpected intraoperative patient death: the imperatives of
family- and surgeon-centered care. Arch Surg. 2008;143(1):87-92. doi:10.1001/archsurg.2007.27.
https:/…
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psnet.ahrq.gov/node/46367/psn-pdf
August 30, 2017 - Why are so many women being misdiagnosed?
August 30, 2017
Mickle K. Glamour. August 11, 2017.
https://psnet.ahrq.gov/issue/why-are-so-many-women-being-misdiagnosed
Implicit bias and differences in communication style can affect patient care. This magazine article reports
on factors that contribute to misdiagnosis …
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psnet.ahrq.gov/node/36225/psn-pdf
July 10, 2008 - Transfers of patient care between house staff on internal
medicine wards: a national survey.
July 10, 2008
Horwitz LI, Krumholz HM, Green M, et al. Transfers of patient care between house staff on internal
medicine wards: a national survey. Arch Intern Med. 2006;166(11):1173-7.
https://psnet.ahrq.gov/issue/transfe…
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psnet.ahrq.gov/node/44274/psn-pdf
February 18, 2019 - Concepts for the development of a customizable checklist
for use by patients.
February 18, 2019
Fernando RJ, Shapiro FE, Rosenberg NM, et al. Concepts for the Development of a Customizable
Checklist for Use by Patients. J Patient Saf. 2019;15(1):18-23. doi:10.1097/PTS.0000000000000203.
https://psnet.ahrq.gov/issue…
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psnet.ahrq.gov/node/38385/psn-pdf
February 04, 2009 - Impact of a computerized physician order entry system
on nurse-physician collaboration in the medication
process.
February 4, 2009
Pirnejad H, Niazkhani Z, van der Sijs H, et al. Impact of a computerized physician order entry system on
nurse-physician collaboration in the medication process. Int J Med Inform. 2008…