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psnet.ahrq.gov/node/840480/psn-pdf
November 30, 2022 - Understanding how the design and implementation of
online consultations affect primary care quality:
systematic review of evidence with recommendations for
designers, providers, and researchers.
November 30, 2022
Darley S, Coulson T, Peek N, et al. Understanding how the design and implementation of online
consult…
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psnet.ahrq.gov/node/40116/psn-pdf
January 05, 2011 - Organisational culture: variation across hospitals and
connection to patient safety climate.
January 5, 2011
Speroff T, Nwosu S, Greevy R, et al. Organisational culture: variation across hospitals and connection to
patient safety climate. Qual Saf Health Care. 2010;19(6):592-6. doi:10.1136/qshc.2009.039511.
https:…
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psnet.ahrq.gov/node/50707/psn-pdf
December 04, 2019 - Spinal surgery complications: an unsolved problem-Is the
World Health Organization Safety Surgical Checklist an
useful tool to reduce them?
December 4, 2019
Barbanti-Brodano G, Griffoni C, Halme J, et al. Spinal surgery complications: an unsolved problem-Is the
World Health Organization Safety Surgical Checklist a…
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psnet.ahrq.gov/node/863219/psn-pdf
February 28, 2024 - Managing patient safety and staff safety in nursing
homes: exploring how leaders of nursing homes
negotiate their dual responsibilities- a case study.
February 28, 2024
Magerøy MR, Macrae C, Braut GS, et al. Managing patient safety and staff safety in nursing homes:
exploring how leaders of nursing homes negotiate…
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psnet.ahrq.gov/node/60618/psn-pdf
June 24, 2020 - Differences between methods of detecting medication
errors: a secondary analysis of medication administration
errors using incident reports, the Global Trigger Tool
method, and observations.
June 24, 2020
Härkänen M, Turunen H, Vehviläinen-Julkunen K. Differences between methods of detecting medication
errors: a …
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psnet.ahrq.gov/issue/library-hospital-pairing-empowers-patients-improves-safety
June 27, 2018 - Newspaper/Magazine Article
Library-hospital pairing empowers patients, improves safety.
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March 7, 2016
This article describes the P…
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psnet.ahrq.gov/node/36380/psn-pdf
February 28, 2011 - Graduate medical education and patient safety: a busy--
and occasionally hazardous--intersection.
February 28, 2011
Shojania KG, Fletcher KE, Saint S. Graduate medical education and patient safety: a busy--and
occasionally hazardous--intersection. Ann Intern Med. 2006;145(8):592-8.
https://psnet.ahrq.gov/issue/gra…
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psnet.ahrq.gov/node/47118/psn-pdf
August 08, 2018 - Wrong-site nerve blocks: a systematic literature review to
guide principles for prevention.
August 8, 2018
Deutsch ES, Yonash RA, Martin DE, et al. Wrong-site nerve blocks: A systematic literature review to guide
principles for prevention. J Clin Anesth. 2018;46:101-111. doi:10.1016/j.jclinane.2017.12.008.
https:/…
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psnet.ahrq.gov/node/40119/psn-pdf
January 05, 2011 - Effects of learning climate and registered nurse staffing
on medication errors.
January 5, 2011
Chang YK, Mark BA. Effects of Learning Climate and Registered Nurse Staffing on Medication Errors. Nurs
Res. 2010;60(1). doi:10.1097/nnr.0b013e3181ff73cc.
https://psnet.ahrq.gov/issue/effects-learning-climate-and-regist…
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psnet.ahrq.gov/node/853618/psn-pdf
September 20, 2023 - Improving patients' intensive care admission through
multidisciplinary simulation-based crisis resource
management: a qualitative study.
September 20, 2023
Jensen JF, Ramos J, Ørom M?L, et al. Improving patients' intensive care admission through
multidisciplinary simulation?based crisis resource management: a qual…
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psnet.ahrq.gov/node/74757/psn-pdf
February 09, 2022 - Characteristics of disease-specific and generic diagnostic
pitfalls: a qualitative study.
February 9, 2022
Schiff GD, Volodarskaya M, Ruan E, et al. Characteristics of disease-specific and generic diagnostic
pitfalls: a qualitative study. JAMA Netw Open. 2022;5(1):e2144531.
doi:10.1001/jamanetworkopen.2021.44531.
…
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psnet.ahrq.gov/node/38323/psn-pdf
April 27, 2010 - Medication errors among adults and children with cancer
in the outpatient setting.
April 27, 2010
Walsh KE, Dodd KS, Seetharaman K, et al. Medication errors among adults and children with cancer in the
outpatient setting. J Clin Oncol. 2009;27(6):891-6. doi:10.1200/JCO.2008.18.6072.
https://psnet.ahrq.gov/issue/me…
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psnet.ahrq.gov/node/47867/psn-pdf
June 19, 2019 - Increasing compliance of safe medication administration
in pediatric anesthesia by use of a standardized checklist.
June 19, 2019
Kanjia MK, Adler AC, Buck D, et al. Increasing compliance of safe medication administration in pediatric
anesthesia by use of a standardized checklist. Paediatr Anaesth. 2019;29(3):258-2…
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psnet.ahrq.gov/node/73340/psn-pdf
June 02, 2021 - Can patients contribute to enhancing the safety and
effectiveness of test-result follow-up? Qualitative
outcomes from a health consumer workshop.
June 2, 2021
Thomas J, Dahm MR, Li J, et al. Can patients contribute to enhancing the safety and effectiveness of test?
result follow?up? Qualitative outcomes from a hea…
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psnet.ahrq.gov/node/73633/psn-pdf
August 25, 2021 - Learning from patient safety incidents involving acutely
sick adults in hospital assessment units in England and
Wales: a mixed methods analysis for quality
improvement.
August 25, 2021
Urquhart A, Yardley S, Thomas E, et al. Learning from patient safety incidents involving acutely sick adults
in hospital assessm…
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psnet.ahrq.gov/node/47838/psn-pdf
June 02, 2019 - Exploring leadership within a systems approach to
reduce health care–associated infections: a scoping
review of one work system model.
June 2, 2019
Knobloch MJ, Thomas K, Musuuza J, et al. Exploring leadership within a systems approach to reduce
health care-associated infections: A scoping review of one work syste…
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psnet.ahrq.gov/node/60713/psn-pdf
July 22, 2020 - Assessment of health information technology-related
outpatient diagnostic delays in the US Veterans Affairs
health care system: a qualitative study of aggregated root
cause analysis data.
July 22, 2020
Powell L, Sittig DF, Chrouser K, et al. Assessment of health information technology-related outpatient
diagnosti…
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psnet.ahrq.gov/node/60645/psn-pdf
July 01, 2020 - How health care systems let our patients down: a
systematic review into suicide deaths.
July 1, 2020
Wyder M, Ray MK, Roennfeldt H, et al. How health care systems let our patients down: a systematic review
into suicide deaths. Int J Qual Health Care. 2020;32(5):285-291. doi:10.1093/intqhc/mzaa011.
https://psnet.ah…
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psnet.ahrq.gov/node/867017/psn-pdf
October 23, 2024 - Clinicians' use of health information exchange
technologies for medication reconciliation in the U.S.
Department of Veterans Affairs: a qualitative analysis.
October 23, 2024
Snyder ME, Nguyen KA, Patel H, et al. Clinicians' use of health information exchange technologies for
medication reconciliation in the U.S. …
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psnet.ahrq.gov/node/47059/psn-pdf
May 16, 2018 - Participating in a multisite study exploring operational
failures encountered by frontline nurses: lessons learned.
May 16, 2018
Melnyk H, Rosenfeld P, Glassman KS. Participating in a Multisite Study Exploring Operational Failures
Encountered by Frontline Nurses: Lessons Learned. J Nurs Adm. 2018;48(4):203-208.
do…