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psnet.ahrq.gov/node/73488/psn-pdf
July 14, 2021 - Influences of physical layout and space on patient safety
and communication in ambulatory oncology practices: a
multisite, mixed method investigation.
July 14, 2021
Fauer AJ. Influences of physical layout and space on patient safety and communication in ambulatory
oncology practices: a multisite, mixed method inve…
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psnet.ahrq.gov/node/72710/psn-pdf
February 03, 2021 - A poison information centre can provide important
assessment and guidance regarding medication errors in
nursing homes: a prospective cohort study.
February 3, 2021
Vinther S, Bøgevig S, Eriksen KR, et al. A poison information centre can provide important assessment and
guidance regarding medication errors in nurs…
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psnet.ahrq.gov/node/73413/psn-pdf
June 23, 2021 - Interventions to reduce pediatric prescribing errors in
professional healthcare settings: a systematic review of
the last decade.
June 23, 2021
Koeck JA, Young NJ, Kontny U, et al. Interventions to Reduce Pediatric Prescribing Errors in Professional
Healthcare Settings: A Systematic Review of the Last Decade. Pedi…
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psnet.ahrq.gov/node/73506/psn-pdf
July 21, 2021 - Patient-safety incidents during COVID-19 health crisis in
France: An exploratory sequential multi-method study in
primary care.
July 21, 2021
Fournier JP, Amélineau JB, Hild S, et al. Eur J Gen Pract. 2021;27(1):142-151.
https://psnet.ahrq.gov/issue/patient-safety-incidents-during-covid-19-health-crisis-france-exp…
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psnet.ahrq.gov/node/73705/psn-pdf
September 15, 2021 - Do patient engagement interventions work for all
patients? A systematic review and realist synthesis of
interventions to enhance patient safety.
September 15, 2021
Newman B, Joseph K, Chauhan A, et al. Do patient engagement interventions work for all patients? A
systematic review and realist synthesis of intervent…
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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/836956/psn-pdf
April 20, 2022 - Effectiveness and safety of pulse oximetry in remote
patient monitoring of patients with COVID-19: a
systematic review.
April 20, 2022
Alboksmaty A, Beaney T, Elkin S, et al. Effectiveness and safety of pulse oximetry in remote patient
monitoring of patients with COVID-19: a systematic review. Lancet Digit Health.…
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psnet.ahrq.gov/issue/prescribing-errors-children-why-they-happen-and-how-prevent-them
December 13, 2017 - August 23, 2023
Prospective evaluation of consultant surgeon sleep deprivation and outcomes
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psnet.ahrq.gov/issue/effect-short-term-pretrial-practice-surgical-proficiency-simulated-environments-randomized
January 20, 2010 - January 13, 2021
Prospective evaluation of consultant surgeon sleep deprivation and outcomes
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psnet.ahrq.gov/issue/identifying-quality-markers-safe-surgical-ward-interview-study-patients-clinical-staff-and
June 17, 2015 - Consultant surgeon's contemporary experience of adverse surgical events.
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psnet.ahrq.gov/issue/checklist-tool-error-management-and-performance-improvement
June 29, 2011 - July 3, 2016
Prospective evaluation of consultant surgeon sleep deprivation and outcomes
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psnet.ahrq.gov/innovation/i-readi-quality-and-safety-framework-strong-communications-channels-and-effective
February 26, 2025 - The I-READI Quality and Safety Framework: Strong Communications Channels and Effective Practices to Rapidly Update and Implement Clinical Protocols During a Time of Crisis
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psnet.ahrq.gov/node/38463/psn-pdf
June 16, 2009 - The safety of emergency care systems: results of a
survey of clinicians in 65 US emergency departments.
June 16, 2009
Magid DJ, Sullivan AF, Cleary PD, et al. The safety of emergency care systems: Results of a survey of
clinicians in 65 US emergency departments. Ann Emerg Med. 2009;53(6):715-723.e1.
doi:10.1016/j.…
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psnet.ahrq.gov/node/36122/psn-pdf
January 05, 2017 - Using an MET service to manage hemorrhage post-
percutaneous liver biopsy.
January 5, 2017
Jones D, Bellomo R, Leong T. Using an MET service to manage hemorrhage post-percutaneous liver
biopsy. Jt Comm J Qual Patient Saf. 2006;32(8):459-62, 417.
https://psnet.ahrq.gov/issue/using-met-service-manage-hemorrhage-post…
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psnet.ahrq.gov/node/37517/psn-pdf
August 25, 2009 - How health care complexity leads to cooperation and
affects the autonomy of health care professionals.
August 25, 2009
Molleman E, Broekhuis M, Stoffels R, et al. How health care complexity leads to cooperation and affects
the autonomy of health care professionals. Health Care Anal. 2008;16(4):329-341. doi:10.1007/…
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psnet.ahrq.gov/node/43066/psn-pdf
December 10, 2014 - Reminder: pay attention to the appearance of your
medicines.
December 10, 2014
ISMP Canada. SafeMedicationUse Newsletter. December 2, 2014;5:1-2.
https://psnet.ahrq.gov/issue/reminder-pay-attention-appearance-your-medicines
This newsletter article describes an incident involving a patient who noticed that the tabl…
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psnet.ahrq.gov/web-mm/failure-reevaluate
February 01, 2014 - Failure to Reevaluate
Citation Text:
Wong-Beringer A. Failure to Reevaluate. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2010.
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psnet.ahrq.gov/node/49452/psn-pdf
July 01, 2004 - Allergy to Holter
July 1, 2004
Williams M. Allergy to Holter. PSNet [internet]. 2004.
https://psnet.ahrq.gov/web-mm/allergy-holter
The Case
A 52-year-old man was admitted for palpitations and chest pain. As part of the evaluation, on hospital day 4
the patient was sent to the cardiac clinic to start a continuous …
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psnet.ahrq.gov/node/867640/psn-pdf
February 26, 2025 - Patient safety of virtual primary care: a qualitative study
examining risks and mitigation strategies.
February 26, 2025
Lounsbury O, Li E, Lunova T, et al. Patient safety of virtual primary care: a qualitative study examining risks
and mitigation strategies. Health Policy Tech. 2025;14(1):100966. doi:10.1016/j.hlp…
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psnet.ahrq.gov/web-mm/polypharmacy
March 01, 2007 - Polypharmacy
Citation Text:
Guglielmo JB. Polypharmacy. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2013.
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