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psnet.ahrq.gov/node/861290/psn-pdf
January 24, 2024 - Potentially inappropriate prescribing in long-term care
and its relationship with probable delirium.
January 24, 2024
Webber C, Milani C, Bjerre LM, et al. Potentially inappropriate prescribing in long-term care and its
relationship with probable delirium. J Am Med Dir Assoc. 2024;25(1):130-137.e4.
doi:10.1016/j.j…
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psnet.ahrq.gov/node/43436/psn-pdf
August 13, 2014 - Decreasing handoff-related care failures in children's
hospitals.
August 13, 2014
Bigham MT, Logsdon TR, Manicone PE, et al. Decreasing handoff-related care failures in children's
hospitals. Pediatrics. 2014;134(2):e572-e579. doi:10.1542/peds.2013-1844.
https://psnet.ahrq.gov/issue/decreasing-handoff-related-care-…
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psnet.ahrq.gov/node/74139/psn-pdf
December 01, 2021 - Situation awareness and the mitigation of risk associated
with patient deterioration: a meta-narrative review of
theories and models and their relevance to nursing
practice.
December 1, 2021
Walshe N, Ryng S, Drennan J, et al. Situation awareness and the mitigation of risk associated with patient
deterioration: a…
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psnet.ahrq.gov/node/39570/psn-pdf
September 20, 2011 - Effect of a 19-item surgical safety checklist during urgent
operations in a global patient population.
September 20, 2011
Weiser TG, Haynes AB, Dziekan G, et al. Effect of A 19-Item Surgical Safety Checklist During Urgent
Operations in A Global Patient Population. Ann Surg. 2010;251(5). doi:10.1097/sla.0b013e3181d9…
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psnet.ahrq.gov/node/858163/psn-pdf
December 13, 2023 - Blackbox error management: how do practices deal with
critical incidents in everyday practice? A qualitative
interview study.
December 13, 2023
Bodek A, Pommée M, Berger A, et al. Blackbox error management: how do practices deal with critical
incidents in everyday practice? A qualitative interview study. BMC Prim …
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psnet.ahrq.gov/node/46119/psn-pdf
August 15, 2018 - Incidence and predictors of opioid prescription at
discharge after traumatic injury.
August 15, 2018
Chaudhary MA, Schoenfeld AJ, Harlow AF, et al. Incidence and Predictors of Opioid Prescription at
Discharge After Traumatic Injury. JAMA Surg. 2017;152(10):930-936. doi:10.1001/jamasurg.2017.1685.
https://psnet.ahr…
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psnet.ahrq.gov/node/36586/psn-pdf
July 08, 2008 - House staff team workload and organization effects on
patient outcomes in an academic general internal
medicine inpatient service.
July 8, 2008
Ong M, Bostrom A, Vidyarthi A, et al. House staff team workload and organization effects on patient
outcomes in an academic general internal medicine inpatient service. Ar…
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psnet.ahrq.gov/node/42011/psn-pdf
March 06, 2013 - A multidisciplinary approach to reduce central line-
associated bloodstream infections.
March 6, 2013
McMullan C, Propper G, Schuhmacher C, et al. A multidisciplinary approach to reduce central line-
associated bloodstream infections. Jt Comm J Qual Patient Saf. 2013;39(2):61-69.
https://psnet.ahrq.gov/issue/multi…
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psnet.ahrq.gov/node/853621/psn-pdf
September 20, 2023 - Do not PIMP my nursing home ride! The impact of
Potentially Inappropriate Medications Prescribing on
residents' emergency care use.
September 20, 2023
Rapp T, Sicsic J, Tavassoli N, et al. Do not PIMP my nursing home ride! The impact of Potentially
Inappropriate Medications Prescribing on residents’ emergency care…
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psnet.ahrq.gov/node/864368/psn-pdf
March 13, 2024 - Medical misadventures as errors and mistakes and motor
vehicular accidents in the disproportionate burden of
childhood mortality among Blacks/African Americans in
the United States: CDC Dataset, 1968-2015.
March 13, 2024
Holmes L, Enwere M, Mason R, et al. Medical misadventures as errors and mistakes and motor veh…
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psnet.ahrq.gov/node/45562/psn-pdf
October 12, 2016 - Characterising the nature of primary care patient safety
incident reports in the England and Wales National
Reporting and Learning System: a mixed-methods
agenda-setting study for general practice.
October 12, 2016
Carson-Stevens A, Hibbert P, Williams H, et al. Characterising The Nature Of Primary Care Patient Sa…
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psnet.ahrq.gov/node/40600/psn-pdf
September 09, 2011 - To make or buy patient safety solutions: a resource
dependence and transaction cost economics perspective.
September 9, 2011
Fareed N, Mick SS. To make or buy patient safety solutions: a resource dependence and transaction cost
economics perspective. Health Care Manage Rev. 2011;36(4):288-298.
doi:10.1097/HMR.0b01…
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psnet.ahrq.gov/node/45739/psn-pdf
July 02, 2017 - High-risk medications in hospitalized elderly adults: are
we making it easy to do the wrong thing?
July 2, 2017
Blachman NL, Leipzig RM, Mazumdar M, et al. High-Risk Medications in Hospitalized Elderly Adults: Are
We Making It Easy to Do the Wrong Thing? J Am Geriatr Soc. 2017;65(3):603-607. doi:10.1111/jgs.14703.
…
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psnet.ahrq.gov/node/44376/psn-pdf
October 08, 2016 - Avoidability of hospital deaths and association with
hospital-wide mortality ratios: retrospective case record
review and regression analysis.
October 8, 2016
Hogan H, Zipfel R, Neuburger J, et al. Avoidability of hospital deaths and association with hospital-wide
mortality ratios: retrospective case record review…
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psnet.ahrq.gov/node/45889/psn-pdf
August 16, 2017 - New persistent opioid use after minor and major surgical
procedures in US adults.
August 16, 2017
Brummett CM, Waljee JF, Goesling J, et al. New Persistent Opioid Use After Minor and Major Surgical
Procedures in US Adults. JAMA Surg. 2017;152(6):e170504. doi:10.1001/jamasurg.2017.0504.
https://psnet.ahrq.gov/issue…
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psnet.ahrq.gov/node/37945/psn-pdf
July 26, 2010 - A survey of hospital quality improvement activities.
July 26, 2010
Cohen AB, Restuccia JD, Shwartz M, et al. A survey of hospital quality improvement activities. Med Care
Res Rev. 2008;65(5):571-95. doi:10.1177/1077558708318285.
https://psnet.ahrq.gov/issue/survey-hospital-quality-improvement-activities
The Instit…
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psnet.ahrq.gov/node/36907/psn-pdf
September 14, 2012 - Serious Reportable Events in Healthcare—2011 Update.
September 14, 2012
Washington DC: National Quality Forum; December 2011.
https://psnet.ahrq.gov/issue/serious-reportable-events-healthcare-2011-update
The National Quality Forum originally defined 27 health care "never events"—patient safety events that
pose ser…
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psnet.ahrq.gov/node/45778/psn-pdf
April 26, 2017 - Long-term outcomes of medication intervention using the
screening tool of older persons potentially inappropriate
prescriptions screening tool to alert doctors to right
treatment criteria.
April 26, 2017
Frankenthal D, Israeli A, Caraco Y, et al. Long-Term Outcomes of Medication Intervention Using the
Screening T…
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psnet.ahrq.gov/node/36184/psn-pdf
June 13, 2011 - Developing and implementing new safe practices:
voluntary adoption through statewide collaboratives.
June 13, 2011
Leape L, Rogers G, Hanna D, et al. Developing and implementing new safe practices: voluntary adoption
through statewide collaboratives. Qual Saf Health Care. 2006;15(4):289-95.
https://psnet.ahrq.gov/…
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psnet.ahrq.gov/node/866686/psn-pdf
September 11, 2024 - Impact of automated alerts on discharge opioid
overprescribing after general surgery.
September 11, 2024
Rizk E, Kaur N, Duong PY, et al. Impact of automated alerts on discharge opioid overprescribing after
general surgery. Am J Health Syst Pharm. 2024;81(24):1288-1296. doi:10.1093/ajhp/zxae185.
https://psnet.ahrq…