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psnet.ahrq.gov/node/836775/psn-pdf
March 23, 2022 - Embracing multiple aims in healthcare improvement and
innovation.
March 23, 2022
Amalberti R, Staines A, Vincent CA. Embracing multiple aims in healthcare improvement and innovation.
Int J Qual Health Care. 2022;34(1):mzac006. doi:10.1093/intqhc/mzac006.
https://psnet.ahrq.gov/issue/embracing-multiple-aims-healthc…
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psnet.ahrq.gov/node/39803/psn-pdf
April 17, 2011 - New legal protections for reporting patient errors under
the Patient Safety and Quality Improvement Act: a review
of the medical literature and analysis.
April 17, 2011
Howard J, Levy F, Mareiniss DP, et al. New legal protections for reporting patient errors under the Patient
Safety and Quality Improvement Act: a …
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psnet.ahrq.gov/node/33931/psn-pdf
June 23, 2015 - An analysis of major errors and equipment failures in
anesthesia management: considerations for prevention
and detection.
June 23, 2015
Cooper JB, Newbower RS, Kitz RJ. An analysis of major errors and equipment failures in anesthesia
management: considerations for prevention and detection. Anesthesiology. 1984;60(…
-
psnet.ahrq.gov/node/74130/psn-pdf
December 01, 2021 - Malpractice cases in breast surgery: an assessment of
litigation involving surgeons.
December 1, 2021
Fan B, Pardo J, Yu-Moe CW, et al. Malpractice cases in breast surgery: an assessment of litigation
involving surgeons. Ann Surg Oncol. 2021;28(13):8109-8115. doi:10.1245/s10434-021-10236-2.
https://psnet.ahrq.gov/…
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psnet.ahrq.gov/node/44421/psn-pdf
October 07, 2015 - Classification of antecedents towards safety use of health
information technology: a systematic review.
October 7, 2015
Salahuddin L, Ismail Z. Classification of antecedents towards safety use of health information technology: A
systematic review. Int J Med Inform. 2015;84(11):877-891. doi:10.1016/j.ijmedinf.2015.0…
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psnet.ahrq.gov/node/43592/psn-pdf
November 23, 2016 - Family participation during intensive care unit rounds:
goals and expectations of parents and health care
providers in a tertiary pediatric intensive care unit.
November 23, 2016
Stickney CA, Ziniel SI, Brett MS, et al. Family participation during intensive care unit rounds: goals and
expectations of parents and h…
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psnet.ahrq.gov/node/47879/psn-pdf
June 05, 2019 - The attitudes of nursing students and clinical instructors
towards reporting irregular incidents in the medical clinic.
June 5, 2019
Halperin O, Bronshtein O. The attitudes of nursing students and clinical instructors towards reporting
irregular incidents in the medical clinic. Nurse Educ Pract. 2019;36:34-39. doi:…
-
psnet.ahrq.gov/node/60046/psn-pdf
March 18, 2020 - Adverse outcomes of polypharmacy in older people:
systematic review of reviews.
March 18, 2020
Davies LE, Spiers G, Kingston A, et al. Adverse outcomes of polypharmacy in older people: systematic
review of reviews. J Am Med Dir Assoc. 2020;21(2):181-187. doi:10.1016/j.jamda.2019.10.022.
https://psnet.ahrq.gov/issu…
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psnet.ahrq.gov/node/854830/psn-pdf
January 01, 2024 - The effect of evidence in crisis learning: based on a
perspective integration framework.
October 25, 2023
Wang B, Li D, Wang Y. The effect of evidence in crisis learning: based on a perspective integration
framework. J Contingencies Crisis Manag. 2024;32(1):e12506. doi:10.1111/1468-5973.12506.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/47493/psn-pdf
January 27, 2019 - Patterns of dementia treatment and frank prescribing
errors in older adults with Parkinson disease.
January 27, 2019
Mantri S, Fullard M, Gray SL, et al. Patterns of Dementia Treatment and Frank Prescribing Errors in Older
Adults With Parkinson Disease. JAMA Neurol. 2019;76(1):41-49. doi:10.1001/jamaneurol.2018.282…
-
psnet.ahrq.gov/node/73529/psn-pdf
July 28, 2021 - Prevalence and characteristics of interruptions and
distractions during surgical counts.
July 28, 2021
Bubric KA, Biesbroek SL, Laberge JC, et al. Prevalence and characteristics of interruptions and distractions
during surgical counts. Jt Comm J Qual Patient Saf. 2021;47(9):556-562. doi:10.1016/j.jcjq.2021.05.004.
…
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psnet.ahrq.gov/node/47257/psn-pdf
September 26, 2018 - The Psychiatry Morbidity and Mortality Incident Reporting
Tool increases psychiatrist participation in reporting
adverse events.
September 26, 2018
Kroll DS, Shellman AD, Gitlin DF. The Psychiatry Morbidity and Mortality Incident Reporting Tool Increases
Psychiatrist Participation in Reporting Adverse Events. J Pa…
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psnet.ahrq.gov/node/60559/psn-pdf
June 03, 2020 - Omissions of care in nursing home settings: a narrative
review.
June 3, 2020
Ogletree AM, Mangrum R, Harris Y, et al. Omissions of care in nursing home settings: a narrative review. J
Am Med Dir Assoc. 2020;21(5):604-614.e6. doi:10.1016/j.jamda.2020.02.016.
https://psnet.ahrq.gov/issue/omissions-care-nursing-home-…
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psnet.ahrq.gov/node/855001/psn-pdf
November 01, 2023 - Rethinking Patient Safety: A Discussion Guide for
Patients, Healthcare Providers and Leaders.
November 1, 2023
Gilbert R, Asselbergs M, Davis D, et al. Healthcare Excellence Canada; 2023.
https://psnet.ahrq.gov/issue/rethinking-patient-safety-discussion-guide-patients-healthcare-providers-and-
leaders
Patient saf…
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psnet.ahrq.gov/node/34784/psn-pdf
June 24, 2015 - The potential for improved teamwork to reduce medical
errors in the emergency department.
June 24, 2015
Risser DT, Rice MM, Salisbury ML, et al. The potential for improved teamwork to reduce medical errors in
the emergency department. Ann Emerg Med. 2005;34(3):373-383. doi:10.1016/s0196-0644(99)70134-4.
https://ps…
-
psnet.ahrq.gov/node/34700/psn-pdf
January 04, 2017 - Reducing adverse drug events: lessons from a
breakthrough series collaborative.
January 4, 2017
Leape L, Kabcenell AI, Gandhi TK, et al. Reducing adverse drug events: lessons from a breakthrough
series collaborative. Jt Comm J Qual Improv. 2000;26(6):321-31.
https://psnet.ahrq.gov/issue/reducing-adverse-drug-event…
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psnet.ahrq.gov/perspective/beyond-hospital-new-frontier-patient-safety
August 01, 2014 - Beyond the Hospital: the New Frontier of Patient Safety
Margaret Plews-Ogan, MD, MS | August 22, 2014
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Plews-Ogan M. Beyond the Hospital: the New Frontier of Patient Safety. PSNet …
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psnet.ahrq.gov/perspective/patient-advocacy-patient-safety-have-things-changed
June 01, 2014 - Patient Advocacy in Patient Safety: Have Things Changed?
Helen Haskell, MA | June 1, 2014
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Haskell H. Patient Advocacy in Patient Safety: Have Things Changed?. PSNet [internet]. Ro…
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psnet.ahrq.gov/perspective/rethinking-root-cause-analysis
August 21, 2016 - Annual Perspective
Rethinking Root Cause Analysis
Kiran Gupta, MD, MPH, and Audrey Lyndon, PhD | January 1, 2016
View more articles from the same authors.
Citation Text:
Gupta K, Lyndon A. Rethinking Root Cause Analysis. PSNet [internet]. Rockville (MD): Age…
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psnet.ahrq.gov/node/49767/psn-pdf
August 21, 2016 - Falling Between the Cracks in the Software
August 21, 2016
Adler-Milstein J. Falling Between the Cracks in the Software. PSNet [internet]. 2016.
https://psnet.ahrq.gov/web-mm/falling-between-cracks-software
The Case
A 61-year-old man with a history of osteoarthritis was scheduled for a total knee replacement. Prio…