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psnet.ahrq.gov/node/854262/psn-pdf
October 04, 2023 - Five strategies for how patients and families can improve
patient safety: World Patient Safety Day 2023.
October 4, 2023
Wu AW, Papieva I, Sheridan S, et al. Five strategies for how patients and families can improve patient
safety: World Patient Safety Day 2023. J Patient Saf Risk Manag. 2023;28(4):147-152.
doi:10…
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psnet.ahrq.gov/node/50753/psn-pdf
December 18, 2019 - The contribution of staffing to medication administration
errors: a text mining analysis of incident report data.
December 18, 2019
Härkänen M, Vehviläinen?Julkunen K, Murrells T, et al. The Contribution of Staffing to Medication
Administration Errors: A Text Mining Analysis of Incident Report Data. J Nurs Scholars…
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psnet.ahrq.gov/node/37138/psn-pdf
October 04, 2011 - Drug administration errors in an institution for individuals
with intellectual disability: an observational study.
October 4, 2011
van den Bemt PMLA, Robertz R, de Jong AL, et al. Drug administration errors in an institution for
individuals with intellectual disability: an observational study. J Intellect Disabil R…
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psnet.ahrq.gov/node/865922/psn-pdf
May 22, 2024 - Pharmacy-driven performance improvement initiative to
increase compliance with intravenous smart pump drug
error reduction systems at a large urban academic
medical center.
May 22, 2024
Abboudi E, Baron SW, Goriacko P, et al. Pharmacy-driven performance improvement initiative to increase
compliance with intraveno…
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psnet.ahrq.gov/training-catalog/learning-errors-analysis-medication-error
Learning from Errors: Analysis of a Medication Error
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Organization:
Organization
American Association for Critical-Care Nurses (AACN)
…
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psnet.ahrq.gov/training-catalog/improving-care-transitions-older-adults
Improving Care Transitions of Older Adults
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Organization:
Organization
RCTCLEARN.NET
Event Description: This program focu…
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psnet.ahrq.gov/node/47475/psn-pdf
January 23, 2019 - Patient Safety and Quality Improvement.
January 23, 2019
Shah RK, ed. Otolaryngol Clin North Am. 2019;52:1-194.
https://psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-0
Articles in this special issue apply safety concepts to reducing preventable patient harm in otolaryngology.
The reviews highlight sy…
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psnet.ahrq.gov/node/35083/psn-pdf
March 29, 2007 - Patient Safety: Achieving a New Standard for Care.
March 29, 2007
Aspden P ed, Committee for Data Standards for Patient Safety, Institute of Medicine. Washington DC:
National Academies Press; 2004. ISBN 0309090776.
https://psnet.ahrq.gov/issue/patient-safety-achieving-new-standard-care
This report details findings…
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psnet.ahrq.gov/node/841150/psn-pdf
December 07, 2022 - Quality improvement as a primary approach to change in
healthcare: a precarious, self-limiting choice?
December 7, 2022
Mandel KE, Cady SH. Quality improvement as a primary approach to change in healthcare: a precarious,
self-limiting choice? BMJ Qual Saf. 2022;31(12):860-866. doi:10.1136/bmjqs-2021-014447.
https:…
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psnet.ahrq.gov/node/846439/psn-pdf
March 22, 2023 - Which adverse events and which drugs are implicated in
drug-related hospital admissions? A systematic review
and meta-analysis.
March 22, 2023
Haerdtlein A, Debold E, Rottenkolber M, et al. Which adverse events and which drugs are implicated in
drug-related hospital admissions? A systematic review and meta-analysi…
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psnet.ahrq.gov/node/74132/psn-pdf
December 01, 2021 - Nurse bias and nursing care disparities related to patient
characteristics: a scoping review of the quantitative and
qualitative evidence
December 1, 2021
Groves PS, Bunch JL, Sabin JA. Nurse bias and nursing care disparities related to patient characteristics: a
scoping review of the quantitative and qualitative …
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psnet.ahrq.gov/node/74060/psn-pdf
November 10, 2021 - Clinically significant medication errors in surgical units
detected by clinical pharmacist: a real-life study.
November 10, 2021
Renaudin P, Coste A, Audurier Y, et al. Clinically significant medication errors in surgical units detected by
clinical pharmacist: a real?life study. Basic Clin Pharmacol Toxicol. 2021;1…
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psnet.ahrq.gov/node/846156/psn-pdf
March 15, 2023 - Communication matters when it comes to adverse events:
associations of adverse events during implant treatment
with patients' communication quality and trust
assessments.
March 15, 2023
Schrimpff C, Link E, Fisse T, et al. Communication matters when it comes to adverse events: associations
of adverse events durin…
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psnet.ahrq.gov/node/50418/psn-pdf
January 01, 2020 - Experiential learning through local implementation of a
national chief resident in quality and patient safety
curriculum.
September 1, 2019
Ronan MV, Menon A, Swamy L, et al. Experiential Learning Through Local Implementation of a National
Chief Resident in Quality and Patient Safety Curriculum. American Journal o…
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psnet.ahrq.gov/node/72724/psn-pdf
February 10, 2021 - How satisfied are patients and surgeons with
telemedicine in orthopaedic care during the COVID-19
pandemic? A systematic review and meta-analysis.
February 10, 2021
Chaudhry H, Nadeem S, Mundi R. How Satisfied Are Patients and Surgeons with Telemedicine in
Orthopaedic Care During the COVID-19 Pandemic? A Systemati…
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psnet.ahrq.gov/node/38191/psn-pdf
November 05, 2008 - Shifting supervision: implications for safe administration
of medication by nursing students.
November 5, 2008
Reid-Searl K, Moxham L, Walker S, et al. Shifting supervision: implications for safe administration of
medication by nursing students. J Clin Nurs. 2008;17(20):2750-7. doi:10.1111/j.1365-2702.2008.02486.x.…
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psnet.ahrq.gov/node/46305/psn-pdf
September 27, 2017 - Using simulation to improve systems.
September 27, 2017
Kearney JA, Deutsch ES. Using Simulation to Improve Systems. Otolaryngol Clin North Am.
2017;50(5):1015-1028. doi:10.1016/j.otc.2017.05.011.
https://psnet.ahrq.gov/issue/using-simulation-improve-systems-0
Simulations in health care can help uncover technical …
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psnet.ahrq.gov/node/42666/psn-pdf
January 08, 2015 - Safety in home care: a mapping review of the
international literature.
January 8, 2015
Harrison MB, Keeping-Burke L, Godfrey CM, et al. Safety in home care: a mapping review of the
international literature. Int J Evid Based Healthc. 2013;11(3). doi:10.1111/1744-1609.12027.
https://psnet.ahrq.gov/issue/safety-home-…
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psnet.ahrq.gov/node/43522/psn-pdf
October 15, 2014 - A model of disruptive surgeon behavior in the
perioperative environment.
October 15, 2014
Cochran A, Elder WB. A model of disruptive surgeon behavior in the perioperative environment. J Am Coll
Surg. 2014;219(3):390-8. doi:10.1016/j.jamcollsurg.2014.05.011.
https://psnet.ahrq.gov/issue/model-disruptive-surgeon-beh…
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psnet.ahrq.gov/training-catalog/artificial-intelligence-and-human-factors-health-care-quality-safety-conference
Artificial Intelligence and Human Factors in Health Care Quality & Safety Conference
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Organization:
Organization
Penn State College of Medicine…