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psnet.ahrq.gov/node/39976/psn-pdf
November 17, 2010 - A new professionalism? Surgical residents, duty hours
restrictions, and shift transitions.
November 17, 2010
Coverdill JE, Carbonell AM, Fryer J, et al. A new professionalism? Surgical residents, duty hours
restrictions, and shift transitions. Acad Med. 2010;85(10 Suppl):S72-5.
doi:10.1097/ACM.0b013e3181ed455b.
h…
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psnet.ahrq.gov/node/47638/psn-pdf
February 06, 2019 - Decreasing surgical site infections by developing a high
reliability culture.
February 6, 2019
Pettis AM. Decreasing Surgical Site Infections by Developing a High Reliability Culture. AORN J.
2018;108(6):644-650. doi:10.1002/aorn.12416.
https://psnet.ahrq.gov/issue/decreasing-surgical-site-infections-developing-hi…
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psnet.ahrq.gov/node/44841/psn-pdf
February 03, 2016 - Preventable Tragedies: Superbugs and How Ineffective
Monitoring of Medical Device Safety Fails Patients.
February 3, 2016
Murray P. Washington, DC; Senate Health, Education, Labor, and Pensions Committee; 2016.
https://psnet.ahrq.gov/issue/preventable-tragedies-superbugs-and-how-ineffective-monitoring-medical-
dev…
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psnet.ahrq.gov/node/866355/psn-pdf
July 24, 2024 - Frequency and preventability of adverse drug events in
the outpatient setting.
July 24, 2024
Wasserman RL, Edrees HH, Amato MG, et al. Frequency and preventability of adverse drug events in the
outpatient setting. BMJ Qual Saf. 2024;Epub Jul 9. doi:10.1136/bmjqs-2024-017098.
https://psnet.ahrq.gov/issue/frequency-…
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psnet.ahrq.gov/node/60600/psn-pdf
June 17, 2020 - Reasons for drug administration problems and perceived
needs for assistance of patients, family caregivers, and
nurses: a qualitative study.
June 17, 2020
Lampert A, Haefeli WE, Seidling HM. Reasons for drug administration problems and perceived needs for
assistance of patients, family caregivers, and nurses: a qu…
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psnet.ahrq.gov/node/40063/psn-pdf
March 04, 2011 - Challenges in ethics, safety, best practices, and oversight
regarding HIT vendors, their customers, and patients: a
report of an AMIA special task force.
March 4, 2011
Goodman KW, Berner ES, Dente MA, et al. Challenges in ethics, safety, best practices, and oversight
regarding HIT vendors, their customers, and pat…
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psnet.ahrq.gov/node/43257/psn-pdf
August 14, 2014 - Barriers and success factors to the implementation of a
multi-site prospective adverse event surveillance system.
August 14, 2014
Backman C, Forster AJ, Vanderloo S. Barriers and success factors to the implementation of a multi-site
prospective adverse event surveillance system. Int J Qual Health Care. 2014;26(4):4…
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psnet.ahrq.gov/node/46086/psn-pdf
August 30, 2017 - Quality and Safety in Nursing: a Competency Approach to
Improving Outcomes, Second Edition.
August 30, 2017
Sherwood G, Barnsteiner J, eds. Hoboken, NJ: Wiley-Blackwell; 2017. ISBN: 9781119151678.
https://psnet.ahrq.gov/issue/quality-and-safety-nursing-competency-approach-improving-outcomes-second-
edition
The Cr…
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psnet.ahrq.gov/node/46172/psn-pdf
June 21, 2017 - Flying lessons for clinicians: developing system 2
practice.
June 21, 2017
Gregoire JN, Alfes CM, Reimer AP, et al. Flying Lessons for Clinicians: Developing System 2 Practice. Air
Med J. 2017;36(3):135-137. doi:10.1016/j.amj.2017.02.003.
https://psnet.ahrq.gov/issue/flying-lessons-clinicians-developing-system-2-p…
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psnet.ahrq.gov/node/73209/psn-pdf
May 05, 2021 - Medication incident recovery and prevention utilising an
Australian community pharmacy incident reporting
system: the QUMwatch study.
May 5, 2021
Adie K, Fois RA, McLachlan AJ, et al. Medication incident recovery and prevention utilising an Australian
community pharmacy incident reporting system: the QUMwatch stud…
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psnet.ahrq.gov/node/60280/psn-pdf
April 29, 2020 - Missed, rationed or unfinished nursing care: a scoping
review of patient outcomes.
April 29, 2020
Kalánková D, Kirwan M, Bartoní?ková D, et al. Missed, rationed or unfinished nursing care: A scoping
review of patient outcomes. J Nurs Manag. 2020;28(8):1783-1797. doi:10.1111/jonm.12978.
https://psnet.ahrq.gov/issue…
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psnet.ahrq.gov/node/60769/psn-pdf
August 05, 2020 - FDA recommends health care professionals discuss
naloxone with all patients when prescribing opioid pain
relievers or medicines to treat opioid use disorder.
August 5, 2020
MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration. July 23, 2020.
https://psnet.ahrq.gov/issue/fda-recommends-health-c…
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psnet.ahrq.gov/node/50801/psn-pdf
January 15, 2020 - Demonstrating the value of postgraduate fellowships for
physicians in quality improvement and patient safety.
January 15, 2020
Myers JS, Lane-Fall MB, Perfetti AR, et al. Demonstrating the value of postgraduate fellowships for
physicians in quality improvement and patient safety. BMJ Qual Saf. 2020;29(8):645-654.
…
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psnet.ahrq.gov/node/847729/psn-pdf
April 19, 2023 - STAMP: a 5-year project to reduce paediatric prescribing
errors.
April 19, 2023
Trivedi A, Ajitsaria R, Bate T. STAMP: a 5-year project to reduce paediatric prescribing errors. Arch Dis
Child Educ Pract Ed. 2022;108(2):115-119. doi:10.1136/archdischild-2021-323192.
https://psnet.ahrq.gov/issue/stamp-5-year-project…
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psnet.ahrq.gov/node/44528/psn-pdf
January 22, 2016 - Consumer participation in early detection of the
deteriorating patient and call activation to rapid response
systems: a literature review.
January 22, 2016
Vorwerk J, King L. Consumer participation in early detection of the deteriorating patient and call activation
to rapid response systems: a literature review. J…
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psnet.ahrq.gov/node/47549/psn-pdf
March 04, 2019 - Interventions against bullying of prelicensure students
and nursing professionals: an integrative review.
March 4, 2019
Rutherford DE, Gillespie GL, Smith CR. Interventions against bullying of prelicensure students and nursing
professionals: An integrative review. Nurs Forum. 2019;54(1):84-90. doi:10.1111/nuf.12301…
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psnet.ahrq.gov/node/42982/psn-pdf
March 13, 2014 - Nursing student medication errors: a snapshot view from
a school of nursing's quality and safety officer.
March 13, 2014
Cooper E. Nursing student medication errors: a snapshot view from a school of nursing's quality and safety
officer. J Nurs Educ. 2014;53(3):S51-4. doi:10.3928/01484834-20140211-03.
https://psnet…
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psnet.ahrq.gov/node/60359/psn-pdf
May 20, 2020 - Incorrect use of smart infusion pump in the operating
room (OR) leads to milrinone overdose.
May 20, 2020
ISMP Medication Safety Alert! Acute care edition. May 7, 2020;25(9).
https://psnet.ahrq.gov/issue/incorrect-use-smart-infusion-pump-operating-room-or-leads-milrinone-
overdose
Lack of familiarity with sm…
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psnet.ahrq.gov/node/43727/psn-pdf
January 28, 2015 - Pediatric crisis resource management training improves
emergency medicine trainees' perceived ability to manage
emergencies and ability to identify teamwork errors.
January 28, 2015
Bank I, Snell L, Bhanji F. Pediatric crisis resource management training improves emergency medicine
trainees' perceived ability to m…
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psnet.ahrq.gov/node/44891/psn-pdf
July 03, 2016 - Characteristics of morbidity and mortality conferences
associated with the implementation of patient safety
improvement initiatives, an observational study.
July 3, 2016
François P, Prate F, Vidal-Trecan G, et al. Characteristics of morbidity and mortality conferences
associated with the implementation of patient …