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psnet.ahrq.gov/node/72483/psn-pdf
November 18, 2020 - ACGME Summary Report: The Pursuing Excellence
Pathway Leaders Patient Safety Collaborative.
November 18, 2020
Passiment M, Wagner R, Weiss KB for the Pursuing Excellence in Clinical Learning Environments:
Pathway Leaders Patient Safety Collaborative. Chicago, IL: Accreditation Council for Graduate Medical
Educatio…
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psnet.ahrq.gov/node/845630/psn-pdf
March 08, 2023 - The effect of transitions intervention to ensure patient
safety and satisfaction when transferred from hospital to
home health care-a systematic review.
March 8, 2023
Oksholm T, Gissum KR, Hunskår I, et al. The effect of transitions intervention to ensure patient safety and
satisfaction when transferred from hospi…
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psnet.ahrq.gov/node/836929/psn-pdf
April 13, 2022 - The impact of "missed nursing care" or "care not done"
on adults in health care: a rapid review for the Consensus
Development Project.
April 13, 2022
Willis E, Brady C. The impact of “missed nursing care” or “care not done” on adults in health care: A rapid
review for the Consensus Development Project. Nurs Open. …
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psnet.ahrq.gov/node/46044/psn-pdf
December 21, 2017 - Addressing the opioid epidemic in the United States:
lessons from the Department of Veterans Affairs.
December 21, 2017
Gellad WF, Good CB, Shulkin DJ. Addressing the Opioid Epidemic in the United States: Lessons From the
Department of Veterans Affairs. AMA Intern Med. 2017;177(5):611-612.
doi:10.1001/jamainternme…
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psnet.ahrq.gov/node/74264/psn-pdf
January 19, 2022 - Characteristics of critical incident reporting systems in
primary care: an international survey.
January 19, 2022
Höcherl A, Lüttel D, Schütze D, et al. Characteristics of critical incident reporting systems in primary care:
an international survey. J Patient Saf. 2022;18(1):e85-e91. doi:10.1097/pts.000000000000070…
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psnet.ahrq.gov/node/865665/psn-pdf
April 24, 2024 - Unveiling the hidden struggle of healthcare students as
second victims through a systematic review.
April 24, 2024
Mira JJ, Matarredona V, Tella S, et al. Unveiling the hidden struggle of healthcare students as second
victims through a systematic review. BMC Med Educ. 2024;24(1):378. doi:10.1186/s12909-024-05336-y.…
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psnet.ahrq.gov/node/852447/psn-pdf
August 16, 2023 - Patient safety in palliative care at the end of life from the
perspective of complex thinking.
August 16, 2023
Bittencourt NCC de M, Duarte S da CM, Marcon SS, et al. Patient safety in palliative care at the end of life
from the perspective of complex thinking. Healthcare (Basel). 2023;11(14):2030.
doi:10.3390/hea…
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psnet.ahrq.gov/node/74695/psn-pdf
January 26, 2022 - Impact of teamwork and communication training
interventions on safety culture and patient safety in
emergency departments: a systematic review.
January 26, 2022
Alsabri M, Boudi Z, Lauque D, et al. Impact of teamwork and communication training interventions on
safety culture and patient safety in emergency departm…
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psnet.ahrq.gov/node/47498/psn-pdf
March 05, 2019 - Data omission by physician trainees on ICU rounds.
March 5, 2019
Artis KA, Bordley J, Mohan V, et al. Data Omission by Physician Trainees on ICU Rounds. Crit Care Med.
2019;47(3):403-409. doi:10.1097/CCM.0000000000003557.
https://psnet.ahrq.gov/issue/data-omission-physician-trainees-icu-rounds
Reporting complete p…
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psnet.ahrq.gov/node/853067/psn-pdf
August 30, 2023 - The Pursuing Excellence Collaborative: engaging first-
year residents and fellows in patient safety event
investigations.
August 30, 2023
Paull DE, Newton RC, Tess AV, et al. The Pursuing Excellence Collaborative: engaging first-year residents
and fellows in patient safety event investigations. J Patient Saf. 2023…
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psnet.ahrq.gov/node/50432/psn-pdf
September 04, 2019 - Patient Suicide on a Locked Mental Health Unit at the
West Palm Beach VA Medical Center, Florida.
September 4, 2019
Washington, DC: Department of Veterans Affairs, Office of Inspector General. August 22, 2019. Report No.
19-07429-195.
https://psnet.ahrq.gov/issue/patient-suicide-locked-mental-health-unit-west-palm…
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psnet.ahrq.gov/node/74151/psn-pdf
January 01, 2022 - Nursing interventions to reduce medication errors in
paediatrics and neonates: systematic review and meta-
analysis.
December 8, 2021
Marufu TC, Bower R, Hendron E, et al. Nursing interventions to reduce medication errors in paediatrics and
neonates: systematic review and meta-analysis. J Pediatr Nurs. 2022;62:e13…
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psnet.ahrq.gov/node/844538/psn-pdf
February 15, 2023 - Patient safety implications of wearing a face mask for
prevention in the era of COVID-19 pandemic: a systematic
review and consensus recommendations.
February 15, 2023
Balestracci B, La Regina M, Di Sessa D, et al. Patient safety implications of wearing a face mask for
prevention in the era of COVID-19 pandemic: a…
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psnet.ahrq.gov/node/853615/psn-pdf
September 20, 2023 - Are physician assistants able to correctly identify
prescribing errors? A cross-sectional study.
September 20, 2023
Gillette C, Perry CJ, Ferreri SP, et al. Are physician assistants able to correctly identify prescribing errors?
A cross-sectional study. J Physician Assist Educ. 2023;34(3):231-234.
doi:10.1097/jpa.…
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psnet.ahrq.gov/node/46288/psn-pdf
August 23, 2017 - Supporting nursing, midwifery and allied health
professional students to raise concerns with the quality
of care: a review of the research literature.
August 23, 2017
Milligan F, Wareing M, Preston-Shoot M, et al. "Supporting nursing, midwifery and allied health professional
students to raise concerns with the qua…
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psnet.ahrq.gov/node/46346/psn-pdf
October 29, 2017 - Root cause analysis of ICU adverse events in the
Veterans Health Administration.
October 29, 2017
Corwin GS, Mills PD, Shanawani H, et al. Root Cause Analysis of ICU Adverse Events in the Veterans
Health Administration. Jt Comm J Qual Patient Saf. 2017;43(11):580-590. doi:10.1016/j.jcjq.2017.04.009.
https://psnet.…
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psnet.ahrq.gov/node/47508/psn-pdf
October 24, 2018 - Root cause analysis of reported patient falls in ORs in the
Veterans Health Administration.
October 24, 2018
Soncrant CM, Warner LJ, Neily J, et al. Root Cause Analysis of Reported Patient Falls in ORs in the
Veterans Health Administration. AORN J. 2018;108(4):386-397. doi:10.1002/aorn.12372.
https://psnet.ahrq.go…
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psnet.ahrq.gov/node/851193/psn-pdf
July 05, 2023 - Overlapping surgery in arthroplasty - a systematic review
and meta-analysis.
July 5, 2023
Kim RG, An VVG, Lee SLK, et al. Overlapping surgery in arthroplasty – a systematic review and meta-
analysis. Orthop Traumatol Surg Res. 2023;109(4):103299. doi:10.1016/j.otsr.2022.103299.
https://psnet.ahrq.gov/issue/overlap…
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psnet.ahrq.gov/node/862154/psn-pdf
June 18, 2020 - Listening to women: recommendations from women of
color to improve experiences in pregnancy and birth care.
June 18, 2020
Altman MR, McLemore MR, Oseguera T, et al. Listening to women: recommendations from women of color
to improve experiences in pregnancy and birth care. J Midwifery Womens Health. 2020;65(4):466-4…
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psnet.ahrq.gov/node/847054/psn-pdf
April 05, 2023 - Patient generated research priorities to improve
diagnostic safety: a systematic prioritization exercise.
April 5, 2023
Zwaan L, Smith KM, Giardina TD, et al. Patient generated research priorities to improve diagnostic safety:
a systematic prioritization exercise. Patient Educ Couns. 2023;110:107650.
doi:10.1016/j…