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psnet.ahrq.gov/node/838252/psn-pdf
October 05, 2022 - A longitudinal study of a multifaceted intervention to
reduce newborn falls while preserving rooming-in on a
mother-baby unit.
October 5, 2022
Whatley C, Schlogl J, Whalen BL, et al. A longitudinal study of a multifaceted intervention to reduce
newborn falls while preserving rooming-in on a mother-baby unit. Jt Co…
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psnet.ahrq.gov/node/73534/psn-pdf
July 28, 2021 - "It's a big part of being good surgeons": surgical trainees'
perceptions of error recovery in the operating room.
July 28, 2021
Gabrysz-Forget F, Zahabi S, Young M, et al. "It's a big part of being good surgeons": surgical trainees'
perceptions of error recovery in the operating room. J Surg Educ. 2021;78(6):2020-2…
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psnet.ahrq.gov/node/60939/psn-pdf
September 23, 2020 - Does increased schedule flexibility lead to change? A
national survey of program directors on 2017 work hours
requirements.
September 23, 2020
Finn KM, Halvorsen AJ, Chaudhry S, et al. Does increased schedule flexibility lead to change? A national
survey of program directors on 2017 work hours requirements. J Gen …
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psnet.ahrq.gov/node/73248/psn-pdf
May 12, 2021 - Universal protection: operationalizing infection
prevention guidance in the COVID-19 era.
May 12, 2021
Sands K, Blanchard J, Grubbs K, et al. Universal protection: operationalizing infection prevention guidance
in the COVID-19 era. Jt Comm J Qual Patient Saf. 2021;47(5):327-332. doi:10.1016/j.jcjq.2021.01.007.
htt…
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psnet.ahrq.gov/node/867134/psn-pdf
November 13, 2024 - Improving adverse drug event reporting by healthcare
professionals.
November 13, 2024
Shalviri G, Mohebbi N, Mirbaha F, et al. Improving adverse drug event reporting by healthcare
professionals. Cochrane Database Syst Rev. 2024;2024(10):CD012594.
doi:10.1002/14651858.cd012594.pub2.
https://psnet.ahrq.gov/issue/im…
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psnet.ahrq.gov/node/36675/psn-pdf
January 18, 2011 - Target-focused medical emergency team training using a
human patient simulator: effects on behaviour and
attitude.
January 18, 2011
Wallin C-J, Meurling L, Hedman L, et al. Target-focused medical emergency team training using a human
patient simulator: effects on behaviour and attitude. Med Educ. 2007;41(2):173-80…
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psnet.ahrq.gov/node/45400/psn-pdf
August 10, 2016 - ISMP National Vaccine Errors Reporting Program: one in
three vaccine errors associated with age-related factors.
August 10, 2016
ISMP Medication Safety Alert! Acute Care Edition. July 28, 2016;21:1-6.
https://psnet.ahrq.gov/issue/ismp-national-vaccine-errors-reporting-program-one-three-vaccine-errors-
associated-a…
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psnet.ahrq.gov/node/836925/psn-pdf
April 13, 2022 - Strength of improvement recommendations from
injurious fall investigations: a retrospective multi-incident
analysis.
April 13, 2022
Paulik O, Hallen J, Lapkin S, et al. Strength of improvement recommendations from injurious fall
investigations: a retrospective multi-incident analysis. J Patient Saf. 2022;18(3):e61…
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psnet.ahrq.gov/node/73285/psn-pdf
May 19, 2021 - The mindful path to nursing accuracy: a quasi-
experimental study on minimizing medication
administration errors.
May 19, 2021
Ekkens CL, Gordon PA. The mindful path to nursing accuracy: a quasi-experimental study on minimizing
medication administration errors. Holist Nurs Pract. 2021;35(3):115-122.
doi:10.1097/h…
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psnet.ahrq.gov/node/46014/psn-pdf
April 05, 2017 - Immersive high fidelity simulation of critically ill patients
to study cognitive errors: a pilot study.
April 5, 2017
Prakash S, Bihari S, Need P, et al. Immersive high fidelity simulation of critically ill patients to study
cognitive errors: a pilot study. BMC Med Educ. 2017;17(1):36. doi:10.1186/s12909-017-0871-x…
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psnet.ahrq.gov/node/43662/psn-pdf
November 05, 2014 - A crack in our best armor: "wrong patient" injections from
insulin pens alarmingly frequent even with barcode
scanning.
November 5, 2014
ISMP Medication Safety Alert! Acute Care Edition. October 23, 2014;19:1-5.
https://psnet.ahrq.gov/issue/crack-our-best-armor-wrong-patient-injections-insulin-pens-alarmingly-
fr…
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psnet.ahrq.gov/node/60002/psn-pdf
March 04, 2020 - Reduce the likelihood of patient harm associated with the
use of anticoagulant therapy: commentary from the
Anticoagulation Forum on the Updated Joint Commission
NPSG.03.05.01 Elements of Performance
March 4, 2020
Dager WE, Ansell J, Barnes GD, et al. “Reduce the Likelihood of Patient Harm Associated with the Use …
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psnet.ahrq.gov/node/47080/psn-pdf
May 02, 2018 - The next generation of doctors may be learning bad
habits at teaching hospitals with many safety violations.
May 2, 2018
Blau M. STAT. April 20, 2018.
https://psnet.ahrq.gov/issue/next-generation-doctors-may-be-learning-bad-habits-teaching-hospitals-many-
safety-violations
The hidden curriculum, staff burnout, an…
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psnet.ahrq.gov/node/866695/psn-pdf
September 11, 2024 - Reducing ambulatory central line-associated bloodstream
infections: a family-centered approach.
September 11, 2024
Wong CI, Ilowite M, Yan A, et al. Reducing ambulatory central line?associated bloodstream infections: a
family?centered approach. Pediatr Blood Cancer. 2024;71(8):e31064. doi:10.1002/pbc.31064.
https:…
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psnet.ahrq.gov/node/39745/psn-pdf
September 09, 2010 - Duty hours in emergency medicine: balancing patient
safety, resident wellness, and the resident training
experience: a consensus response to the 2008 Institute of
Medicine resident duty hours recommendations.
September 9, 2010
Wagner MJ, Wolf S, Promes S, et al. Duty hours in emergency medicine: balancing patient …
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psnet.ahrq.gov/node/48019/psn-pdf
June 26, 2019 - Please reconcile, not wait a while.
June 26, 2019
Trivedi A, Sharma S, Ajitsaria R, et al. Please reconcile, not wait a while. Arch Dis Child Educ Pract Ed.
2019;105(2):122-126. doi:10.1136/archdischild-2018-316356.
https://psnet.ahrq.gov/issue/please-reconcile-not-wait-while
Medication reconciliation to ensure ac…
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psnet.ahrq.gov/node/46873/psn-pdf
June 27, 2018 - Diagnostic errors and the bedside clinical examination.
June 27, 2018
Clark BW, Derakhshan A, Desai S. Diagnostic Errors and the Bedside Clinical Examination. Med Clin North
Am. 2018;102(3):453-464. doi:10.1016/j.mcna.2017.12.007.
https://psnet.ahrq.gov/issue/diagnostic-errors-and-bedside-clinical-examination
Diag…
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psnet.ahrq.gov/node/46561/psn-pdf
November 22, 2017 - Working with influenza-like illness: presenteeism among
US health care personnel during the 2014–2015 influenza
season.
November 22, 2017
Chiu S, Black CL, Yue X, et al. Working with influenza-like illness: Presenteeism among US health care
personnel during the 2014-2015 influenza season. Am J Infect Control. 2017…
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psnet.ahrq.gov/node/865518/psn-pdf
April 10, 2024 - Decreasing prescribing errors in antimicrobial
stewardship program-restricted medications.
April 10, 2024
Tang KM, Lee P, Anosike BI, et al. Decreasing prescribing errors in antimicrobial stewardship program-
restricted medications. Hosp Pediatr. 2024;14(4):281-290. doi:10.1542/hpeds.2023-007548.
https://psnet.ahr…
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psnet.ahrq.gov/print/pdf/node/866100
August 30, 2023 - PSNet
Curated Library
AHRQ: Agency for Healthcare Research and Quality
Nurse Wellbeing and Patient Safety
Curated Library
Foundations
Keeping Patients Safe: Transforming the Work Environment of Nurses.
Page A; Committee on the Work Environment for Nurses and Patient Safety, Board on Health Care
Services. Wash…