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psnet.ahrq.gov/node/45993/psn-pdf
January 01, 2021 - 30-day potentially avoidable readmissions due to adverse
drug events.
May 3, 2017
Dalleur O, Beeler PE, Schnipper JL, et al. 30-Day Potentially Avoidable Readmissions Due to Adverse
Drug Events. J Patient Saf. 2021;17(5):e379-e386. doi:10.1097/pts.0000000000000346.
https://psnet.ahrq.gov/issue/30-day-potentially-a…
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psnet.ahrq.gov/node/47950/psn-pdf
August 21, 2019 - Safety of care by caregivers of cancer patients.
August 21, 2019
Given BA. Safety of Care by Caregivers of Cancer Patients. Semin Oncol Nurs. 2019;35(4):374-379.
doi:10.1016/j.soncn.2019.06.011.
https://psnet.ahrq.gov/issue/safety-care-caregivers-cancer-patients
Cancer patients often rely on family members or paid…
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psnet.ahrq.gov/node/45422/psn-pdf
October 12, 2016 - Maths anxiety and medication dosage calculation errors:
a scoping review.
October 12, 2016
Williams B, Davis S. Maths anxiety and medication dosage calculation errors: A scoping review. Nurse
Educ Pract. 2016;20:139-46. doi:10.1016/j.nepr.2016.08.005.
https://psnet.ahrq.gov/issue/maths-anxiety-and-medication-dosag…
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psnet.ahrq.gov/node/46409/psn-pdf
November 08, 2017 - 'No one is coming': hospice patients abandoned at
death's door.
November 8, 2017
Aleccia J; Bailey M.
https://psnet.ahrq.gov/issue/no-one-coming-hospice-patients-abandoned-deaths-door
Patient safety in ambulatory hospice care is ill defined. Reporting on safety concerns associated with
hospice care, including poo…
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psnet.ahrq.gov/node/37547/psn-pdf
February 20, 2008 - Intensive care unit nurses' perceptions of safety after a
highly specific safety intervention.
February 20, 2008
Elder NC, Brungs SM, Nagy M, et al. Intensive care unit nurses' perceptions of safety after a highly specific
safety intervention. Qual Saf Health Care. 2008;17(1):25-30. doi:10.1136/qshc.2006.021949.
h…
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psnet.ahrq.gov/node/47259/psn-pdf
October 03, 2018 - Investigating US medical students' motivation to respond
to lapses in professionalism.
October 3, 2018
van der Vossen MM-, Teherani A, van Mook WNKA, et al. Investigating US medical students' motivation to
respond to lapses in professionalism. Med Educ. 2018;52(8):838-850. doi:10.1111/medu.13617.
https://psnet.ahr…
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psnet.ahrq.gov/node/73618/psn-pdf
August 17, 2021 - New Horizons in Patient Safety. Safe Communication:
Evidence-based Core Competencies with Case Studies
from Nursing.
August 17, 2021
Hannawa AF, Wendt AL, Day LJ. Berlin, GER: Walter De Gruyter; 2018. ISBN: 9783110453041.
https://psnet.ahrq.gov/issue/new-horizons-patient-safety-safe-communication-evidence-based-co…
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psnet.ahrq.gov/node/45140/psn-pdf
November 28, 2016 - Surrogate decision makers' perspectives on preventable
breakdowns in care among critically ill patients: a
qualitative study.
November 28, 2016
Fisher K, Ahmad S, Jackson M, et al. Surrogate decision makers' perspectives on preventable breakdowns
in care among critically ill patients: A qualitative study. Patient …
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psnet.ahrq.gov/node/37761/psn-pdf
May 14, 2008 - Student perceptions of medical errors: incorporating an
explicit professionalism curriculum in the third-year
surgery clerkship.
May 14, 2008
Newell P, Harris S, Aufses A, et al. Student perceptions of medical errors: incorporating an explicit
professionalism curriculum in the third-year surgery clerkship. J Surg …
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psnet.ahrq.gov/node/50558/psn-pdf
October 16, 2019 - Multidisciplinary simulation activity effectively prepares
residents for participation in patient safety activities.
October 16, 2019
Weis JJ, Croft CL, Bhoja R, et al. Multidisciplinary simulation activity effectively prepares residents for
participation in patient safety activities. J Surg Educ. 2019;76(6):e232-e…
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psnet.ahrq.gov/node/34894/psn-pdf
July 10, 2008 - Hospitalization and death associated with potentially
inappropriate medication prescriptions among elderly
nursing home residents.
July 10, 2008
Lau DT, Kasper JD, Potter DEB, et al. Hospitalization and death associated with potentially inappropriate
medication prescriptions among elderly nursing home residents. A…
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psnet.ahrq.gov/node/848088/psn-pdf
April 26, 2023 - Safety Risk of Air Embolus Associated with Central
Venous Catheters Used for Haemodialysis Treatment.
April 26, 2023
Farnborough, UK: Healthcare Safety Investigation Branch. March 2023.
https://psnet.ahrq.gov/issue/safety-risk-air-embolus-associated-central-venous-catheters-used-
haemodialysis-treatment
Patients …
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psnet.ahrq.gov/node/44691/psn-pdf
December 02, 2015 - Quality and safety in orthopaedics: learning and teaching
at the same time: AOA critical issues.
December 2, 2015
Black KP, Armstrong AD, Hutzler L, et al. Quality and Safety in Orthopaedics: Learning and Teaching at the
Same Time: AOA Critical Issues. J Bone Joint Surg Am. 2015;97(21):1809-15. doi:10.2106/JBJS.O.0…
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psnet.ahrq.gov/node/846761/psn-pdf
September 29, 2018 - Using clinical simulation to study how to improve quality
and safety in healthcare.
September 29, 2018
Lamé G, Dixon-Woods M. Using clinical simulation to study how to improve quality and safety in
healthcare. BMJ Simul Technol Enhanc Learn. 2018;6(2):87-94. doi:10.1136/bmjstel-2018-000370.
https://psnet.ahrq.gov/…
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psnet.ahrq.gov/node/836963/psn-pdf
April 20, 2022 - Investigating the impact of cognitive bias in nursing
documentation on decision-making and judgement.
April 20, 2022
Martin K, Bickle K, Lok J. Investigating the impact of cognitive bias in nursing documentation on decision?
making and judgement. Int J Mental Health Nurs. 2022;31(4):897-907. doi:10.1111/inm.12997.
…
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psnet.ahrq.gov/node/72584/psn-pdf
December 16, 2020 - Hidden medication loss when using a primary
administration set for small-volume intermittent infusions.
December 16, 2020
ISMP Medication Safety Alert! Acute care edition. December 3, 2020;25(24).
https://psnet.ahrq.gov/issue/hidden-medication-loss-when-using-primary-administration-set-small-volume-
intermittent
…
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psnet.ahrq.gov/node/43986/psn-pdf
September 26, 2016 - The effect of a safe zone on nurse interruptions,
distractions, and medication administration errors.
September 26, 2016
Yoder M, Schadewald D, Dietrich K. The effect of a safe zone on nurse interruptions, distractions, and
medication administration errors. J Infus Nurs. 2015;38(2):140-51. doi:10.1097/NAN.000000000…
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psnet.ahrq.gov/node/44345/psn-pdf
October 05, 2015 - Apologies following an adverse medical event: the
importance of focusing on the consumer's needs.
October 5, 2015
Allan A, McKillop D, Dooley J, et al. Apologies following an adverse medical event: The importance of
focusing on the consumer's needs. Patient Educ Couns. 2015;98(9):1058-62.
doi:10.1016/j.pec.2015.06…
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psnet.ahrq.gov/node/838921/psn-pdf
October 26, 2022 - Improving discharge safety in a pediatric emergency
department.
October 26, 2022
Paydar-Darian N, Stack AM, Volpe D, et al. Improving discharge safety in a pediatric emergency
department. Pediatrics. 2022;150(5):e2021054307. doi:10.1542/peds.2021-054307.
https://psnet.ahrq.gov/issue/improving-discharge-safety-pedi…
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psnet.ahrq.gov/node/47139/psn-pdf
August 01, 2018 - Board of pharmacy practices related to medication errors
and their potential impact on patient safety.
August 1, 2018
Degnan DD, Hertig JB, Peters MJ, et al. Board of Pharmacy Practices Related to Medication Errors and
Their Potential Impact on Patient Safety. J Pharm Pract. 2018;31(3):312-321.
doi:10.1177/0897190…