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psnet.ahrq.gov/node/73494/psn-pdf
July 14, 2021 - A scoping review of communication tools applicable to
patients and their primary care providers after discharge
from hospital.
July 14, 2021
Spencer RA, Singh Punia H. A scoping review of communication tools applicable to patients and their
primary care providers after discharge from hospital. Patient Educ Couns. …
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psnet.ahrq.gov/node/837769/psn-pdf
August 03, 2022 - New graduate registered nurses: Risk mitigation
strategies to ensure safety and successful transition to
practice.
August 3, 2022
Smith CJ, DesRoches SL, Street NW, et al. New graduate registered nurses: risk mitigation strategies to
ensure safety and successful transition to practice. J Healthc Risk Manag. 2022;4…
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psnet.ahrq.gov/node/836918/psn-pdf
April 13, 2022 - How to scale up quality and safety program with the home
care accreditation.
April 13, 2022
Brunelli L, Cristofori V, Battistella C, et al. How to scale up quality and safety program with the home care
accreditation. Int J Integr Care. 2022;22(1):19. doi:10.5334/ijic.5698.
https://psnet.ahrq.gov/issue/how-scale-qu…
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psnet.ahrq.gov/node/838183/psn-pdf
September 28, 2022 - Adding automation and independent dual verification to
reduce wrong blood in tube (WBIT) events.
September 28, 2022
Passwater M, Huggins YM, Delvo Favre ED, et al. Adding automation and independent dual verification to
reduce wrong blood in tube (WBIT) events. Am J Clin Pathol. 2022;158(2):212-215.
doi:10.1093/ajc…
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psnet.ahrq.gov/node/73138/psn-pdf
April 14, 2021 - An act of performance: exploring residents' decision-
making processes to seek help.
April 14, 2021
Jansen I, Stalmeijer RE, Silkens MEWM, et al. An act of performance: exploring residents’ decision?
making processes to seek help. Med Educ. 2021;55(6):758-767. doi:10.1111/medu.14465.
https://psnet.ahrq.gov/issue/a…
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psnet.ahrq.gov/node/837664/psn-pdf
July 13, 2022 - Cognitive and implicit biases in nurses' judgment and
decision-making: a scoping review.
July 13, 2022
Thirsk LM, Panchuk JT, Stahlke S, et al. Cognitive and implicit biases in nurses' judgment and decision-
making: a scoping review. Int J Nurs Stud. 2022;133:104284. doi:10.1016/j.ijnurstu.2022.104284.
https://psn…
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psnet.ahrq.gov/node/836859/psn-pdf
April 06, 2022 - Choosing wisely in clinical practice: embracing critical
thinking, striving for safer care.
April 6, 2022
Furlan L, Francesco PD, Costantino G, et al. Choosing wisely in clinical practice: embracing critical
thinking, striving for safer care. J Intern Med. 2022;291(4):397-407. doi:10.1111/joim.13472.
https://psnet…
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psnet.ahrq.gov/node/46722/psn-pdf
March 20, 2018 - Nurses' clinical reasoning practices that support safe
medication administration: an integrative review of the
literature.
March 20, 2018
Rohde E, Domm E. Nurses' clinical reasoning practices that support safe medication administration: An
integrative review of the literature. J Clin Nurs. 2018;27(3-4):e402-e411. …
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psnet.ahrq.gov/node/47542/psn-pdf
January 16, 2019 - Utilizing a Systems and Design Thinking Approach for
Improving Well-Being Within Health Professional
Education and Health Care.
January 16, 2019
Kreitzer MJ, Carter K, Coffey DS, et al. NAM Perspectives. Washington, DC: National Academy of
Medicine; 2019.
https://psnet.ahrq.gov/issue/utilizing-systems-and-design-…
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psnet.ahrq.gov/node/73688/psn-pdf
September 08, 2021 - Effect of medication reconciliation on patient reported
potential adverse events after hospital discharge.
September 8, 2021
Stuijt CCM, Bekker CL, van den Bemt BJF, et al. Effect of medication reconciliation on patient reported
potential adverse events after hospital discharge. Res Social Adm Pharm. 2021;17(8):142…
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psnet.ahrq.gov/node/841146/psn-pdf
December 07, 2022 - Exploring the intersection of structural racism and
ageism in healthcare.
December 7, 2022
Farrell TW, Hung WW, Unroe KT, et al. Exploring the intersection of structural racism and ageism in
healthcare. J Am Geriatr Soc. 2022;70(12):3366-3377. doi:10.1111/jgs.18105.
https://psnet.ahrq.gov/issue/exploring-intersect…
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psnet.ahrq.gov/node/838924/psn-pdf
October 26, 2022 - Intraoperative code blue: improving teamwork and code
response through interprofessional, in situ simulation.
October 26, 2022
Wu G, Podlinski L, Wang C, et al. Intraoperative code blue: improving teamwork and code response
through interprofessional, in situ simulation. Jt Comm J Qual Patient Saf. 2022;48(12):665-6…
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psnet.ahrq.gov/node/60957/psn-pdf
September 30, 2020 - A narrative review of strategies to increase patient safety
event reporting by residents.
September 30, 2020
Aaron M, Webb A, Luhanga U. A narrative review of strategies to increase patient safety event reporting by
residents. J Grad Med Educ. 2020;12(4):415-424. doi:10.4300/jgme-d-19-00649.1.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/841472/psn-pdf
December 14, 2022 - Reducing potential errors associated with insulin
administration: an integrative review.
December 14, 2022
Alqahtani N. Reducing potential errors associated with insulin administration: an integrative review. J Eval
Clin Pract. 2022;28(6):1037-1049. doi:10.1111/jep.13668.
https://psnet.ahrq.gov/issue/reducing-pote…
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psnet.ahrq.gov/node/837334/psn-pdf
June 08, 2022 - Safety gaps in medical team communication: closing the
loop on quality improvement efforts in the cardiac
catheterization lab.
June 8, 2022
Doorey AJ, Turi ZG, Lazzara EH, et al. Safety gaps in medical team communication: closing the loop on
quality improvement efforts in the cardiac catheterization lab. Catheter …
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psnet.ahrq.gov/node/836995/psn-pdf
April 27, 2022 - Multifactorial interventions to reduce duration and
variability in delays to identification of serious injury after
falls in hospital inpatients.
April 27, 2022
Saleem J, Sarma D, Wright H, et al. Multifactorial interventions to reduce duration and variability in delays
to identification of serious injury after fa…
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psnet.ahrq.gov/node/47917/psn-pdf
April 10, 2019 - The opioid crisis: origins, trends, policies, and the roles
of pharmacists.
April 10, 2019
Chisholm-Burns MA, Spivey CA, Sherwin E, et al. The opioid crisis: Origins, trends, policies, and the roles
of pharmacists. Am J Health-Syst Pharm. 2019;76(7):424-435. doi:10.1093/ajhp/zxy089.
https://psnet.ahrq.gov/issue/op…
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psnet.ahrq.gov/node/837415/psn-pdf
June 15, 2022 - Instruments for measuring patient safety competencies in
nursing: a scoping review.
June 15, 2022
Mortensen M, Naustdal KI, Uibu E, et al. Instruments for measuring patient safety competencies in nursing:
a scoping review. BMJ Open Qual. 2022;11(2):e001751. doi:10.1136/bmjoq-2021-001751.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/45772/psn-pdf
January 11, 2017 - Technical Series on Safer Primary Care.
January 11, 2017
Geneva, Switzerland: World Health Organization; 2016.
https://psnet.ahrq.gov/issue/technical-series-safer-primary-care
Much of patient safety research has focused on the hospital setting, but a majority of health care is
delivered in the ambulatory setting. …
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psnet.ahrq.gov/node/50686/psn-pdf
January 01, 2020 - 'Whatever you cut, I can fix it': clinical supervisors'
interview accounts of allowing trainee failure while
guarding patient safety.
November 20, 2019
Klasen JM, Driessen E, Teunissen PW, et al. ‘Whatever you cut, I can fix it’: clinical supervisors’ interview
accounts of allowing trainee failure while guarding p…