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psnet.ahrq.gov/node/44094/psn-pdf
November 03, 2015 - Intended and unintended effects of large-scale adverse
event disclosure: a controlled before-after analysis of five
large-scale notifications.
November 3, 2015
Wagner TH, Taylor T, Cowgill E, et al. Intended and unintended effects of large-scale adverse event
disclosure: a controlled before-after analysis of five …
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psnet.ahrq.gov/node/46012/psn-pdf
December 21, 2017 - Mortality risks associated with emergency admissions
during weekends and public holidays: an analysis of
electronic health records.
December 21, 2017
Walker S, Mason A, Quan P, et al. Mortality risks associated with emergency admissions during weekends
and public holidays: an analysis of electronic health records.…
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psnet.ahrq.gov/node/40946/psn-pdf
January 19, 2012 - Effects of a multicentre teamwork and communication
programme on patient outcomes: results from the Triad
for Optimal Patient Safety (TOPS) project.
January 19, 2012
Auerbach AD, Sehgal NL, Blegen MA, et al. Effects of a multicentre teamwork and communication
programme on patient outcomes: results from the Triad f…
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psnet.ahrq.gov/node/37847/psn-pdf
June 18, 2008 - Effect of the 80-hour work week on resident case
coverage.
June 18, 2008
Shin S, Britt R, Britt LD. Effect of the 80-hour work week on resident case coverage. J Am Coll Surg.
2008;206(5):798-800; discussion 801-3. doi:10.1016/j.jamcollsurg.2007.12.028.
https://psnet.ahrq.gov/issue/effect-80-hour-work-week-resident…
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psnet.ahrq.gov/node/50849/psn-pdf
January 29, 2020 - Prescription drug overload: critics fighting to curb an
epidemic of medication side effects.
January 29, 2020
Weisman R. Boston Globe. January 13, 2020.
https://psnet.ahrq.gov/issue/prescription-drug-overload-critics-fighting-curb-epidemic-medication-side-
effects
Polypharmacy is a known contributor to adverse dr…
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psnet.ahrq.gov/node/45363/psn-pdf
September 14, 2016 - Effective perioperative communication to enhance patient
care.
September 14, 2016
Garrett H. Effective Perioperative Communication to Enhance Patient Care. AORN J. 2016;104(2):111-20.
doi:10.1016/j.aorn.2016.06.001.
https://psnet.ahrq.gov/issue/effective-perioperative-communication-enhance-patient-care
Poor team …
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psnet.ahrq.gov/node/60533/psn-pdf
May 27, 2020 - What constitutes effective team communication after an
error?
May 27, 2020
Hart WM, Doerr P, Qian Y, et al. What constitutes effective team communication after an error? AMA J
Ethics. 2020;22(4):E298-E304. doi:10.1001/amajethics.2020.298.
https://psnet.ahrq.gov/issue/what-constitutes-effective-team-communication-a…
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psnet.ahrq.gov/node/39498/psn-pdf
February 10, 2015 - The effect of health information technology on quality in
U.S. hospitals.
February 10, 2015
McCullough JS, Casey M, Moscovice I, et al. The effect of health information technology on quality in U.S.
hospitals. Health Aff (Millwood). 2010;29(4):647-654. doi:10.1377/hlthaff.2010.0155.
https://psnet.ahrq.gov/issue/ef…
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psnet.ahrq.gov/node/40964/psn-pdf
July 23, 2012 - Social capital and knowledge sharing: effects on patient
safety.
July 23, 2012
Chang C-W, Huang H-C, Chiang C-Y, et al. Social capital and knowledge sharing: effects on patient safety.
J Adv Nurs. 2012;68(8):1793-803. doi:10.1111/j.1365-2648.2011.05871.x.
https://psnet.ahrq.gov/issue/social-capital-and-knowledge-s…
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psnet.ahrq.gov/node/60192/psn-pdf
April 01, 2020 - Effective Reporting Could Improve Safe Use of Electronic
Health Records.
April 1, 2020
Philadelphia, PA: Pew Charitable Trusts; March 2020.
https://psnet.ahrq.gov/issue/effective-reporting-could-improve-safe-use-electronic-health-records
Electronic health records both enhance and challenge the safety of care proce…
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psnet.ahrq.gov/node/43106/psn-pdf
September 27, 2016 - The sterile cockpit: an effective approach to reducing
medication errors?
September 27, 2016
Federwisch M, Ramos H, Adams S' C. The sterile cockpit: an effective approach to reducing medication
errors? Am J Nurs. 2014;114(2):47-55. doi:10.1097/01.NAJ.0000443777.80999.5c.
https://psnet.ahrq.gov/issue/sterile-cockpi…
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psnet.ahrq.gov/node/42504/psn-pdf
August 14, 2014 - The effect of an organizational network for patient safety
on safety event reporting.
August 14, 2014
Jeffs L, Hayes C, Smith O, et al. The effect of an organizational network for patient safety on safety event
reporting. Eval Health Prof. 2014;37(3):366-78. doi:10.1177/0163278713491267.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/44775/psn-pdf
June 07, 2016 - The effect of emergency department boarding on order
completion.
June 7, 2016
Coil CJ, Flood JD, Belyeu BM, et al. The Effect of Emergency Department Boarding on Order Completion.
Ann Emerg Med. 2016;67(6):730-736.e2. doi:10.1016/j.annemergmed.2015.09.018.
https://psnet.ahrq.gov/issue/effect-emergency-department-b…
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psnet.ahrq.gov/node/49840/psn-pdf
September 01, 2018 - Steroids and Safety: Preventing Medication Adverse
Events During Transitions of Care
September 1, 2018
Lucier DJ, Greenwald JL. Steroids and Safety: Preventing Medication Adverse Events During Transitions of
Care. PSNet [internet]. 2018.
https://psnet.ahrq.gov/web-mm/steroids-and-safety-preventing-medication-adver…
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psnet.ahrq.gov/node/33784/psn-pdf
April 01, 2015 - In Conversation With… David Urbach, MD, MSc
April 1, 2015
In Conversation With… David Urbach, MD, MSc. PSNet [internet]. 2015.
https://psnet.ahrq.gov/perspective/conversation-david-urbach-md-msc
Editor's note: Dr. David Urbach is Professor of Surgery and Health Policy, Management, and Evaluation
at the University…
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psnet.ahrq.gov/node/49816/psn-pdf
January 01, 2018 - A Painful Medication Reconciliation Mishap
January 1, 2018
Chou R. A Painful Medication Reconciliation Mishap. PSNet [internet]. 2018.
https://psnet.ahrq.gov/web-mm/painful-medication-reconciliation-mishap
Case Objectives
Recognize that substance use disorders are common in patients with acute pain.
Understand th…
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psnet.ahrq.gov/issue/systematic-review-psychological-literature-interruption-and-its-patient-safety-implications
September 24, 2016 - Review
Classic
A systematic review of the psychological literature on interruption and its patient safety implications.
Citation Text:
Li SYW, Magrabi F, Coiera E. A systematic review of the psychological literature on interruption and its patient safety implica…
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psnet.ahrq.gov/issue/impact-electronic-medical-records-hospital-acquired-adverse-safety-events-differential
October 24, 2012 - Study
The impact of electronic medical records on hospital-acquired adverse safety events: differential effects between single-source and multiple-source systems.
Citation Text:
Bae J, Rask KJ, Becker ER. The Impact of Electronic Medical Records on Hospital-Acquired Adverse Safety Events…
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psnet.ahrq.gov/issue/effectiveness-do-not-interrupt-vest-intervention-reduce-medication-errors-during-medication
December 21, 2017 - Study
Effectiveness of a ‘do not interrupt’ vest intervention to reduce medication errors during medication administration: a multicenter cluster randomized controlled trial.
Citation Text:
Berdot S, Vilfaillot A, Bézie Y, et al. Effectiveness of a ‘do not interrupt’ vest intervention to…
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psnet.ahrq.gov/issue/combined-effect-psychological-and-social-capital-registered-nurses-experiencing-second
December 15, 2021 - Study
The combined effect of psychological and social capital in registered nurses experiencing second victimization: a structural equation model.
Citation Text:
Hinkley T‐L. The combined effect of psychological and social capital in registered nurses experiencing second victimization: a…