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psnet.ahrq.gov/node/860725/psn-pdf
January 17, 2024 - Abusive supervision and its relationship with nursing
workforce and patient safety outcomes: a systematic
review.
January 17, 2024
Labrague LJ. Abusive supervision and its relationship with nursing workforce and patient safety outcomes:
a systematic review. West J Nurs Res. 2023;46(1):52-63. doi:10.1177/0193945923…
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psnet.ahrq.gov/node/44257/psn-pdf
November 06, 2015 - A systems approach to evaluating ionizing radiation: six
focus areas to improve quality, efficiency, and patient
safety.
November 6, 2015
Perlin JB, Mower L, Bushe C. A systems approach to evaluating ionizing radiation: six focus areas to
improve quality, efficiency, and patient safety. J Healthc Qual. 2015;37(3):…
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psnet.ahrq.gov/node/36102/psn-pdf
March 04, 2011 - Struggling to invent high-reliability organizations in
health care settings: insights from the field.
March 4, 2011
Dixon NM, Shofer M. Struggling to invent high-reliability organizations in health care settings: Insights from
the field. Health Serv Res. 2006;41(4 Pt 2):1618-32.
https://psnet.ahrq.gov/issue/strugg…
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psnet.ahrq.gov/node/73614/psn-pdf
August 18, 2021 - Application of human factors methods to ensure
appropriate infant identification and abduction prevention
within the hospital setting.
August 18, 2021
Webster KLW, Stikes R, Bunnell L, et al. Application of human factors methods to ensure appropriate infant
identification and abduction prevention within the hospit…
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psnet.ahrq.gov/node/854824/psn-pdf
October 25, 2023 - Toxic leadership and its relationship with outcomes on
the nursing workforce and patient safety: a systematic
review.
October 25, 2023
Labrague LJ. Toxic leadership and its relationship with outcomes on the nursing workforce and patient
safety: a systematic review. Leadersh Health Serv (Bradf Engl). 2024;37(2):192…
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psnet.ahrq.gov/node/37022/psn-pdf
September 24, 2010 - Implementation and impact of a rapid response team in a
children's hospital.
September 24, 2010
Zenker P, Schlesinger A, Hauck M, et al. Implementation and impact of a rapid response team in a
children's hospital. Jt Comm J Qual Patient Saf. 2007;33(7):418-425.
https://psnet.ahrq.gov/issue/implementation-and-impac…
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psnet.ahrq.gov/node/45578/psn-pdf
January 23, 2017 - S-TEAMS: a truly multiprofessional course focusing on
nontechnical skills to improve patient safety in the
operating theater.
January 23, 2017
Stewart-Parker E, Galloway R, Vig S. S-TEAMS: A Truly Multiprofessional Course Focusing on
Nontechnical Skills to Improve Patient Safety in the Operating Theater. J Surg Ed…
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psnet.ahrq.gov/node/46290/psn-pdf
January 01, 2021 - Using prospective risk analysis tools to improve safety in
pharmacy settings: a systematic review and critical
appraisal.
August 2, 2017
Stojkovic T, Marinkovic V, Manser T. Using Prospective Risk Analysis Tools to Improve Safety in Pharmacy
Settings: A Systematic Review and Critical Appraisal. J Patient Saf. 2021…
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psnet.ahrq.gov/node/44907/psn-pdf
May 25, 2016 - Bundle interventions used to reduce prescribing and
administration errors in hospitalized children: a
systematic review.
May 25, 2016
Bannan DF, Tully MP. Bundle interventions used to reduce prescribing and administration errors in
hospitalized children: a systematic review. J Clin Pharm Ther. 2016;41(3):246-55. d…
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psnet.ahrq.gov/node/43040/psn-pdf
March 05, 2014 - Framework for analysing risk and safety in clinical
medicine.
March 5, 2014
Vincent C, Taylor-Adams S, Stanhope N. Framework for analysing risk and safety in clinical medicine.
BMJ. 1998;316(7138):1154-1157.
https://psnet.ahrq.gov/issue/framework-analysing-risk-and-safety-clinical-medicine-0
This commentary outli…
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psnet.ahrq.gov/node/46347/psn-pdf
December 22, 2018 - Medication errors in pediatric anesthesia: a report from
the Wake Up Safe quality improvement initiative.
December 22, 2018
M Y Lobaugh L, Martin LD, Schleelein LE, et al. Medication errors in pediatric anesthesia: a report from the
Wake Up Safe quality improvement initiative. Anesth Analg. 2017;125(3):936-942.
do…
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psnet.ahrq.gov/node/72749/psn-pdf
February 17, 2021 - Multi-professional simulation-based team training in
obstetric emergencies for improving patient outcomes
and trainees' performance
February 17, 2021
Fransen AF, van de Ven J, Banga FR, et al. Multi-professional simulation-based team training in obstetric
emergencies for improving patient outcomes and trainees' pe…
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psnet.ahrq.gov/node/858172/psn-pdf
January 01, 2024 - Quality and reporting of large-scale improvement
programmes: a review of maternity initiatives in the
English NHS, 2010–2023.
December 13, 2023
McGowan JE, Attal B, Kuhn I, et al. Quality and reporting of large-scale improvement programmes: a
review of maternity initiatives in the English NHS, 2010–2023. BMJ Qual …
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psnet.ahrq.gov/node/48079/psn-pdf
June 12, 2019 - Evaluating the implementation and impact of a pharmacy
technician-supported medicines administration service
designed to reduce omitted doses in hospitals: a
qualitative study.
June 12, 2019
Seston EM, Ashcroft DM, Lamerton E, et al. Evaluating the implementation and impact of a pharmacy
technician-supported medi…
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psnet.ahrq.gov/node/44162/psn-pdf
May 27, 2015 - Computerised clinical decision support systems to
improve medication safety in long-term care homes: a
systematic review.
May 27, 2015
Marasinghe KM. Computerised clinical decision support systems to improve medication safety in long-term
care homes: a systematic review. BMJ Open. 2015;5(5):e006539. doi:10.1136/bm…
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psnet.ahrq.gov/node/46980/psn-pdf
June 19, 2018 - Can first-year medical students acquire quality
improvement knowledge prior to substantial clinical
exposure? A mixed-methods evaluation of a pre-clerkship
curriculum that uses education as the context for
learning.
June 19, 2018
Brown A, Nidumolu A, Stanhope A, et al. Can first-year medical students acquire qual…
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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/37047/psn-pdf
September 30, 2011 - Briefing and debriefing in the operating room using
fighter pilot crew resource management.
September 30, 2011
McGreevy JM, Otten TD. Briefing and debriefing in the operating room using fighter pilot crew resource
management. J Am Coll Surg. 2007;205(1):169-76.
https://psnet.ahrq.gov/issue/briefing-and-debriefing-…
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psnet.ahrq.gov/node/43796/psn-pdf
June 02, 2015 - Embedding quality and safety in otolaryngology–head
and neck surgery education.
June 2, 2015
McCormick ME, Stadler ME, Shah RK. Embedding quality and safety in otolaryngology-head and neck
surgery education. Otolaryngol Head Neck Surg. 2015;152(5):778-782. doi:10.1177/0194599814561601.
https://psnet.ahrq.gov/issue…
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psnet.ahrq.gov/node/45537/psn-pdf
July 27, 2018 - Patient Safety in Ambulatory Settings.
July 27, 2018
Shekelle PG, Sarkar U, Shojania K, et al. Technical Brief No. 27. Rockville, MD: Agency for Healthcare
Research and Quality; October 2016. AHRQ Publication No. 16-EHC033-EF.
https://psnet.ahrq.gov/issue/patient-safety-ambulatory-settings
Most patient safety rese…