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psnet.ahrq.gov/node/73979/psn-pdf
January 01, 2022 - The work of nurses to provide good and safe services to
children receiving hospital-at-home: a qualitative
interview study from the perspectives of hospital nurses
and physicians.
October 20, 2021
Aasen L, Johannessen A?K, Ruud Knutsen I, et al. The work of nurses to provide good and safe services
to children rec…
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psnet.ahrq.gov/node/74153/psn-pdf
December 08, 2021 - The benefits and harms of open notes in mental health: a
Delphi survey of international experts.
December 8, 2021
Blease CR, Kharko A, Hägglund M, et al. The benefits and harms of open notes in mental health: a Delphi
survey of international experts. PLoS ONE. 2021;16(10):e0258056. doi:10.1371/journal.pone.0258056.…
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psnet.ahrq.gov/node/45484/psn-pdf
December 04, 2016 - High prevalence of medication discrepancies between
home health referrals and Centers for Medicare and
Medicaid Services home health certification and plan of
care and their potential to affect safety of vulnerable
elderly adults.
December 4, 2016
Brody AA, Gibson B, Tresner-Kirsch D, et al. High Prevalence of Me…
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psnet.ahrq.gov/node/44616/psn-pdf
November 04, 2015 - Development of "SWARM" as a model for high reliability,
rapid problem solving, and institutional learning.
November 4, 2015
Williams EA, Nikolai DA, Ladwig L, et al. Development of "SWARM" as a Model for High Reliability, Rapid
Problem Solving, and Institutional Learning. Jt Comm J Qual Patient Saf. 2015;41(11):508…
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psnet.ahrq.gov/node/45014/psn-pdf
July 18, 2016 - Improving patient safety through simulation training in
anesthesiology: where are we?
July 18, 2016
Green M, Tariq R, Green P. Improving Patient Safety through Simulation Training in Anesthesiology:
Where Are We? Anesthesiol Res Pract. 2016;2016:4237523. doi:10.1155/2016/4237523.
https://psnet.ahrq.gov/issue/impro…
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psnet.ahrq.gov/node/45159/psn-pdf
June 15, 2016 - Opioid abuse in chronic pain—misconceptions and
mitigation strategies.
June 15, 2016
Volkow ND, McLellan T. Opioid Abuse in Chronic Pain--Misconceptions and Mitigation Strategies. New
Engl J Med. 2016;374(13):1253-1263. doi:10.1056/NEJMra1507771.
https://psnet.ahrq.gov/issue/opioid-abuse-chronic-pain-misconception…
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psnet.ahrq.gov/node/47388/psn-pdf
March 13, 2019 - Artificial intelligence systems for complex decision-
making in acute care medicine: a review.
March 13, 2019
Lynn LA. Artificial intelligence systems for complex decision-making in acute care medicine: a review.
Patient Saf Surg. 2019;13:6. doi:10.1186/s13037-019-0188-2.
https://psnet.ahrq.gov/issue/artificial-in…
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psnet.ahrq.gov/node/45340/psn-pdf
August 17, 2016 - To the point: integrating patient safety education Into the
obstetrics and gynecology undergraduate curriculum.
August 17, 2016
Abbott JF, Pradhan A, Buery-Joyner S, et al. To the Point: Integrating Patient Safety Education Into the
Obstetrics and Gynecology Undergraduate Curriculum. J Patient Saf. 2016;16(1):e39-e…
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psnet.ahrq.gov/node/48119/psn-pdf
August 07, 2019 - Improving perceptions of patient safety through
standardizing handoffs from the emergency department
to the inpatient setting: a systematic review.
August 7, 2019
Alimenti D, Buydos S, Cunliffe L, et al. Improving perceptions of patient safety through standardizing
handoffs from the emergency department to the inp…
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psnet.ahrq.gov/node/46142/psn-pdf
June 14, 2017 - Introducing a new junior doctor electronic weekend
handover on an orthopaedic ward.
June 14, 2017
Maroo S, Raj D. Introducing a New Junior Doctor Electronic Weekend Handover on an Orthopaedic Ward.
BMJ Qual Improv Rep. 2017;6(1). doi:10.1136/bmjquality.u212695.w5059.
https://psnet.ahrq.gov/issue/introducing-new-ju…
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psnet.ahrq.gov/node/73215/psn-pdf
May 05, 2021 - To err is system: a comparison of methodologies for the
investigation of adverse outcomes in healthcare.
May 5, 2021
Isherwood P, Waterson P. To err is system: a comparison of methodologies for the investigation of adverse
outcomes in healthcare. J Patient Saf Risk Manag. 2021;26(2):64-73. doi:10.1177/2516043521990…
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psnet.ahrq.gov/node/45805/psn-pdf
April 12, 2017 - 2016 Updated American Society of Clinical
Oncology/Oncology Nursing Society Chemotherapy
Administration Safety Standards, including standards for
pediatric oncology.
April 12, 2017
Belderson KM, Billett AL. Chemotherapy safety standards: A pediatric perspective. J Oncol Pract.
2017;64(6):e26484. doi:10.1002/pbc.2…
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psnet.ahrq.gov/node/74127/psn-pdf
December 01, 2021 - Effectiveness of using simulation in the development of
clinical reasoning in undergraduate nursing students: a
systematic review.
December 1, 2021
Theobald KA, Tutticci N, Ramsbotham J, et al. Effectiveness of using simulation in the development of
clinical reasoning in undergraduate nursing students: a systemati…
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psnet.ahrq.gov/node/45463/psn-pdf
April 12, 2017 - Implementation of the trigger review method in Scottish
general practices: patient safety outcomes and potential
for quality improvement.
April 12, 2017
de Wet C, Black C, Luty S, et al. Implementation of the trigger review method in Scottish general practices:
patient safety outcomes and potential for quality imp…
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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/46903/psn-pdf
December 04, 2018 - Salzburg Global Seminar Session 565—Better Health
Care: How Do We Learn About Improvement?
December 4, 2018
Massoud MR, Kimble LE, Goldmann D, eds. Int J Qual Health Care. 2018;30(suppl 1):1-41.
https://psnet.ahrq.gov/issue/salzburg-global-seminar-session-565-better-health-care-how-do-we-learn-
about-improvement
…
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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/47482/psn-pdf
December 05, 2018 - Examining the effects of an obstetrics interprofessional
programme on reductions to reportable events and their
related costs.
December 5, 2018
Geary M, Ruiter PJA, Yasseen AS. Examining the effects of an obstetrics interprofessional programme on
reductions to reportable events and their related costs. J Interprof…
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psnet.ahrq.gov/node/47249/psn-pdf
July 25, 2018 - Survey results: smart pump data analytics pump metrics
that should be monitored to improve safety.
July 25, 2018
ISMP Medication Safety Alert! Acute care edition. July 12, 2018;23:1-4.
https://psnet.ahrq.gov/issue/survey-results-smart-pump-data-analytics-pump-metrics-should-be-monitored-
improve-safety
Smart pump…
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psnet.ahrq.gov/node/43277/psn-pdf
June 18, 2014 - The Food and Drug Administration's initiative for safe
design and effective use of home medical equipment.
June 18, 2014
Weick-Brady M, Singh S. The Food and Drug Administration's initiative for safe design and effective use of
home medical equipment. Home Healthc Nurse. 2014;32(6):343-8. doi:10.1097/NHH.0000000000…