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psnet.ahrq.gov/node/838247/psn-pdf
October 05, 2022 - Recommendations for the safety of hospitalised patients
in the context of the COVID-19 pandemic: a scoping
review.
October 5, 2022
Martins MS, Lourenção DC de A, Pimentel RR da S, et al. Recommendations for the safety of hospitalised
patients in the context of the COVID-19 pandemic: a scoping review. BMJ Open. 202…
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psnet.ahrq.gov/node/860390/psn-pdf
January 10, 2024 - Key factors for effective implementation of healthcare
workers support interventions after patient safety
incidents in health organisations: a scoping review.
January 10, 2024
Guerra-Paiva S, Lobão MJ, Simões DG, et al. Key factors for effective implementation of healthcare
workers support interventions after pati…
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psnet.ahrq.gov/node/867437/psn-pdf
January 08, 2025 - Handoff mnemonics used in perioperative handoff
intervention studies: a systematic review.
January 8, 2025
Patel SM, Fuller S, Michael MM, et al. Handoff mnemonics used in perioperative handoff intervention
studies: a systematic review. Anesth Analg. 2024;Epub Nov 26. doi:10.1213/ane.0000000000007261.
https://psne…
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psnet.ahrq.gov/node/854262/psn-pdf
October 04, 2023 - Five strategies for how patients and families can improve
patient safety: World Patient Safety Day 2023.
October 4, 2023
Wu AW, Papieva I, Sheridan S, et al. Five strategies for how patients and families can improve patient
safety: World Patient Safety Day 2023. J Patient Saf Risk Manag. 2023;28(4):147-152.
doi:10…
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psnet.ahrq.gov/node/48181/psn-pdf
August 07, 2019 - Managing the risks of direct oral anticoagulants.
August 7, 2019
Sentinel Event Alert. July 30, 2019;(61):1-5.
https://psnet.ahrq.gov/issue/managing-risks-direct-oral-anticoagulants
Anticoagulant medications are known to be high-risk for adverse drug events. Although direct oral
anticoagulants (DOACs) require less…
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psnet.ahrq.gov/node/60866/psn-pdf
January 01, 2022 - Association of implementation and social network factors
with patient safety culture in medical homes: a
coincidence analysis.
September 2, 2020
Dy SM, Acton RM, Yuan CT, et al. Association of implementation and social network factors with patient
safety culture in medical homes: a coincidence analysis. J Patient …
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psnet.ahrq.gov/node/46889/psn-pdf
October 13, 2018 - Evaluation of reasons why surgical residents exceeded
2011 duty hour requirements when offered flexibility.
October 13, 2018
Blay E, Engelhardt KE, Hewitt B, et al. Evaluation of Reasons Why Surgical Residents Exceeded 2011
Duty Hour Requirements When Offered Flexibility: A FIRST Trial Analysis. JAMA Surg. 2018;153…
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psnet.ahrq.gov/node/37004/psn-pdf
July 08, 2008 - Tying up loose ends: discharging patients with
unresolved medical issues.
July 8, 2008
Moore C, McGinn T, Halm E. Tying up loose ends: discharging patients with unresolved medical issues.
Arch Intern Med. 2007;167(12):1305-11.
https://psnet.ahrq.gov/issue/tying-loose-ends-discharging-patients-unresolved-medical-is…
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psnet.ahrq.gov/node/863213/psn-pdf
February 28, 2024 - Electronic medication reconciliation tools aimed at
healthcare professionals to support medication
reconciliation: a systematic review.
February 28, 2024
Ciudad-Gutiérrez P, del Valle-Moreno P, Lora-Escobar SJ, et al. Electronic medication reconciliation tools
aimed at healthcare professionals to support medicatio…
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psnet.ahrq.gov/node/45240/psn-pdf
June 15, 2016 - Is technology the best medicine? Three practice
theoretical perspectives on medication administration
technologies in nursing.
June 15, 2016
Boonen MJ, Vosman FJ, Niemeijer AR. Is technology the best medicine? Three practice theoretical
perspectives on medication administration technologies in nursing. Nurs Inq. 2…
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psnet.ahrq.gov/node/866159/psn-pdf
June 19, 2024 - Stakeholder perspectives on contributors to delayed and
inaccurate diagnosis of cardiovascular disease and their
implications for digital health technologies: a UK-based
qualitative study.
June 19, 2024
Abdullayev K, Gorvett O, Sochiera A, et al. Stakeholder perspectives on contributors to delayed and
inaccurate …
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psnet.ahrq.gov/node/865813/psn-pdf
May 08, 2024 - Quality framework for remote antenatal care: qualitative
study with women, healthcare professionals and system-
level stakeholders.
May 8, 2024
Hinton L, Dakin FH, Kuberska K, et al. Quality framework for remote antenatal care: qualitative study with
women, healthcare professionals and system-level stakeholders. B…
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psnet.ahrq.gov/node/35748/psn-pdf
February 02, 2011 - Policies and practices related to the role of board
certification and recertification of pediatricians in hospital
privileging.
February 2, 2011
Freed GL, Uren RL, Hudson EJ, et al. Policies and practices related to the role of board certification and
recertification of pediatricians in hospital privileging. JAMA.…
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psnet.ahrq.gov/node/867039/psn-pdf
October 30, 2024 - Correlates of missed or late versus timely diagnosis of
dementia in healthcare settings.
October 30, 2024
Chen Y, Power MC, Grodstein F, et al. Correlates of missed or late versus timely diagnosis of dementia in
healthcare settings. Alzheimers Dement. 2024;20(8):5551-5560. doi:10.1002/alz.14067.
https://psnet.ahrq…
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psnet.ahrq.gov/node/38243/psn-pdf
November 26, 2008 - Impact of preoperative briefings on operating room
delays.
November 26, 2008
Nundy S, Mukherjee A, Sexton B, et al. Impact of preoperative briefings on operating room delays: a
preliminary report. Arch Surg. 2008;143(11):1068-72. doi:10.1001/archsurg.143.11.1068.
https://psnet.ahrq.gov/issue/impact-preoperative-br…
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psnet.ahrq.gov/node/45350/psn-pdf
October 21, 2016 - A National Trauma Care System: Integrating Military and
Civilian Trauma Systems to Achieve Zero Preventable
Deaths After Injury.
October 21, 2016
National Academies of Sciences, Engineering, and Medicine. Washington, DC: National Academies Press;
2016.
https://psnet.ahrq.gov/issue/national-trauma-care-system-inte…
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psnet.ahrq.gov/node/837061/psn-pdf
May 11, 2022 - Nursing implications of an early warning system
implemented to reduce adverse events: a qualitative
study.
May 11, 2022
Braun EJ, Singh S, Penlesky AC, et al. Nursing implications of an early warning system implemented to
reduce adverse events: a qualitative study. BMJ Qual Saf. 2022;31(10):716-724. doi:10.1136/bm…
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psnet.ahrq.gov/node/866590/psn-pdf
August 28, 2024 - Risk controls identified in action plans following serious
incident investigations in secondary care: a qualitative
study.
August 28, 2024
Peerally MF, Carr S, Waring J, et al. Risk controls identified in action plans following serious incident
investigations in secondary care: a qualitative study. J Patient Saf. …
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psnet.ahrq.gov/node/44179/psn-pdf
November 20, 2015 - Routine failures in the process for blood testing and the
communication of results to patients in primary care in
the UK: a qualitative exploration of patient and provider
perspectives.
November 20, 2015
Litchfield I, Bentham L, Hill A, et al. Routine failures in the process for blood testing and the communication…
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www.ahrq.gov/talkingquality/translate/labels/index.html
March 01, 2016 - Describing Health Care Quality Measures in User-Friendly Ways
Most people are not familiar with even quite common health care quality measures. The typical “name” of most clinical measures is in medical language that many people do not understand or may actually misunderstand. At this stage in the development…