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psnet.ahrq.gov/issue/risky-procedures-nurses-hospitals-problems-and-contemplated-refusals-orders-physicians-and
February 14, 2024 - Study
Risky procedures by nurses in hospitals: problems and (contemplated) refusals of orders by physicians, and views of physicians and nurses: a questionnaire survey.
Citation Text:
de Bie J, Cuperus-Bosma JM, van der Jagt MAB, et al. Risky procedures by nurses in hospitals: proble…
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psnet.ahrq.gov/issue/accuracy-harm-scores-entered-event-reporting-system
October 19, 2022 - Study
Accuracy of harm scores entered into an event reporting system.
Citation Text:
Abbasi T, Adornetto-Garcia D, Johnston PA, et al. Accuracy of harm scores entered into an event reporting system. J Nurs Adm. 2015;45(4):218-225. doi:10.1097/NNA.0000000000000188.
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For…
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psnet.ahrq.gov/issue/risk-factors-wrong-site-surgery-study-1166-reports-informed-consent-and-schedule-errors
January 20, 2021 - Study
Risk factors for wrong-site surgery: a study of 1,166 reports of informed consent and schedule errors.
Citation Text:
Taylor MA, Yonash RA. Risk factors for wrong-site surgery: a study of 1,166 reports of informed consent and schedule errors. Patient Safety. 2024;6(1):1-11. doi:10.…
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psnet.ahrq.gov/issue/barcoded-medication-administration-last-line-defense
November 06, 2015 - Commentary
Barcoded medication administration: a last line of defense.
Citation Text:
Cescon DW, Etchells E. Barcoded medication administration: a last line of defense. JAMA. 2008;299(18):2200-2. doi:10.1001/jama.299.18.2200.
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DOI Google Scholar PubMe…
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psnet.ahrq.gov/issue/analysis-results-event-investigations-industrial-and-patient-safety-contexts
July 06, 2022 - Commentary
Analysis of results from event investigations in industrial and patient safety contexts.
Citation Text:
Harms-Ringdahl L. Analysis of results from event investigations in industrial and patient safety contexts. Safety. 2021;7(1):19. doi:10.3390/safety7010019.
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…
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psnet.ahrq.gov/node/836763/psn-pdf
March 16, 2022 - Maternity Pre-arrival Instructions by 999 Call Handlers.
March 16, 2022
Farnborough, UK: Healthcare Safety Investigation Branch; February 2022.
https://psnet.ahrq.gov/issue/maternity-pre-arrival-instructions-999-call-handlers
Pre-hospital emergency care can be vulnerable to timing, information, and task failures th…
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psnet.ahrq.gov/node/866072/psn-pdf
June 05, 2024 - WHO Global Report on Patient Safety.
June 5, 2024
Geneva, Switzerland: World Health Organization; 2024. ISBN 9789240095458.
https://psnet.ahrq.gov/issue/who-global-report-patient-safety
Comparative data can help to inform and motivate patient safety improvement efforts. This report uses the
seven objectives of the…
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psnet.ahrq.gov/node/43198/psn-pdf
July 19, 2023 - TeamSTEPPS Core Curriculum.
July 19, 2023
Rockville, MD: Agency for Healthcare Research and Quality; July 2023.
https://psnet.ahrq.gov/issue/teamstepps-core-curriculum
The TeamSTEPPS® program was developed to support effective communication and teamwork in health
care. The curriculum offers training for participan…
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psnet.ahrq.gov/node/43177/psn-pdf
May 14, 2014 - Disclosing medical errors to patients: effects of nonverbal
involvement.
May 14, 2014
Hannawa AF. Disclosing medical errors to patients: effects of nonverbal involvement. Patient Educ Couns.
2014;94(3):310-313. doi:10.1016/j.pec.2013.11.007.
https://psnet.ahrq.gov/issue/disclosing-medical-errors-patients-effects-n…
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psnet.ahrq.gov/node/867451/psn-pdf
January 21, 2025 - Engineering Safety into Practice through Implementation
of the EHR SAFER Guides.
January 8, 2025
National Action Alliance for Patient and Workforce Safety. Engineering Safety into Practice through
Implementation of the EHR SAFER Guides. January 21, 2025, 12:00 - 1:00 PM (eastern).
https://psnet.ahrq.gov/issue/engi…
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psnet.ahrq.gov/node/73613/psn-pdf
August 18, 2021 - Implementing universal suicide risk screening in a
pediatric hospital.
August 18, 2021
Sullivant SA, Brookstein D, Camerer M, et al. Implementing universal suicide risk screening in a pediatric
hospital. Jt Comm J Qual Patient Saf. 2021;47(8):496-502. doi:10.1016/j.jcjq.2021.05.001.
https://psnet.ahrq.gov/issue/im…
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psnet.ahrq.gov/node/43061/psn-pdf
September 01, 2016 - Appropriateness of commercially available and partially
customized medication dosing alerts among pediatric
patients.
September 1, 2016
Stultz JS, Nahata MC. Appropriateness of commercially available and partially customized medication
dosing alerts among pediatric patients. J Am Med Inform Assoc. 2014;21(e1):e35-…
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psnet.ahrq.gov/node/859345/psn-pdf
January 01, 2024 - Interventions to promote safety culture in cancer care: a
systematic review.
December 20, 2023
Le D, Lim CH, Fazelzad R, et al. Interventions to promote safety culture in cancer care: a systematic
review. J Patient Saf. 2024;20(1):48-56. doi:10.1097/pts.0000000000001181.
https://psnet.ahrq.gov/issue/interventions-…
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psnet.ahrq.gov/issue/missed-lesions-abdominal-oncologic-ct-lessons-learned-quality-assurance
April 21, 2011 - October 4, 2011
Why Current Breast Pathology Practices Must Be Evaluated.
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psnet.ahrq.gov/issue/evaluation-12-strategies-obtaining-second-opinions-improve-interpretation-breast
November 03, 2015 - April 9, 2013
Why Current Breast Pathology Practices Must Be Evaluated.
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psnet.ahrq.gov/issue/characteristics-and-predictors-missed-opportunities-lung-cancer-diagnosis-electronic-health
January 19, 2012 - October 31, 2014
Why Current Breast Pathology Practices Must Be Evaluated.
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psnet.ahrq.gov/issue/diagnostic-errors-musculoskeletal-oncology-and-possible-mitigation-strategies
May 01, 2013 - December 27, 2014
Why Current Breast Pathology Practices Must Be Evaluated.
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psnet.ahrq.gov/issue/big-dog-effect-variability-assessing-causes-error-diagnoses-patients-lung-cancer
March 28, 2012 - April 9, 2013
Why Current Breast Pathology Practices Must Be Evaluated.
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psnet.ahrq.gov/issue/delayed-or-missed-diagnosis-cervical-spine-injuries
May 05, 2010 - October 31, 2014
Why Current Breast Pathology Practices Must Be Evaluated.
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psnet.ahrq.gov/issue/patient-safety-leadership-academy-university-pennsylvania-first-cohorts-learning-experience
October 04, 2011 - June 18, 2013
Why Current Breast Pathology Practices Must Be Evaluated.