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psnet.ahrq.gov/node/843324/psn-pdf
February 01, 2023 - Cost of inpatient falls and cost-benefit analysis of
implementation of an evidence-based fall prevention
program.
February 1, 2023
Dykes PC, Curtin-Bowen M, Lipsitz S, et al. Cost of inpatient falls and cost-benefit analysis of
implementation of an evidence-based fall prevention program. JAMA Health Forum. 2023;4(…
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psnet.ahrq.gov/node/60873/psn-pdf
September 02, 2020 - What has been the impact of Covid-19 on safety culture?
A case study from a large metropolitan healthcare trust.
September 2, 2020
Denning M, Goh ET, Scott A, et al. What has been the impact of Covid-19 on safety culture? A case study
from a large metropolitan healthcare trust. Int J Environ Res Public Health. 2020…
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psnet.ahrq.gov/node/867040/psn-pdf
October 30, 2024 - Preoperative multidisciplinary team huddle improves
communication and safety for unscheduled cesarean
deliveries: a system redesign using improvement science.
October 30, 2024
Girnius A, Snyder C, Czarny H, et al. Preoperative multidisciplinary team huddle improves communication
and safety for unscheduled cesarean…
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psnet.ahrq.gov/node/47031/psn-pdf
December 19, 2018 - A web application to involve patients in the medication
reconciliation process: a user-centered usability and
usefulness study.
December 19, 2018
Marien S, Legrand D, Ramdoyal R, et al. A web application to involve patients in the medication
reconciliation process: a user-centered usability and usefulness study. J…
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psnet.ahrq.gov/node/855096/psn-pdf
November 08, 2023 - Systematic workup of transfusion reactions reveals
passive co-reporting of handling errors.
November 8, 2023
Nitsche E, Dreßler J, Henschler R. Systematic workup of transfusion reactions reveals passive co-reporting
of handling errors. J Blood Med. 2023;14:435-443. doi:10.2147/jbm.s411188.
https://psnet.ahrq.gov/i…
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psnet.ahrq.gov/node/45962/psn-pdf
April 24, 2018 - Bridging leadership roles in quality and patient safety:
experience of 6 US academic medical centers.
April 24, 2018
Myers JS, Tess A, McKinney K, et al. Bridging Leadership Roles in Quality and Patient Safety: Experience
of 6 US Academic Medical Centers. J Grad Med Educ. 2017;9(1):9-13. doi:10.4300/JGME-D-16-00065…
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psnet.ahrq.gov/node/40079/psn-pdf
December 18, 2014 - Adverse events from cough and cold medications after a
market withdrawal of products labeled for infants.
December 18, 2014
Shehab N, Schaefer MK, Kegler SR, et al. Adverse events from cough and cold medications after a market
withdrawal of products labeled for infants. Pediatrics. 2010;126(6):1100-7. doi:10.1542/p…
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psnet.ahrq.gov/node/866695/psn-pdf
September 11, 2024 - Reducing ambulatory central line-associated bloodstream
infections: a family-centered approach.
September 11, 2024
Wong CI, Ilowite M, Yan A, et al. Reducing ambulatory central line?associated bloodstream infections: a
family?centered approach. Pediatr Blood Cancer. 2024;71(8):e31064. doi:10.1002/pbc.31064.
https:…
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psnet.ahrq.gov/node/865925/psn-pdf
May 22, 2024 - Effect of interventions to improve safety culture on
healthcare workers in hospital settings: a systematic
review of the international literature.
May 22, 2024
Finn M, Walsh A, Rafter N, et al. Effect of interventions to improve safety culture on healthcare workers in
hospital settings: a systematic review of the …
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psnet.ahrq.gov/node/61046/psn-pdf
October 21, 2020 - The effect of implementing bar-code medication
administration in an emergency department on
medication administration errors and nursing
satisfaction.
October 21, 2020
Owens K, Palmore M, Penoyer D, et al. The effect of implementing bar-code medication administration in
an emergency department on medication admin…
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psnet.ahrq.gov/node/74132/psn-pdf
December 01, 2021 - Nurse bias and nursing care disparities related to patient
characteristics: a scoping review of the quantitative and
qualitative evidence
December 1, 2021
Groves PS, Bunch JL, Sabin JA. Nurse bias and nursing care disparities related to patient characteristics: a
scoping review of the quantitative and qualitative …
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psnet.ahrq.gov/node/35839/psn-pdf
March 28, 2011 - Patient assessments of a hypothetical medical error:
effects of health outcome, disclosure, and staff
responsiveness.
March 28, 2011
Cleopas A, Villaveces A, Charvet A, et al. Patient assessments of a hypothetical medical error: effects of
health outcome, disclosure, and staff responsiveness. Qual Saf Health Care.…
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psnet.ahrq.gov/node/60188/psn-pdf
January 01, 2021 - Uncertain diagnoses in a children's hospital: patient
characteristics and outcomes.
April 1, 2020
Sump CA, Marshall TL, Ipsaro AJ, et al. Uncertain diagnoses in a children’s hospital: patient characteristics
and outcomes. Diagnosis. 2021;8(3):353-357. doi:10.1515/dx-2019-0058.
https://psnet.ahrq.gov/issue/uncertai…
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psnet.ahrq.gov/node/45493/psn-pdf
December 07, 2016 - The rising frequency of IT blackouts indicates the
increasing relevance of IT emergency concepts to ensure
patient safety.
December 7, 2016
Sax U, Lipprandt M, Röhrig R. The Rising Frequency of IT Blackouts Indicates the Increasing Relevance of
IT Emergency Concepts to Ensure Patient Safety. Yearb Med Inform. 2016…
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psnet.ahrq.gov/node/47612/psn-pdf
February 27, 2019 - The impact of computerised physician order entry and
clinical decision support on pharmacist–physician
communication in the hospital setting: a qualitative study.
February 27, 2019
Pontefract SK, Coleman JJ, Vallance HK, et al. The impact of computerised physician order entry and
clinical decision support on pharm…
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psnet.ahrq.gov/node/60052/psn-pdf
March 18, 2020 - Analysis of pharmacist-identified medication-related
problems at two United Kingdom hospitals: a prospective
observational study.
March 18, 2020
Geeson C, Wei L, Franklin BD. Analysis of pharmacist-identified medication-related problems at two United
Kingdom hospitals: a prospective observational study. Int J Phar…
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psnet.ahrq.gov/node/50655/psn-pdf
January 01, 2020 - Reflections on implementing a hospital-wide provider-
based electronic inpatient mortality review system:
lessons learnt.
November 13, 2019
Mendu ML, Lu Y, Petersen A, et al. Reflections on implementing a hospital-wide provider-based electronic
inpatient mortality review system: lessons learnt. BMJ Qual Saf. 2020;…
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psnet.ahrq.gov/node/73883/psn-pdf
September 29, 2021 - Emergency departments are higher-risk locations for
wrong blood in tube errors.
September 29, 2021
Dunbar NM, Delaney M, Murphy MF, et al. Emergency departments are higher?risk locations for wrong
blood in tube errors. Transfusion (Paris). 2021;61(9):2601-2610. doi:10.1111/trf.16588.
https://psnet.ahrq.gov/issue/e…
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psnet.ahrq.gov/node/60899/psn-pdf
September 09, 2020 - Improving transfusion safety in the operating room with a
barcode scanning system designed specifically for the
surgical environment and existing electronic medical
record systems: an interrupted time series analysis.
September 9, 2020
Vanneman MW, Balakrishna A, Lang AL, et al. Improving Transfusion Safety in the…
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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
…