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psnet.ahrq.gov/node/837851/psn-pdf
August 17, 2022 - Medication errors in intensive care units: an umbrella
review of control measures.
August 17, 2022
Dionisi S, Giannetta N, Liquori G, et al. Medication errors in intensive care units: an umbrella review of
control measures. Healthcare (Basel). 2022;10(7):1221. doi:10.3390/healthcare10071221.
https://psnet.ahrq.gov…
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psnet.ahrq.gov/node/46765/psn-pdf
April 04, 2018 - Advancing perinatal patient safety through application of
safety science principles using health IT.
April 4, 2018
Webb J, Sorensen A, Sommerness SA, et al. Advancing perinatal patient safety through application of
safety science principles using health IT. BMC Med Inform Decis Mak. 2017;17(1):176.
doi:10.1186/s12…
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psnet.ahrq.gov/node/61059/psn-pdf
October 28, 2020 - Long-term effects of teamwork training on
communication and teamwork climate in ambulatory
reproductive health care.
October 28, 2020
Dodge LE, Nippita S, Hacker MR, et al. Long?term effects of teamwork training on communication and
teamwork climate in ambulatory reproductive health care. J Healthc Risk Manag. 202…
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psnet.ahrq.gov/node/47655/psn-pdf
March 27, 2019 - Endorsements of surgeon punishment and patient
compensation in rested and sleep-restricted individuals.
March 27, 2019
Nguyen S, Corrington A, Hebl MR, et al. Endorsements of Surgeon Punishment and Patient Compensation
in Rested and Sleep-Restricted Individuals. JAMA Surg. 2019;154(6):555-557.
doi:10.1001/jamasurg…
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psnet.ahrq.gov/node/60250/psn-pdf
April 22, 2020 - Implementation of a comprehensive unit-based safety
program to reduce surgical site infections in cesarean
delivery.
April 22, 2020
Dieplinger B, Egger M, Jezek C, et al. Implementation of a comprehensive unit-based safety program to
reduce surgical site infections in cesarean delivery. Am J Infect Control. 2020;4…
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psnet.ahrq.gov/node/866313/psn-pdf
July 17, 2024 - Towards understanding and improving medication safety
for patients with mental illness in primary care: a
multimethod study.
July 17, 2024
Ayre MJ, Lewis PJ, Phipps DL, et al. Towards understanding and improving medication safety for patients
with mental illness in primary care: a multimethod study. Health Expect.…
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psnet.ahrq.gov/node/836865/psn-pdf
April 06, 2022 - Occupational therapy utilization in veterans with
dementia: a retrospective review of root cause analyses
of falls leading to adverse events.
April 6, 2022
Rhodus EK, Lancaster EA, Hunter EG, et al. Occupational therapy utilization in veterans with dementia: a
retrospective review of root cause analyses of falls l…
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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/38566/psn-pdf
April 15, 2009 - Contributions by the Agency for Healthcare Research and
Quality and Grantees.
April 15, 2009
Health Serv Res. 2009 Apr;44(2 Pt 2):623-776.
https://psnet.ahrq.gov/issue/contributions-agency-healthcare-research-and-quality-and-grantees
This special series of articles highlights the progress and current state of pati…
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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/73081/psn-pdf
March 31, 2021 - Health professionals' perspectives of safety issues in
mental health services: a qualitative study.
March 31, 2021
Albutt AK, Berzins K, Louch G, et al. Health professionals’ perspectives of safety issues in mental health
services: A qualitative study. nt J Ment Health Nurs. 2021;30(3):798-810. doi:10.1111/inm.1283…
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psnet.ahrq.gov/node/47980/psn-pdf
May 01, 2019 - Intensive care medicine in 2050: preventing harm.
May 1, 2019
Beet C, Benoit D, Bion J. Intensive care medicine in 2050: preventing harm. Intensive Care Med.
2019;45(4):505-507. doi:10.1007/s00134-018-5353-z.
https://psnet.ahrq.gov/issue/intensive-care-medicine-2050-preventing-harm
This commentary discusses curren…
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psnet.ahrq.gov/node/840151/psn-pdf
November 16, 2022 - Unintended consequences of patient online access to
health records: a qualitative study in UK primary care.
November 16, 2022
Turner A, Morris R, McDonagh L, et al. Unintended consequences of patient online access to health
records: a qualitative study in UK primary care. Br J Gen Pract. 2022;73(726):e67-e74.
doi:…
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psnet.ahrq.gov/node/74837/psn-pdf
February 16, 2022 - To what extent is the World Health Organization's
Medication Safety Challenge being addressed in English
hospital organizations? A descriptive study.
February 16, 2022
Garfield S, Teo V, Chan L, et al. To what extent is the World Health Organization's Medication Safety
Challenge being addressed in English hospital…
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psnet.ahrq.gov/node/46423/psn-pdf
December 16, 2017 - Ethical considerations on disclosure when medical error
is discovered during medicolegal death investigation.
December 16, 2017
Wolf DA, Drake SA, Snow FK. Ethical Considerations on Disclosure When Medical Error Is Discovered
During Medicolegal Death Investigation. Am J Forensic Med Pathol. 2017;38(4):294-297.
doi…
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psnet.ahrq.gov/node/836958/psn-pdf
April 20, 2022 - Crossover of the patient satisfaction surveys, adverse
events and patient complaints for continuous
improvement in radiotherapy department.
April 20, 2022
Cucchiaro SÉ, Princen F, Goreux JË, et al. Crossover of the patient satisfaction surveys, adverse events
and patient complaints for continuous improvement in ra…
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psnet.ahrq.gov/node/47996/psn-pdf
January 01, 2021 - Building an ambulatory safety program at an academic
health system.
May 15, 2019
Desai S, Fiumara K, Kachalia A. Building an Ambulatory Safety Program at an Academic Health System. J
Patient Saf. 2021;17(2):e84-e90. doi:10.1097/PTS.0000000000000594.
https://psnet.ahrq.gov/issue/building-ambulatory-safety-program-a…
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psnet.ahrq.gov/node/850351/psn-pdf
June 14, 2023 - A novel approach for assessing bias during team-based
clinical decision-making.
June 14, 2023
Pool N, Hebdon M, de Groot E, et al. A novel approach for assessing bias during team-based clinical
decision-making. Front in Public Health. 2023;11:1014773. doi:10.3389/fpubh.2023.1014773.
https://psnet.ahrq.gov/issue/no…
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psnet.ahrq.gov/node/866317/psn-pdf
July 17, 2024 - BONE break: a hot debrief tool to reduce second victim
syndrome for nurses.
July 17, 2024
Hess A, Flicek T, Watral AT, et al. BONE break: a hot debrief tool to reduce second victim syndrome for
nurses. Jt Comm J Qual Patient Saf. 2024;50(9):673-677. doi:10.1016/j.jcjq.2024.05.005.
https://psnet.ahrq.gov/issue/bone…
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psnet.ahrq.gov/node/37640/psn-pdf
April 02, 2008 - An observational analysis of surgical team compliance
with perioperative safety practices after crew resource
management training.
April 2, 2008
France DJ, Leming-Lee S, Jackson T, et al. An observational analysis of surgical team compliance with
perioperative safety practices after crew resource management traini…