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psnet.ahrq.gov/node/50820/psn-pdf
January 22, 2020 - Associations between a new disruptive behaviors scale
and teamwork, patient safety, work-life balance, burnout,
and depression.
January 22, 2020
Rehder KJ, Adair KC, Hadley A, et al. Associations Between a New Disruptive Behaviors Scale and
Teamwork, Patient Safety, Work-Life Balance, Burnout, and Depression. Jt C…
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psnet.ahrq.gov/node/841472/psn-pdf
December 14, 2022 - Reducing potential errors associated with insulin
administration: an integrative review.
December 14, 2022
Alqahtani N. Reducing potential errors associated with insulin administration: an integrative review. J Eval
Clin Pract. 2022;28(6):1037-1049. doi:10.1111/jep.13668.
https://psnet.ahrq.gov/issue/reducing-pote…
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psnet.ahrq.gov/node/840481/psn-pdf
November 30, 2022 - Psychosocial factors and safety in high-risk industries: a
systematic literature review.
November 30, 2022
Derdowski LA, Mathisen GE. Psychosocial factors and safety in high-risk industries: a systematic literature
review. Safety Sci. 2022;157:105948. doi:10.1016/j.ssci.2022.105948.
https://psnet.ahrq.gov/issue/ps…
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psnet.ahrq.gov/node/46772/psn-pdf
March 04, 2019 - Case: a second victim support program in pediatrics:
successes and challenges to implementation.
March 4, 2019
Dukhanin V, Edrees HH, Connors CA, et al. Case: A Second Victim Support Program in Pediatrics:
Successes and Challenges to Implementation. J Pediatr Nurs. 2018;41:54-59.
doi:10.1016/j.pedn.2018.01.011.
h…
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psnet.ahrq.gov/node/44245/psn-pdf
July 15, 2015 - Patient-initiated second opinions: systematic review of
characteristics and impact on diagnosis, treatment, and
satisfaction.
July 15, 2015
Payne VL, Singh H, Meyer AND, et al. Patient-Initiated Second Opinions: Systematic Review of
Characteristics and Impact on Diagnosis, Treatment, and Satisfaction. Mayo Clinic …
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psnet.ahrq.gov/node/38347/psn-pdf
May 24, 2015 - Using Telehealth to Improve Quality and Safety: Findings
from the AHRQ Portfolio.
May 24, 2015
Dixon BE, Hook JM, McGowan JJ, for AHRQ National Resource Center for Health IT. Rockville, MD:
Agency for Healthcare Research and Quality; December 2008. AHRQ Publication No. 09-0012-EF.
https://psnet.ahrq.gov/issue/usin…
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psnet.ahrq.gov/node/60981/psn-pdf
October 07, 2020 - Unintended consequences of health care reform: impact
of changes in payor mix on patient safety indicators,
October 7, 2020
Bartholomew AJ, Zeymo A, Chan KS, et al. Unintended consequences of health care reform: impact of
changes in payor mix on patient safety indicators,. Ann Surg. 2020;272(4):612-619.
doi:10.109…
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psnet.ahrq.gov/node/861277/psn-pdf
January 24, 2024 - Clinical deterioration as a nurse sensitive indicator in the
out-of-hospital context: a scoping review.
January 24, 2024
Mccullough K, Baker M, Bloxsome D, et al. Clinical deterioration as a nurse sensitive indicator in the out?of
?hospital context: a scoping review. J Clin Nurs. 2024;33(3):874-889. doi:10.1111/joc…
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psnet.ahrq.gov/node/46858/psn-pdf
May 11, 2019 - Evidence review conducted for the Agency for Healthcare
Research and Quality Safety Program for Improving
Surgical Care and Recovery: focus on anesthesiology for
colorectal surgery.
May 11, 2019
Ban KA, Gibbons MM, Ko CY, et al. Evidence Review Conducted for the Agency for Healthcare Research
and Quality Safety …
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psnet.ahrq.gov/node/36025/psn-pdf
March 28, 2011 - Understanding diagnostic errors in medicine: a lesson
from aviation.
March 28, 2011
Singh H, Petersen LA, Thomas EJ. Understanding diagnostic errors in medicine: a lesson from aviation.
Qual Saf Health Care. 2006;15(3):159-64.
https://psnet.ahrq.gov/issue/understanding-diagnostic-errors-medicine-lesson-aviation
T…
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psnet.ahrq.gov/node/47015/psn-pdf
May 09, 2018 - How DeKalb Medical fixed drug safety problems after fatal
error.
May 9, 2018
Porter S. HealthLeaders Media. April 26, 2018.
https://psnet.ahrq.gov/issue/how-dekalb-medical-fixed-drug-safety-problems-after-fatal-error
Overreliance on technology can result in harmful medication mistakes. Reporting on a 10-fold medic…
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psnet.ahrq.gov/node/45733/psn-pdf
December 07, 2016 - Global patient outcomes after elective surgery:
prospective cohort study in 27 low-, middle- and high-
income countries.
December 7, 2016
group ISOS. Global patient outcomes after elective surgery: prospective cohort study in 27 low-, middle-
and high-income countries. Br J Anaesth. 2016;117(5):601-609. doi:10.109…
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psnet.ahrq.gov/node/43780/psn-pdf
September 09, 2015 - Rapid response systems and collective (in)competence:
an exploratory analysis of intraprofessional and
interprofessional activation factors.
September 9, 2015
Kitto S, Marshall SD, McMillan SE, et al. Rapid response systems and collective (in)competence: An
exploratory analysis of intraprofessional and interprofes…
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psnet.ahrq.gov/node/39638/psn-pdf
July 02, 2014 - Teaching quality improvement and patient safety to
trainees: a systematic review.
July 2, 2014
Wong BM, Etchells E, Kuper A, et al. Teaching quality improvement and patient safety to trainees: a
systematic review. Acad Med. 2010;85(9):1425-39. doi:10.1097/ACM.0b013e3181e2d0c6.
https://psnet.ahrq.gov/issue/teaching…
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psnet.ahrq.gov/node/73675/psn-pdf
September 08, 2021 - A system-wide hospital child maltreatment patient safety
program.
September 8, 2021
Hansen J, Terreros A, Sherman A, et al. A system-wide hospital child maltreatment patient safety program.
Pediatrics. 2021;148(3):e2021050555. doi:10.1542/peds.2021-050555.
https://psnet.ahrq.gov/issue/system-wide-hospital-child-ma…
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psnet.ahrq.gov/node/866447/psn-pdf
August 07, 2024 - Older adults are often misdiagnosed. Specialized ERs and
trained clinicians can help.
August 7, 2024
Milne-Tyte A. Older adults are often misdiagnosed. Specialized ERs and trained clinicians can help. Health
Shots. National Public Radio. July 30, 2024;
https://psnet.ahrq.gov/issue/older-adults-are-often-misdiagnos…
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psnet.ahrq.gov/node/36583/psn-pdf
January 14, 2011 - The effect of workload on infection risk in critically ill
patients.
January 14, 2011
Hugonnet S, Chevrolet J-C, Pittet D. The effect of workload on infection risk in critically ill patients. Crit
Care Med. 2007;35(1):76-81.
https://psnet.ahrq.gov/issue/effect-workload-infection-risk-critically-ill-patients
Lower…
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psnet.ahrq.gov/node/854635/psn-pdf
January 01, 2024 - CheckPOINT: a simple tool to measure Surgical Safety
Checklist implementation fidelity.
October 18, 2023
Moyal-Smith R, Etheridge JC, Turley N, et al. CheckPOINT: a simple tool to measure Surgical Safety
Checklist implementation fidelity. BMJ Qual Saf. 2024;33(4):223-231. doi:10.1136/bmjqs-2023-016030.
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psnet.ahrq.gov/node/46844/psn-pdf
March 07, 2018 - Learning collaboratives: insights and a new taxonomy
from AHRQ's two decades of experience.
March 7, 2018
Nix M, McNamara P, Genevro J, et al. Learning Collaboratives: Insights And A New Taxonomy From
AHRQ's Two Decades Of Experience. Health Aff (Millwood). 2018;37(2):205-212.
doi:10.1377/hlthaff.2017.1144.
https…
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July 10, 2024 - Clinical impact of medication review and deprescribing in
older inpatients: a systematic review and meta-analysis.
July 10, 2024
Carollo M, Crisafulli S, Vitturi G, et al. Clinical impact of medication review and deprescribing in older
inpatients: a systematic review and meta?analysis. J Am Geriatr Soc. 2024;72(10)…