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psnet.ahrq.gov/node/844759/psn-pdf
September 18, 2019 - Saving Patient Ryan- can advanced electronic medical
records make patient care safer?
September 18, 2019
Hydari MZ, Telang R, Marella WM. Manage Sci. 2019;65:2041-2059.
https://psnet.ahrq.gov/issue/saving-patient-ryan-can-advanced-electronic-medical-records-make-patient-
care-safer
This observational study examin…
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psnet.ahrq.gov/node/47520/psn-pdf
February 06, 2019 - Improving patient safety in developing countries—moving
towards an integrated approach.
February 6, 2019
Elmontsri M, Banarsee R, Majeed A. Improving patient safety in developing countries - moving towards an
integrated approach. JRSM Open. 2018;9(11):2054270418786112. doi:10.1177/2054270418786112.
https://psnet.a…
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psnet.ahrq.gov/node/46511/psn-pdf
December 19, 2017 - Professional, structural and organisational interventions
in primary care for reducing medication errors.
December 19, 2017
Khalil H, Bell BG, Chambers H, et al. Professional, structural and organisational interventions in primary
care for reducing medication errors. Cochrane Database Syst Rev. 2017;10:CD003942.
d…
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psnet.ahrq.gov/node/46474/psn-pdf
November 08, 2017 - Clearing the Error: Using Public Deliberation to Define
Patient Roles as Partners in the Diagnostic Process.
November 8, 2017
St. Paul, MN: Society to Improve Diagnosis in Medicine, Maxwell School of Citizenship and Public Affairs at
Syracuse University, and Jefferson Center; 2017.
https://psnet.ahrq.gov/issue/cle…
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psnet.ahrq.gov/node/44536/psn-pdf
November 11, 2015 - Healthcare system intervention for safer use of medicines
in elderly patients in primary care—a qualitative study of
the participants' perceptions of self-assessment, peer
review, feedback and agreement for change.
November 11, 2015
Lenander C, Bondesson Å, Midlöv P, et al. Healthcare system intervention for safer…
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psnet.ahrq.gov/node/844802/psn-pdf
September 18, 2019 - Using proactive risk assessment (HFMEA) to improve
patient safety and quality associated with intraocular lens
selection and implantation in cataract surgery.
September 18, 2019
DeRosier JM, Hansemann BK, Smith-Wheelock MW, et al. Using Proactive Risk Assessment (HFMEA) to
Improve Patient Safety and Quality Associ…
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psnet.ahrq.gov/node/842433/psn-pdf
February 15, 2023 - New AHRQ SOPS Workplace Safety Supplemental Item
Set for Nursing Homes.
February 15, 2023
Agency for Healthcare Research and Quality. January 24, 2023.
https://psnet.ahrq.gov/issue/new-ahrq-sops-workplace-safety-supplemental-item-set-nursing-homes
Workplace safety became more apparent during the COVID pandemic as …
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psnet.ahrq.gov/node/865530/psn-pdf
April 10, 2024 - Electronic Health Record Modernization Caused
Pharmacy-Related Patient Safety Issues Nationally and at
the VA Central Ohio Healthcare System in Columbus.
April 10, 2024
Washington, DC: The Veterans Affairs Inspector General; March 21, 2024. Report No. 23-01450-
114.
https://psnet.ahrq.gov/issue/electronic-he…
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psnet.ahrq.gov/node/35060/psn-pdf
November 04, 2015 - Risk factors for adverse drug events: a 10-year analysis.
November 4, 2015
Evans S, Lloyd JF, Stoddard GJ, et al. Risk factors for adverse drug events: a 10-year analysis. Ann
Pharmacother. 2005;39(7-8):1161-8.
https://psnet.ahrq.gov/issue/risk-factors-adverse-drug-events-10-year-analysis
Many medications remain a…
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psnet.ahrq.gov/node/38189/psn-pdf
November 14, 2011 - Errors, near misses and adverse events in the emergency
department: what can patients tell us?
November 14, 2011
Friedman SM, Provan D, Moore S, et al. Errors, near misses and adverse events in the emergency
department: what can patients tell us? CJEM. 2008;10(5):421-427.
https://psnet.ahrq.gov/issue/errors-near-m…
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psnet.ahrq.gov/node/47837/psn-pdf
May 11, 2019 - Association of hospital employee satisfaction with patient
safety and satisfaction within Veterans Affairs medical
centers.
May 11, 2019
Kang R, Kunkel ST, Columbo JA, et al. Association of Hospital Employee Satisfaction with Patient Safety
and Satisfaction within Veterans Affairs Medical Centers. Am J Med. 2019;1…
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psnet.ahrq.gov/node/851917/psn-pdf
January 01, 2024 - Incivility in healthcare: the impact of poor
communication.
August 2, 2023
Guppy JH, Widlund H, Munro R, et al. Incivility in healthcare: the impact of poor communication. BMJ Lead.
2024;8(1):83-87. doi:10.1136/leader-2022-000717.
https://psnet.ahrq.gov/issue/incivility-healthcare-impact-poor-communication
Incivi…
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psnet.ahrq.gov/node/866283/psn-pdf
July 10, 2024 - Safety and Quality of Parenteral Nutrition: Translating
Guidelines into Clinical Practice Considering Different
Organizational Settings.
July 10, 2024
Am J Health Syst Pharm. 2024;81(supp 3):s73-s136.
https://psnet.ahrq.gov/issue/safety-and-quality-parenteral-nutrition-translating-guidelines-clinical-practice-
co…
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psnet.ahrq.gov/node/43257/psn-pdf
August 14, 2014 - Barriers and success factors to the implementation of a
multi-site prospective adverse event surveillance system.
August 14, 2014
Backman C, Forster AJ, Vanderloo S. Barriers and success factors to the implementation of a multi-site
prospective adverse event surveillance system. Int J Qual Health Care. 2014;26(4):4…
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psnet.ahrq.gov/node/47713/psn-pdf
June 14, 2019 - Medication appropriateness in vulnerable older adults:
healthy skepticism of appropriate polypharmacy.
June 14, 2019
Fried TR, Mecca MC. Medication Appropriateness in Vulnerable Older Adults: Healthy Skepticism of
Appropriate Polypharmacy. J Am Geriatr Soc. 2019;67(6):1123-1127. doi:10.1111/jgs.15798.
https://psne…
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psnet.ahrq.gov/node/837306/psn-pdf
June 01, 2022 - Mortality due to hospital-acquired infection after cardiac
surgery.
June 1, 2022
Massart N, Mansour A, Ross JT, et al. Mortality due to hospital-acquired infection after cardiac surgery. J
Thorac Cardiovasc Surg. 2022;163(6):2131-2140.e3. doi:10.1016/j.jtcvs.2020.08.094.
https://psnet.ahrq.gov/issue/mortality-due-…
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psnet.ahrq.gov/node/852802/psn-pdf
August 23, 2023 - Indian Health Service: Actions Needed to Improve Use of
Data on Adverse Events.
August 23, 2023
Washington, DC: United States Government Accounting Office; July 10, 2023. Publication GAO-23-
105722.
https://psnet.ahrq.gov/issue/indian-health-service-actions-needed-improve-use-data-adverse-events
Health info…
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psnet.ahrq.gov/node/46992/psn-pdf
March 20, 2019 - Views of children, parents, and health-care providers on
pediatric disclosure of medical errors.
March 20, 2019
Koller D, Espin S. Views of children, parents, and health-care providers on pediatric disclosure of medical
errors. J Child Health Care. 2018;22(4):577-590. doi:10.1177/1367493518765220.
https://psnet.ah…
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psnet.ahrq.gov/node/37077/psn-pdf
October 03, 2011 - Sensemaking, safety, and cooperative work in the
intensive care unit.
October 3, 2011
Albolino S, Cook RI, O’Connor M. Sensemaking, safety, and cooperative work in the intensive care unit.
Cog Tech Work. 2006;9(3):131-137. doi:10.1007/s10111-006-0057-5.
https://psnet.ahrq.gov/issue/sensemaking-safety-and-cooperati…
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psnet.ahrq.gov/node/36964/psn-pdf
March 24, 2011 - Patients use an internet technology to report when things
go wrong.
March 24, 2011
Wasson JH, MacKenzie TA, Hall M. Patients use an internet technology to report when things go wrong.
Qual Saf Health Care. 2007;16(3):213-5.
https://psnet.ahrq.gov/issue/patients-use-internet-technology-report-when-things-go-wrong
…