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psnet.ahrq.gov/node/60019/psn-pdf
March 04, 2020 - Chronic pain diagnoses and opioid dispensings among
insured individuals with serious mental illness.
March 4, 2020
Owen-Smith A, Stewart C, Sesay MM, et al. Chronic pain diagnoses and opioid dispensings among insured
individuals with serious mental illness. BMC Psych. 2020;20(1):40. doi:10.1186/s12888-020-2456-1.
…
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psnet.ahrq.gov/node/34921/psn-pdf
February 27, 2009 - A controlled trial of smart infusion pumps to improve
medication safety in critically ill patients.
February 27, 2009
Rothschild JM, Keohane C, Cook F, et al. A controlled trial of smart infusion pumps to improve medication
safety in critically ill patients. Crit Care Med. 2005;33(3):533-540.
https://psnet.ahrq.go…
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psnet.ahrq.gov/node/845073/psn-pdf
February 22, 2023 - Nursing student errors and near misses: three years of
data.
February 22, 2023
Silvestre JH, Spector ND. Nursing student errors and near misses: three years of data. J Nurs Educ.
2023;62(1):12-19. doi:10.3928/01484834-20221109-05.
https://psnet.ahrq.gov/issue/nursing-student-errors-and-near-misses-three-years-data…
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psnet.ahrq.gov/node/853611/psn-pdf
September 20, 2023 - Preventing potential patient harm through clinical content
interventions during oncology clinical trial
implementation.
September 20, 2023
Loo VC, Kim S, Johnson LM, et al. Preventing potential patient harm through clinical content interventions
during oncology clinical trial implementation. J Patient Saf. 2023;19…
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psnet.ahrq.gov/node/50884/psn-pdf
February 12, 2020 - Prescribing patterns of heart failure-exacerbating
medications following a heart failure hospitalization.
February 12, 2020
Goyal P, Kneifati-Hayek J, Archambault A, et al. Prescribing patterns of heart failure-exacerbating
medications following a heart failure hospitalization. JACC Heart Fail. 2019;8(1):25-34.
do…
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psnet.ahrq.gov/node/47541/psn-pdf
March 04, 2019 - Health outcomes of deprescribing interventions among
older residents in nursing homes: a systematic review
and meta-analysis.
March 4, 2019
Kua C-H, Mak VSL, Lee SWH. Health Outcomes of Deprescribing Interventions Among Older Residents in
Nursing Homes: A Systematic Review and Meta-analysis. J Amer Med Direct Asso…
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psnet.ahrq.gov/node/47992/psn-pdf
January 01, 2020 - Understanding the heterogeneity of labor and delivery
units: using design thinking methodology to assess
environmental factors that contribute to safety in
childbirth.
May 8, 2019
Sherman J, Hedli LC, Kristensen-Cabrera AI, et al. Understanding the Heterogeneity of Labor and Delivery
Units: Using Design Thinking …
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psnet.ahrq.gov/node/47833/psn-pdf
March 20, 2019 - Americans' growing exposure to clinician quality
information: insights and implications.
March 20, 2019
Schlesinger MJ, Rybowski L, Shaller D, et al. Americans' Growing Exposure To Clinician Quality
Information: Insights And Implications. Health Aff (Millwood). 2019;38(3):374-382.
doi:10.1377/hlthaff.2018.05006.
…
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psnet.ahrq.gov/node/43208/psn-pdf
July 18, 2014 - System-based interprofessional simulation-based training
program increases awareness and use of rapid response
teams.
July 18, 2014
Wehbe-Janek H, Pliego J, Sheather S, et al. System-based interprofessional simulation-based training
program increases awareness and use of rapid response teams. Jt Comm J Qual Patien…
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psnet.ahrq.gov/node/42662/psn-pdf
October 16, 2013 - Informal learning from error in hospitals: what do we
learn, how do we learn and how can informal learning be
enhanced? A narrative review.
October 16, 2013
de Feijter JM, de Grave WS, Koopmans RP, et al. Informal learning from error in hospitals: what do we
learn, how do we learn and how can informal learning be …
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psnet.ahrq.gov/node/44742/psn-pdf
January 06, 2016 - A piece of my mind. From shame to guilt to love.
January 6, 2016
Pronovost P, Bienvenu J. A piece of my mind. From shame to guilt to love. JAMA. 2015;314(23):2507-
2508. doi:10.1001/jama.2015.11521.
https://psnet.ahrq.gov/issue/piece-my-mind-shame-guilt-love
While numerous studies have examined the psychological i…
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psnet.ahrq.gov/node/47568/psn-pdf
March 06, 2019 - Trends in anesthesia-related liability and lessons learned.
March 6, 2019
Mora JC, Kaye AD, Romankowski ML, et al. Trends in Anesthesia-Related Liability and Lessons Learned.
Adv Anesth. 2018;36(1):231-249. doi:10.1016/j.aan.2018.07.009.
https://psnet.ahrq.gov/issue/trends-anesthesia-related-liability-and-lessons-l…
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psnet.ahrq.gov/node/60334/psn-pdf
May 13, 2020 - Crisis Standards of Care: Ten Years of Successes and
Challenges–Proceedings of a Workshop.
May 13, 2020
National Academies of Sciences, Engineering, and Medicine. Washington, DC; The National Academies
Press: 2020. ISBN 9780309676250.
https://psnet.ahrq.gov/issue/crisis-standards-care-ten-years-successes-and-…
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psnet.ahrq.gov/node/837758/psn-pdf
August 03, 2022 - Association of anesthesiologist staffing ratio with
surgical patient morbidity and mortality.
August 3, 2022
Burns ML, Saager L, Cassidy RB, et al. Association of anesthesiologist staffing ratio with surgical patient
morbidity and mortality. JAMA Surg. 2022;157(9):807-815. doi:10.1001/jamasurg.2022.2804.
https://p…
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psnet.ahrq.gov/node/837313/psn-pdf
June 01, 2022 - Are you well positioned to resolve conflicts with the
safety of an order? Learning from a physician’s homicide
trial and the firing of multiple healthcare workers.
June 1, 2022
ISMP Medication Safety Alert! Acute care edition. May 19, 2022;27(10):1-5.
https://psnet.ahrq.gov/issue/are-you-well-positioned-resolve-co…
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psnet.ahrq.gov/node/836836/psn-pdf
March 30, 2022 - Deficiencies after the New Electronic Health Record Go-
Live at the Mann-Grandstaff VA Medical Center in
Spokane, WA.
March 30, 2022
Washington, DC: VA Office of Inspector General; March 17, 2022.
https://psnet.ahrq.gov/issue/deficiencies-after-new-electronic-health-record-go-live-mann-grandstaff-va-
medical-cent…
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psnet.ahrq.gov/node/853073/psn-pdf
August 30, 2023 - Mind the power gap: how hierarchical leadership in
healthcare is a risk to patient safety.
August 30, 2023
Kanaris C. Mind the power gap: how hierarchical leadership in healthcare is a risk to patient safety. J Child
Health Care. 2023;27(3):319-322. doi:10.1177/13674935231196197.
https://psnet.ahrq.gov/issue/mind-…
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psnet.ahrq.gov/node/838136/psn-pdf
September 21, 2022 - Exploration of a rapid response team model of care: a
descriptive dual methods study.
September 21, 2022
Shiell A, Fry M, Elliott D, et al. Exploration of a rapid response team model of care: a descriptive dual
methods study. Intensive Crit Care Nurs. 2022;73:103294. doi:10.1016/j.iccn.2022.103294.
https://psnet.a…
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psnet.ahrq.gov/node/74091/psn-pdf
November 17, 2021 - Patients went into the hospital for care. After testing
positive there for Covid, some never came out.
November 17, 2021
Jewett C. Kaiser Health News. November 4, 2021.
https://psnet.ahrq.gov/issue/patients-went-hospital-care-after-testing-positive-there-covid-some-never-
came-out
Nosocomial infection is a primar…
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psnet.ahrq.gov/node/850173/psn-pdf
June 07, 2023 - A national safety board made transportation safer and
could do the same for health care, advocates say.
June 7, 2023
Jaklevic MC. CNN. May 30, 2023.
https://psnet.ahrq.gov/issue/national-safety-board-made-transportation-safer-and-could-do-same-health-
care-advocates-say
Patient safety has long drawn from aviation…