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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…
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psnet.ahrq.gov/node/848378/psn-pdf
May 04, 2023 - Ensuring competency and safety when onboarding newly
hired professional staff.
May 3, 2023
ISMP Medication Safety Alert! Acute care edition. April 20, 2023;28(8):1-4; May 4, 2023;23(9):1-3.
https://psnet.ahrq.gov/issue/ensuring-competency-and-safety-when-onboarding-newly-hired-professional-
staff
Psychological sa…
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psnet.ahrq.gov/node/60701/psn-pdf
July 22, 2020 - Prevalence and nature of medication errors and
medication-related harm following discharge from
hospital to community settings: a systematic review.
July 22, 2020
Alqenae FA, Steinke DT, Keers RN. Prevalence and nature of medication errors and medication-related
harm following discharge from hospital to community …
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psnet.ahrq.gov/node/43774/psn-pdf
March 06, 2015 - A prospective cohort study of medication reconciliation
using pharmacy technicians in the emergency department
to reduce medication errors among admitted patients.
March 6, 2015
Cater SW, Luzum M, Serra AE, et al. A prospective cohort study of medication reconciliation using
pharmacy technicians in the emergency d…
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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/47450/psn-pdf
March 27, 2019 - A qualitative evaluation of healthcare professionals'
perceptions of adverse events focusing on
communication and teamwork in maternity care.
March 27, 2019
Rönnerhag M, Severinsson E, Haruna M, et al. A qualitative evaluation of healthcare professionals'
perceptions of adverse events focusing on communication and…
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psnet.ahrq.gov/node/47215/psn-pdf
September 19, 2018 - The application of system dynamics modelling to system
safety improvement: present use and future potential.
September 19, 2018
Ibrahim M; Gyuchan S; Jun GT; Robinson S. Safety Sci. 2018;106:104-120.
https://psnet.ahrq.gov/issue/application-system-dynamics-modelling-system-safety-improvement-present-
use-and-futur…
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psnet.ahrq.gov/node/844777/psn-pdf
September 18, 2019 - Adapting cognitive task analysis to investigate clinical
decision making and medication safety incidents.
September 18, 2019
Russ AL, Militello LG, Glassman PA, et al. Adapting Cognitive Task Analysis to Investigate Clinical
Decision Making and Medication Safety Incidents. J Patient Saf. 2019;15(3):191-197.
doi:10…
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psnet.ahrq.gov/node/862152/psn-pdf
February 07, 2024 - Risk identification and prediction of complaints and
misconduct against health practitioners: a scoping
review.
February 7, 2024
Wang Y, Ram SS, Scahill S. Risk identification and prediction of complaints and misconduct against health
practitioners: a scoping review. Int J Qual Health Care. 2024;36(1):mzad114. doi…
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psnet.ahrq.gov/node/46153/psn-pdf
May 31, 2017 - Adverse health events related to self-medication practices
among elderly: a systematic review.
May 31, 2017
Locquet M, Honvo G, Rabenda V, et al. Adverse health events related to self-medication practices among
elderly: a systematic review. Drugs Aging. 2017;34(5):359-365. doi:10.1007/s40266-017-0445-y.
https://ps…
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psnet.ahrq.gov/node/45691/psn-pdf
January 11, 2017 - Qualitative study about the experiences of colleagues of
health professionals involved in an adverse event.
January 11, 2017
Ferrús L, Silvestre C, Olivera G, et al. Qualitative Study About the Experiences of Colleagues of Health
Professionals Involved in an Adverse Event. J Patient Saf. 2016;17(1):36-43.
doi:10.1…
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psnet.ahrq.gov/node/47397/psn-pdf
January 09, 2019 - Using patient safety reporting systems to understand the
clinical learning environment: a content analysis.
January 9, 2019
Sellers MM, Berger I, Myers JS, et al. Using Patient Safety Reporting Systems to Understand the Clinical
Learning Environment: A Content Analysis. J Surg Educ. 2018;75(6):e168-e177.
doi:10.10…
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psnet.ahrq.gov/node/45650/psn-pdf
December 14, 2016 - Are physicians safely prescribing opioids for chronic
noncancer pain? A systematic review of current evidence.
December 14, 2016
Tournebize J, Gibaja V, Muszczak A, et al. Are Physicians Safely Prescribing Opioids for Chronic
Noncancer Pain? A Systematic Review of Current Evidence. Pain Pract. 2016;16(3):370-83.
d…
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psnet.ahrq.gov/node/45768/psn-pdf
July 02, 2017 - What patients' complaints and praise tell the health
practitioner: implications for health care quality. A
qualitative research study.
July 2, 2017
Mattarozzi K, Sfrisi F, Caniglia F, et al. What patients' complaints and praise tell the health practitioner:
implications for health care quality. A qualitative resea…
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psnet.ahrq.gov/node/50536/psn-pdf
October 16, 2019 - The impact of post-fall huddles on repeat fall rates and
perceptions of safety culture: a quasi-experimental
evaluation of a patient safety demonstration project
October 16, 2019
Jones KJ, Crowe J, Allen JA, et al. The impact of post-fall huddles on repeat fall rates and perceptions of
safety culture: a quasi-expe…
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psnet.ahrq.gov/node/38091/psn-pdf
February 18, 2011 - Questionable hospital chart documentation practices by
physicians.
February 18, 2011
Sharma R, Kostis WJ, Wilson AC, et al. Questionable hospital chart documentation practices by
physicians. J Gen Intern Med. 2008;23(11):1865-70. doi:10.1007/s11606-008-0750-6.
https://psnet.ahrq.gov/issue/questionable-hospital-cha…
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psnet.ahrq.gov/node/839316/psn-pdf
January 01, 2023 - Patient voices in hospital safety during the COVID-19
pandemic.
November 2, 2022
Groves PS, Bunch JL, Hanrahan KM, et al. Patient voices in hospital safety during the COVID-19
pandemic. Clin Nurs Res. 2023;32(1):105-114. doi:10.1177/10547738221129711.
https://psnet.ahrq.gov/issue/patient-voices-hospital-safety-dur…
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psnet.ahrq.gov/node/43077/psn-pdf
April 02, 2014 - Am I right when I am sure? Data consistency influences
the relationship between diagnostic accuracy and
certainty.
April 2, 2014
Cavalcanti RB, Sibbald M. Am I right when I am sure? Data consistency influences the relationship
between diagnostic accuracy and certainty. Acad Med. 2014;89(1):107-13.
doi:10.1097/ACM…
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psnet.ahrq.gov/node/34957/psn-pdf
February 28, 2011 - Coordinating care across diseases, settings, and
clinicians: a key role for the generalist in practice.
February 28, 2011
Stille CJ, Jerant A, Bell D, et al. Coordinating care across diseases, settings, and clinicians: a key role for
the generalist in practice. Ann Intern Med. 2005;142(8):700-708.
https://psnet.ah…