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psnet.ahrq.gov/node/60616/psn-pdf
June 24, 2020 - Nurse-reported bullying and documented adverse patient
events: an exploratory study in a US Hospital.
June 24, 2020
Arnetz JE, Neufcourt L, Sudan S, et al. Nurse-reported bullying and documented adverse patient events:
an exploratory study in a US Hospital. J Nurs Care Qual. 2020;35(3):206-212.
doi:10.1097/ncq.000…
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psnet.ahrq.gov/node/73563/psn-pdf
August 04, 2021 - Understanding complaints made about surgical
departments in a UK district general hospital.
August 4, 2021
Claydon O, Keeler B, Khanna A. Understanding complaints made about surgical departments in a UK
district general hospital. Int J Qual Health Care. 2021;33(3). doi:10.1093/intqhc/mzab095.
https://psnet.ahrq.go…
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psnet.ahrq.gov/node/854385/psn-pdf
October 11, 2023 - Perioperative team-based morbidity and mortality
conferences: a systematic review of the literature.
October 11, 2023
Samost-Williams A, Rosen R, Hannenberg A, et al. Perioperative team-based morbidity and mortality
conferences: a systematic review of the literature. Ann Surg Open. 2023;4(3):e321.
doi:10.1097/as9.…
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psnet.ahrq.gov/node/47184/psn-pdf
August 08, 2018 - Delivering on the promise of CLER: a patient safety
rotation that aligns resident education with hospital
processes.
August 8, 2018
Patel E, Muthusamy V, Young JQ. Delivering on the Promise of CLER: A Patient Safety Rotation That
Aligns Resident Education With Hospital Processes. Acad Med. 2018;93(6):898-903.
doi…
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psnet.ahrq.gov/node/844548/psn-pdf
February 15, 2023 - Use of complete medication history to identify and correct
transitions-of-care medication errors at psychiatric
hospital admission.
February 15, 2023
Vargas V, Blakeslee WW, Banas CA, et al. Use of complete medication history to identify and correct
transitions-of-care medication errors at psychiatric hospital adm…
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psnet.ahrq.gov/node/853066/psn-pdf
August 30, 2023 - Opportunities to improve diagnosis in emergency
transfers to the pediatric intensive care unit.
August 30, 2023
Mehta SD, Congdon M, Phillips CA, et al. Opportunities to improve diagnosis in emergency transfers to the
pediatric intensive care unit. J Hosp Med. 2023;18(6):509-518. doi:10.1002/jhm.13103.
https://psn…
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psnet.ahrq.gov/node/41646/psn-pdf
September 05, 2012 - Interventions to increase clinical incident reporting in
health care.
September 5, 2012
Parmelli E, Flodgren G, Fraser SG, et al. Interventions to increase clinical incident reporting in health care.
Cochrane Database Syst Rev. 2012;8(8):CD005609. doi:10.1002/14651858.cd005609.pub2.
https://psnet.ahrq.gov/issue/in…
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psnet.ahrq.gov/node/34085/psn-pdf
February 09, 2011 - Discussion of medical errors in morbidity and mortality
conferences.
February 9, 2011
Pierluissi E, Fischer M, Campbell AR, et al. Discussion of medical errors in morbidity and mortality
conferences. JAMA. 2003;290(21):2838-2842.
https://psnet.ahrq.gov/issue/discussion-medical-errors-morbidity-and-mortality-confer…
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psnet.ahrq.gov/node/45490/psn-pdf
September 01, 2018 - Collaboration with regulators to support quality and
accountability following medical errors: the
communication and resolution program certification pilot.
September 1, 2018
Gallagher TH, Farrell ML, Karson H, et al. Collaboration with Regulators to Support Quality and
Accountability Following Medical Errors: The …
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psnet.ahrq.gov/node/859349/psn-pdf
January 01, 2024 - Investigating the influence of selected leadership styles
on patient safety and quality of care: a systematic review
and meta-analysis.
December 20, 2023
Singh A, Yeravdekar R, Jadhav S. Investigating the influence of selected leadership styles on patient safety
and quality of care: a systematic review and meta-an…
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psnet.ahrq.gov/node/74141/psn-pdf
December 01, 2021 - Incident reporting systems: what will it take to make them
less frustrating and achieve anything useful?
December 1, 2021
Shojania KG. Incident reporting systems: what will it take to make them less frustrating and achieve
anything useful? Jt Comm J Qual Patient Saf. 2021;47(12):755-758. doi:10.1016/j.jcjq.2021.10.…
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psnet.ahrq.gov/node/46653/psn-pdf
July 02, 2019 - Evaluating a mobile application for improving clinical
laboratory test ordering and diagnosis.
July 2, 2019
Meyer AND, Thompson PJ, Khanna A, et al. Evaluating a mobile application for improving clinical
laboratory test ordering and diagnosis. J Am Med Inform Assoc. 2018;25(7):841-847.
doi:10.1093/jamia/ocy026.
h…
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psnet.ahrq.gov/node/852285/psn-pdf
August 09, 2023 - Risk Evaluation and Mitigation Strategy (REMS) Programs
and Medication Safety: Parts I and II.
August 9, 2023
ISMP Medication Safety Alert! Acute care edition. July 13, 2023;(4):1-3;July 27, 2023;(5):1-5.
https://psnet.ahrq.gov/issue/risk-evaluation-and-mitigation-strategy-rems-programs-and-medication-safety-
part…
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psnet.ahrq.gov/node/853617/psn-pdf
September 20, 2023 - Factors associated with neuroradiologic diagnostic errors
at a large tertiary-care academic medical center: a case-
control study.
September 20, 2023
Ivanovic V, Broadhead K, Beck R, et al. Factors associated with neuroradiologic diagnostic errors at a large
tertiary-care academic medical center: a case-control st…
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psnet.ahrq.gov/node/861289/psn-pdf
January 01, 2025 - Assessing the impact of an electronic chemotherapy
order verification checklist on pharmacist reported errors
in oncology infusion centers of a health-system.
January 24, 2024
Wat SK (S), Wesolowski B, Cierniak K, et al. Assessing the impact of an electronic chemotherapy order
verification checklist on pharmacist …
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psnet.ahrq.gov/node/846751/psn-pdf
March 29, 2023 - High-fidelity simulation’s impact on clinical reasoning and
patient safety: a scoping review.
March 29, 2023
El Hussein MT, Hirst SP. High-fidelity simulation’s impact on clinical reasoning and patient safety: a
scoping review. J Nurs Reg. 2023;13(4):54-65. doi:10.1016/s2155-8256(23)00028-5.
https://psnet.ahrq.gov…
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psnet.ahrq.gov/node/47536/psn-pdf
March 09, 2019 - Evaluation of wound photography for remote
postoperative assessment of surgical site infections.
March 9, 2019
Broman KK, Gaskill CE, Faqih A, et al. Evaluation of Wound Photography for Remote Postoperative
Assessment of Surgical Site Infections. JAMA Surg. 2019;154(2):117-124.
doi:10.1001/jamasurg.2018.3861.
htt…
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psnet.ahrq.gov/node/864857/psn-pdf
March 20, 2024 - Safety on the ground: using critical incident technique to
explore the factors influencing medical registrars'
provision of safe care.
March 20, 2024
Ralston K, Smith SE, Kerins J, et al. Safety on the ground: using critical incident technique to explore the
factors influencing medical registrars’ provision of saf…
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psnet.ahrq.gov/node/47567/psn-pdf
June 26, 2019 - A new approach of assessing patient safety aspects in
routine practice using the example of "doctors
handwritten prescriptions."
June 26, 2019
Sendlhofer G, Pregartner G, Gombotz V, et al. A new approach of assessing patient safety aspects in
routine practice using the example of "doctors handwritten prescriptions…
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psnet.ahrq.gov/node/45399/psn-pdf
November 01, 2017 - A reduced duty hours model for senior internal medicine
residents: a qualitative analysis of residents' experiences
and perceptions.
November 1, 2017
Mathew R, Gundy S, Ulic D, et al. A Reduced Duty Hours Model for Senior Internal Medicine Residents: A
Qualitative Analysis of Residents' Experiences and Perceptions…