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psnet.ahrq.gov/node/60578/psn-pdf
June 10, 2020 - Patient safety threats in information management using
health information technology in ambulatory cancer care:
an exploratory, prospective study.
June 10, 2020
Pfeiffer Y, Zimmermann C, Schwappach DLB. Patient safety threats in information management using
health information technology in ambulatory cancer care: …
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psnet.ahrq.gov/node/848811/psn-pdf
May 10, 2023 - Types of diagnostic errors reported by paediatric
emergency providers in a global paediatric emergency
care research network.
May 10, 2023
Mahajan P, Grubenhoff JA, Cranford J, et al. Types of diagnostic errors reported by paediatric emergency
providers in a global paediatric emergency care research network. BMJ O…
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psnet.ahrq.gov/node/46889/psn-pdf
October 13, 2018 - Evaluation of reasons why surgical residents exceeded
2011 duty hour requirements when offered flexibility.
October 13, 2018
Blay E, Engelhardt KE, Hewitt B, et al. Evaluation of Reasons Why Surgical Residents Exceeded 2011
Duty Hour Requirements When Offered Flexibility: A FIRST Trial Analysis. JAMA Surg. 2018;153…
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psnet.ahrq.gov/node/44822/psn-pdf
September 04, 2016 - A cluster randomized trial of interventions to improve
work conditions and clinician burnout in primary care:
results from the Healthy Work Place (HWP) study.
September 4, 2016
Linzer M, Poplau S, Grossman E, et al. A Cluster Randomized Trial of Interventions to Improve Work
Conditions and Clinician Burnout in Pri…
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psnet.ahrq.gov/node/72525/psn-pdf
December 02, 2020 - Breast cancer treatment delays by socioeconomic and
health care access latent classes in Black and White
women.
December 2, 2020
Emerson MA, Golightly YM, Aiello AE, et al. Breast cancer treatment delays by socioeconomic and health
care access latent classes in Black and White women. Cancer. 2020;126(22):4957-4966…
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psnet.ahrq.gov/node/39249/psn-pdf
September 30, 2015 - Patient participation: current knowledge and applicability
to patient safety.
September 30, 2015
Longtin Y, Sax H, Leape L, et al. Patient participation: current knowledge and applicability to patient safety.
Mayo Clin Proc. 2010;85(1):53-62. doi:10.4065/mcp.2009.0248.
https://psnet.ahrq.gov/issue/patient-particip…
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psnet.ahrq.gov/node/46472/psn-pdf
August 20, 2018 - Wide variation and overprescription of opioids after
elective surgery.
August 20, 2018
Thiels CA, Anderson SS, Ubl DS, et al. Wide Variation and Overprescription of Opioids After Elective
Surgery. Ann Surg. 2017;266(4):564-573. doi:10.1097/SLA.0000000000002365.
https://psnet.ahrq.gov/issue/wide-variation-and-overp…
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psnet.ahrq.gov/node/34794/psn-pdf
November 18, 2015 - Accident analysis of large-scale technological disasters
applied to an anaesthetic complication.
November 18, 2015
Eagle CJ, Davies JM, Reason J. Accident analysis of large-scale technological disasters applied to an
anaesthetic complication. Can J Anaesth. 1992;39(2):118-22.
https://psnet.ahrq.gov/issue/accident-…
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psnet.ahrq.gov/node/44461/psn-pdf
June 21, 2016 - Outcomes of daytime procedures performed by attending
surgeons after night work.
June 21, 2016
Govindarajan A, Urbach DR, Kumar M, et al. Outcomes of Daytime Procedures Performed by Attending
Surgeons after Night Work. N Engl J Med. 2015;373(9):845-53. doi:10.1056/NEJMsa1415994.
https://psnet.ahrq.gov/issue/outcom…
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psnet.ahrq.gov/node/45317/psn-pdf
August 17, 2016 - Partnered pharmacist charting on admission in the
general medical and emergency short-stay unit—a
cluster-randomised controlled trial in patients with
complex medication regimens.
August 17, 2016
Tong EY, Roman C, Mitra B, et al. Partnered pharmacist charting on admission in the General Medical and
Emergency Shor…
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psnet.ahrq.gov/node/48012/psn-pdf
June 12, 2019 - American Geriatrics Society 2019 Updated AGS Beers
Criteria for Potentially Inappropriate Medication Use in
Older Adults.
June 12, 2019
American Geriatrics Society 2019 Updated AGS Beers Criteria® for Potentially Inappropriate Medication
Use in Older Adults. J Am Geriatr Soc. 2019;67(4):674-694. doi:10.1111/jgs.15…
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psnet.ahrq.gov/node/862997/psn-pdf
February 21, 2024 - What kinds of insights do Safety-I and Safety-II
approaches provide? A critical reflection on the use of
SHERPA and FRAM in healthcare.
February 21, 2024
Sujan M, Lounsbury O, Pickup L, et al. What kinds of insights do Safety-I and Safety-II approaches
provide? A critical reflection on the use of SHERPA and FRAM i…
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psnet.ahrq.gov/node/46309/psn-pdf
December 22, 2018 - Effects of the I-PASS nursing handoff bundle on
communication quality and workflow.
December 22, 2018
Starmer AJ, Schnock KO, Lyons A, et al. Effects of the I-PASS Nursing Handoff Bundle on communication
quality and workflow. BMJ Qual Saf. 2017;26(12):949-957. doi:10.1136/bmjqs-2016-006224.
https://psnet.ahrq.gov/…
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psnet.ahrq.gov/node/866404/psn-pdf
July 31, 2024 - Patient and caregiver perspectives on causes and
prevention of ambulatory adverse events: multilingual
qualitative study.
July 31, 2024
Sharma AE, Tran AS, Dy M, et al. Patient and caregiver perspectives on causes and prevention of
ambulatory adverse events: multilingual qualitative study. BMJ Qual Saf. 2024;Epub …
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psnet.ahrq.gov/node/73537/psn-pdf
July 28, 2021 - Health literacy-related safety events: a qualitative study of
health literacy failures in patient safety events.
July 28, 2021
Morrison AK, Gibson C, Higgins C, et al. Health literacy-related safety events: a qualitative study of health
literacy failures in patient safety events. Pediatr Qual Saf. 2021;6(4):e425.
…
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psnet.ahrq.gov/node/74718/psn-pdf
February 02, 2022 - Medication-related interventions to improve medication
safety and patient outcomes on transition from adult
intensive care settings: a systematic review and meta-
analysis.
February 2, 2022
Bourne RS, Jennings JK, Panagioti M, et al. Medication-related interventions to improve medication safety
and patient outcom…
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psnet.ahrq.gov/node/45417/psn-pdf
July 01, 2017 - A literature review of the training offered to qualified
prescribers to use electronic prescribing systems: why is
it so important?
July 1, 2017
Brown CL, Reygate K, Slee A, et al. A literature review of the training offered to qualified prescribers to use
electronic prescribing systems: why is it so important? In…
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psnet.ahrq.gov/node/36753/psn-pdf
April 30, 2014 - Medication errors in the outpatient setting: classification
and root cause analysis.
April 30, 2014
Friedman AL, Geoghegan SR, Sowers NM, et al. Medication errors in the outpatient setting: classification
and root cause analysis. Arch Surg. 2007;142(3):278-83; discussion 284.
https://psnet.ahrq.gov/issue/medicatio…
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psnet.ahrq.gov/node/60551/psn-pdf
January 01, 2021 - Improvement in patient safety may precede policy
changes: trends in patient safety indicators in the United
States, 2000-2013.
June 3, 2020
Tedesco D, Moghavem N, Weng Y, et al. Improvement in patient safety may precede policy changes:
trends in patient safety indicators in the United States, 2000-2013. J Patient …
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psnet.ahrq.gov/node/47097/psn-pdf
June 26, 2018 - Patterns of potential opioid misuse and subsequent
adverse outcomes in Medicare, 2008 to 2012.
June 26, 2018
Carey CM, Jena AB, Barnett ML. Patterns of Potential Opioid Misuse and Subsequent Adverse Outcomes
in Medicare, 2008 to 2012. Ann Intern Med. 2018;168(12):837-845. doi:10.7326/M17-3065.
https://psnet.ahrq.g…