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psnet.ahrq.gov/node/47882/psn-pdf
May 01, 2019 - Impact of oncology drug shortages on chemotherapy
treatment.
May 1, 2019
Alpert A, Jacobson M. Impact of Oncology Drug Shortages on Chemotherapy Treatment. Clin Pharmacol
Ther. 2019;106(2):415-421. doi:10.1002/cpt.1390.
https://psnet.ahrq.gov/issue/impact-oncology-drug-shortages-chemotherapy-treatment
Drug shorta…
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psnet.ahrq.gov/node/43363/psn-pdf
September 12, 2016 - Escalation of care and failure to rescue: a multicenter,
multiprofessional qualitative study.
September 12, 2016
Johnston MJ, Arora S, King D, et al. Escalation of care and failure to rescue: a multicenter,
multiprofessional qualitative study. Surgery. 2014;155(6):989-94. doi:10.1016/j.surg.2014.01.016.
https://ps…
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psnet.ahrq.gov/node/47942/psn-pdf
July 01, 2019 - Responding to health information technology reported
safety events: insights from patient safety event reports.
July 1, 2019
Adams KT, Kim TC, Fong A, et al. J Patient Saf Risk Manag. 2019;24:118–124.
https://psnet.ahrq.gov/issue/responding-health-information-technology-reported-safety-events-insights-
patient-saf…
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psnet.ahrq.gov/node/38176/psn-pdf
October 29, 2008 - Human error, not communication and systems, underlies
surgical complications.
October 29, 2008
Fabri PJ, Zayas-Castro JL. Human error, not communication and systems, underlies surgical
complications. Surgery. 2008;144(4):557-63; discussion 563-5. doi:10.1016/j.surg.2008.06.011.
https://psnet.ahrq.gov/issue/human-e…
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psnet.ahrq.gov/node/46897/psn-pdf
October 13, 2018 - An assessment of the impact of just culture on quality
and safety in US hospitals.
October 13, 2018
Edwards MT. An Assessment of the Impact of Just Culture on Quality and Safety in US Hospitals. Am J
Med Qual. 2018;33(5):502-508. doi:10.1177/1062860618768057.
https://psnet.ahrq.gov/issue/assessment-impact-just-cul…
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psnet.ahrq.gov/node/41570/psn-pdf
August 27, 2012 - Exploring relationships between patient safety culture
and patients' assessments of hospital care.
August 27, 2012
Sorra J, Khanna K, Dyer N, et al. Exploring relationships between patient safety culture and patients'
assessments of hospital care. J Patient Saf. 2012;8(3):131-9. doi:10.1097/PTS.0b013e318258ca46.
h…
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psnet.ahrq.gov/node/43651/psn-pdf
November 18, 2016 - Ebola US Patient Zero: lessons on misdiagnosis and
effective use of electronic health records.
November 18, 2016
Upadhyay DK, Sittig DF, Singh H. Ebola US Patient Zero: lessons on misdiagnosis and effective use of
electronic health records. Diagnosis (Berl). 2014;1(4):283-287. doi:10.1515/dx-2014-0064.
https://psn…
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psnet.ahrq.gov/node/45446/psn-pdf
November 16, 2016 - Evidence-based interventions to reduce adverse events in
hospitals: a systematic review of systematic reviews.
November 16, 2016
Zegers M, Hesselink G, Geense W, et al. Evidence-based interventions to reduce adverse events in
hospitals: a systematic review of systematic reviews. BMJ Open. 2016;6(9):e012555.
doi:10…
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psnet.ahrq.gov/node/865662/psn-pdf
April 24, 2024 - Oncologist perceptions of racial disparity, racial anxiety,
and unconscious bias in clinical interactions, treatment,
and outcomes.
April 24, 2024
Balanean A, Bland E, Gajra A, et al. Oncologist perceptions of racial disparity, racial anxiety, and
unconscious bias in clinical interactions, treatment, and outcomes.…
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psnet.ahrq.gov/node/47059/psn-pdf
May 16, 2018 - Participating in a multisite study exploring operational
failures encountered by frontline nurses: lessons learned.
May 16, 2018
Melnyk H, Rosenfeld P, Glassman KS. Participating in a Multisite Study Exploring Operational Failures
Encountered by Frontline Nurses: Lessons Learned. J Nurs Adm. 2018;48(4):203-208.
do…
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psnet.ahrq.gov/node/46063/psn-pdf
May 17, 2017 - "We can't get along without each other": qualitative
interviews with physicians about device industry
representatives, conflict of interest and patient safety.
May 17, 2017
Gagliardi AR, Lehoux P, Ducey A, et al. "We can't get along without each other": Qualitative interviews with
physicians about device industry …
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psnet.ahrq.gov/node/47283/psn-pdf
January 27, 2019 - Association of the use of a mandatory prescription drug
monitoring program with prescribing practices for
patients undergoing elective surgery.
January 27, 2019
Stucke RS, Kelly JL, Mathis KA, et al. Association of the Use of a Mandatory Prescription Drug Monitoring
Program With Prescribing Practices for Patients …
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psnet.ahrq.gov/node/45327/psn-pdf
September 27, 2016 - A concept analysis of undergraduate nursing students
speaking up for patient safety in the patient care
environment.
September 27, 2016
Fagan A, Parker V, Jackson D. A concept analysis of undergraduate nursing students speaking up for
patient safety in the patient care environment. J Adv Nurs. 2016;72(10):2346-235…
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psnet.ahrq.gov/node/60030/psn-pdf
March 11, 2020 - Soft factors, smooth transport? The role of safety climate
and team processes in reducing adverse events during
intrahospital transport in intensive care.
March 11, 2020
Latzke M, Schiffinger M, Zellhofer D, et al. Soft Factors, Smooth Transport? The role of safety climate and
team processes in reducing adverse ev…
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psnet.ahrq.gov/node/838629/psn-pdf
October 19, 2022 - Assessing the dangers of a hospital stay for patients with
developmental disability In England, 2017–19.
October 19, 2022
Friebel R, Maynou L. Assessing the dangers of a hospital stay for patients with developmental disability In
England, 2017–19. Health Aff (Millwood). 2022;41(10):1486-1495. doi:10.1377/hlthaff.20…
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psnet.ahrq.gov/node/36605/psn-pdf
January 14, 2011 - Drug-related hospitalizations in a tertiary care internal
medicine service of a Canadian hospital: a prospective
study.
January 14, 2011
Samoy LJ, Zed PJ, Wilbur K, et al. Drug-related hospitalizations in a tertiary care internal medicine service
of a Canadian hospital: a prospective study. Pharmacotherapy. 2006;2…
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psnet.ahrq.gov/node/48029/psn-pdf
May 29, 2019 - Patient safety and quality outcomes for ED patients
admitted to alternative care area inpatient beds.
May 29, 2019
Lee MO, Arthofer R, Callagy P, et al. Patient safety and quality outcomes for ED patients admitted to
alternative care area inpatient beds. Am J Emerg Med. 2019;38(2):272-277.
doi:10.1016/j.ajem.2019.…
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psnet.ahrq.gov/node/846442/psn-pdf
March 22, 2023 - Heatwaves, hospitals and health system resilience in
England: a qualitative assessment of frontline
perspectives from the hot summer of 2019.
March 22, 2023
Brooks K, Landeg O, Kovats S, et al. Heatwaves, hospitals and health system resilience in England: a
qualitative assessment of frontline perspectives from the…
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psnet.ahrq.gov/node/46794/psn-pdf
May 17, 2018 - Implementation of diagnostic pauses in the ambulatory
setting.
May 17, 2018
Huang GC, Kriegel G, Wheaton C, et al. Implementation of diagnostic pauses in the ambulatory setting.
BMJ Qual Saf. 2018;27(6):492-497. doi:10.1136/bmjqs-2017-007192.
https://psnet.ahrq.gov/issue/implementation-diagnostic-pauses-ambulatory…
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psnet.ahrq.gov/node/37837/psn-pdf
June 11, 2008 - Testing process errors and their harms and
consequences reported from family medicine practices: a
study of the American Academy of Family Physicians
National Research Network.
June 11, 2008
Hickner J, Graham DG, Elder NC, et al. Testing process errors and their harms and consequences
reported from family medicin…