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psnet.ahrq.gov/node/60057/psn-pdf
March 18, 2020 - How does the WHO Surgical Safety Checklist fit with
existing perioperative risk management strategies? An
ethnographic study across surgical specialties.
March 18, 2020
Wæhle HV, Haugen AS, Wiig S, et al. How does the WHO Surgical Safety Checklist fit with existing
perioperative risk management strategies? An ethn…
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psnet.ahrq.gov/node/842760/psn-pdf
January 18, 2023 - Self-reported gaps in care coordination and preventable
adverse outcomes among older adults receiving home
health care.
January 18, 2023
Sterling MR, Lau J, Rajan M, et al. Self?reported gaps in care coordination and preventable adverse
outcomes among older adults receiving home health care. J Am Geriatr Soc. 2023…
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psnet.ahrq.gov/node/47322/psn-pdf
September 12, 2018 - Crossing the Global Quality Chasm: Improving Health
Care Worldwide.
September 12, 2018
Committee on Improving the Quality of Health Care Globally. National Academies of Sciences,
Engineering, and Medicine. Washington DC: National Academies Press; August 2018. ISBN:
9780309483087.
https://psnet.ahrq.gov/issue/cros…
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psnet.ahrq.gov/node/44965/psn-pdf
February 15, 2017 - Identification and Prioritization of Health IT Patient Safety
Measures.
February 15, 2017
Washington, DC: National Quality Forum; February 2016.
https://psnet.ahrq.gov/issue/identification-and-prioritization-health-it-patient-safety-measures
Health information technology (IT) has transformed health care and improv…
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psnet.ahrq.gov/node/43191/psn-pdf
December 12, 2018 - Harnessing implementation science to improve care
quality and patient safety: a systematic review of targeted
literature.
December 12, 2018
Braithwaite J, Marks D, Taylor N. Harnessing implementation science to improve care quality and patient
safety: a systematic review of targeted literature. Int J Qual Health C…
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psnet.ahrq.gov/node/864858/psn-pdf
March 20, 2024 - Remote assessment of real-world surgical safety
checklist performance using the OR Black Box: a multi-
institutional evaluation.
March 20, 2024
Riley MS, Etheridge J, Palter V, et al. Remote assessment of real-world surgical safety checklist
performance using the OR Black Box: a multi-Institutional evaluation. J A…
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psnet.ahrq.gov/node/50702/psn-pdf
December 04, 2019 - Smart pumps improve medication safety but increase
alert burden in neonatal care
December 4, 2019
Melton KR, Timmons K, Walsh KE, et al. Smart pumps improve medication safety but increase alert burden
in neonatal care. BMC Medical Inform Decis Mak. 2019;19(1):213. doi:10.1186/s12911-019-0945-2.
https://psnet.ahrq.…
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psnet.ahrq.gov/node/42692/psn-pdf
April 21, 2015 - Surgical skill and complication rates after bariatric
surgery.
April 21, 2015
Birkmeyer JD, Finks JF, O'Reilly A, et al. Surgical skill and complication rates after bariatric surgery. N Engl
J Med. 2013;369(15):1434-1442. doi:10.1056/NEJMsa1300625.
https://psnet.ahrq.gov/issue/surgical-skill-and-complication-rates…
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psnet.ahrq.gov/node/865878/psn-pdf
May 15, 2024 - Testing an intervention to improve health care worker
well-being during the COVID-19 pandemic: a cluster
randomized clinical trial.
May 15, 2024
Meredith LS, Ahluwalia SC, Chen PG, et al. Testing an intervention to improve health care worker well-
being during the COVID-19 pandemic: a cluster randomized clinical t…
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psnet.ahrq.gov/node/865876/psn-pdf
May 15, 2024 - Systematic review on the frequency and quality of
reporting patient and public involvement in patient safety
research.
May 15, 2024
Hammoud S, Alsabek L, Rogers L, et al. Systematic review on the frequency and quality of reporting
patient and public involvement in patient safety research. BMC Health Serv Res. 2024…
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psnet.ahrq.gov/node/43679/psn-pdf
May 22, 2015 - Patient safety goals for the proposed Federal Health
Information Technology Safety Center.
May 22, 2015
Sittig DF, Classen D, Singh H. Patient safety goals for the proposed Federal Health Information
Technology Safety Center. J Am Med Inform Assoc. 2015;22(2):472-8. doi:10.1136/amiajnl-2014-002988.
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psnet.ahrq.gov/node/60933/psn-pdf
September 23, 2020 - Seroprevalence of SARS-CoV-2 among frontline health
care personnel in a multistate hospital network--13
academic medical centers, April-June 2020.
September 23, 2020
Self WH, Tenforde MW, Stubblefield WB, et al. Seroprevalence of SARS-CoV-2 among frontline health
care personnel in a multistate hospital network - 1…
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psnet.ahrq.gov/node/47225/psn-pdf
November 02, 2018 - Preventable adverse drug events among inpatients: a
systematic review.
November 2, 2018
Gates PJ, Meyerson SA, Baysari M, et al. Preventable Adverse Drug Events Among Inpatients: A
Systematic Review. Pediatrics. 2018;142(3):e20180805. doi:10.1542/peds.2018-0805.
https://psnet.ahrq.gov/issue/preventable-adverse-dru…
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psnet.ahrq.gov/node/73064/psn-pdf
March 24, 2021 - Outpatient insulin-related adverse events due to mix-up
errors: findings from two national surveillance systems,
United States, 2012-2017.
March 24, 2021
Geller AI, Conrad AO, Weidle NJ, et al. Outpatient insulin?related adverse events due to mix?up errors:
Findings from two national surveillance systems, United S…
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psnet.ahrq.gov/node/43446/psn-pdf
May 06, 2015 - A qualitative evaluation of the barriers and facilitators
toward implementation of the WHO surgical safety
checklist across hospitals in England: lessons from the
"Surgical Checklist Implementation Project."
May 6, 2015
Russ SJ, Sevdalis N, Moorthy K, et al. A qualitative evaluation of the barriers and facilitator…
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psnet.ahrq.gov/node/50793/psn-pdf
January 15, 2020 - Association between mobile telephone interruptions and
medication administration errors in a pediatric intensive
care unit.
January 15, 2020
Bonafide CP, Miller JM, Localio AR, et al. Association between mobile telephone interruptions and
medication administration errors in a pediatric intensive care unit. JAMA Pe…
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psnet.ahrq.gov/node/45233/psn-pdf
September 07, 2016 - Program director perceptions of surgical resident training
and patient care under flexible duty hour requirements.
September 7, 2016
Saadat L, Dahlke AR, Rajaram R, et al. Program Director Perceptions of Surgical Resident Training and
Patient Care under Flexible Duty Hour Requirements. J Am Coll Surg. 2016;222(6):1…
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psnet.ahrq.gov/node/865344/psn-pdf
March 27, 2024 - Use of computerized physician order entry with clinical
decision support to prevent dose errors in pediatric
medication orders: a systematic review.
March 27, 2024
Ruutiainen H, Holmström A-R, Kunnola E, et al. Use of computerized physician order entry with clinical
decision support to prevent dose errors in pedia…
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psnet.ahrq.gov/node/44819/psn-pdf
June 21, 2016 - Opioid prescribing after nonfatal overdose and
association with repeated overdose: a cohort study.
June 21, 2016
Larochelle MR, Liebschutz JM, Zhang F, et al. Opioid Prescribing After Nonfatal Overdose and Association
With Repeated Overdose: A Cohort Study. Ann Inter Med. 2016;164(1):1-9. doi:10.7326/M15-0038.
htt…
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psnet.ahrq.gov/node/46954/psn-pdf
January 23, 2019 - Opioid prescribing decreases after learning of a patient's
fatal overdose.
January 23, 2019
Doctor JN, Nguyen A, Lev R, et al. Opioid prescribing decreases after learning of a patient's fatal overdose.
Science. 2018;361(6402):588-590. doi:10.1126/science.aat4595.
https://psnet.ahrq.gov/issue/opioid-prescribing-dec…