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psnet.ahrq.gov/node/43341/psn-pdf
July 23, 2014 - Effectiveness of different nursing handover styles for
ensuring continuity of information in hospitalised
patients.
July 23, 2014
Smeulers M, Lucas C, Vermeulen H. Effectiveness of different nursing handover styles for ensuring
continuity of information in hospitalised patients. Cochrane Database of Syst Rev. 2014…
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psnet.ahrq.gov/node/41339/psn-pdf
January 03, 2017 - Relationship between nursing home safety culture and
Joint Commission accreditation.
January 3, 2017
Wagner LM, McDonald SM, Castle NG. Relationship between nursing home safety culture and Joint
Commission accreditation. Jt Comm J Qual Patient Saf. 2012;38(5):207-15.
https://psnet.ahrq.gov/issue/relationship-betwe…
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psnet.ahrq.gov/node/44064/psn-pdf
November 03, 2015 - The July effect: an analysis of never events in the
nationwide inpatient sample.
November 3, 2015
Wen T, Attenello FJ, Wu B, et al. The July effect: an analysis of never events in the nationwide inpatient
sample. J Hosp Med. 2015;10(7):432-438. doi:10.1002/jhm.2352.
https://psnet.ahrq.gov/issue/july-effect-analysi…
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psnet.ahrq.gov/node/844790/psn-pdf
January 01, 2020 - Effectiveness of double checking to reduce medication
administration errors: a systematic review.
September 18, 2019
Koyama AK, Maddox C-SS, Li L, et al. Effectiveness of double checking to reduce medication
administration errors: a systematic review. BMJ Qual Saf. 2020;29(7):595-603. doi:10.1136/bmjqs-2019-
00955…
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psnet.ahrq.gov/node/45719/psn-pdf
June 29, 2017 - Systematic review of the prevalence of medication errors
resulting in hospitalization and death of nursing home
residents.
June 29, 2017
Ferrah N, Lovell JJ, Ibrahim JE. Systematic Review of the Prevalence of Medication Errors Resulting in
Hospitalization and Death of Nursing Home Residents. J Am Geriatr Soc. 2017…
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psnet.ahrq.gov/node/40893/psn-pdf
November 02, 2011 - Systematic review of safety checklists for use by medical
care teams in acute hospital settings—limited evidence of
effectiveness.
November 2, 2011
Ko HCH, Turner TJ, Finnigan MA. Systematic review of safety checklists for use by medical care teams in
acute hospital settings--limited evidence of effectiveness. BMC…
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psnet.ahrq.gov/node/46856/psn-pdf
June 20, 2018 - Visual acuity, literacy, and unintentional misuse of
nonprescription medications.
June 20, 2018
Mullen RJ, Curtis LM, O'Conor R, et al. Visual acuity, literacy, and unintentional misuse of nonprescription
medications. Am J Health-Syst Pharm. 2018;75(9):e213-e220. doi:10.2146/ajhp170303.
https://psnet.ahrq.gov/issu…
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psnet.ahrq.gov/node/47102/psn-pdf
June 26, 2018 - Transition to a new electronic health record and pediatric
medication safety: lessons learned in pediatrics within a
large academic health system.
June 26, 2018
Whalen K, Lynch E, Moawad I, et al. Transition to a new electronic health record and pediatric medication
safety: lessons learned in pediatrics within a l…
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psnet.ahrq.gov/node/43785/psn-pdf
May 01, 2015 - Evaluation of the effectiveness of a surgical checklist in
Medicare patients.
May 1, 2015
Reames BN, Scally CP, Thumma JR, et al. Evaluation of the Effectiveness of a Surgical Checklist in
Medicare Patients. Med Care. 2015;53(1):87-94. doi:10.1097/MLR.0000000000000277.
https://psnet.ahrq.gov/issue/evaluation-effec…
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psnet.ahrq.gov/node/45319/psn-pdf
September 01, 2018 - Special Issue: Progress at the Intersection of Patient
Safety and Medical Liability.
September 1, 2018
Ridgely MS, Greenberg MD, Clancy CM, eds. Health Serv Res. 2016;51(suppl 3):2395-2648.
https://psnet.ahrq.gov/issue/special-issue-progress-intersection-patient-safety-and-medical-liability
Medical liability refor…
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psnet.ahrq.gov/node/47115/psn-pdf
August 15, 2018 - Adverse events in hospitalized pediatric patients.
August 15, 2018
Stockwell DC, Landrigan CP, Toomey SL, et al. Adverse Events in Hospitalized Pediatric Patients.
Pediatrics. 2018;142(2):e20173360. doi:10.1542/peds.2017-3360.
https://psnet.ahrq.gov/issue/adverse-events-hospitalized-pediatric-patients
This study u…
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psnet.ahrq.gov/node/43547/psn-pdf
July 03, 2016 - Health care-associated infections among critically ill
children in the US, 2007-2012.
July 3, 2016
Patrick SW, Kawai AT, Kleinman K, et al. Health care-associated infections among critically ill children in
the US, 2007-2012. Pediatrics. 2014;134(4):705-712. doi:10.1542/peds.2014-0613.
https://psnet.ahrq.gov/issue…
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psnet.ahrq.gov/node/45177/psn-pdf
June 01, 2016 - Quantifying the burden of opioid medication errors in
adult oncology and palliative care settings: a systematic
review.
June 1, 2016
Heneka N, Shaw T, Rowett D, et al. Quantifying the burden of opioid medication errors in adult oncology
and palliative care settings: A systematic review. Palliat Med. 2016;30(6):520…
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psnet.ahrq.gov/node/45641/psn-pdf
October 11, 2017 - Improving health care quality and patient safety through
peer-to-peer assessment: demonstration project in two
academic medical centers.
October 11, 2017
Mort E, Bruckel J, Donelan K, et al. Improving Health Care Quality and Patient Safety Through Peer-to-
Peer Assessment: Demonstration Project in Two Academic Med…
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psnet.ahrq.gov/node/47330/psn-pdf
September 19, 2018 - Patient and consumer safety risks when using
conversational assistants for medical information: an
observational study of Siri, Alexa, and Google Assistant.
September 19, 2018
Bickmore TW, Trinh H, Olafsson S, et al. Patient and consumer safety risks when using conversational
assistants for medical information: an…
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psnet.ahrq.gov/node/45865/psn-pdf
March 15, 2017 - Exploring relationships between hospital patient safety
culture and Consumer Reports safety scores.
March 15, 2017
Smith SA, Yount N, Sorra J. Exploring relationships between hospital patient safety culture and Consumer
Reports safety scores. BMC Health Serv Res. 2017;17(1):143. doi:10.1186/s12913-017-2078-6.
http…
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psnet.ahrq.gov/node/45681/psn-pdf
January 25, 2017 - Economic evaluation of quality improvement
interventions for bloodstream infections related to central
catheters: a systematic review.
January 25, 2017
Nuckols TK, Keeler E, Morton SC, et al. Economic Evaluation of Quality Improvement Interventions for
Bloodstream Infections Related to Central Catheters: A Systema…
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psnet.ahrq.gov/node/44056/psn-pdf
May 19, 2018 - Impact of inpatient harms on hospital finances and
patient clinical outcomes.
May 19, 2018
Adler L, Yi D, Li M, et al. Impact of Inpatient Harms on Hospital Finances and Patient Clinical Outcomes. J
Patient Saf. 2018;14(2):67-73. doi:10.1097/PTS.0000000000000171.
https://psnet.ahrq.gov/issue/impact-inpatient-harms…
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psnet.ahrq.gov/node/44096/psn-pdf
November 03, 2015 - Incidence of "never events" among weekend admissions
versus weekday admissions to US hospitals: national
analysis.
November 3, 2015
Attenello FJ, Wen T, Cen SY, et al. Incidence of "never events" among weekend admissions versus
weekday admissions to US hospitals: national analysis. BMJ. 2015;350:h1460. doi:10.1136…
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psnet.ahrq.gov/node/45329/psn-pdf
April 24, 2018 - State legal restrictions and prescription-opioid use
among disabled adults.
April 24, 2018
Meara E, Horwitz JR, Powell W, et al. State Legal Restrictions and Prescription-Opioid Use among
Disabled Adults. N Engl J Med. 2016;375(1):44-53. doi:10.1056/NEJMsa1514387.
https://psnet.ahrq.gov/issue/state-legal-restricti…