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psnet.ahrq.gov/node/850175/psn-pdf
June 07, 2023 - Explicitly addressing implicit bias on inpatient rounds:
student and faculty reflections.
June 7, 2023
Carter RG, Lake S. Explicitly addressing implicit bias on inpatient rounds: student and faculty reflections.
Pediatrics. 2023;151(5). doi:10.1542/peds.2023-061585.
https://psnet.ahrq.gov/issue/explicitly-addressi…
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psnet.ahrq.gov/node/836986/psn-pdf
April 27, 2022 - Habit and automaticity in medical alert override: cohort
study.
April 27, 2022
Wang L, Goh KH, Yeow A, et al. Habit and automaticity in medical alert override: cohort study. J Med
Internet Res. 2022;24(2):e23355. doi:10.2196/23355.
https://psnet.ahrq.gov/issue/habit-and-automaticity-medical-alert-override-cohort-s…
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psnet.ahrq.gov/node/865702/psn-pdf
May 01, 2024 - Judgment errors in surgical care.
May 1, 2024
Marsh KM, Turrentine FE, Jin R, et al. Judgment errors in surgical care. J Am Coll Surg. 2024;238(5):874-
879. doi:10.1097/xcs.0000000000001011.
https://psnet.ahrq.gov/issue/judgment-errors-surgical-care
Knowing when judgment errors are more likely to occur can increas…
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psnet.ahrq.gov/node/45886/psn-pdf
July 05, 2017 - Organizational perspectives of nurse executives in 15
hospitals on the impact and effectiveness of rapid
response teams.
July 5, 2017
Smith PL, McSweeney J. Organizational Perspectives of Nurse Executives in 15 Hospitals on the Impact
and Effectiveness of Rapid Response Teams. Jt Comm J Qual Patient Saf. 2017;43(6…
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psnet.ahrq.gov/node/45485/psn-pdf
July 01, 2017 - Psychological responses, coping and supporting needs
of healthcare professionals as second victims.
July 1, 2017
Chan ST, Khong PCB, Wang W. Psychological responses, coping and supporting needs of healthcare
professionals as second victims. Intern Nurs Rev. 2017;64(2):242-262. doi:10.1111/inr.12317.
https://psnet.…
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www.ahrq.gov/npsd/data/dashboard/medication.html
September 01, 2025 - Medication or Other Substance Dashboard
Learn more about how the dashboards are set up . This dashboard presents information on medication or other substance-related patient safety concerns, which span incidents, near misses, and unsafe conditions. At-a-glance information on description of safety concerns, ori…
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psnet.ahrq.gov/node/863210/psn-pdf
February 28, 2024 - Disparities in racial, ethnic, and payer groups for pediatric
safety events in US hospitals.
February 28, 2024
Parikh K, Hall M, Tieder JS, et al. Disparities in racial, ethnic, and payer groups for pediatric safety events
in US hospitals. Pediatrics. 2024;153(3):e2023063714. doi:10.1542/peds.2023-063714.
https://…
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psnet.ahrq.gov/node/44924/psn-pdf
April 15, 2016 - Assessment of fidelity in interventions to improve hand
hygiene of healthcare workers: a systematic review.
April 15, 2016
Musuuza JS, Barker A, Ngam C, et al. Assessment of Fidelity in Interventions to Improve Hand Hygiene of
Healthcare Workers: A Systematic Review. Infect Control Hosp Epidemiol. 2016;37(5):567-75…
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psnet.ahrq.gov/node/44235/psn-pdf
January 22, 2016 - Interventions to reduce nurses' medication administration
errors in inpatient settings: a systematic review and meta-
analysis.
January 22, 2016
Berdot S, Roudot M, Schramm C, et al. Interventions to reduce nurses' medication administration errors in
inpatient settings: A systematic review and meta-analysis. Int J…
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psnet.ahrq.gov/node/60828/psn-pdf
August 19, 2020 - When COVID-19 hit, many elderly were left to die.
August 19, 2020
Stevis-Gridneff M, Apuzzo M, Pronczuk M. When COVID-19 hit, many elderly were left to die. New York
Times. 2020;August 8.
https://psnet.ahrq.gov/issue/when-covid-19-hit-many-elderly-were-left-die
Residential care facilities have been challenged by C…
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psnet.ahrq.gov/node/50417/psn-pdf
September 04, 2019 - Communicating uncertainty: a narrative review and
framework for future research.
September 4, 2019
Simpkin AL, Armstrong KA. Communicating uncertainty: a narrative review and framework for future
research. J Gen Intern Med. 2019;34(11):2586-2591. doi:10.1007/s11606-019-04860-8.
https://psnet.ahrq.gov/issue/communi…
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psnet.ahrq.gov/node/866073/psn-pdf
June 05, 2024 - Improving communication of diagnostic uncertainty to
families of hospitalized children.
June 5, 2024
Young EE, Kane J, Timmons K, et al. Improving communication of diagnostic uncertainty to families of
hospitalized children. Diagnosis (Berl). 2024;11(2):186-191. doi:10.1515/dx-2023-0088.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/38070/psn-pdf
March 10, 2011 - Can surveillance systems identify and avert adverse drug
events? A prospective evaluation of a commercial
application.
March 10, 2011
Jha AK, Laguette J, Seger AC, et al. Can surveillance systems identify and avert adverse drug events? A
prospective evaluation of a commercial application. J Am Med Inform Assoc. 20…
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psnet.ahrq.gov/node/44252/psn-pdf
January 01, 2016 - Associations between safety culture and employee
engagement over time: a retrospective analysis.
December 16, 2015
Biddison ELD, Paine LA, Murakami P, et al. Associations between safety culture and employee
engagement over time: a retrospective analysis. BMJ Qual Saf. 2016;25(1):31-7. doi:10.1136/bmjqs-2014-
00391…
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psnet.ahrq.gov/node/839324/psn-pdf
November 02, 2022 - The impact of COVID-19 workflow changes on radiation
oncology incident reporting.
November 2, 2022
Volpini ME, Lekx?Toniolo K, Mahon R, et al. The impact of COVID?19 workflow changes on radiation
oncology incident reporting. J Appl Clin Med Phys. 2022;23(11):e13742. doi:10.1002/acm2.13742.
https://psnet.ahrq.gov/i…
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psnet.ahrq.gov/node/44772/psn-pdf
January 13, 2016 - Post event debriefs: a commitment to learning how to
better care for patients and staff.
January 13, 2016
Campbell M, Miller K, McNicholas KW. Post Event Debriefs: A Commitment to Learning How to Better Care
for Patients and Staff. Jt Comm J Qual Patient Saf. 2016;42(1):41-47.
https://psnet.ahrq.gov/issue/post-eve…
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psnet.ahrq.gov/node/39261/psn-pdf
February 03, 2010 - Patient safety measures in burn care: do national
reporting systems accurately reflect quality of burn care?
February 3, 2010
Mandell SP, Robinson EF, Cooper CL, et al. Patient safety measures in burn care: do National reporting
systems accurately reflect quality of burn care? J Burn Care Res. 2010;31(1):125-9.
do…
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psnet.ahrq.gov/node/47424/psn-pdf
November 21, 2018 - Creating a culture of accountability promotes safe
medical care.
November 21, 2018
Canadian Medical Protective Association; CMPA.
https://psnet.ahrq.gov/issue/creating-culture-accountability-promotes-safe-medical-care
Frontline leadership should model just culture behaviors to encourage reporting and discussion of…
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psnet.ahrq.gov/node/38727/psn-pdf
November 25, 2009 - FMEA team performance in health care: a qualitative
analysis of team member perceptions.
November 25, 2009
Wetterneck TB, Hundt AS, Carayon P. FMEA Team Performance in Health Care. J Patient Saf. 2009;5(2).
doi:10.1097/pts.0b013e3181a852be.
https://psnet.ahrq.gov/issue/fmea-team-performance-health-care-qualitative…
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psnet.ahrq.gov/node/42784/psn-pdf
January 15, 2014 - A multi-disciplinary approach to medication safety and
the implication for nursing education and practice.
January 15, 2014
Adhikari R, Tocher J, Smith P, et al. A multi-disciplinary approach to medication safety and the implication
for nursing education and practice. Nurse Educ Today. 2014;34(2):185-90. doi:10.101…