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psnet.ahrq.gov/node/41466/psn-pdf
June 20, 2012 - Factors predicting change in hospital safety climate and
capability in a multi-site patient safety collaborative: a
longitudinal survey study.
June 20, 2012
Benn J, Burnett S, Parand A, et al. Factors predicting change in hospital safety climate and capability in a
multi-site patient safety collaborative: a longit…
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psnet.ahrq.gov/node/47956/psn-pdf
June 26, 2019 - Family involvement in managing medications of older
patients across transitions of care: a systematic review.
June 26, 2019
Manias E, Bucknall T, Hughes C, et al. Family involvement in managing medications of older patients
across transitions of care: a systematic review. BMC Geriatr. 2019;19(1):95. doi:10.1186/s12…
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psnet.ahrq.gov/node/43412/psn-pdf
May 28, 2015 - An observational study of how patients are identified
before medication administrations in medical and surgical
wards.
May 28, 2015
Härkänen M, Kervinen M, Ahonen J, et al. An observational study of how patients are identified before
medication administrations in medical and surgical wards. Nurs Health Sci. 2015;1…
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psnet.ahrq.gov/node/73468/psn-pdf
July 07, 2021 - The implementation of communication didactics for
OB/GYN residents on the disclosure of adverse
perioperative events.
July 7, 2021
Chung EH, Truong T, Jooste KR, et al. The implementation of communication didactics for OB/GYN
residents on the disclosure of adverse perioperative events. J Surg Educ. 2021;78(3):942-…
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psnet.ahrq.gov/node/48149/psn-pdf
July 31, 2019 - Zero Harm: How to Achieve Patient and Workforce Safety
in Healthcare.
July 31, 2019
Clapper C, Merlino J, Stockmeier C, eds. New York, NY: McGraw-Hill Education; 2019. ISBN:
9781260440928.
https://psnet.ahrq.gov/issue/zero-harm-how-achieve-patient-and-workforce-safety-healthcare
Achieving zero preventable harms h…
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psnet.ahrq.gov/node/863754/psn-pdf
March 06, 2024 - The effect of visitation restrictions on ED error.
March 6, 2024
Marks CM, Wolfe RE, Grossman SA. The effect of visitation restrictions on ED error. Intern Emerg Med.
2024;19(5):1425-1430. doi:10.1007/s11739-024-03537-3.
https://psnet.ahrq.gov/issue/effect-visitation-restrictions-ed-error
At the beginning of the C…
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psnet.ahrq.gov/node/838016/psn-pdf
January 02, 2021 - Racism as a Root Cause approach: a new framework.
January 2, 2021
Malawa Z, Gaarde J, Spellen S. Racism as a Root Cause approach: a new framework. Pediatrics.
2021;147(1):e2020015602. doi:10.1542/peds.2020-015602.
https://psnet.ahrq.gov/issue/racism-root-cause-approach-new-framework
Structural racism, which manife…
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psnet.ahrq.gov/node/866446/psn-pdf
August 07, 2024 - FDA alerts health care providers, compounders and
patients of dosing errors associated with compounded
injectable semaglutide products.
August 7, 2024
FDA alerts health care providers, compounders and patients of dosing errors associated with compounded
injectable semaglutide products.July 26, 2024;
https://psnet…
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psnet.ahrq.gov/node/47798/psn-pdf
February 20, 2019 - Simulation safety first: an imperative.
February 20, 2019
Raemer D, Hannenberg A, Mullen A. Simulation Safety First: An Imperative. Simul Healthc.
2018;13(6):373-375. doi:10.1097/SIH.0000000000000341.
https://psnet.ahrq.gov/issue/simulation-safety-first-imperative
Although simulation training heightens the learnin…
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psnet.ahrq.gov/node/60648/psn-pdf
July 01, 2020 - Chronicle of a pandemic foretold: learning from the
COVID-19 failure—before the next outbreak arrives.
July 1, 2020
Osterholm MT, Olshaker M. Chronicle of a pandemic foretold: learning from the COVID-19 failure—before
the next outbreak arrives. Foreign Affairs. 2020;99:4.
https://psnet.ahrq.gov/issue/chronicle-pan…
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psnet.ahrq.gov/node/74138/psn-pdf
January 01, 2022 - The combined effect of psychological and social capital in
registered nurses experiencing second victimization: a
structural equation model.
December 1, 2021
Hinkley T?L. The combined effect of psychological and social capital in registered nurses experiencing
second victimization: a structural equation model. J N…
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psnet.ahrq.gov/node/43294/psn-pdf
April 25, 2016 - The right and wrong way to talk to patients about adverse
events.
April 25, 2016
Beaulieu-Volk D. The right and wrong way to talk to patients about adverse events. Medical economics.
2014;91(11):52-5.
https://psnet.ahrq.gov/issue/right-and-wrong-way-talk-patients-about-adverse-events
Apology laws have been explor…
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psnet.ahrq.gov/node/836858/psn-pdf
April 06, 2022 - Psychological safety during the test of new work
processes in an emergency department.
April 6, 2022
Dieckmann P, Tulloch S, Dalgaard AE, et al. Psychological safety during the test of new work processes in
an emergency department. BMC Health Serv Res. 2022;22(1):307. doi:10.1186/s12913-022-07687-y.
https://psnet.…
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psnet.ahrq.gov/node/47350/psn-pdf
November 29, 2018 - Do crowdsourced hospital ratings coincide with Hospital
Compare measures of clinical and nonclinical quality?
November 29, 2018
Perez V, Freedman S. Do Crowdsourced Hospital Ratings Coincide with Hospital Compare Measures of
Clinical and Nonclinical Quality? Health Serv Res. 2018;53(6):4491-4506. doi:10.1111/1475-6…
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psnet.ahrq.gov/node/852801/psn-pdf
August 23, 2023 - Nearly all hospital pharmacists say drug shortages are
negatively impacting care; a third say impacts are
‘critical.’
August 23, 2023
McPhillips D. CNN. August 10, 2023.
https://psnet.ahrq.gov/issue/nearly-all-hospital-pharmacists-say-drug-shortages-are-negatively-impacting-
care-third-say
Drug shortages present…
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psnet.ahrq.gov/node/34868/psn-pdf
February 03, 2011 - Role of computerized physician order entry systems in
facilitating medication errors.
February 3, 2011
Koppel R, Metlay JP, Cohen A, et al. Role of computerized physician order entry systems in facilitating
medication errors. JAMA. 2005;293(10):1197-203.
https://psnet.ahrq.gov/issue/role-computerized-physician-ord…
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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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psnet.ahrq.gov/node/45161/psn-pdf
September 19, 2016 - Design of an evidence-based "second victim" curriculum
for nurse anesthetists.
September 19, 2016
Daniels RG, McCorkle R. Design of an Evidence-Based "Second Victim" Curriculum for Nurse Anesthetists.
AANA J. 2016;84(2):107-113.
https://psnet.ahrq.gov/issue/design-evidence-based-second-victim-curriculum-nurse-anes…
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psnet.ahrq.gov/node/841155/psn-pdf
February 02, 2020 - Understanding unwarranted variation in clinical practice:
a focus on network effects, reflective medicine and
learning health systems.
February 2, 2020
Atsma F, Elwyn G, Westert GP. Understanding unwarranted variation in clinical practice: a focus on
network effects, reflective medicine and learning health systems…
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psnet.ahrq.gov/node/44212/psn-pdf
September 19, 2016 - Assessing the perceived level of institutional support for
the second victim after a patient safety event.
September 19, 2016
Joesten L, Cipparrone N, Okuno-Jones S, et al. Assessing the perceived level of institutional support for
the second victim after a patient safety event. J Patient Saf. 2015;11(2):73-78.
do…