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psnet.ahrq.gov/node/72580/psn-pdf
December 16, 2020 - Nurses' perceptions of open disclosure processes in
cancer care: a cross-sectional study.
December 16, 2020
Waller A, Hobden B, Bryant J, et al. Nurses’ perceptions of open disclosure processes in cancer care: a
cross-sectional study. Collegian. 2020;27(5):506-511. doi:10.1016/j.colegn.2020.02.001.
https://psnet.a…
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psnet.ahrq.gov/node/47520/psn-pdf
February 06, 2019 - Improving patient safety in developing countries—moving
towards an integrated approach.
February 6, 2019
Elmontsri M, Banarsee R, Majeed A. Improving patient safety in developing countries - moving towards an
integrated approach. JRSM Open. 2018;9(11):2054270418786112. doi:10.1177/2054270418786112.
https://psnet.a…
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psnet.ahrq.gov/node/47429/psn-pdf
December 05, 2018 - The Fearless Organization: Creating Psychological Safety
in the Workplace for Learning, Innovation, and Growth.
December 5, 2018
Edmondson AC. Hoboken, NJ: John Wiley & Sons, Inc.; 2019. ISBN: 9781119477266.
https://psnet.ahrq.gov/issue/fearless-organization-creating-psychological-safety-workplace-learning-
innova…
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psnet.ahrq.gov/node/842433/psn-pdf
February 15, 2023 - New AHRQ SOPS Workplace Safety Supplemental Item
Set for Nursing Homes.
February 15, 2023
Agency for Healthcare Research and Quality. January 24, 2023.
https://psnet.ahrq.gov/issue/new-ahrq-sops-workplace-safety-supplemental-item-set-nursing-homes
Workplace safety became more apparent during the COVID pandemic as …
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psnet.ahrq.gov/node/866642/psn-pdf
September 04, 2024 - Learning from patient safety incidents: The Green Cross
method.
September 4, 2024
Jacobsen HK, Ballangrud R, Birkeli GH. Learning from patient safety incidents: the Green Cross method.
Nurs Crit Care. 2024;Epub Jun 26. doi:10.1111/nicc.13114.
https://psnet.ahrq.gov/issue/learning-patient-safety-incidents-green-cro…
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psnet.ahrq.gov/node/45670/psn-pdf
November 16, 2016 - Not thinking clearly? Play a game, seriously!
November 16, 2016
Mohan D, Schell J, Angus DC. Not Thinking Clearly? Play a Game, Seriously!. JAMA. 2016;316(18):1867-
1868. doi:10.1001/jama.2016.14174.
https://psnet.ahrq.gov/issue/not-thinking-clearly-play-game-seriously
Heuristics enable experts to build off their …
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psnet.ahrq.gov/node/35159/psn-pdf
January 02, 2017 - Medication reconciliation in acute care: ensuring an
accurate drug regimen on admission and discharge.
January 2, 2017
Rodehaver C, Fearing D. Medication reconciliation in acute care: ensuring an accurate drug regimen on
admission and discharge. Jt Comm J Qual Patient Saf. 2005;31(7):406-13.
https://psnet.ahrq.gov…
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psnet.ahrq.gov/node/45258/psn-pdf
September 07, 2016 - Pathologists, patients and diagnostic errors—part 1 and
part 2.
September 7, 2016
Miller N.
https://psnet.ahrq.gov/issue/pathologists-patients-and-diagnostic-errors-part-1-and-part-2
In light of the growing focus on diagnostic errors, this magazine series reports on unique challenges that
pathologists face when t…
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psnet.ahrq.gov/node/866325/psn-pdf
July 17, 2024 - "What do health inequities have to do with anything?".
July 17, 2024
Kalinowski J. "What do health inequities have to do with anything?". N Engl J Med. 2024;390(23):e61.
doi:10.1056/nejmpv2404787.
https://psnet.ahrq.gov/issue/what-do-health-inequities-have-do-anything
Personal stories of poor care can catalyze the…
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psnet.ahrq.gov/node/46887/psn-pdf
May 03, 2018 - Financial incentives to reduce hospital-acquired
infections under alternative payment arrangements.
May 3, 2018
Cohen CC, Liu J, Cohen B, et al. Financial Incentives to Reduce Hospital-Acquired Infections Under
Alternative Payment Arrangements. Infect Control Hosp Epidemiol. 2018;39(5):509-515.
doi:10.1017/ice.201…
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psnet.ahrq.gov/node/73611/psn-pdf
August 18, 2021 - Racial disparities in diagnostic delay among women with
breast cancer.
August 18, 2021
Miller-Kleinhenz JM, Collin LJ, Seidel R, et al. Racial disparities in diagnostic delay among women with
breast cancer. J Am Coll Radiol. 2021;18(10):1384-1393. doi:10.1016/j.jacr.2021.06.019.
https://psnet.ahrq.gov/issue/racial…
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psnet.ahrq.gov/node/40427/psn-pdf
May 04, 2011 - Development of a tool within the electronic medical
record to facilitate medication reconciliation after hospital
discharge.
May 4, 2011
Schnipper JL, Liang CL, Hamann C, et al. Development of a tool within the electronic medical record to
facilitate medication reconciliation after hospital discharge. J Am Med Inf…
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psnet.ahrq.gov/node/865977/psn-pdf
May 29, 2024 - Complication rates of central venous catheters: a
systematic review and meta-analysis.
May 29, 2024
Teja B, Bosch NA, Diep C, et al. Complication rates of central venous catheters: a systematic review and
meta-analysis. JAMA Intern Med. 2024;184(5):474-482. doi:10.1001/jamainternmed.2023.8232.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/43962/psn-pdf
December 04, 2015 - Undergraduate baccalaureate nursing students' self-
reported confidence in learning about patient safety in the
classroom and clinical settings: an annual cross-
sectional study (2010–2013).
December 4, 2015
Lukewich J, Edge DS, Tranmer J, et al. Undergraduate baccalaureate nursing students' self-reported
confide…
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psnet.ahrq.gov/node/41232/psn-pdf
December 31, 2014 - Using FDA reports to inform a classification for health
information technology safety problems.
December 31, 2014
Magrabi F, Ong M-S, Runciman WB, et al. Using FDA reports to inform a classification for health
information technology safety problems. J Am Med Inform Assoc. 2012;19(1):45-53. doi:10.1136/amiajnl-
201…
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psnet.ahrq.gov/node/72676/psn-pdf
January 27, 2021 - Risk of COVID-19-related bullying, harassment and stigma
among healthcare workers: an analytical cross-sectional
global study.
January 27, 2021
Dye TD, Alcantara L, Siddiqi S, et al. Risk of COVID-19-related bullying, harassment and stigma among
healthcare workers: an analytical cross-sectional global study. BMJ O…
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psnet.ahrq.gov/node/864371/psn-pdf
March 13, 2024 - The ritualisation of the surgical safety checklist and its
decoupling from patient safety goals.
March 13, 2024
Facey M, Baxter NN, Hammond Mobilio M, et al. The ritualisation of the surgical safety checklist and its
decoupling from patient safety goals. Sociol Health Illn. 2024;46(6):1100-1118. doi:10.1111/1467-
…
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psnet.ahrq.gov/node/46777/psn-pdf
January 24, 2018 - Safety analysis over time: seven major changes to
adverse event investigation.
January 24, 2018
Vincent CA, Carthey J, Macrae C, et al. Safety analysis over time: seven major changes to adverse event
investigation. Implementation Science. 2017;12(1). doi:10.1186/s13012-017-0695-4.
https://psnet.ahrq.gov/issue/safe…
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psnet.ahrq.gov/node/38448/psn-pdf
March 04, 2009 - Medication errors: the impact of prescribing and
transcribing errors on preventable harm in hospitalised
patients.
March 4, 2009
van Doormaal JE, van den Bemt PMLA, Mol PGM, et al. Medication errors: the impact of prescribing and
transcribing errors on preventable harm in hospitalised patients. Qual Saf Health Car…
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psnet.ahrq.gov/node/848092/psn-pdf
April 26, 2023 - Doctors must stop tuning out Black women. It happened
to me, as a pregnant OB-GYN.
April 26, 2023
Gillispie-Bell V. USA Today. April 14, 2023.
https://psnet.ahrq.gov/issue/doctors-must-stop-tuning-out-black-women-it-happened-me-pregnant-ob-gyn
Structural racism and implicit biases can lead to poor quality of care …