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psnet.ahrq.gov/perspective/medical-scribes-and-patient-safety
August 01, 2019 - In addition, more published studies explored associations between scribes and patient and provider experiences
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psnet.ahrq.gov/node/855427/psn-pdf
November 15, 2023 - Preventing nosocomial bloodstream infections (NBSIs) by
implementing hospitalwide, department-level, self-
investigations: a NBSIs frontline ownership intervention.
November 15, 2023
Mudrik-Zohar H, Chowers M, Temkin E, et al. Preventing nosocomial bloodstream infections (NBSIs) by
implementing hospitalwide, depar…
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psnet.ahrq.gov/node/844547/psn-pdf
February 15, 2023 - An evidence and consensus-based definition of second
victim: a strategic topic in healthcare quality, patient
safety, person-centeredness and human resource
management.
February 15, 2023
Vanhaecht K, Seys D, Russotto S, et al. An evidence and consensus-based definition of second victim: a
strategic topic in healt…
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psnet.ahrq.gov/node/73923/psn-pdf
October 06, 2021 - Suicide risk, changing jobs, or leaving the nursing
profession in the aftermath of a patient safety incident.
October 6, 2021
Stovall M, Hansen L. Suicide risk, changing jobs, or leaving the nursing profession in the aftermath of a
patient safety incident. Worldviews Evid Based Nurs. 2021;18(5):264-272. doi:10.1111…
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psnet.ahrq.gov/node/853438/psn-pdf
September 13, 2023 - In search of an international multidimensional action plan
for second victim support: a narrative review.
September 13, 2023
Seys D, Panella M, Russotto S, et al. In search of an international multidimensional action plan for second
victim support: a narrative review. BMC Health Serv Res. 2023;23(1):816. doi:10.118…
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psnet.ahrq.gov/node/61019/psn-pdf
October 14, 2020 - Clinical deterioration and hospital?acquired
complications in adult patients with isolation precautions
for infection control: a systematic review.
October 14, 2020
Berry D, Wakefield E, Street M, et al. Clinical deterioration and hospital?acquired complications in adult
patients with isolation precautions for inf…
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psnet.ahrq.gov/node/60909/psn-pdf
September 16, 2020 - Improving patient handoffs and transitions through
adaptation and implementation of I-PASS across multiple
handoff settings.
September 16, 2020
Blazin LJ, Sitthi-Amorn J, Hoffman JM, et al. Improving patient handoffs and transitions through adaptation
and implementation of I-PASS across multiple handoff settings. …
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psnet.ahrq.gov/node/74034/psn-pdf
November 03, 2021 - Adaptation and implementation of the WHO Safe
Childbirth Checklist around the world.
November 3, 2021
Molina RL, Benski A-C, Bobanski L, et al. Adaptation and implementation of the WHO Safe Childbirth
Checklist around the world. Implement Sci Commun. 2021;2(1):76. doi:10.1186/s43058-021-00176-z.
https://psnet.ahrq…
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psnet.ahrq.gov/node/74842/psn-pdf
February 16, 2022 - An initiative to reduce insulin-related adverse drug events
in a children's hospital.
February 16, 2022
Lawson SA, Hornung LN, Lawrence M, et al. An initiative to reduce insulin-related adverse drug events in a
children's hospital. Pediatrics. 2022;149(1):e2020004937. doi:10.1542/peds.2020-004937.
https://psnet.ah…
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psnet.ahrq.gov/node/44022/psn-pdf
May 28, 2015 - Initiatives to identify and mitigate medication errors in
England.
May 28, 2015
Cousins D, Gerrett D, Richards N, et al. Initiatives to identify and mitigate medication errors in England.
Drug Saf. 2015;38(4):349-357. doi:10.1007/s40264-015-0270-3.
https://psnet.ahrq.gov/issue/initiatives-identify-and-mitigate-med…
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psnet.ahrq.gov/node/847041/psn-pdf
April 05, 2023 - Frontline nurses' clinical judgment in recognizing,
understanding, and responding to patient deterioration: a
qualitative study.
April 5, 2023
Dresser S, Teel C, Peltzer J. Frontline nurses' clinical judgment in recognizing, understanding, and
responding to patient deterioration: a qualitative study. Int J Nurs St…
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psnet.ahrq.gov/node/43681/psn-pdf
June 03, 2016 - Learning from failure: the need for independent safety
investigation in healthcare.
June 3, 2016
Macrae C, Vincent CA. Learning from failure: the need for independent safety investigation in healthcare. J
R Soc Med. 2014;107(11):439-443. doi:10.1177/0141076814555939.
https://psnet.ahrq.gov/issue/learning-failure-n…
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psnet.ahrq.gov/node/45917/psn-pdf
March 29, 2017 - Improving our understanding of multi-tasking in
healthcare: drawing together the cognitive psychology
and healthcare literature.
March 29, 2017
Douglas HE, Raban MZ, Walter SR, et al. Improving our understanding of multi-tasking in healthcare:
Drawing together the cognitive psychology and healthcare literature. Ap…
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psnet.ahrq.gov/node/837769/psn-pdf
August 03, 2022 - New graduate registered nurses: Risk mitigation
strategies to ensure safety and successful transition to
practice.
August 3, 2022
Smith CJ, DesRoches SL, Street NW, et al. New graduate registered nurses: risk mitigation strategies to
ensure safety and successful transition to practice. J Healthc Risk Manag. 2022;4…
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psnet.ahrq.gov/node/74155/psn-pdf
December 08, 2021 - "Time is of the essence": relationship between hospital
staff perceptions of time, safety attitudes and staff
wellbeing.
December 8, 2021
Ellis LA, Tran Y, Pomare C, et al. “Time is of the essence”: relationship between hospital staff perceptions
of time, safety attitudes and staff wellbeing. BMC Health Serv Res. …
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psnet.ahrq.gov/node/46223/psn-pdf
June 14, 2017 - Patient-reported safety incidents in older patients with
long-term conditions: a large cross-sectional study.
June 14, 2017
Panagioti M, Blakeman T, Hann M, et al. Patient-reported safety incidents in older patients with long-term
conditions: a large cross-sectional study. BMJ Open. 2017;7(5):e013524. doi:10.1136/b…
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psnet.ahrq.gov/node/60986/psn-pdf
January 01, 2021 - Organisational crisis resource management: leading an
academic department of emergency medicine through the
COVID-19 pandemic.
October 7, 2020
Gavin N, Romney M-LS, Lema PC, et al. Organisational crisis resource management: leading an academic
department of emergency medicine through the COVID-19 pandemic. BMJ Lea…
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psnet.ahrq.gov/node/46951/psn-pdf
June 26, 2018 - Emergency department boarding and adverse
hospitalization outcomes among patients admitted to a
general medical service.
June 26, 2018
Lord K, Parwani V, Ulrich A, et al. Emergency department boarding and adverse hospitalization outcomes
among patients admitted to a general medical service. Am J Emerg Med. 2018;36…
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psnet.ahrq.gov/node/35089/psn-pdf
August 05, 2009 - Teaching medical students about medical errors and
patient safety: evaluation of a required curriculum.
August 5, 2009
Halbach JL, Sullivan LL. Teaching medical students about medical errors and patient safety: evaluation of
a required curriculum. Acad Med. 2005;80(6):600-6.
https://psnet.ahrq.gov/issue/teaching-m…
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psnet.ahrq.gov/node/865871/psn-pdf
May 15, 2024 - Delivery at an inadequate level of maternal care is
associated with severe maternal morbidity.
May 15, 2024
Osei-Poku GK, Prentice JC, Easter SR, et al. Delivery at an inadequate level of maternal care is associated
with severe maternal morbidity. Am J Obstet Gynecol. 2024;231(5):e1-546.e520.
doi:10.1016/j.ajog.20…