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psnet.ahrq.gov/node/851055/psn-pdf
June 28, 2023 - How do we learn about error? A cross-sectional study of
urology trainees.
June 28, 2023
Browne C, Crone L, O'Connor E. How do we learn about error? A cross-sectional study of urology trainees.
J Surg Educ. 2023;80(6):864-872. doi:10.1016/j.jsurg.2023.03.007.
https://psnet.ahrq.gov/issue/how-do-we-learn-about-error…
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psnet.ahrq.gov/node/43662/psn-pdf
November 05, 2014 - A crack in our best armor: "wrong patient" injections from
insulin pens alarmingly frequent even with barcode
scanning.
November 5, 2014
ISMP Medication Safety Alert! Acute Care Edition. October 23, 2014;19:1-5.
https://psnet.ahrq.gov/issue/crack-our-best-armor-wrong-patient-injections-insulin-pens-alarmingly-
fr…
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psnet.ahrq.gov/node/39322/psn-pdf
February 24, 2010 - Complications and death at the start of the new academic
year: is there a July phenomenon?
February 24, 2010
Inaba K, Recinos G, Teixeira PGR, et al. Complications and death at the start of the new academic year: is
there a July phenomenon? J Trauma. 2010;68(1):19-22. doi:10.1097/TA.0b013e3181b88dfe.
https://psnet…
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psnet.ahrq.gov/node/37903/psn-pdf
May 09, 2013 - Safe Surgery.
May 9, 2013
World Health Organization.
https://psnet.ahrq.gov/issue/safe-surgery-saves-lives-second-global-patient-safety-challenge
This initiative provides a surgical safety checklist and related educational and training materials building on
the Second Global Patient Safety Challenge vision to enco…
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psnet.ahrq.gov/node/50933/psn-pdf
February 26, 2020 - Medication-related harm in older adults following hospital
discharge: development and validation of a prediction
tool.
February 26, 2020
Parekh N, Ali K, Davies JG, et al. Medication-related harm in older adults following hospital discharge:
development and validation of a prediction tool. BMJ Qual Saf. 2020;29(2)…
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psnet.ahrq.gov/node/866194/psn-pdf
June 26, 2024 - Patient safety and satisfaction with fully remote
management of radiation oncology care.
June 26, 2024
Cuaron JJ, McBride S, Chino F, et al. Patient safety and satisfaction with fully remote management of
radiation oncology care. JAMA Netw Open. 2024;7(6):e2416570.
doi:10.1001/jamanetworkopen.2024.16570.
https://…
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psnet.ahrq.gov/node/73322/psn-pdf
May 26, 2021 - Detecting and assessing suicide ideation during the
COVID-19 pandemic.
May 26, 2021
Simon GE, Stewart CC, Gary MC, et al. Improvement brief: detecting and assessing suicide ideation during
the COVID-19 pandemic. Jt Comm J Qual Patient Saf. 2021;47(7):452-457. doi:10.1016/j.jcjq.2021.04.002.
https://psnet.ahrq.gov/…
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psnet.ahrq.gov/node/861767/psn-pdf
January 31, 2024 - Health literacy-informed communication to reduce
discharge medication errors in hospitalized children: a
randomized clinical trial.
January 31, 2024
Carroll AR, Johnson JA, Stassun JC, et al. Health literacy-informed communication to reduce discharge
medication errors in hospitalized children: a randomized clinica…
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psnet.ahrq.gov/node/43543/psn-pdf
November 05, 2014 - A patient safety approach to setting pass/fail standards
for basic procedural skills checklists.
November 5, 2014
Yudkowsky R, Tumuluru S, Casey P, et al. A patient safety approach to setting pass/fail standards for basic
procedural skills checklists. Simul Healthc. 2014;9(5):277-82. doi:10.1097/SIH.000000000000004…
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psnet.ahrq.gov/node/46437/psn-pdf
April 25, 2018 - The emotional impact of errors or adverse events on
healthcare providers in the NICU: the protective role of
coworker support.
April 25, 2018
Winning AM, Merandi JM, Lewe D, et al. The emotional impact of errors or adverse events on healthcare
providers in the NICU: The protective role of coworker support. J Adv N…
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psnet.ahrq.gov/node/60662/psn-pdf
January 01, 2022 - Medication order errors at hospital admission among
children with medical complexity
July 8, 2020
Blaine K, Wright J, Pinkham A, et al. Medication Order Errors at Hospital Admission Among Children With
Medical Complexity. J Patient Saf. 2022;18(1):e156-e162. doi:10.1097/pts.0000000000000719.
https://psnet.ahrq.gov…
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psnet.ahrq.gov/node/47673/psn-pdf
January 09, 2019 - Diagnostic decision-making in the emergency
department.
January 9, 2019
Medford-Davis LN, Singh H, Mahajan P. Diagnostic decision-making in the emergency department. Pediatr
Clin North Am. 2018;65(6):1097-1105. doi:10.1016/j.pcl.2018.07.003.
https://psnet.ahrq.gov/issue/diagnostic-decision-making-emergency-departm…
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psnet.ahrq.gov/node/861288/psn-pdf
January 24, 2024 - The impact of rationing nursing care on patient safety: a
systematic review.
January 24, 2024
Uchmanowicz I, Lisiak M, Wleklik M, et al. The impact of rationing nursing care on patient safety: a
systematic review. Med Sci Monit. 2024;30:e942031. doi:10.12659/msm.942031.
https://psnet.ahrq.gov/issue/impact-rationin…
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psnet.ahrq.gov/node/865873/psn-pdf
May 15, 2024 - A review of medication errors and the second victim in
pediatric pharmacy.
May 15, 2024
Bredenkamp K, Raschka MJ, Holmes A. A review of medication errors and the second victim in pediatric
pharmacy. J Pediatr Pharmacol Ther. 2024;29(2):100-106. doi:10.5863/1551-6776-29.2.100.
https://psnet.ahrq.gov/issue/review-me…
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psnet.ahrq.gov/node/73422/psn-pdf
January 01, 2022 - Are online patient reviews associated with health care
outcomes? A systematic review of the literature.
June 23, 2021
Placona AM, Rathert C. Are online patient reviews associated with health care outcomes? A systematic
review of the literature. Med Care Res Rev. 2022;79(1):3-16. doi:10.1177/10775587211014534.
http…
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psnet.ahrq.gov/node/72721/psn-pdf
February 10, 2021 - Supporting recovery after adverse events: an essential
component of surgeon well-being.
February 10, 2021
Berman L, Rialon KL, Mueller CM, et al. Supporting recovery after adverse events: an essential component
of surgeon well-being. J Pediatr Surg. 2021;56(5):833-838. doi:10.1016/j.jpedsurg.2020.12.031.
https://p…
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psnet.ahrq.gov/node/854247/psn-pdf
October 04, 2023 - Cognitive biases regarding utilization of Emergency
Severity Index among emergency nurses.
October 4, 2023
Essa CD, Victor G, Khan SF, et al. Cognitive biases regarding utilization of emergency severity index
among emergency nurses. Am J Emerg Med. 2023;73:63-68. doi:10.1016/j.ajem.2023.08.021.
https://psnet.ahrq.…
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psnet.ahrq.gov/node/73143/psn-pdf
April 14, 2021 - The incidence and preventability of adverse events in
older acutely admitted patients: a longitudinal study with
4292 patient records.
April 14, 2021
Schouten B, Merten H, Spreeuwenberg PMM, et al. The incidence and preventability of adverse events in
older acutely admitted patients: a longitudinal study with 4292…
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psnet.ahrq.gov/node/43796/psn-pdf
June 02, 2015 - Embedding quality and safety in otolaryngology–head
and neck surgery education.
June 2, 2015
McCormick ME, Stadler ME, Shah RK. Embedding quality and safety in otolaryngology-head and neck
surgery education. Otolaryngol Head Neck Surg. 2015;152(5):778-782. doi:10.1177/0194599814561601.
https://psnet.ahrq.gov/issue…
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psnet.ahrq.gov/node/43853/psn-pdf
March 11, 2015 - Expressing concern and writing it down: an experimental
study investigating transfer of information at nursing
handover.
March 11, 2015
Lee H, Cumin D, Devcich DA, et al. Expressing concern and writing it down: an experimental study
investigating transfer of information at nursing handover. J Adv Nurs. 2015;71(1):…