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psnet.ahrq.gov/node/45174/psn-pdf
November 18, 2016 - Patient safety events and harms during medical and
surgical hospitalizations for persons with serious mental
illness.
November 18, 2016
Daumit GL, McGinty EE, Pronovost P, et al. Patient Safety Events and Harms During Medical and Surgical
Hospitalizations for Persons With Serious Mental Illness. Psychiatr Serv. 20…
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psnet.ahrq.gov/node/40304/psn-pdf
March 23, 2011 - Bar code medication administration technology:
characterization of high-alert medication triggers and
clinician workarounds.
March 23, 2011
Miller DF, Fortier CR, Garrison KL. Bar Code Medication Administration Technology: Characterization of
High-Alert Medication Triggers and Clinician Workarounds. Ann Pharmacoth…
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psnet.ahrq.gov/node/854819/psn-pdf
October 25, 2023 - Second victim syndrome in intensive care unit healthcare
workers: a systematic review and meta-analysis on types,
prevalence, risk factors, and recovery time.
October 25, 2023
Naya K, Aikawa G, Ouchi A, et al. Second victim syndrome in intensive care unit healthcare workers: a
systematic review and meta-analysis o…
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psnet.ahrq.gov/node/41100/psn-pdf
February 01, 2012 - Agency for Healthcare Research and Quality pediatric
indicators as a quality metric for surgery in children: do
they predict adverse outcomes?
February 1, 2012
Rhee D, Zhang Y, Papandria DJ, et al. Agency for Healthcare Research and Quality pediatric indicators as
a quality metric for surgery in children: do they …
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psnet.ahrq.gov/node/72752/psn-pdf
February 17, 2021 - Why do healthcare professionals fail to escalate as per
the early warning system (EWS) protocol? A qualitative
evidence synthesis of the barriers and facilitators of
escalation.
February 17, 2021
O’Neill SM, Clyne B, Bell M, et al. Why do healthcare professionals fail to escalate as per the early warning
system (…
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psnet.ahrq.gov/node/44042/psn-pdf
November 03, 2015 - Deployment of rapid response teams by 31 hospitals in a
statewide collaborative.
November 3, 2015
Stolldorf DP, Jones CB. Deployment of rapid response teams by 31 hospitals in a statewide collaborative.
Jt Comm J Qual Patient Saf. 2015;41(4):186-191.
https://psnet.ahrq.gov/issue/deployment-rapid-response-teams-31-…
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psnet.ahrq.gov/node/47474/psn-pdf
April 07, 2019 - Toward safer health care: a review strategy of FDA
medical device adverse event database to identify and
categorize health information technology related events.
April 7, 2019
Kang H, Wang J, Yao B, et al. Toward safer health care: a review strategy of FDA medical device adverse
event database to identify and cate…
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psnet.ahrq.gov/node/42933/psn-pdf
July 03, 2014 - Critical events during land-based interfacility transport.
July 3, 2014
Singh JM, MacDonald RD, Ahghari M. Critical events during land-based interfacility transport. Ann Emerg
Med. 2014;64(1):9-15.e2. doi:10.1016/j.annemergmed.2013.12.009.
https://psnet.ahrq.gov/issue/critical-events-during-land-based-interfacility…
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psnet.ahrq.gov/node/848316/psn-pdf
May 03, 2023 - Floating to intensive care units: nurses' messages for
instant action to promote patient safety.
May 3, 2023
Ahmed FR, Timmins F, Dias JM, et al. Floating to intensive care units: nurses' messages for instant action
to promote patient safety. Nurs Crit Care. 2023;28(6):902-912. doi:10.1111/nicc.12907.
https://psne…
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psnet.ahrq.gov/node/44103/psn-pdf
July 08, 2015 - Results of survey on pediatric medication safety—part 1
and part 2.
July 8, 2015
ISMP Medication Safety Alert! Acute Care Edition. June 4, 2015;20:1-6. July 2, 2015;20:1-5.
https://psnet.ahrq.gov/issue/results-survey-pediatric-medication-safety-part-1-and-part-2
Hospitalized children are susceptible to medication …
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psnet.ahrq.gov/node/47561/psn-pdf
February 22, 2019 - "Change is what can actually make the tough times
better": a patient-centred patient safety intervention
delivered in collaboration with hospital volunteers.
February 22, 2019
Louch G, Mohammed MA, Hughes L, et al. "Change is what can actually make the tough times better": A
patient-centred patient safety interven…
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psnet.ahrq.gov/node/74180/psn-pdf
December 17, 2020 - How structural racism works - racist policies as a root
cause of U.S. racial health inequities.
December 17, 2020
Bailey ZD, Feldman JM, Bassett MT. How structural racism works - racist policies as a root cause of U.S.
racial health inequities. N Engl J Med. 2020;384(8):768-773. doi:10.1056/nejmms2025396.
https://…
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psnet.ahrq.gov/node/43965/psn-pdf
July 16, 2015 - Decision making in trauma settings: simulation to
improve diagnostic skills.
July 16, 2015
Murray DJ, Freeman BD, Boulet JR, et al. Decision making in trauma settings: simulation to improve
diagnostic skills. Simul Healthc. 2015;10(3):139-145. doi:10.1097/SIH.0000000000000073.
https://psnet.ahrq.gov/issue/decision…
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psnet.ahrq.gov/node/43349/psn-pdf
July 16, 2014 - Multifaceted interventions improve adherence to the
surgical checklist.
July 16, 2014
Putnam LR, Levy SM, Sajid M, et al. Multifaceted interventions improve adherence to the surgical checklist.
Surgery. 2014;156(2):336-344. doi:10.1016/j.surg.2014.03.032.
https://psnet.ahrq.gov/issue/multifaceted-interventions-imp…
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psnet.ahrq.gov/node/45754/psn-pdf
September 01, 2018 - Addressing ambulatory safety and malpractice: the
Massachusetts PROMISES project.
September 1, 2018
Schiff G, Nieva HR, Griswold P, et al. Addressing Ambulatory Safety and Malpractice: The Massachusetts
PROMISES Project. Health Serv Res. 2016;51 Suppl 3:2634-2641. doi:10.1111/1475-6773.12621.
https://psnet.ahrq.go…
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psnet.ahrq.gov/node/60278/psn-pdf
April 29, 2020 - Assessing patient safety in a pediatric telemedicine
setting: a multi-methods study.
April 29, 2020
Haimi M, Brammli-Greenberg S, Baron-Epel O, et al. Assessing patient safety in a pediatric telemedicine
setting: a multi-methods study. BMC Med Inform Decis Mak. 2020;20(1). doi:10.1186/s12911-020-1074-7.
https://ps…
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psnet.ahrq.gov/node/35737/psn-pdf
July 15, 2010 - Shepherding change: how the market, healthcare
providers, and public policy can deliver quality care for
the 21st century.
July 15, 2010
Kennedy P, Pronovost P. Shepherding change: how the market, healthcare providers, and public policy
can deliver quality care for the 21st century. Crit Care Med. 2006;34(3 Suppl)…
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psnet.ahrq.gov/node/33631/psn-pdf
April 01, 2006 - students well to solve therapeutic problems through the use of case studies
and advanced patient care experiences
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psnet.ahrq.gov/node/33844/psn-pdf
October 01, 2017 - these perceived cultural norms which are
communicated to health care workers early in their training experiences
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psnet.ahrq.gov/node/49590/psn-pdf
January 01, 2010 - User experiences with pharmacy benefit manager
data at point of care.