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psnet.ahrq.gov/curated-library/maternal-safety
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Created By: Lorri Zipperer, Cybrarian, AHRQ PSNet Team
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psnet.ahrq.gov/web-mm/not-so-therapeutic-tap
December 01, 2014 - SPOTLIGHT CASE
Not-So-Therapeutic Tap
Citation Text:
Barsuk JH. Not-So-Therapeutic Tap. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012.
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psnet.ahrq.gov/node/45210/psn-pdf
September 27, 2016 - Increased risk of burnout for physicians and nurses
involved in a patient safety incident.
September 27, 2016
Van Gerven E, Elst TV, Vandenbroeck S, et al. Increased Risk of Burnout for Physicians and Nurses
Involved in a Patient Safety Incident. Med Care. 2016;54(10):937-943.
doi:10.1097/MLR.0000000000000582.
ht…
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psnet.ahrq.gov/node/46537/psn-pdf
January 24, 2019 - Antibiotic-resistant infection treatment costs have
doubled since 2002, now exceeding $2 billion annually.
January 24, 2019
Thorpe KE, Joski P, Johnston KJ. Antibiotic-Resistant Infection Treatment Costs Have Doubled Since
2002, Now Exceeding $2 Billion Annually. Health Aff (Millwood). 2018;37(4):662-669.
doi:10.1…
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psnet.ahrq.gov/node/44324/psn-pdf
September 09, 2015 - Prevalence, nature, severity and risk factors for
prescribing errors in hospital inpatients: prospective
study in 20 UK hospitals.
September 9, 2015
Ashcroft DM, Lewis PJ, Tully MP, et al. Prevalence, Nature, Severity and Risk Factors for Prescribing
Errors in Hospital Inpatients: Prospective Study in 20 UK Hospit…
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psnet.ahrq.gov/node/37622/psn-pdf
May 26, 2011 - Effect of computer order entry on prevention of serious
medication errors in hospitalized children.
May 26, 2011
Walsh KE, Landrigan CP, Adams WG, et al. Effect of computer order entry on prevention of serious
medication errors in hospitalized children. Pediatrics. 2008;121(3):e421-e427. doi:10.1542/peds.2007-
022…
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psnet.ahrq.gov/node/44541/psn-pdf
September 30, 2015 - The effect of universal glove and gown use on adverse
events in intensive care unit patients.
September 30, 2015
Croft LD, Harris AD, Pineles L, et al. The Effect of Universal Glove and Gown Use on Adverse Events in
Intensive Care Unit Patients. Clin Infect Dis. 2015;61(4):545-53. doi:10.1093/cid/civ315.
https://p…
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psnet.ahrq.gov/node/44711/psn-pdf
September 21, 2016 - The well-defined pediatric ICU: active surveillance using
nonmedical personnel to capture less serious safety
events.
September 21, 2016
White WA, Kennedy K, Belgum HS, et al. The Well-Defined Pediatric ICU: Active Surveillance Using
Nonmedical Personnel to Capture Less Serious Safety Events. Jt Comm J Qual Patien…
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psnet.ahrq.gov/node/45814/psn-pdf
March 22, 2017 - Emergency medical services responders' perceptions of
the effect of stress and anxiety on patient safety in the
out-of-hospital emergency care of children: a qualitative
study.
March 22, 2017
Guise J-M, Hansen M, O'Brien K, et al. Emergency medical services responders' perceptions of the effect
of stress and anxi…
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psnet.ahrq.gov/node/38948/psn-pdf
September 16, 2009 - Resident duty hours in surgery for ensuring patient
safety, providing optimum resident education and
training, and promoting resident well-being: a response
from the American College of Surgeons to the Report of
the Institute of Medicine, "Resident Duty Hours:
Enhancing Sleep, Supervision, and Safety."
September …
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psnet.ahrq.gov/node/844801/psn-pdf
January 01, 2021 - A mixed-methods study of challenges experienced by
clinical teams in measuring improvement.
September 11, 2019
Woodcock T, Liberati EG, Dixon-Woods M. A mixed-methods study of challenges experienced by clinical
teams in measuring improvement. BMJ Qual Saf. 2021;30(2):106-115. doi:10.1136/bmjqs-2018-009048.
https:/…
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psnet.ahrq.gov/node/44064/psn-pdf
November 03, 2015 - The July effect: an analysis of never events in the
nationwide inpatient sample.
November 3, 2015
Wen T, Attenello FJ, Wu B, et al. The July effect: an analysis of never events in the nationwide inpatient
sample. J Hosp Med. 2015;10(7):432-438. doi:10.1002/jhm.2352.
https://psnet.ahrq.gov/issue/july-effect-analysi…
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psnet.ahrq.gov/node/37327/psn-pdf
March 03, 2011 - Patterns of technical error among surgical malpractice
claims: an analysis of strategies to prevent injury to
surgical patients.
March 3, 2011
Regenbogen SE, Greenberg CC, Studdert DM, et al. Patterns of technical error among surgical malpractice
claims: an analysis of strategies to prevent injury to surgical pati…
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psnet.ahrq.gov/node/45595/psn-pdf
April 19, 2017 - Estimating deaths due to medical error: the ongoing
controversy and why it matters.
April 19, 2017
Shojania KG, Dixon-Woods M. Estimating deaths due to medical error: the ongoing controversy and why it
matters. BMJ Qual Saf. 2017;26(5):423-428. doi:10.1136/bmjqs-2016-006144.
https://psnet.ahrq.gov/issue/estimating…
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psnet.ahrq.gov/node/43091/psn-pdf
May 30, 2014 - Development of a professionalism committee approach to
address unprofessional medical staff behavior at an
academic medical center.
May 30, 2014
Speck RM, Foster JJ, Mulhern VA, et al. Development of a professionalism committee approach to address
unprofessional medical staff behavior at an academic medical center…
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psnet.ahrq.gov/node/43063/psn-pdf
May 01, 2015 - More Than 1,000 Preventable Deaths a Day Is Too Many:
The Need to Improve Patient Safety.
May 1, 2015
Hearing Before the Subcommittee on Primary Health and Aging, 113th Cong (July 17, 2014).
https://psnet.ahrq.gov/issue/more-1000-preventable-deaths-day-too-many-need-improve-patient-safety
A group of patient safety…
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psnet.ahrq.gov/node/39839/psn-pdf
November 07, 2011 - The disparity of frontline clinical staff and managers'
perceptions of a quality and patient safety initiative.
November 7, 2011
Parand A, Burnett S, Benn J, et al. The disparity of frontline clinical staff and managers' perceptions of a
quality and patient safety initiative. J Eval Clin Pract. 2011;17(6):1184-90. …
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psnet.ahrq.gov/node/44056/psn-pdf
May 19, 2018 - Impact of inpatient harms on hospital finances and
patient clinical outcomes.
May 19, 2018
Adler L, Yi D, Li M, et al. Impact of Inpatient Harms on Hospital Finances and Patient Clinical Outcomes. J
Patient Saf. 2018;14(2):67-73. doi:10.1097/PTS.0000000000000171.
https://psnet.ahrq.gov/issue/impact-inpatient-harms…
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psnet.ahrq.gov/node/47716/psn-pdf
June 26, 2019 - Magnitude and modifiers of the weekend effect in hospital
admissions: a systematic review and meta-analysis.
June 26, 2019
Chen Y-F, Armoiry X, Higenbottam C, et al. Magnitude and modifiers of the weekend effect in hospital
admissions: a systematic review and meta-analysis. BMJ Open. 2019;9(6):e025764. doi:10.1136/…
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psnet.ahrq.gov/node/48176/psn-pdf
July 31, 2019 - Duration of second victim symptoms in the aftermath of a
patient safety incident and association with the level of
patient harm: a cross-sectional study in the Netherlands.
July 31, 2019
Vanhaecht K, Seys D, Schouten L, et al. Duration of second victim symptoms in the aftermath of a patient
safety incident and ass…