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psnet.ahrq.gov/node/73588/psn-pdf
August 11, 2021 - Reporting of death in US Food and Drug Administration
medical device adverse event reports in categories other
than death.
August 11, 2021
Lalani C, Kunwar EM, Kinard M, et al. Reporting of death in US Food and Drug Administration medical
device adverse event reports in categories other than death. JAMA Intern Med…
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psnet.ahrq.gov/node/837700/psn-pdf
July 20, 2022 - Temporal associations between EHR-derived workload,
burnout, and errors: a prospective cohort study.
July 20, 2022
Lou SS, Lew D, Harford DR, et al. Temporal associations between EHR-derived workload, burnout, and
errors: a prospective cohort study. J Gen Intern Med. 2022;37(9):2165-2172. doi:10.1007/s11606-022-
0…
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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/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/45685/psn-pdf
January 01, 2021 - The effects of the second victim phenomenon on work-
related outcomes: connecting self-reported caregiver
distress to turnover intentions and absenteeism.
December 21, 2016
Burlison JD, Quillivan RR, Scott SD, et al. The Effects of the Second Victim Phenomenon on Work-Related
Outcomes: Connecting Self-Reported Car…
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psnet.ahrq.gov/node/74270/psn-pdf
January 19, 2022 - Adverse events associated with patient isolation: a
systematic literature review and meta-analysis.
January 19, 2022
Saliba R, Karam-Sarkis D, Zahar J-R, et al. Adverse events associated with patient isolation: a systematic
literature review and meta-analysis. J Hosp Infect. 2022;119:54-63. doi:10.1016/j.jhin.2021.…
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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/865520/psn-pdf
April 10, 2024 - The prevalence of incivility in hospitals and the effects of
incivility on patient safety culture and outcomes: a
systematic review and meta-analysis.
April 10, 2024
Freedman B, Li WW, Liang Z, et al. The prevalence of incivility in hospitals and the effects of incivility on
patient safety culture and outcomes: a …
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psnet.ahrq.gov/node/837588/psn-pdf
June 29, 2022 - Does racism impact healthcare quality? Perspectives of
Black and Hispanic/Latino patients.
June 29, 2022
Findling MG, Zephyrin L, Bleich SN, et al. Does racism impact healthcare quality? Perspectives of Black
and Hispanic/Latino patients. Healthc (Amst). 2022;10(2):100630. doi:10.1016/j.hjdsi.2022.100630.
https://…
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psnet.ahrq.gov/node/865925/psn-pdf
May 22, 2024 - Effect of interventions to improve safety culture on
healthcare workers in hospital settings: a systematic
review of the international literature.
May 22, 2024
Finn M, Walsh A, Rafter N, et al. Effect of interventions to improve safety culture on healthcare workers in
hospital settings: a systematic review of the …
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-101-webcast-01-fry-intro.pdf
January 08, 2019 - CAHPS 101
Understanding CAHPS® Surveys:
A Primer for New Users
A Webcast Presented by the AHRQ CAHPS User Network
January 8, 2019
12:00 – 1:00 pm ET
Need Help?
• No sound from computer speakers?
• Trouble with your connection or
slides not moving?
• Log out and log back in
• Other problems?
► Use Q&A fea…
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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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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module2/staff-safety-assessment.docx
March 01, 2017 - AHRQ Safety Program for Long-Term Care: HAIs/CAUTI
Long-Term Care Safety Modules
Staff Safety Assessment
Purpose: To tap into your experience to determine risks that could harm residents.
Who should use this tool? Anyone who works in or provides services to this nursing home.
How should you use this tool? Provid…
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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/846156/psn-pdf
March 15, 2023 - Communication matters when it comes to adverse events:
associations of adverse events during implant treatment
with patients' communication quality and trust
assessments.
March 15, 2023
Schrimpff C, Link E, Fisse T, et al. Communication matters when it comes to adverse events: associations
of adverse events durin…
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psnet.ahrq.gov/node/839827/psn-pdf
December 20, 2020 - Racial bias in pulse oximetry measurement.
December 20, 2020
Sjoding MW, Dickson RP, Iwashyna TJ, et al. Racial bias in pulse oximetry measurement. N Engl J Med.
2020;383(25):2477-2478. doi:10.1056/nejmc2029240.
https://psnet.ahrq.gov/issue/racial-bias-pulse-oximetry-measurement
Pulse oximetry is used to triage pa…
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psnet.ahrq.gov/node/73171/psn-pdf
April 21, 2021 - Patient safety and quality improvement adaptation during
the COVID-19 pandemic.
April 21, 2021
Sterling RS, Berry SA, Herzke C, et al. Patient safety and quality improvement adaptation during the
COVID-19 pandemic. Am J Med Qual. 2021;36(1):57-59. doi:10.1097/01.jmq.0000733448.50484.a8.
https://psnet.ahrq.gov/issu…
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psnet.ahrq.gov/node/74869/psn-pdf
February 23, 2022 - Three new best practices in the 2022-2023 Targeted
Medication Safety Best Practices for Hospitals.
February 23, 2022
ISMP Medication Safety Alert! Acute care edition. February 10, 2022:27(3):1-6.
https://psnet.ahrq.gov/issue/three-new-best-practices-2022-2023-targeted-medication-safety-best-
practices-hospitals
B…
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psnet.ahrq.gov/node/46078/psn-pdf
June 14, 2017 - Prescription opioid exposures among children and
adolescents in the United States: 2000–2015.
June 14, 2017
Allen JD, Casavant MJ, Spiller HA, et al. Prescription Opioid Exposures Among Children and Adolescents
in the United States: 2000-2015. Pediatrics. 2017;139(4). doi:10.1542/peds.2016-3382.
https://psnet.ahrq…
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psnet.ahrq.gov/node/60059/psn-pdf
August 12, 2020 - Survey shows room for improvement with two new ISMP
Targeted Medication Safety Best Practices.
August 12, 2020
ISMP Medication Safety Alert! Acute care edition. July 30, 2020;25(15).
https://psnet.ahrq.gov/issue/survey-shows-room-improvement-two-new-ismp-targeted-medication-safety-
best-practices
This article rep…