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psnet.ahrq.gov/node/73635/psn-pdf
August 25, 2021 - Impact of smart pump-electronic health record
interoperability on patient safety and finances at a
community hospital
August 25, 2021
Wei W, Coffey W, Adeola M, et al. Impact of smart pump-electronic health record interoperability on patient
safety and finances at a community hospital. Am J Health Syst Pharm. 2021…
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psnet.ahrq.gov/node/36227/psn-pdf
August 30, 2006 - Does crew resource management training work? An
update, an extension, and some critical needs.
August 30, 2006
Salas E, Wilson KA, Burke CS, et al. Does Crew Resource Management Training Work? An Update, an
Extension, and Some Critical Needs. Hum Factors. 2006;48(2):392-412.
doi:10.1518/001872006777724444.
https:…
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psnet.ahrq.gov/node/44971/psn-pdf
June 01, 2016 - Chemotherapy errors: a call for a standardized approach
to measurement and reporting.
June 1, 2016
Lennes IT, Bohlen N, Park ER, et al. Chemotherapy Errors: A Call for a Standardized Approach to
Measurement and Reporting. J Oncol Pract. 2016;12(4):e495-501. doi:10.1200/JOP.2015.008995.
https://psnet.ahrq.gov/issue…
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psnet.ahrq.gov/node/43281/psn-pdf
May 28, 2015 - A method for prioritizing interventions following root
cause analysis (RCA): lessons from philosophy.
May 28, 2015
Boyd M. A method for prioritizing interventions following root cause analysis (RCA): lessons from
philosophy. J Eval Clin Pract. 2015;21(3):461-9. doi:10.1111/jep.12272.
https://psnet.ahrq.gov/issue/m…
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psnet.ahrq.gov/node/60054/psn-pdf
March 18, 2020 - Ensuring successful implementation of communication-
and-resolution programmes.
March 18, 2020
Mello MM, Roche S, Greenberg Y, et al. Ensuring successful implementation of communication-and-
resolution programmes. BMJ Qual Saf. 2020;29(11):895-904. doi:10.1136/bmjqs-2019-010296.
https://psnet.ahrq.gov/issue/ensuri…
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psnet.ahrq.gov/node/837420/psn-pdf
June 15, 2022 - The electronic prescribing of subcutaneous infusions: a
before-and-after study assessing the impact upon patient
safety and service efficiency.
June 15, 2022
Hindmarsh J, Holden K. The electronic prescribing of subcutaneous infusions: a before-and-after study
assessing the impact upon patient safety and service ef…
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psnet.ahrq.gov/node/866527/psn-pdf
August 14, 2024 - Developing, implementing, evaluating electronic apparent
cause analysis across a health care system.
August 14, 2024
Oster CA, Woods E, Mumma J, et al. Developing, implementing, evaluating electronic apparent cause
analysis across a health care system. Jt Comm J Qual Patient Saf. 2024;50(10):724-736.
doi:10.1016/j…
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psnet.ahrq.gov/node/854385/psn-pdf
October 11, 2023 - Perioperative team-based morbidity and mortality
conferences: a systematic review of the literature.
October 11, 2023
Samost-Williams A, Rosen R, Hannenberg A, et al. Perioperative team-based morbidity and mortality
conferences: a systematic review of the literature. Ann Surg Open. 2023;4(3):e321.
doi:10.1097/as9.…
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psnet.ahrq.gov/node/47184/psn-pdf
August 08, 2018 - Delivering on the promise of CLER: a patient safety
rotation that aligns resident education with hospital
processes.
August 8, 2018
Patel E, Muthusamy V, Young JQ. Delivering on the Promise of CLER: A Patient Safety Rotation That
Aligns Resident Education With Hospital Processes. Acad Med. 2018;93(6):898-903.
doi…
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psnet.ahrq.gov/node/44216/psn-pdf
April 25, 2016 - Improving medication safety during hospital-based
transitions of care.
April 25, 2016
Sponsler KC, Neal EB, Kripalani S. Improving medication safety during hospital-based transitions of care.
Cleve Clin J Med. 2015;82(6):351-360. doi:10.3949/ccjm.82a.14025.
https://psnet.ahrq.gov/issue/improving-medication-safety-…
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psnet.ahrq.gov/node/34968/psn-pdf
July 10, 2008 - Effect of antiseptic handwashing vs alcohol sanitizer on
health care-associated infections in neonatal intensive
care units.
July 10, 2008
Larson EL, Cimiotti JP, Haas JP, et al. Effect of antiseptic handwashing vs alcohol sanitizer on health care-
associated infections in neonatal intensive care units. Arch Pedia…
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psnet.ahrq.gov/node/859349/psn-pdf
January 01, 2024 - Investigating the influence of selected leadership styles
on patient safety and quality of care: a systematic review
and meta-analysis.
December 20, 2023
Singh A, Yeravdekar R, Jadhav S. Investigating the influence of selected leadership styles on patient safety
and quality of care: a systematic review and meta-an…
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psnet.ahrq.gov/node/45299/psn-pdf
July 20, 2016 - Reducing readmission at an academic medical center:
results of a pharmacy-facilitated discharge counseling
and medication reconciliation program.
July 20, 2016
Zemaitis CT, Morris G, Cabie M, et al. Reducing Readmission at an Academic Medical Center: Results of a
Pharmacy-Facilitated Discharge Counseling and Medic…
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psnet.ahrq.gov/node/50596/psn-pdf
October 30, 2019 - Encouraging resident adverse event reporting: a
qualitative study of suggestions from the front lines.
October 30, 2019
Szymusiak J, Walk TJ, Benson M, et al. Encouraging Resident Adverse Event Reporting: A Qualitative
Study of Suggestions from the Front Lines. Ped Qual Saf. 2019;4(3):e167.
doi:10.1097/pq9.0000000…
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psnet.ahrq.gov/node/846452/psn-pdf
March 22, 2023 - The relationship between job stress and patient safety
culture among nurses: a systematic review.
March 22, 2023
Zabin LM, Zaitoun RSA, Sweity EM, et al. The relationship between job stress and patient safety culture
among nurses: a systematic review. BMC Nurs. 2023;22(1):39. doi:10.1186/s12912-023-01198-9.
https:…
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psnet.ahrq.gov/node/38014/psn-pdf
March 02, 2011 - The frequency and significance of discrepancies in the
surgical count.
March 2, 2011
Greenberg CC, Regenbogen SE, Lipsitz SR, et al. The Frequency and Significance of Discrepancies in the
Surgical Count. Ann Surg. 2009;248(2). doi:10.1097/sla.0b013e318181c9a3.
https://psnet.ahrq.gov/issue/frequency-and-significanc…
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psnet.ahrq.gov/node/50881/psn-pdf
February 12, 2020 - Adverse events during intrahospital transport of critically
ill children: a systematic review.
February 12, 2020
Haydar B, Baetzel A, Elliott A, et al. Adverse Events During Intrahospital Transport of Critically Ill Children:
A Systematic Review. Anesth Analg. 2020;131(4):1135-1145. doi:10.1213/ane.0000000000004585…
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psnet.ahrq.gov/node/846759/psn-pdf
March 29, 2023 - A contemporary analysis of closed claims related to
wrong site surgery.
March 29, 2023
Tan J, Ross JM, Wright D, et al. A contemporary analysis of closed claims related to wrong site surgery. Jt
Comm J Qual Patient Saf. 2023;49(5):265-273. doi:10.1016/j.jcjq.2023.02.002.
https://psnet.ahrq.gov/issue/contemporary-a…
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psnet.ahrq.gov/node/38491/psn-pdf
January 31, 2011 - Diagnostic errors--The next frontier for patient safety.
January 31, 2011
Newman-Toker DE, Pronovost P. Diagnostic errors--the next frontier for patient safety. JAMA.
2009;301(10):1060-2. doi:10.1001/jama.2009.249.
https://psnet.ahrq.gov/issue/diagnostic-errors-next-frontier-patient-safety
Studies from autopsy dat…
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psnet.ahrq.gov/node/43154/psn-pdf
August 22, 2016 - Root cause analysis of ambulatory adverse drug events
that present to the emergency department.
August 22, 2016
Gertler SA, Coralic Z, Lopez A, et al. Root Cause Analysis of Ambulatory Adverse Drug Events That
Present to the Emergency Department. J Patient Saf. 2014;12(3). doi:10.1097/pts.0000000000000072.
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