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psnet.ahrq.gov/node/37754/psn-pdf
May 14, 2008 - Potentially inappropriate medication use in hospitalized
elders.
May 14, 2008
Rothberg MB, Pekow PS, Liu F, et al. Potentially inappropriate medication use in hospitalized elders. J
Hosp Med. 2008;3(2):91-102. doi:10.1002/jhm.290.
https://psnet.ahrq.gov/issue/potentially-inappropriate-medication-use-hospitalized-e…
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psnet.ahrq.gov/node/44955/psn-pdf
May 21, 2016 - Accuracy of the Safer Dx Instrument to identify diagnostic
errors in primary care.
May 21, 2016
Al-Mutairi A, Meyer AND, Thomas EJ, et al. Accuracy of the Safer Dx Instrument to Identify Diagnostic
Errors in Primary Care. J Gen Intern Care. 2016;31(6):602-608. doi:10.1007/s11606-016-3601-x.
https://psnet.ahrq.gov/…
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psnet.ahrq.gov/node/41394/psn-pdf
December 29, 2014 - An adverse event screening tool based on routinely
collected hospital-acquired diagnoses.
December 29, 2014
Brand CA, Tropea J, Gorelik A, et al. An adverse event screening tool based on routinely collected
hospital-acquired diagnoses. Int J Qual Health Care. 2012;24(3):266-78. doi:10.1093/intqhc/mzs007.
https://p…
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psnet.ahrq.gov/node/47211/psn-pdf
November 16, 2018 - A conceptual framework to reduce inpatient preventable
deaths.
November 16, 2018
Davis DP, Aguilar SA, Lawrence B, et al. A Conceptual Framework to Reduce Inpatient Preventable
Deaths. Jt Comm J Qual Patient Saf. 2018;44(7):413-420. doi:10.1016/j.jcjq.2018.01.003.
https://psnet.ahrq.gov/issue/conceptual-framework-…
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psnet.ahrq.gov/node/37998/psn-pdf
April 18, 2011 - Awareness with recall during general anaesthesia: a
prospective observational evaluation of 4001 patients.
April 18, 2011
Errando CL, Sigl JC, Robles M, et al. Awareness with recall during general anaesthesia: a prospective
observational evaluation of 4001 patients. Br J Anaesth. 2008;101(2):178-85. doi:10.1093/bja…
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psnet.ahrq.gov/node/48169/psn-pdf
July 24, 2019 - 50 Years of Inquiries in the National Health Service.
July 24, 2019
Polit Q. 2019;90:177-342.
https://psnet.ahrq.gov/issue/50-years-inquiries-national-health-service
The National Health Service strategy of publishing their inquiries into systematic poor care in the health
service is a model of transparency. Articl…
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psnet.ahrq.gov/node/45514/psn-pdf
November 02, 2016 - Building a culture of safety in ophthalmology.
November 2, 2016
Custer PL, Fitzgerald ME, Herman DC, et al. Building a Culture of Safety in Ophthalmology.
Ophthalmology. 2016;123(9 Suppl):S40-5. doi:10.1016/j.ophtha.2016.06.019.
https://psnet.ahrq.gov/issue/building-culture-safety-ophthalmology
Efforts to reduce m…
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psnet.ahrq.gov/node/40002/psn-pdf
January 19, 2011 - Considerations for the design of safe and effective
consumer health IT applications in the home.
January 19, 2011
Zayas-Cabán T, Dixon BE. Considerations for the design of safe and effective consumer health IT
applications in the home. Qual Saf Health Care. 2010;19 Suppl 3:i61-i67. doi:10.1136/qshc.2010.041897.
ht…
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psnet.ahrq.gov/node/39914/psn-pdf
October 13, 2010 - Clinical handover of patients arriving by ambulance to the
emergency department: a literature review.
October 13, 2010
Bost N, Crilly J, Wallis M, et al. Clinical handover of patients arriving by ambulance to the emergency
department - a literature review. Int Emerg Nurs. 2010;18(4):210-20. doi:10.1016/j.ienj.2009.…
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psnet.ahrq.gov/node/847059/psn-pdf
April 05, 2023 - A decade after Francis: is the NHS safer and more open?
April 5, 2023
Martin G, Stanford S, Dixon-Woods M. A decade after Francis: is the NHS safer and more open? BMJ.
2023;380:513. doi:10.1136/bmj.p513.
https://psnet.ahrq.gov/issue/decade-after-francis-nhs-safer-and-more-open
The Francis report served as a call t…
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psnet.ahrq.gov/node/39428/psn-pdf
April 07, 2010 - Critical incidents related to cardiac arrests reported to the
Danish Patient Safety Database.
April 7, 2010
Andersen PO, Maaløe R, Andersen HB. Critical incidents related to cardiac arrests reported to the Danish
Patient Safety Database. Resuscitation. 2010;81(3):312-316. doi:10.1016/j.resuscitation.2009.10.018.
h…
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psnet.ahrq.gov/node/45682/psn-pdf
November 01, 2017 - Changing smart pump vendors: lessons learned.
November 1, 2017
Arthur KJ, Catlin AC, Quebe A, et al. Changing Smart Pump Vendors: Lessons Learned. Hosp Pharm.
2016;51(9):782-789.
https://psnet.ahrq.gov/issue/changing-smart-pump-vendors-lessons-learned
Changes in processes, devices, and technologies can increase ri…
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psnet.ahrq.gov/node/38246/psn-pdf
January 02, 2009 - Chemotherapy safety and severe adverse events in
cancer patients: strategies to efficiently avoid
chemotherapy errors in in- and outpatient treatment.
January 2, 2009
Markert A, Thierry V, Kleber M, et al. Chemotherapy safety and severe adverse events in cancer patients:
Strategies to efficiently avoid chemotherap…
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psnet.ahrq.gov/node/50556/psn-pdf
January 01, 2021 - The compliance with a patient safety bundle for
management of placenta accreta spectrum.
October 16, 2019
Quist-Nelson J, Crank A, Oliver EA, et al. The compliance with a patient-safety bundle for management of
placenta accreta spectrum†. J Matern Fetal Neonatal Med. 2021;34(17):2880-2886.
doi:10.1080/14767058.201…
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psnet.ahrq.gov/node/46401/psn-pdf
September 13, 2017 - Understanding middle managers' influence in
implementing patient safety culture.
September 13, 2017
Gutberg J, Berta W. Understanding middle managers' influence in implementing patient safety culture.
BMC Health Serv Res. 2017;17(1):582. doi:10.1186/s12913-017-2533-4.
https://psnet.ahrq.gov/issue/understanding-mid…
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psnet.ahrq.gov/node/46231/psn-pdf
December 20, 2017 - Patient preferences for participation in patient care and
safety activities in hospitals.
December 20, 2017
Ringdal M, Chaboyer W, Ulin K, et al. Patient preferences for participation in patient care and safety
activities in hospitals. BMC Nurs. 2017;16:69. doi:10.1186/s12912-017-0266-7.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/47233/psn-pdf
November 02, 2018 - The STEP-up programme: engaging all staff in patient
safety.
November 2, 2018
Hamblin-Brown DJ; Ingram J.
https://psnet.ahrq.gov/issue/step-programme-engaging-all-staff-patient-safety
A transparent and respectful hospital culture is the foundation for improving working conditions to reduce
preventable harm. This …
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psnet.ahrq.gov/node/74763/psn-pdf
June 25, 2021 - FDA Safety Communication: flexible bronchoscopes and
updated recommendations for reprocessing.
June 25, 2021
Silver Springs, MD: US Food and Drug Administration: June 25, 2021.
https://psnet.ahrq.gov/issue/fda-safety-communication-flexible-bronchoscopes-and-updated-
recommendations-reprocessing
Incomplete reproce…
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psnet.ahrq.gov/node/74108/psn-pdf
January 01, 2022 - 'It depends': The complexity of allowing residents to fail
from the perspective of clinical supervisors.
November 24, 2021
Klasen JM, Teunissen PW, Driessen EW, et al. ‘It depends’: the complexity of allowing residents to fail from
the perspective of clinical supervisors. Med Teach. 2022;44(2):196-205.
doi:10.1080…
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psnet.ahrq.gov/node/37056/psn-pdf
February 24, 2011 - Use of multidisciplinary rounds to simultaneously
improve quality outcomes, enhance resident education,
and shorten length of stay.
February 24, 2011
O'Mahony S, Mazur E, Charney P, et al. Use of multidisciplinary rounds to simultaneously improve quality
outcomes, enhance resident education, and shorten length of …