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psnet.ahrq.gov/node/46792/psn-pdf
February 14, 2018 - Emerging trends in perinatal quality and risk with
recommendations for patient safety.
February 14, 2018
Simpson KR. Emerging Trends in Perinatal Quality and Risk With Recommendations for Patient Safety. J
Perinat Neonatal Nurs. 2018;32(1). doi:10.1097/jpn.0000000000000294.
https://psnet.ahrq.gov/issue/emerging-tr…
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psnet.ahrq.gov/node/851359/psn-pdf
July 12, 2023 - Evidence for anchoring bias during physician decision-
making.
July 12, 2023
Ly DP, Shekelle PG, Song Z. Evidence for anchoring bias during physician decision-making. JAMA Intern
Med. 2023;183(8):818-823. doi:10.1001/jamainternmed.2023.2366.
https://psnet.ahrq.gov/issue/evidence-anchoring-bias-during-physician-dec…
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psnet.ahrq.gov/node/50922/psn-pdf
February 19, 2020 - An Organisation Losing its Memory? Patient Safety
Alerts: Implementation, Monitoring and Regulation in
England
February 19, 2020
Cousins D. Croydon, UK: Accidents against Medical Accidents; 2020.
https://psnet.ahrq.gov/issue/organisation-losing-its-memory-patient-safety-alerts-implementation-
monitoring-and-regul…
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psnet.ahrq.gov/node/861292/psn-pdf
January 24, 2024 - Deficiencies in the Community Care Network
Credentialing Process of a Former VA Surgeon and
Veterans Health Administration Oversight Failures.
January 24, 2024
Washington DC: VA Office of the Inspector General; January 4, 2024; Report no. 22-02294-42.
https://psnet.ahrq.gov/issue/deficiencies-community-care-n…
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psnet.ahrq.gov/node/73524/psn-pdf
July 21, 2021 - Intravenous admixture preparation considerations, Parts
9-A and 9-B: error prevention in intravenous admixture
preparation.
July 21, 2021
Allen LV, Jr. Int J Pharm Compd. 2021;25:131-139; 222-229.
https://psnet.ahrq.gov/issue/intravenous-admixture-preparation-considerations-parts-9-and-9-b-error-
prevention-…
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psnet.ahrq.gov/node/43257/psn-pdf
August 14, 2014 - Barriers and success factors to the implementation of a
multi-site prospective adverse event surveillance system.
August 14, 2014
Backman C, Forster AJ, Vanderloo S. Barriers and success factors to the implementation of a multi-site
prospective adverse event surveillance system. Int J Qual Health Care. 2014;26(4):4…
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psnet.ahrq.gov/node/46377/psn-pdf
October 29, 2017 - Why it is so hard to talk about overuse in pediatrics and
why it matters.
October 29, 2017
Ralston SL, Schroeder AR. Why It Is So Hard to Talk About Overuse in Pediatrics and Why It Matters.
JAMA Pediatr. 2017;171(10):931-932. doi:10.1001/jamapediatrics.2017.2239.
https://psnet.ahrq.gov/issue/why-it-so-hard-talk-a…
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psnet.ahrq.gov/node/866746/psn-pdf
September 18, 2024 - Looking beyond LinkedIn: the case for excellence and
academic rigor in quality and safety programs.
September 18, 2024
Bearman G, Nori P. Looking beyond LinkedIn: the case for excellence and academic rigor in quality and
safety programs. Am J Med. 2024;137(8):694-697. doi:10.1016/j.amjmed.2024.04.018.
https://psne…
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psnet.ahrq.gov/node/35805/psn-pdf
January 02, 2017 - Getting the board on board: engaging hospital boards in
quality and patient safety.
January 2, 2017
Joshi MS, Hines S. Getting the board on board: Engaging hospital boards in quality and patient safety. Jt
Comm J Qual Patient Saf. 2006;32(4):179-87.
https://psnet.ahrq.gov/issue/getting-board-board-engaging-hospita…
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psnet.ahrq.gov/node/40427/psn-pdf
May 04, 2011 - Development of a tool within the electronic medical
record to facilitate medication reconciliation after hospital
discharge.
May 4, 2011
Schnipper JL, Liang CL, Hamann C, et al. Development of a tool within the electronic medical record to
facilitate medication reconciliation after hospital discharge. J Am Med Inf…
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psnet.ahrq.gov/node/848041/psn-pdf
April 26, 2023 - Potentiality of algorithms and artificial intelligence
adoption to improve medication management in primary
care: a systematic review.
April 26, 2023
Damiani G, Altamura G, Zedda M, et al. Potentiality of algorithms and artificial intelligence adoption to
improve medication management in primary care: a systematic…
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psnet.ahrq.gov/node/60736/psn-pdf
July 29, 2020 - Use of an electronic decision support tool to reduce
polypharmacy in elderly people with chronic diseases:
cluster randomised controlled trial.
July 29, 2020
Rieckert A, Reeves D, Altiner A, et al. Use of an electronic decision support tool to reduce polypharmacy in
elderly people with chronic diseases: cluster ra…
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psnet.ahrq.gov/node/45351/psn-pdf
July 20, 2016 - Building a Patient Safety Toolkit for use in general
practice.
July 20, 2016
Bell BG, Spencer R, Marsden K, et al. Building a Patient Safety Toolkit for use in general practice.
InnovAiT. 2016;9(9):557-562. doi:10.1177/1755738016650468.
https://psnet.ahrq.gov/issue/patient-safety-toolkit-general-practice
Although…
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psnet.ahrq.gov/node/855095/psn-pdf
November 08, 2023 - Identifying barriers and enablers for a robust independent
second check of medication in adult intensive care.
November 8, 2023
Milic V, Cameron L, Jones C. Identifying barriers and enablers for a robust independent second check of
medication in adult intensive care. Br J Nurs. 2023;32(17):840-848. doi:10.12968/bjo…
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psnet.ahrq.gov/node/47923/psn-pdf
April 17, 2019 - Improving employee voice about transgressive or
disruptive behavior: a case study.
April 17, 2019
Dixon-Woods M, Campbell A, Martin G, et al. Improving Employee Voice About Transgressive or Disruptive
Behavior: A Case Study. Acad Med. 2019;94(4):579-585. doi:10.1097/ACM.0000000000002447.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/50688/psn-pdf
November 20, 2019 - Roles and role ambiguity in patient- and caregiver-
performed outpatient parenteral antimicrobial therapy.
November 20, 2019
Keller SC, Cosgrove SE, Arbaje AI, et al. Roles and Role Ambiguity in Patient- and Caregiver-Performed
Outpatient Parenteral Antimicrobial Therapy. Jt Comm J Qual Patient Saf. 2019;45(11):763…
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psnet.ahrq.gov/node/60600/psn-pdf
June 17, 2020 - Reasons for drug administration problems and perceived
needs for assistance of patients, family caregivers, and
nurses: a qualitative study.
June 17, 2020
Lampert A, Haefeli WE, Seidling HM. Reasons for drug administration problems and perceived needs for
assistance of patients, family caregivers, and nurses: a qu…
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psnet.ahrq.gov/node/46643/psn-pdf
January 10, 2018 - The role of checklists and human factors for improved
patient safety in plastic surgery.
January 10, 2018
Oppikofer C, Schwappach DLB. The Role of Checklists and Human Factors for Improved Patient Safety in
Plastic Surgery. Plast Reconstr Surg. 2017;140(6):812e-817e. doi:10.1097/PRS.0000000000003892.
https://psnet…
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psnet.ahrq.gov/node/73511/psn-pdf
July 21, 2021 - Psychological safety in intensive care unit rounding
teams.
July 21, 2021
Diabes MA, Ervin JN, Davis BS, et al. Psychological safety in intensive care unit rounding teams. Ann Am
Thorac Soc. 2021;18(6):1027-1033. doi:10.1513/annalsats.202006-753oc.
https://psnet.ahrq.gov/issue/psychological-safety-intensive-care-u…
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psnet.ahrq.gov/node/45815/psn-pdf
January 25, 2017 - Handoffs: transitions of care for children in the
emergency department.
January 25, 2017
American Academy of Pediatrics Committee on Pediatric Emergency Medicine, American College of
Emergency Physicians Pediatric Emergency Medicine Committee, Emergency Nurses Association
Pediatric Committee. Pediatrics. 2016;138:…