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psnet.ahrq.gov/node/44902/psn-pdf
February 24, 2016 - Barriers to incident-reporting behavior among nursing
staff: a study based on the theory of planned behavior.
February 24, 2016
Lee Y-H, Yang C-C, Chen T-T. Barriers to incident-reporting behavior among nursing staff: A study based
on the theory of planned behavior. J Manag Organ. 2015;22(1):1-18. doi:10.1017/jmo.2…
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psnet.ahrq.gov/node/73247/psn-pdf
May 12, 2021 - Emergency physician perceptions of electronic health
record usability and safety.
May 12, 2021
Pruitt ZM, Howe JL, Hettinger AZ, et al. Emergency physician perceptions of electronic health record
usability and safety. J Patient Saf. 2021;17(8):e983-e987. doi:10.1097/pts.0000000000000849.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/855427/psn-pdf
November 15, 2023 - Preventing nosocomial bloodstream infections (NBSIs) by
implementing hospitalwide, department-level, self-
investigations: a NBSIs frontline ownership intervention.
November 15, 2023
Mudrik-Zohar H, Chowers M, Temkin E, et al. Preventing nosocomial bloodstream infections (NBSIs) by
implementing hospitalwide, depar…
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psnet.ahrq.gov/node/837900/psn-pdf
August 24, 2022 - Inaccurate penicillin allergy labeling, the electronic health
record, and adverse outcomes of care.
August 24, 2022
Olans RD, Olans RN, Marfatia R, et al. Inaccurate penicillin allergy labeling, the electronic health record,
and adverse outcomes of care. Jt Comm J Qual Patient Saf. 2022;48(10):552-558.
doi:10.1016…
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psnet.ahrq.gov/node/844547/psn-pdf
February 15, 2023 - An evidence and consensus-based definition of second
victim: a strategic topic in healthcare quality, patient
safety, person-centeredness and human resource
management.
February 15, 2023
Vanhaecht K, Seys D, Russotto S, et al. An evidence and consensus-based definition of second victim: a
strategic topic in healt…
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psnet.ahrq.gov/node/73923/psn-pdf
October 06, 2021 - Suicide risk, changing jobs, or leaving the nursing
profession in the aftermath of a patient safety incident.
October 6, 2021
Stovall M, Hansen L. Suicide risk, changing jobs, or leaving the nursing profession in the aftermath of a
patient safety incident. Worldviews Evid Based Nurs. 2021;18(5):264-272. doi:10.1111…
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psnet.ahrq.gov/node/45453/psn-pdf
November 02, 2016 - Creating highly reliable health care: how reliability-
enhancing work practices affect patient safety in
hospitals.
November 2, 2016
Vogus TJ, Iacobucci D. Creating Highly Reliable Health Care. ILR Review. 2016;69(4).
doi:10.1177/0019793916642759.
https://psnet.ahrq.gov/issue/creating-highly-reliable-health-care-…
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psnet.ahrq.gov/node/853438/psn-pdf
September 13, 2023 - In search of an international multidimensional action plan
for second victim support: a narrative review.
September 13, 2023
Seys D, Panella M, Russotto S, et al. In search of an international multidimensional action plan for second
victim support: a narrative review. BMC Health Serv Res. 2023;23(1):816. doi:10.118…
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psnet.ahrq.gov/node/35716/psn-pdf
July 10, 2008 - Adherence to black box warnings for prescription
medications in outpatients.
July 10, 2008
Lasser KE, Seger DL, Yu T, et al. Adherence to black box warnings for prescription medications in
outpatients. Arch Intern Med. 2006;166(3):338-44.
https://psnet.ahrq.gov/issue/adherence-black-box-warnings-prescription-medic…
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psnet.ahrq.gov/node/46941/psn-pdf
August 01, 2018 - Incident reporting to improve patient safety: the effects of
process variance on pediatric patient safety in the
emergency department.
August 1, 2018
O?Connell KJ, Shaw KN, Ruddy RM, et al. Incident Reporting to Improve Patient Safety: The Effects of
Process Variance on Pediatric Patient Safety in the Emergency De…
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psnet.ahrq.gov/node/848362/psn-pdf
May 03, 2023 - Delays in care during the COVID-19 pandemic in the
Veterans Health Administration.
May 3, 2023
Mills PD, Louis RP, Yackel E. Delays in care during the COVID-19 pandemic in the Veterans Health
Administration. J Healthc Qual. 2023;45(4):242-253. doi:10.1097/jhq.0000000000000383.
https://psnet.ahrq.gov/issue/delays-c…
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psnet.ahrq.gov/node/43614/psn-pdf
October 22, 2014 - Hardwiring patient blood management: harnessing
information technology to optimize transfusion practice.
October 22, 2014
Dunbar NM, Szczepiorkowski ZM. Hardwiring patient blood management: harnessing information
technology to optimize transfusion practice. Curr Opin Hematol. 2014;21(6):515-20.
doi:10.1097/MOH.000…
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psnet.ahrq.gov/node/73581/psn-pdf
January 01, 2022 - Applying human factors engineering to address the
telemetry alarm problem in a large medical center.
August 11, 2021
Patterson ES, Rayo MF, Edworthy JR, et al. Applying human factors engineering to address the telemetry
alarm problem in a large medical center. Hum Factors. 2022;64(1):126-142.
doi:10.1177/001872082…
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psnet.ahrq.gov/node/74192/psn-pdf
January 01, 2022 - Safer prescribing and care for the elderly (SPACE):
cluster randomised controlled trial in general practice.
December 15, 2021
Wallis KA, Elley CR, Moyes SA, et al. Safer prescribing and care for the elderly (SPACE): cluster
randomised controlled trial in general practice. BJGP Open. 2022;6(1):BJGPO.2021.0129.
doi…
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psnet.ahrq.gov/node/852462/psn-pdf
August 16, 2023 - American Geriatrics Society 2023 updated AGS Beers
Criteria for Potentially Inappropriate Medication Use in
Older Adults.
August 16, 2023
American Geriatrics Society Beers Criteria® Update Expert Panel. J Am Geriatr Soc. 2023;71(7):2052-
2081.
https://psnet.ahrq.gov/issue/american-geriatrics-society-2023-updated-…
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psnet.ahrq.gov/node/46850/psn-pdf
July 11, 2018 - Medication administration and interruptions in nursing
homes: a qualitative observational study.
July 11, 2018
Odberg KR, Hansen BS, Aase K, et al. Medication administration and interruptions in nursing homes: A
qualitative observational study. J Clin Nurs. 2018;27(5-6):1113-1124. doi:10.1111/jocn.14138.
https://p…
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psnet.ahrq.gov/node/47335/psn-pdf
August 22, 2018 - Seeking answers, hearing silence.
August 22, 2018
Hemmelgarn C. Seeking Answers, Hearing Silence. Health Aff (Millwood). 2018;37(8):1332-1334.
doi:10.1377/hlthaff.2017.1535.
https://psnet.ahrq.gov/issue/seeking-answers-hearing-silence
Lack of transparency regarding errors in patient care contributes to harm, mistr…
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psnet.ahrq.gov/node/47565/psn-pdf
April 27, 2019 - Unintentionally retained foreign objects: a descriptive
study of 308 sentinel events and contributing factors.
April 27, 2019
Steelman VM, Shaw C, Shine L, et al. Unintentionally Retained Foreign Objects: A Descriptive Study of
308 Sentinel Events and Contributing Factors. Jt Comm J Qual Patient Saf. 2019;45(4):249…
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psnet.ahrq.gov/node/839823/psn-pdf
November 09, 2022 - Prescribing decision making by medical residents on
night shifts: a qualitative study.
November 9, 2022
Lauffenburger JC, Coll MD, Kim E, et al. Prescribing decision making by medical residents on night shifts: a
qualitative study. Med Educ. 2022;56(10):1032-1041. doi:10.1111/medu.14845.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/851065/psn-pdf
June 28, 2023 - Patient safety of perioperative medication through the
lens of digital health and artificial intelligence.
June 28, 2023
Ye J. Patient safety of perioperative medication through the lens of digital health and artificial intelligence.
JMIR Periop Med. 2023;6:e34453. doi:10.2196/34453.
https://psnet.ahrq.gov/issue/p…