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psnet.ahrq.gov/node/73578/psn-pdf
August 11, 2021 - Adverse events and hospital-acquired conditions
associated with potential low-value care in Medicare
beneficiaries.
August 11, 2021
Chalmers K, Gopinath V, Brownlee S, et al. Adverse events and hospital-acquired conditions associated
with potential low-value care in Medicare beneficiaries. JAMA Health Forum. 2021;…
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psnet.ahrq.gov/node/60836/psn-pdf
August 26, 2020 - Factors associated with workarounds in barcode-assisted
medication administration in hospitals.
August 26, 2020
Veen W, Taxis K, Wouters H, et al. Factors associated with workarounds in barcode?assisted medication
administration in hospitals. J Clin Nurs. 2020;29(13-14):2239-2250. doi:10.1111/jocn.15217.
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psnet.ahrq.gov/node/73562/psn-pdf
August 04, 2021 - Medication safety in mental health hospitals: a mixed-
methods analysis of incidents reported to the National
Reporting and Learning System.
August 4, 2021
Alshehri GH, Keers RN, Carson-Stevens A, et al. Medication safety in mental health hospitals: a mixed-
methods analysis of incidents reported to the National R…
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psnet.ahrq.gov/node/44177/psn-pdf
November 10, 2015 - Doing the right things and doing them the right way:
association between hospital guideline adherence, dosing
safety, and outcomes among patients with acute coronary
syndrome.
November 10, 2015
Mehta RH, Chen AY, Alexander KP, et al. Doing the right things and doing them the right way: association
between hospita…
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psnet.ahrq.gov/node/37022/psn-pdf
September 24, 2010 - Implementation and impact of a rapid response team in a
children's hospital.
September 24, 2010
Zenker P, Schlesinger A, Hauck M, et al. Implementation and impact of a rapid response team in a
children's hospital. Jt Comm J Qual Patient Saf. 2007;33(7):418-425.
https://psnet.ahrq.gov/issue/implementation-and-impac…
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psnet.ahrq.gov/node/43899/psn-pdf
February 18, 2015 - Development and validation of a taxonomy of adverse
handover events in hospital settings.
February 18, 2015
Andersen HB, Siemsen IMD, Petersen LF, et al. Development and validation of a taxonomy of adverse
handover events in hospital settings. Cognition, Technology & Work. 2014;17(1). doi:10.1007/s10111-014-
0303-…
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psnet.ahrq.gov/node/72717/psn-pdf
February 10, 2021 - Hospital-acquired SARS-Cov-2 infections in patients:
inevitable conditions or medical malpractice?
February 10, 2021
Barranco R, Vallega Bernucci Du Tremoul L, Ventura F. Hospital-acquired SARS-Cov-2 infections in
patients: inevitable conditions or medical malpractice? Int J Environ Res Public Health. 2021;18(2):48…
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psnet.ahrq.gov/node/47409/psn-pdf
April 16, 2019 - Health care risk managers' consensus on the
management of inappropriate behaviors among hospital
staff.
April 16, 2019
Zadeh SE, Haussmann R, Barton CD. Health care risk managers' consensus on the management of
inappropriate behaviors among hospital staff. J Healthc Risk Manag. 2019;38(4):32-42.
doi:10.1002/jhrm.…
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psnet.ahrq.gov/node/73920/psn-pdf
October 06, 2021 - Safety events impacting hospitalized patients following
motor vehicle crashes: a qualitative study of reports from
Pennsylvania hospitals.
October 6, 2021
Kukielka E. Safety events impacting hospitalized patients following motor vehicle crashes: a qualitative
study of reports from Pennsylvania hospitals. Patient S…
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psnet.ahrq.gov/node/60606/psn-pdf
June 17, 2020 - 'I'm smiling under here': Masks, plexiglass and questions
the norm as hospitals lure patients back in COVID-19 era.
June 17, 2020
Weintraub K. 'I'm smiling under here': Masks, plexiglass and questions the norm as hospitals lure patients
back in COVID-19 era. USA Today. 2020;June 3.
https://psnet.ahrq.gov/issue/im-…
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psnet.ahrq.gov/node/38995/psn-pdf
March 04, 2011 - Does computerized provider order entry reduce
prescribing errors for hospital inpatients? A systematic
review.
March 4, 2011
Reckmann MH, Westbrook JI, Koh Y, et al. Does computerized provider order entry reduce prescribing
errors for hospital inpatients? A systematic review. J Am Med Inform Assoc. 2009;16(5):613-…
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psnet.ahrq.gov/node/73216/psn-pdf
May 05, 2021 - Incidence and variables associated with inconsistencies
in opioid prescribing at hospital discharge and its
associated adverse drug outcomes.
May 5, 2021
Kurteva S, Habib B, Moraga T, et al. Incidence and variables associated with inconsistencies in opioid
prescribing at hospital discharge and its associated adver…
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psnet.ahrq.gov/node/848822/psn-pdf
May 10, 2023 - Inappropriate prescriptions of direct oral anticoagulants
(DOACs) in hospitalized patients: a narrative review.
May 10, 2023
van der Horst SFB, van Rein N, van Mens TE, et al. Inappropriate prescriptions of direct oral
anticoagulants (DOACs) in hospitalized patients: a narrative review. Thromb Res. 2023;231:135-140…
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psnet.ahrq.gov/node/852453/psn-pdf
January 01, 2024 - Racial and ethnic disparities in common inpatient safety
outcomes in a children's hospital cohort.
August 16, 2023
Lyren A, Haines E, Fanta M, et al. Racial and ethnic disparities in common inpatient safety outcomes in a
children’s hospital cohort. BMJ Qual Saf. 2024;33(2):86-97. doi:10.1136/bmjqs-2022-015786.
htt…
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psnet.ahrq.gov/node/74696/psn-pdf
January 26, 2022 - Organizational safety climate and job enjoyment in
hospital surgical teams with and without crew resource
management training,
January 26, 2022
Bacon CT, McCoy TP, Henshaw DS, et al. Organizational safety climate and job enjoyment in hospital
surgical teams with and without crew resource management training. J Nur…
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psnet.ahrq.gov/node/60616/psn-pdf
June 24, 2020 - Nurse-reported bullying and documented adverse patient
events: an exploratory study in a US Hospital.
June 24, 2020
Arnetz JE, Neufcourt L, Sudan S, et al. Nurse-reported bullying and documented adverse patient events:
an exploratory study in a US Hospital. J Nurs Care Qual. 2020;35(3):206-212.
doi:10.1097/ncq.000…
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psnet.ahrq.gov/node/851355/psn-pdf
July 12, 2023 - Assessing the impact of a new pediatric healthcare
facility on medication administration: a human factors
approach.
July 12, 2023
Godin MR, Nasr AS. Assessing the impact of a new pediatric healthcare facility on medication
administration: a human factors approach. J Nurs Adm. 2023;53(6):331-336.
doi:10.1097/nna.0…
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psnet.ahrq.gov/node/43488/psn-pdf
September 10, 2014 - The relationship between hospital systems load and
patient harm.
September 10, 2014
Pedroja AT, Blegen MA, Abravanel R, et al. The relationship between hospital systems load and patient
harm. J Patient Saf. 2014;10(3):168-75. doi:10.1097/PTS.0b013e31829e4f82.
https://psnet.ahrq.gov/issue/relationship-between-hospi…
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psnet.ahrq.gov/node/866077/psn-pdf
June 05, 2024 - Associations between patient safety culture and
workplace safety culture in hospital settings.
June 5, 2024
Hesgrove B, Zebrak K, Yount N, et al. Associations between patient safety culture and workplace safety
culture in hospital settings. BMC Health Serv Res. 2024;24(1):568. doi:10.1186/s12913-024-10984-3.
https…
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psnet.ahrq.gov/node/47896/psn-pdf
July 10, 2019 - Engaging patients and informal caregivers to improve
safety and facilitate person- and family-centered care
during transitions from hospital to home: a qualitative
descriptive study.
July 10, 2019
Backman C, Cho-Young D. Engaging patients and informal caregivers to improve safety and facilitate
person- and family…