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psnet.ahrq.gov/node/39622/psn-pdf
June 23, 2010 - Safety concerns of hospital-based new-to-practice
registered nurses and their preceptors.
June 23, 2010
Myers S, Reidy P, French B, et al. Safety concerns of hospital-based new-to-practice registered nurses and
their preceptors. J Contin Educ Nurs. 2010;41(4):163-71. doi:10.3928/00220124-20100326-02.
https://psnet…
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psnet.ahrq.gov/node/60700/psn-pdf
July 22, 2020 - Cognitive bias and public health policy during the COVID-
19 pandemic.
July 22, 2020
Halpern SD, Truog RD, Miller FG. Cognitive bias and public health policy during the COVID-19 pandemic.
JAMA. 2020;324(4):337-338. doi:10.1001/jama.2020.11623.
https://psnet.ahrq.gov/issue/cognitive-bias-and-public-health-policy-du…
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psnet.ahrq.gov/node/37724/psn-pdf
May 07, 2008 - Statewide identification of adverse events using
retrospective nurse review: methods and outcomes.
May 7, 2008
Silver MP, Hougland P, Elder S, et al. Statewide identification of adverse events using retrospective nurse
review: methods and outcomes. J Nurs Meas. 2007;15(3):220-32.
https://psnet.ahrq.gov/issue/state…
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psnet.ahrq.gov/node/43790/psn-pdf
October 23, 2023 - Complaints to the Parliamentary and Health Service
Ombudsman.
October 23, 2023
Manchester, UK: Parliamentary and Health Service Ombudsman.
https://psnet.ahrq.gov/issue/complaints-about-acute-trusts-2016-2017
The National Health Service broadly reports the results of system-level analyses and investigations into
t…
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psnet.ahrq.gov/node/43415/psn-pdf
September 10, 2014 - Project BOOST implementation: lessons learned.
September 10, 2014
Williams M, Li J, Hansen LO, et al. Project BOOST implementation: lessons learned. South Med J.
2014;107(7):455-65. doi:10.14423/SMJ.0000000000000140.
https://psnet.ahrq.gov/issue/project-boost-implementation-lessons-learned
This qualitative study o…
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psnet.ahrq.gov/node/38637/psn-pdf
September 24, 2016 - Work interruptions and their contribution to medication
administration errors: an evidence review.
September 24, 2016
Biron AD, Loiselle CG, Lavoie-Tremblay M. Work interruptions and their contribution to medication
administration errors: an evidence review. Worldviews Evid Based Nurs. 2009;6(2):70-86.
doi:10.1111…
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psnet.ahrq.gov/node/40713/psn-pdf
August 24, 2011 - Medication reconciliation: barriers and facilitators from
the perspectives of resident physicians and pharmacists.
August 24, 2011
Boockvar KS, Santos SL, Kushniruk AW, et al. Medication reconciliation: Barriers and facilitators from the
perspectives of resident physicians and pharmacists. J Hosp Med. 2011;6(6). do…
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psnet.ahrq.gov/node/41583/psn-pdf
August 08, 2012 - Achieving the 'perfect handoff' in patient transfers:
building teamwork and trust.
August 8, 2012
Clarke D, Werestiuk K, Schoffner A, et al. Achieving the 'perfect handoff' in patient transfers: building
teamwork and trust. J Nurs Manag. 2012;20(5):592-8. doi:10.1111/j.1365-2834.2012.01400.x.
https://psnet.ahrq.go…
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psnet.ahrq.gov/node/41782/psn-pdf
October 31, 2012 - Quality improvement and patient safety activities in
academic departments of medicine.
October 31, 2012
Neeman N, Sehgal NL, Davis RB, et al. Quality improvement and patient safety activities in academic
departments of medicine. Am J Med. 2012;125(8):831-5. doi:10.1016/j.amjmed.2012.04.025.
https://psnet.ahrq.gov/…
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psnet.ahrq.gov/node/38920/psn-pdf
January 03, 2017 - How improving practice relationships among clinicians
and nonclinicians can improve quality in primary care.
January 3, 2017
Lanham H, McDaniel RR, Crabtree B, et al. How improving practice relationships among clinicians and
nonclinicians can improve quality in primary care. Jt Comm J Qual Patient Saf. 2009;35(9):4…
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psnet.ahrq.gov/node/39751/psn-pdf
August 11, 2010 - Interpreting adverse drug reaction (ADR) reports as
hospital patient safety incidents.
August 11, 2010
Davies EC, Green CF, Mottram DR, et al. Interpreting adverse drug reaction (ADR) reports as hospital
patient safety incidents. Br J Clin Pharmacol. 2010;70(1):102-8. doi:10.1111/j.1365-2125.2010.03671.x.
https://…
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psnet.ahrq.gov/node/60236/psn-pdf
April 15, 2020 - Seattle pilot’s misdiagnosis highlights challenges around
coronavirus testing.
April 15, 2020
Malone P, Kamb L. Seattle Times. March 30, 2020.
https://psnet.ahrq.gov/issue/seattle-pilots-misdiagnosis-highlights-challenges-around-coronavirus-testing
False negative test results can contribute to misdiagnosis, treatm…
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psnet.ahrq.gov/node/38994/psn-pdf
March 04, 2011 - Computerized surveillance for adverse drug events in a
pediatric hospital.
March 4, 2011
Kilbridge PM, Noirot LA, Reichley RM, et al. Computerized surveillance for adverse drug events in a
pediatric hospital. J Am Med Inform Assoc. 2009;16(5):607-12. doi:10.1197/jamia.M3167.
https://psnet.ahrq.gov/issue/computeriz…
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psnet.ahrq.gov/node/42749/psn-pdf
November 20, 2013 - Reasons for the persistence of adverse events in the era
of safer surgery?a qualitative approach.
November 20, 2013
Kaderli R, Seelandt JC, Umer M, et al. Reasons for the persistence of adverse events in the era of safer
surgery--a qualitative approach. Swiss Med Wkly. 2013;143:w13882. doi:10.4414/smw.2013.13882.
…
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psnet.ahrq.gov/node/42793/psn-pdf
December 04, 2013 - Radiation protection and dose monitoring in medical
imaging: a journey from awareness, through
accountability, ability and action … but where will we
arrive?
December 4, 2013
Frush DP, Denham CR, Goske MJ, et al. Radiation Protection and Dose Monitoring in Medical Imaging. J
Patient Saf. 2013;9(4):232-238. doi:10…
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psnet.ahrq.gov/node/41356/psn-pdf
May 29, 2012 - Safety in the home healthcare sector: development of a
new household safety checklist.
May 29, 2012
Gershon RRM, Dailey M, Magda LA, et al. Safety in the home healthcare sector: development of a new
household safety checklist. J Patient Saf. 2012;8(2):51-9. doi:10.1097/PTS.0b013e31824a4ad6.
https://psnet.ahrq.gov/…
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psnet.ahrq.gov/node/74214/psn-pdf
December 29, 2020 - Racial and ethnic disparities in the treatment of chronic
pain.
December 29, 2020
Morales ME, Yong RJ. Racial and ethnic disparities in the treatment of chronic pain. Pain Med.
2020;22(1):75-90. doi:10.1093/pm/pnaa427.
https://psnet.ahrq.gov/issue/racial-and-ethnic-disparities-treatment-chronic-pain
This literatu…
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psnet.ahrq.gov/node/38599/psn-pdf
May 06, 2009 - Safety on an inpatient pediatric otolaryngology service:
many small errors, few adverse events.
May 6, 2009
Shah RK, Lander L, Forbes P, et al. Safety on an inpatient pediatric otolaryngology service: many small
errors, few adverse events. Laryngoscope. 2009;119(5):871-9. doi:10.1002/lary.20208.
https://psnet.ahrq…
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psnet.ahrq.gov/node/43031/psn-pdf
March 12, 2014 - WARNING health IT may be hazardous to your healthcare.
March 12, 2014
Dimick C.
https://psnet.ahrq.gov/issue/warning-health-it-may-be-hazardous-your-healthcare
This article relates the development of a taxonomy that hospitals and vendors can use to detect, sort, and
analyze risks associated with health information…
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psnet.ahrq.gov/node/73149/psn-pdf
April 14, 2021 - Recognizing the importance of whistleblowers in
healthcare.
April 14, 2021
O'Neill N. Recognizing the importance of whistleblowers in healthcare. Nursing (Brux). 2021;51(4):54-56.
doi:10.1097/01.nurse.0000736912.14380.65.
https://psnet.ahrq.gov/issue/recognizing-importance-whistleblowers-healthcare
Individuals wh…