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psnet.ahrq.gov/node/43120/psn-pdf
September 27, 2016 - How studying human factors improves patient safety.
September 27, 2016
Eggertson L. How studying human factors improves patient safety. The Canadian nurse. 2014;110(2):25-9.
https://psnet.ahrq.gov/issue/how-studying-human-factors-improves-patient-safety
Human factors engineering is being increasingly promoted as an…
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psnet.ahrq.gov/node/44617/psn-pdf
January 22, 2016 - Pediatric prehospital medication dosing errors: a mixed-
methods study.
January 22, 2016
Hoyle JD, Sleight D, Henry R, et al. Pediatric prehospital medication dosing errors: a mixed-methods study.
Prehosp Emerg Care. 2016;20(1):117-124. doi:10.3109/10903127.2015.1061625.
https://psnet.ahrq.gov/issue/pediatric-preh…
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psnet.ahrq.gov/node/41480/psn-pdf
November 05, 2013 - Hospital patients' reports of medical errors and
undesirable events in their health care.
November 5, 2013
Davis R, Sevdalis N, Neale G, et al. Hospital patients' reports of medical errors and undesirable events in
their health care. J Eval Clin Pract. 2013;19(5):875-81. doi:10.1111/j.1365-2753.2012.01867.x.
https…
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psnet.ahrq.gov/node/39702/psn-pdf
July 21, 2010 - Harmed patients gaining voice: challenging dominant
perspectives in the construction of medical harm and
patient safety reforms.
July 21, 2010
Ocloo JE. Harmed patients gaining voice: challenging dominant perspectives in the construction of medical
harm and patient safety reforms. Soc Sci Med. 2010;71(3):510-516. …
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psnet.ahrq.gov/node/40457/psn-pdf
May 18, 2011 - An in-depth analysis of medication errors in hospitalized
patients with HIV.
May 18, 2011
Snyder AM, Klinker K, Orrick JJ, et al. An in-depth analysis of medication errors in hospitalized patients
with HIV. Ann Pharmacother. 2011;45(4):459-68. doi:10.1345/aph.1P599.
https://psnet.ahrq.gov/issue/depth-analysis-medi…
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psnet.ahrq.gov/node/43062/psn-pdf
September 04, 2016 - The relationship between patient safety culture and
patient outcomes: a systematic review.
September 4, 2016
DiCuccio MH. The Relationship Between Patient Safety Culture and Patient Outcomes: A Systematic
Review. J Patient Saf. 2015;11(3):135-42. doi:10.1097/PTS.0000000000000058.
https://psnet.ahrq.gov/issue/relat…
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psnet.ahrq.gov/node/37409/psn-pdf
March 28, 2012 - Extent, nature and consequences of adverse events:
results of a retrospective casenote review in a large NHS
hospital.
March 28, 2012
Sari AB-A, Sheldon T, Cracknell A, et al. Extent, nature and consequences of adverse events: results of a
retrospective casenote review in a large NHS hospital. Qual Saf Health Care…
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psnet.ahrq.gov/node/867393/psn-pdf
December 18, 2024 - The predictors of patient safety culture in hospital setting:
a systematic review.
December 18, 2024
Vibe A, Rasmussen SH, Rasmussen NOP, et al. The predictors of patient safety culture in hospital setting:
a systematic review. J Patient Saf. 2024;20(8):576-592. doi:10.1097/pts.0000000000001285.
https://psnet.ahrq…
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psnet.ahrq.gov/node/40764/psn-pdf
December 29, 2014 - Wristbands as aids to reduce misidentification: an
ethnographically guided task analysis.
December 29, 2014
Smith A, Casey K, Wilson J, et al. Wristbands as aids to reduce misidentification: an ethnographically
guided task analysis. Int J Qual Health Care. 2011;23(5):590-9. doi:10.1093/intqhc/mzr045.
https://psnet…
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psnet.ahrq.gov/node/47826/psn-pdf
March 27, 2019 - Office-based surgery and patient outcomes.
March 27, 2019
Young S, Shapiro FE, Urman RD. Office-based surgery and patient outcomes. Curr Opin Anaesthesiol.
2018;31(6):707-712. doi:10.1097/ACO.0000000000000655.
https://psnet.ahrq.gov/issue/office-based-surgery-and-patient-outcomes
Office-based surgery is increasing…
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psnet.ahrq.gov/node/43654/psn-pdf
April 02, 2015 - Nursing bedside clinical handover—an integrated review
of issues and tools.
April 2, 2015
Anderson J, Malone L, Shanahan K, et al. Nursing bedside clinical handover - an integrated review of
issues and tools. J Clin Nurs. 2015;24(5-6):662-671. doi:10.1111/jocn.12706.
https://psnet.ahrq.gov/issue/nursing-bedside-cl…
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psnet.ahrq.gov/node/838638/psn-pdf
September 01, 2012 - Directed peer review in surgical pathology.
September 1, 2012
Smith ML, Raab SS. Directed peer review in surgical pathology. Adv Anat Pathol. 2012;19(5):331-337.
doi:10.1097/pap.0b013e31826661b7.
https://psnet.ahrq.gov/issue/directed-peer-review-surgical-pathology
Diagnostic error in pathology can result in delaye…
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psnet.ahrq.gov/node/34805/psn-pdf
November 07, 2017 - Medication errors in neonatal and paediatric intensive-
care units.
November 7, 2017
Raju TN, Kecskes S, Thornton JP, et al. Medication errors in neonatal and paediatric intensive-care units.
Lancet. 1989;2(8659):374-6.
https://psnet.ahrq.gov/issue/medication-errors-neonatal-and-paediatric-intensive-care-units
Th…
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psnet.ahrq.gov/node/867650/psn-pdf
January 01, 2022 - Opioid deprescribing toolkit.
January 1, 2022
Health Innovation East, National Health Service. Opioid deprescribing toolkit.
https://psnet.ahrq.gov/issue/opioid-deprescribing-toolkit
Sudden discontinuation of long-term prescription opioid use can lead to adverse outcomes for patients.
Based on research and clinici…
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psnet.ahrq.gov/node/39559/psn-pdf
December 17, 2010 - Understanding vs. competency: the case of accuracy
checking dispensed medicines in pharmacy.
December 17, 2010
James L, Davies G, Kinchin I, et al. Understanding vs. competency: the case of accuracy checking
dispensed medicines in pharmacy. Adv Health Sci Educ Theory Pract. 2010;15(5):735-47.
doi:10.1007/s10459-01…
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psnet.ahrq.gov/node/48156/psn-pdf
January 01, 2020 - Study of a multisite prospective adverse event
surveillance system.
July 31, 2019
Forster AJ, Huang A, Lee TC, et al. Study of a multisite prospective adverse event surveillance system.
BMJ Qual Saf. 2020;29(4). doi:10.1136/bmjqs-2018-008664.
https://psnet.ahrq.gov/issue/study-multisite-prospective-adverse-event-s…
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psnet.ahrq.gov/node/38753/psn-pdf
July 01, 2009 - Evaluation of safety in a radiation oncology setting using
failure mode and effects analysis.
July 1, 2009
Ford E, Gaudette R, Myers L, et al. Evaluation of safety in a radiation oncology setting using failure mode
and effects analysis. Int J Radiat Oncol Biol Phys. 2009;74(3):852-8. doi:10.1016/j.ijrobp.2008.10.03…
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psnet.ahrq.gov/node/46192/psn-pdf
June 07, 2017 - Investigating the causes of adverse events.
June 7, 2017
Sanchez JA, Lobdell KW, Moffatt-Bruce SD, et al. Investigating the Causes of Adverse Events. Ann Thorac
Surg. 2017;103(6):1693-1699. doi:10.1016/j.athoracsur.2017.04.001.
https://psnet.ahrq.gov/issue/investigating-causes-adverse-events
Incident analysis enab…
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psnet.ahrq.gov/node/48135/psn-pdf
August 28, 2019 - What causes prescribing errors in children? Scoping
review.
August 28, 2019
Conn RL, Kearney O, Tully MP, et al. What causes prescribing errors in children? Scoping review. BMJ
Open. 2019;9(8):e028680. doi:10.1136/bmjopen-2018-028680.
https://psnet.ahrq.gov/issue/what-causes-prescribing-errors-children-scoping-rev…
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psnet.ahrq.gov/node/40062/psn-pdf
July 24, 2011 - Improving medication safety in primary care using
electronic health records.
July 24, 2011
Nemeth LS, Wessell AM. Improving medication safety in primary care using electronic health records. J
Patient Saf. 2010;6(4):238-43.
https://psnet.ahrq.gov/issue/improving-medication-safety-primary-care-using-electronic-heal…