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psnet.ahrq.gov/node/39886/psn-pdf
April 17, 2013 - Nurse/physician communication through a sensemaking
lens: shifting the paradigm to improve patient safety.
April 17, 2013
Manojlovich M. Nurse/physician communication through a sensemaking lens: shifting the paradigm to
improve patient safety. Med Care. 2010;48(11):941-6. doi:10.1097/MLR.0b013e3181eb31bd.
https://…
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psnet.ahrq.gov/node/50716/psn-pdf
December 04, 2019 - Organisation for Economic Co-operation and
Development: Health at a Glance 2019.
December 4, 2019
Paris, France: OECD Publishing: 2019.
https://psnet.ahrq.gov/issue/organisation-economic-co-operation-and-development-health-glance-2019
This report documents the overall state of health care, based on an internationa…
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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/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/35270/psn-pdf
June 29, 2009 - Potentially inappropriate prescribing in elderly veterans:
are we using the wrong drug, wrong dose, or wrong
duration?
June 29, 2009
Pugh MJV, Fincke BG, Bierman AS, et al. Potentially Inappropriate Prescribing in Elderly Veterans: Are We
Using the Wrong Drug, Wrong Dose, or Wrong Duration? J Am Geriatr Soc. 2005;…
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psnet.ahrq.gov/node/43522/psn-pdf
October 15, 2014 - A model of disruptive surgeon behavior in the
perioperative environment.
October 15, 2014
Cochran A, Elder WB. A model of disruptive surgeon behavior in the perioperative environment. J Am Coll
Surg. 2014;219(3):390-8. doi:10.1016/j.jamcollsurg.2014.05.011.
https://psnet.ahrq.gov/issue/model-disruptive-surgeon-beh…
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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…
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psnet.ahrq.gov/node/39369/psn-pdf
March 17, 2010 - Paediatric nurses' understanding of the process and
procedure of double-checking medications.
March 17, 2010
Dickinson A, McCall E, Twomey B, et al. Paediatric nurses' understanding of the process and procedure of
double-checking medications. J Clin Nurs. 2010;19(5-6). doi:10.1111/j.1365-2702.2009.03130.x.
https:/…
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psnet.ahrq.gov/node/40522/psn-pdf
June 08, 2011 - Assessing the Evidence for Context-Sensitive
Effectiveness and Safety of Patient Safety Practices:
Developing Criteria.
June 8, 2011
Shekelle PG, Pronovost PJ, Wachter RM, et al; PSP Technical Expert Panel. Rockville, MD: Agency for
Healthcare Research and Quality; December 2010. AHRQ Publication No. 11-0006-EF.
…
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psnet.ahrq.gov/node/42316/psn-pdf
June 19, 2013 - Duty-hours monitoring revisited: self-report may not be
adequate.
June 19, 2013
Buum HAT, Duran-Nelson AM, Menk J, et al. Duty-hours monitoring revisited: self-report may not be
adequate. Am J Med. 2013;126(4):362-5. doi:10.1016/j.amjmed.2012.12.003.
https://psnet.ahrq.gov/issue/duty-hours-monitoring-revisited-sel…
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psnet.ahrq.gov/node/73327/psn-pdf
January 25, 2022 - ISMP Medication Safety Self Assessment® for
Perioperative Settings.
January 25, 2022
Institute for Safe Medication Practices
https://psnet.ahrq.gov/issue/ismp-medication-safety-self-assessmentr-perioperative-settings
The perioperative setting is a high-risk area for medication errors, should they occur. This asses…
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psnet.ahrq.gov/node/38812/psn-pdf
April 12, 2011 - Management of test results in family medicine offices.
April 12, 2011
Elder NC, McEwen TR, Flach JM, et al. Management of test results in family medicine offices. Ann Fam
Med. 2009;7(4):343-51. doi:10.1370/afm.961.
https://psnet.ahrq.gov/issue/management-test-results-family-medicine-offices
This study evaluated co…
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psnet.ahrq.gov/node/36108/psn-pdf
June 30, 2011 - Doctors charged with manslaughter in the course of
medical practice, 1795-2005: a literature review.
June 30, 2011
Ferner RE, McDowell SE. Doctors charged with manslaughter in the course of medical practice, 1795-
2005: a literature review. J R Soc Med. 2006;99(6):309-314.
https://psnet.ahrq.gov/issue/doctors-char…
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psnet.ahrq.gov/node/39516/psn-pdf
June 27, 2011 - Risk and pharmacoeconomic analyses of the injectable
medication process in the paediatric and neonatal
intensive care units.
June 27, 2011
De Giorgi I, Fonzo-Christe C, Cingria L, et al. Risk and pharmacoeconomic analyses of the injectable
medication process in the paediatric and neonatal intensive care units. Int…
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psnet.ahrq.gov/node/39881/psn-pdf
November 02, 2010 - Automated detection of harm in healthcare with
information technology: a systematic review.
November 2, 2010
Govindan M, Van Citters AD, Nelson EC, et al. Automated detection of harm in healthcare with information
technology: a systematic review. Qual Saf Health Care. 2010;19(5):e11. doi:10.1136/qshc.2009.033027.
…
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psnet.ahrq.gov/node/40377/psn-pdf
April 20, 2011 - Lessons learned: use of event reporting by nurses to
improve patient safety and quality.
April 20, 2011
Hession-Laband E, Mantell P. Lessons learned: use of event reporting by nurses to improve patient safety
and quality. J Pediatr Nurs. 2011;26(2):149-55. doi:10.1016/j.pedn.2010.12.005.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/42121/psn-pdf
June 18, 2013 - Developing a patient measure of safety (PMOS).
June 18, 2013
Giles SJ, Lawton R, Din I, et al. Developing a patient measure of safety (PMOS). BMJ Qual Saf.
2013;22(7):554-62. doi:10.1136/bmjqs-2012-000843.
https://psnet.ahrq.gov/issue/developing-patient-measure-safety-pmos
Prior studies have shown that patients ca…
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psnet.ahrq.gov/node/44700/psn-pdf
March 23, 2016 - Factors that drive team participation in surgical safety
checks: a prospective study.
March 23, 2016
Gillespie BM, Withers TK, Lavin J, et al. Factors that drive team participation in surgical safety checks: a
prospective study. Patient Saf Surg. 2016;10:3. doi:10.1186/s13037-015-0090-5.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/42534/psn-pdf
August 28, 2013 - Risk factors for hospital admissions associated with
adverse drug events.
August 28, 2013
Kongkaew C, Hann M, Mandal J, et al. Risk factors for hospital admissions associated with adverse drug
events. Pharmacotherapy. 2013;33(8):827-37. doi:10.1002/phar.1287.
https://psnet.ahrq.gov/issue/risk-factors-hospital-admi…
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psnet.ahrq.gov/node/42995/psn-pdf
September 12, 2016 - Failure events in transition of care for surgical patients.
September 12, 2016
Helling TS, Martin LC, Martin M, et al. Failure events in transition of care for surgical patients. J Am Coll
Surg. 2014;218(4):723-31. doi:10.1016/j.jamcollsurg.2013.12.026.
https://psnet.ahrq.gov/issue/failure-events-transition-care-su…