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psnet.ahrq.gov/node/841767/psn-pdf
December 21, 2022 - Structural racism and adverse maternal health outcomes:
a systematic review.
December 21, 2022
Hailu EM, Maddali SR, Snowden JM, et al. Structural racism and adverse maternal health outcomes: a
systematic review. Health Place. 2022;78:102923. doi:10.1016/j.healthplace.2022.102923.
https://psnet.ahrq.gov/issue/stru…
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psnet.ahrq.gov/node/40006/psn-pdf
November 17, 2010 - Impact of health information technology on detection of
potential adverse drug events at the ordering stage.
November 17, 2010
Roberts LL, Ward MM, Brokel JM, et al. Impact of health information technology on detection of potential
adverse drug events at the ordering stage. Am J Health Syst Pharm. 2010;67(21):1838-…
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psnet.ahrq.gov/node/41701/psn-pdf
September 26, 2019 - The CUSP Method
September 26, 2019
The CUSP Method.
https://psnet.ahrq.gov/issue/cusp-method
The Comprehensive Unit-based Safety Program (CUSP), originally developed at Johns Hopkins Hospital
by Dr. Peter Pronovost and colleagues, has been instrumental in driving patient safety improvement in
several landmark pat…
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psnet.ahrq.gov/node/35227/psn-pdf
June 15, 2011 - Building a Better Delivery System: A New
Engineering/Health Care Partnership.
June 15, 2011
Reid PP, Compton WD, Grossman JH, Fanjiang G, eds. Institute of Medicine, National Academy of
Engineering, Committee on Engineering and the Health Care System. Washington, DC: National
Academies Press; 2005. ISBN-10: 030909…
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psnet.ahrq.gov/node/33935/psn-pdf
February 05, 2018 - The incidence and severity of adverse events affecting
patients after discharge from the hospital.
February 5, 2018
Forster AJ, Murff HJ, Peterson JF, et al. The incidence and severity of adverse events affecting patients
after discharge from the hospital. Ann Intern Med. 2003;138(3):161-7.
https://psnet.ahrq.gov/…
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psnet.ahrq.gov/node/867527/psn-pdf
January 15, 2025 - Interventions to improve timely cancer diagnosis: an
integrative review.
January 15, 2025
Graber ML, Winters BD, Matin R, et al. Interventions to improve timely cancer diagnosis: an integrative
review. Diagnosis (Berl). 2024;Epub Oct 18. doi:10.1515/dx-2024-0113.
https://psnet.ahrq.gov/issue/interventions-improve-…
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psnet.ahrq.gov/node/47562/psn-pdf
February 06, 2019 - Organizational conditions for engagement in quality and
safety improvement: a longitudinal qualitative study of
community pharmacies.
February 6, 2019
Phipps D, Jones CEL, Parker D, et al. Organizational conditions for engagement in quality and safety
improvement: a longitudinal qualitative study of community phar…
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psnet.ahrq.gov/node/865926/psn-pdf
May 22, 2024 - Critical care nurses' role in rapid response teams: a
qualitative systematic review.
May 22, 2024
Holtsmark C, Larsen MH, Steindal SA, et al. Critical care nurses' role in rapid response teams: a qualitative
systematic review. J Clin Nurs. 2024;33(10):3831-3843. doi:10.1111/jocn.17196.
https://psnet.ahrq.gov/issue…
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psnet.ahrq.gov/node/865718/psn-pdf
May 01, 2024 - Calculating the cost of medication errors: a systematic
review of approaches and cost variables.
May 1, 2024
Ranasinghe S, Nadeshkumar A, Senadheera S, et al. Calculating the cost of medication errors: a
systematic review of approaches and cost variables. BMJ Open Qual. 2024;13(2):e002570.
doi:10.1136/bmjoq-2023-0…
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psnet.ahrq.gov/node/851918/psn-pdf
August 02, 2023 - Racism in health services for adolescents: a scoping
review.
August 2, 2023
Hilario C, Louie-Poon S, Taylor M, et al. Racism in health services for adolescents: a scoping review. Int J
Soc Determinants Health Health Serv. 2023;53(3):343-353. doi:10.1177/27551938231162560.
https://psnet.ahrq.gov/issue/racism-health…
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psnet.ahrq.gov/node/73965/psn-pdf
October 13, 2021 - Association of simulation training with rates of medical
malpractice claims among obstetrician-gynecologists.
October 13, 2021
Schaffer AC, Babayan A, Einbinder JS, et al. Association of simulation training with rates of medical
malpractice claims among obstetrician-gynecologists. Obstet Gynecol. 2021;138(2):246-25…
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psnet.ahrq.gov/node/72481/psn-pdf
November 18, 2020 - Computer-based simulation to reduce EHR-related
chemotherapy ordering errors.
November 18, 2020
Wyatt KD, Freedman EB, Arteaga GM, et al. Computer?based simulation to reduce EHR?related
chemotherapy ordering errors. Cancer Med. 2020;9(23):8844-8851. doi:10.1002/cam4.3496.
https://psnet.ahrq.gov/issue/computer-base…
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psnet.ahrq.gov/node/40541/psn-pdf
July 22, 2011 - Effect of a pharmacist-led multicomponent intervention
focusing on the medication monitoring phase to prevent
potential adverse drug events in nursing homes.
July 22, 2011
Lapane KL, Hughes C, Daiello LA, et al. Effect of a pharmacist-led multicomponent intervention focusing on
the medication monitoring phase to p…
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psnet.ahrq.gov/node/35265/psn-pdf
February 03, 2011 - A 38-year-old woman with fetal loss and hysterectomy.
February 3, 2011
Sachs BP. A 38-Year-Old Woman With Fetal Loss and Hysterectomy. JAMA. 2005;294(7):833-840.
doi:10.1001/jama.294.7.833.
https://psnet.ahrq.gov/issue/38-year-old-woman-fetal-loss-and-hysterectomy
Part of a series in JAMA entitled Clinical Crossro…
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psnet.ahrq.gov/node/47683/psn-pdf
April 10, 2019 - Design of hospital errors and omissions activities that
include patient-specific medication related problems.
April 10, 2019
Cooper JB, Bradley CL. Design of hospital errors and omissions activities that include patient-specific
medication related problems. Curr Pharm Teach Learn. 2019;11(1):66-75. doi:10.1016/j.cp…
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psnet.ahrq.gov/node/72631/psn-pdf
January 13, 2021 - Longitudinal evaluation of a programme for safety culture
change in a mental health service.
January 13, 2021
Dickens GL, Salamonson Y, Johnson A, et al. Longitudinal evaluation of a programme for safety culture
change in a mental health service. J Nurs Manag. 2021;29(4):690-698. doi:10.1111/jonm.13205.
https://ps…
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psnet.ahrq.gov/node/44796/psn-pdf
October 06, 2016 - The perceptions of nurses towards barriers to the safe
administration of medicines in mental health settings.
October 6, 2016
Hemingway S, McCann T, Baxter H, et al. The perceptions of nurses towards barriers to the safe
administration of medicines in mental health settings. Int J Nurs Pract. 2015;21(6):733-40.
do…
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psnet.ahrq.gov/node/866281/psn-pdf
July 10, 2024 - Updating Eindhoven: clarifying the features of a patient
safety near miss.
July 10, 2024
Woodier N, Burnett C, Sampson P, et al. Updating Eindhoven: clarifying the features of a patient safety
near miss. J Patient Saf Risk Manag. 2024;29(4):195-201. doi:10.1177/25160435241247096.
https://psnet.ahrq.gov/issue/updat…
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psnet.ahrq.gov/node/74212/psn-pdf
January 01, 2022 - Using failure mode and effects analysis to increase
patient safety in cancer chemotherapy.
December 22, 2021
Weber L, Schulze I, Jaehde U. Using Failure Mode and Effects Analysis to increase patient safety in
cancer chemotherapy. Res Social Adm Pharm. 2022;18(8):3386-3393.
doi:10.1016/j.sapharm.2021.11.009.
https…
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psnet.ahrq.gov/node/46914/psn-pdf
January 01, 2021 - Risk factors for adverse events in patients with breast,
colorectal, and lung cancer.
May 23, 2018
Weingart SN, Atoria CL, Pfister D, et al. Risk Factors for Adverse Events in Patients With Breast,
Colorectal, and Lung Cancer. J Patient Saf. 2021;17(8):e701-e707. doi:10.1097/pts.0000000000000474.
https://psnet.ahr…