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psnet.ahrq.gov/node/867683/psn-pdf
March 05, 2025 - Ambulatory medication errors and adverse events
involved in medicine-related malpractice cases from 2011
to 2021.
March 5, 2025
Boisvert S, Nelson M, Ross J. Ambulatory medication errors and adverse events involved in medicine-
related malpractice cases from 2011 to 2021. J Patient Saf. 2025;21(2):111-117.
doi:10…
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psnet.ahrq.gov/node/847722/psn-pdf
April 19, 2023 - Factors associated with diagnostic error: an analysis of
closed medical malpractice claims.
April 19, 2023
Grenon V, Szymonifka J, Adler-Milstein J, et al. Factors associated with diagnostic error: an analysis of
closed medical malpractice claims. J Patient Saf. 2023;19(3):211-215.
doi:10.1097/pts.0000000000001105…
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psnet.ahrq.gov/node/47553/psn-pdf
July 10, 2019 - Delivering high reliability in maternity care: in situ
simulation as a source of organisational resilience.
July 10, 2019
Macrae C, Draycott T. Delivering high reliability in maternity care: In situ simulation as a source of
organisational resilience. Safety Sci. 2019;117:490-500. doi:10.1016/j.ssci.2016.10.019.
h…
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psnet.ahrq.gov/node/837856/psn-pdf
August 17, 2022 - Nurse well-being: a concept analysis.
August 17, 2022
Patrician PA, Bakerjian D, Billings R, et al. Nurse well-being: a concept analysis. Nurs Outlook.
2022;70(4):639-650. doi:10.1016/j.outlook.2022.03.014.
https://psnet.ahrq.gov/issue/nurse-well-being-concept-analysis
Clinician well-being has important implicatio…
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psnet.ahrq.gov/node/72570/psn-pdf
January 01, 2021 - Provider-patient communication and hospital ratings:
perceived gaps and forward thinking about the effects of
COVID-19.
December 16, 2020
Belasen AT, Hertelendy AJ, Belasen AR, et al. Provider–patient communication and hospital ratings:
perceived gaps and forward thinking about the effects of COVID-19. Int J Qual …
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psnet.ahrq.gov/node/853974/psn-pdf
January 01, 2024 - Barriers and facilitators associated with the
implementation of surgical safety checklists: a qualitative
systematic review.
September 27, 2023
Paterson C, Mckie A, Turner M, et al. Barriers and facilitators associated with the implementation of
surgical safety checklists: a qualitative systematic review. J Adv Nu…
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psnet.ahrq.gov/node/848085/psn-pdf
April 26, 2023 - Understanding complexity in a safety critical setting: a
systems approach to medication administration.
April 26, 2023
Stevens EL, Hulme A, Goode N, et al. Understanding complexity in a safety critical setting: a systems
approach to medication administration. Appl Ergon. 2023;110:104000. doi:10.1016/j.apergo.2023.1…
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psnet.ahrq.gov/node/46802/psn-pdf
March 21, 2018 - The accuracy of trigger tools to detect preventable
adverse events in primary care: a systematic review.
March 21, 2018
Davis JJ, Harrington N, Fagan HB, et al. The Accuracy of Trigger Tools to Detect Preventable Adverse
Events in Primary Care: A Systematic Review. J Am Board Fam Med. 2018;31(1):113-125.
doi:10.31…
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psnet.ahrq.gov/node/841770/psn-pdf
December 21, 2022 - A recent two-fold increase in medical adverse event
deaths among US inpatients.
December 21, 2022
Oura P, Sajantila A. A recent two-fold increase in medical adverse event deaths among US inpatients. J
Public Health Res. 2022;11(4):227990362211399. doi:10.1177/22799036221139935.
https://psnet.ahrq.gov/issue/recent-…
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psnet.ahrq.gov/node/60256/psn-pdf
April 22, 2020 - A critical review: moral injury in nurses in the aftermath of
a patient safety incident.
April 22, 2020
Stovall M, Hansen L, van Ryn M. A critical review: moral injury in nurses in the aftermath of a patient safety
incident. J Nurs Scholarsh. 2020;52(3):320-328. doi:10.1111/jnu.12551.
https://psnet.ahrq.gov/issue/…
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psnet.ahrq.gov/node/43792/psn-pdf
January 07, 2015 - Patient safety risks associated with telecare: a systematic
review and narrative synthesis of the literature.
January 7, 2015
Guise V, Anderson JE, Wiig S. Patient safety risks associated with telecare: a systematic review and
narrative synthesis of the literature. BMC Health Serv Res. 2014;14:588. doi:10.1186/s129…
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psnet.ahrq.gov/node/837330/psn-pdf
June 08, 2022 - A call to action: next steps to advance diagnosis
education in the health professions.
June 8, 2022
Graber ML, Holmboe ES, Stanley J, et al. A call to action: next steps to advance diagnosis education in the
health professions. Diagnosis (Berl). 2022;9(2):166-175. doi:10.1515/dx-2021-0103.
https://psnet.ahrq.gov/i…
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psnet.ahrq.gov/node/867530/psn-pdf
January 15, 2025 - Experiences of nurses speaking up in healthcare settings:
a qualitative metasynthesis.
January 15, 2025
Lee E, De Gagne J C, Randall P S, et al. Experiences of nurses speaking up in healthcare settings: a
qualitative metasynthesis. J Adv Nurs. 2024;Epub Nov 4. doi:10.1111/jan.16592.
https://psnet.ahrq.gov/issue/ex…
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psnet.ahrq.gov/node/73416/psn-pdf
June 23, 2021 - An observational study of postoperative handoff
standardization failures.
June 23, 2021
Abraham J, Meng A, Sona C, et al. An observational study of postoperative handoff standardization
failures. Int J Med Inform. 2021;151:104458. doi:10.1016/j.ijmedinf.2021.104458.
https://psnet.ahrq.gov/issue/observational-study…
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psnet.ahrq.gov/node/43342/psn-pdf
July 16, 2014 - Prevalence and severity of patient harm in a sample of
UK-hospitalised children detected by the Paediatric
Trigger Tool.
July 16, 2014
Chapman SM, Fitzsimons J, Davey N, et al. Prevalence and severity of patient harm in a sample of UK-
hospitalised children detected by the Paediatric Trigger Tool. BMJ Open. 2014;4…
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psnet.ahrq.gov/node/60559/psn-pdf
June 03, 2020 - Omissions of care in nursing home settings: a narrative
review.
June 3, 2020
Ogletree AM, Mangrum R, Harris Y, et al. Omissions of care in nursing home settings: a narrative review. J
Am Med Dir Assoc. 2020;21(5):604-614.e6. doi:10.1016/j.jamda.2020.02.016.
https://psnet.ahrq.gov/issue/omissions-care-nursing-home-…
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psnet.ahrq.gov/node/837201/psn-pdf
May 25, 2022 - Near miss research in the healthcare system: a scoping
review.
May 25, 2022
Feng T-ting, Zhang X, Tan L-ling, et al. Near miss research in the healthcare system: a scoping review. J
Nurs Adm. 2022;52(3):160-166. doi:10.1097/nna.0000000000001124.
https://psnet.ahrq.gov/issue/near-miss-research-healthcare-system-sco…
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psnet.ahrq.gov/node/46740/psn-pdf
January 01, 2021 - High-alert medication stratification tool-revised: an
exploratory study of an objective, standardized
medication safety tool.
March 28, 2018
Washburn NC, Dossett HA, Fritschle AC, et al. High-Alert Medication Stratification Tool-Revised: An
Exploratory Study of an Objective, Standardized Medication Safety Tool. J …
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psnet.ahrq.gov/node/46792/psn-pdf
February 14, 2018 - Emerging trends in perinatal quality and risk with
recommendations for patient safety.
February 14, 2018
Simpson KR. Emerging Trends in Perinatal Quality and Risk With Recommendations for Patient Safety. J
Perinat Neonatal Nurs. 2018;32(1). doi:10.1097/jpn.0000000000000294.
https://psnet.ahrq.gov/issue/emerging-tr…
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psnet.ahrq.gov/node/46420/psn-pdf
September 20, 2017 - Adverse events in Veterans Affairs inpatient psychiatric
units: staff perspectives on contributing and protective
factors.
September 20, 2017
True G, Frasso R, Cullen SW, et al. Adverse events in veterans affairs inpatient psychiatric units: Staff
perspectives on contributing and protective factors. Gen Hosp Psych…