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psnet.ahrq.gov/node/838914/psn-pdf
October 26, 2022 - Veterans Health Administration response to the COVID-19
crisis: surveillance to action.
October 26, 2022
Charles MA, Yackel EE, Mills PD, et al. Veterans Health Administration response to the COVID-19 crisis:
surveillance to action. J Patient Saf. 2022;18(7):686-691. doi:10.1097/pts.0000000000000995.
https://psnet…
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psnet.ahrq.gov/node/851060/psn-pdf
June 28, 2023 - An integrative systematic review of employee silence and
voice in healthcare: what are we really measuring.
June 28, 2023
Lainidi O, Jendeby MK, Montgomery A, et al. An integrative systematic review of employee silence and
voice in healthcare: what are we really measuring? Front Psychiatry. 2023;14:111579.
doi:10.…
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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/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/60729/psn-pdf
July 29, 2020 - Oncology pharmacist-led medication reconciliation
among cancer patients initiating chemotherapy.
July 29, 2020
Chun DS, Faso A, Muss HB, et al. Oncology pharmacist-led medication reconciliation among cancer
patients initiating chemotherapy. J Oncol Pharm Pract. 2020;26(5):1156-1163.
doi:10.1177/1078155219892066.
…
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psnet.ahrq.gov/node/50907/psn-pdf
February 19, 2020 - Oral chemotherapy: a home safety educational framework
for healthcare providers, patients, and caregivers.
February 19, 2020
Huff C. Oral chemotherapy: A home safety educational framework for healthcare providers, patients, and
caregivers. Clin J Oncol Nurs. 2020;24(1):22-30. doi:10.1188/20.cjon.22-30.
https://psn…
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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/837511/psn-pdf
June 22, 2022 - Striving for high reliability in healthcare: a qualitative
study of the implementation of a hospital safety
programme.
June 22, 2022
Rotteau L, Goldman J, Shojania KG, et al. Striving for high reliability in healthcare: a qualitative study of the
implementation of a hospital safety programme. BMJ Qual Saf. 2022;31…
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psnet.ahrq.gov/node/73988/psn-pdf
October 20, 2021 - The relationship between high-reliability practice and
hospital-acquired conditions among the Solutions for
Patient Safety Collaborative.
October 20, 2021
Randall KH, Slovensky D, Weech-Maldonado R, et al. The relationship between high-reliability practice and
hospital-acquired conditions among the Solutions for P…
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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/867633/psn-pdf
February 26, 2025 - Failure to rescue female patients undergoing high-risk
surgery.
February 26, 2025
Wagner CM, Joynt Maddox KE, Ailawadi G, et al. Failure to rescue female patients undergoing high-risk
surgery. JAMA Surg. 2024;160(1):29-36. doi:10.1001/jamasurg.2024.4574.
https://psnet.ahrq.gov/issue/failure-rescue-female-patients-…
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psnet.ahrq.gov/node/47584/psn-pdf
February 20, 2019 - Patient involvement in evaluation of safety in oral
antineoplastic treatment: a failure mode and effects
analysis in patients and health care professionals.
February 20, 2019
Mattsson TO, Lipczak H, Pottegård A. Patient Involvement in Evaluation of Safety in Oral Antineoplastic
Treatment: A Failure Mode and Effect…
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psnet.ahrq.gov/node/73963/psn-pdf
October 13, 2021 - Patient perceptions of safety in primary care: a qualitative
study to inform care.
October 13, 2021
Lasser EC, Heughan JA-A, Lai AY, et al. Patient perceptions of safety in primary care: a qualitative study to
inform care. Curr Med Res Opin. 2021;37(11):1991-1999. doi:10.1080/03007995.2021.1976736.
https://psnet.a…
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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/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/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/46058/psn-pdf
October 23, 2018 - Centers for Disease Control and Prevention Guideline for
the Prevention of Surgical Site Infection, 2017.
October 23, 2018
Berríos-Torres SI, Umscheid CA, Bratzler DW, et al. Centers for Disease Control and Prevention Guideline
for the Prevention of Surgical Site Infection, 2017. JAMA Surg. 2017;152(8).
doi:10.100…
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psnet.ahrq.gov/node/74746/psn-pdf
February 09, 2022 - Medication errors' causes analysis in home care setting: a
systematic review.
February 9, 2022
Dionisi S, Di Simone E, Liquori G, et al. Medication errors' causes analysis in home care setting: A
systematic review. Public Health Nurs. 2022;39(4):876-897. doi:10.1111/phn.13037.
https://psnet.ahrq.gov/issue/medicati…
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psnet.ahrq.gov/node/866399/psn-pdf
July 31, 2024 - Typology of solutions addressing diagnostic disparities:
gaps and opportunities.
July 31, 2024
Dukhanin V, Wiegand AA, Sheikh T, et al. Typology of solutions addressing diagnostic disparities: gaps
and opportunities. Diagnosis (Berl). 2024;11(4):389-399. doi:10.1515/dx-2024-0026.
https://psnet.ahrq.gov/issue/typol…