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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.
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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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February 01, 2017 - Disruptive behaviour in the perioperative setting: a
contemporary review.
February 1, 2017
Villafranca A, Hamlin C, Enns S, et al. Disruptive behaviour in the perioperative setting: a contemporary
review. Canadian J Anaesth. 2017;64(2):128-140. doi:10.1007/s12630-016-0784-x.
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psnet.ahrq.gov/node/48189/psn-pdf
August 14, 2019 - Professionalism lapses and adverse childhood
experiences: reflections from the island of last resort.
August 14, 2019
Williams BW. Professionalism Lapses and Adverse Childhood Experiences: Reflections From the Island of
Last Resort. Acad Med. 2019;94(8):1081-1083. doi:10.1097/ACM.0000000000002793.
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October 21, 2015 - Timing of the diagnosis of attention-deficit/hyperactivity
disorder and autism spectrum disorder.
October 21, 2015
Miodovnik A, Harstad E, Sideridis G, et al. Timing of the Diagnosis of Attention-Deficit/Hyperactivity
Disorder and Autism Spectrum Disorder. Pediatrics. 2015;136(4):e830-7. doi:10.1542/peds.2015-1502.…
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psnet.ahrq.gov/node/39303/psn-pdf
February 17, 2010 - Patient misidentification in laboratory medicine: a
qualitative analysis of 227 root cause analysis reports in
the Veterans Health Administration.
February 17, 2010
Dunn EJ, Moga PJ. Patient misidentification in laboratory medicine: a qualitative analysis of 227 root cause
analysis reports in the Veterans Health A…
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psnet.ahrq.gov/node/73531/psn-pdf
January 01, 2022 - Patient safety monitoring in acute care in a decentralized
national health care system: conceptual framework and
initial set of actionable indicators.
July 28, 2021
Barbara L, Roberta DB, Vanda R, et al. Patient safety monitoring in acute care in a decentralized national
health care system: conceptual framework an…
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psnet.ahrq.gov/node/40736/psn-pdf
January 04, 2012 - Preventing wrong site, procedure, and patient events
using a common cause analysis.
January 4, 2012
Mallett R, Conroy M, Saslaw LZ, et al. Preventing wrong site, procedure, and patient events using a
common cause analysis. Am J Med Qual. 2012;27(1):21-9. doi:10.1177/1062860611412066.
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November 21, 2018 - Impact of interactions between drugs and laboratory test
results on diagnostic test interpretation—a systematic
review.
November 21, 2018
van Balveren JA, van de Venne WPHGV-, Erdem-Eraslan L, et al. Impact of interactions between drugs
and laboratory test results on diagnostic test interpretation - a systematic r…
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August 02, 2023 - Meta-analysis of medication administration errors in
African hospitals.
August 2, 2023
Alemu W, Cimiotti JP. Meta-analysis of medication administration errors in African hospitals. J Healthc
Qual. 2023;45(4):233-241. doi:10.1097/jhq.0000000000000396.
https://psnet.ahrq.gov/issue/meta-analysis-medication-administra…
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psnet.ahrq.gov/node/46801/psn-pdf
July 22, 2019 - Promising roles for pharmacists in addressing the U.S.
opioid crisis.
July 22, 2019
Compton WM, Jones CM, Stein JB, et al. Promising roles for pharmacists in addressing the U.S. opioid
crisis. Res Social Adm Pharm. 2019;15(8):910-916. doi:10.1016/j.sapharm.2017.12.009.
https://psnet.ahrq.gov/issue/promising-roles-…
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psnet.ahrq.gov/node/46430/psn-pdf
September 27, 2017 - Can residents detect errors in technique while observing
central line insertions?
September 27, 2017
Pei K, Merola J, Davis KA, et al. Can residents detect errors in technique while observing central line
insertions? Am J Surg. 2017;213(6):1166-1170.e1. doi:10.1016/j.amjsurg.2016.08.026.
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psnet.ahrq.gov/node/50402/psn-pdf
October 02, 2019 - Improving Diagnostic Fidelity: An Approach to
Standardizing the Process in Patients With Emerging
Critical Illness
October 2, 2019
Jayaprakash N, Chae J, Sabov M, et al. Improving Diagnostic Fidelity: An Approach to Standardizing the
Process in Patients With Emerging Critical Illness. Mayo Clin Proc Innov Qual Out…
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May 15, 2024 - Perceptions of U.S. and U.K. incident reporting systems:
a scoping review.
May 15, 2024
Gampetro PJ, Nickum A, Schultz CM. Perceptions of U.S. and U.K. incident reporting systems: a scoping
review. J Patient Saf. 2024;20(5):360-365. doi:10.1097/pts.0000000000001231.
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March 10, 2021 - Adverse events among emergency department patients
with cardiovascular conditions: a multicenter study.
March 10, 2021
Calder LA, Perry J, Yan JW, et al. Adverse events among emergency department patients with
cardiovascular conditions: a multicenter study. Ann Emerg Med. 2021;77(6):561-574.
doi:10.1016/j.annemerg…
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psnet.ahrq.gov/node/43836/psn-pdf
March 11, 2015 - Hospital organisation, management, and structure for
prevention of health-care-associated infection: a
systematic review and expert consensus.
March 11, 2015
Zingg W, Holmes A, Dettenkofer M, et al. Hospital organisation, management, and structure for prevention
of health-care-associated infection: a systematic re…
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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.
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December 13, 2017 - Diagnostic errors by medical students: results of a
prospective qualitative study.
December 13, 2017
Braun LT, Zwaan L, Kiesewetter J, et al. Diagnostic errors by medical students: results of a prospective
qualitative study. BMC Med Educ. 2017;17(1):191. doi:10.1186/s12909-017-1044-7.
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psnet.ahrq.gov/node/72806/psn-pdf
March 03, 2021 - A woman’s laborious search uncovered the probable
cause of her searing abdominal pain. Getting a doctor to
help was much harder.
March 3, 2021
Boodman SG. Washington Post. February 20, 2021.
https://psnet.ahrq.gov/issue/womans-laborious-search-uncovered-probable-cause-her-searing-abdominal-
pain-getting-doct…
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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.
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