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psnet.ahrq.gov/node/837070/psn-pdf
May 11, 2022 - Patient falls in the operating room setting: an analysis of
reported safety events.
May 11, 2022
Tan J, Krishnan S, Vacanti JC, et al. Patient falls in the operating room setting: an analysis of reported
safety events. J Healthc Risk Manag. 2022;42(1):9-14. doi:10.1002/jhrm.21503.
https://psnet.ahrq.gov/issue/pati…
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psnet.ahrq.gov/node/45718/psn-pdf
August 03, 2017 - PReSaFe: A model of barriers and facilitators to patients
providing feedback on experiences of safety.
August 3, 2017
De Brún A, Heavey E, Waring J, et al. PReSaFe: A model of barriers and facilitators to patients providing
feedback on experiences of safety. Health Expect. 2017;20(4):771-778. doi:10.1111/hex.12516.…
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psnet.ahrq.gov/node/847049/psn-pdf
April 05, 2023 - Effects of racial bias in pulse oximetry on children and
how to address algorithmic bias in clinical medicine.
April 5, 2023
Gray KD, Subramaniam HL, Huang ES. Effects of racial bias in pulse oximetry on children and how to
address algorithmic bias in clinical medicine. JAMA Pediatr. 2023;177(5):459-460.
doi:10.10…
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psnet.ahrq.gov/node/46002/psn-pdf
October 13, 2018 - Exploring physician perspectives of residency holdover
handoffs: a qualitative study to understand an
increasingly important type of handoff.
October 13, 2018
Duong JA, Jensen TP, Morduchowicz S, et al. Exploring Physician Perspectives of Residency Holdover
Handoffs: A Qualitative Study to Understand an Increasing…
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psnet.ahrq.gov/node/60724/psn-pdf
July 29, 2020 - The safety of health care for ethnic minority patients: a
systematic review.
July 29, 2020
Chauhan A, Walton M, Manias E, et al. The safety of health care for ethnic minority patients: a systematic
review. Int J Equity Health. 2020;19(1):118. doi:10.1186/s12939-020-01223-2.
https://psnet.ahrq.gov/issue/safety-heal…
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psnet.ahrq.gov/node/74856/psn-pdf
February 23, 2022 - The secondary use of data to support medication safety
in the hospital setting: a systematic review and narrative
synthesis.
February 23, 2022
Chaudhry NT, Franklin BD, Mohammed S, et al. The secondary use of data to support medication safety in
the hospital setting: a systematic review and narrative synthesis. Ph…
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psnet.ahrq.gov/node/60600/psn-pdf
June 17, 2020 - Reasons for drug administration problems and perceived
needs for assistance of patients, family caregivers, and
nurses: a qualitative study.
June 17, 2020
Lampert A, Haefeli WE, Seidling HM. Reasons for drug administration problems and perceived needs for
assistance of patients, family caregivers, and nurses: a qu…
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psnet.ahrq.gov/node/45822/psn-pdf
April 24, 2018 - Problems with health information technology and their
effects on care delivery and patient outcomes: a
systematic review.
April 24, 2018
Kim MO, Coiera E, Magrabi F. Problems with health information technology and their effects on care
delivery and patient outcomes: a systematic review. J Am Med Inform Assoc. 2017…
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psnet.ahrq.gov/node/837068/psn-pdf
May 11, 2022 - Barriers and enablers to nurses' use of harm prevention
strategies for older patients in hospital: a cross-sectional
survey.
May 11, 2022
Redley B, Taylor N, Hutchinson A. Barriers and enablers to nurses' use of harm prevention strategies for
older patients in hospital: a cross?sectional survey. J Adv Nurs. 2022;7…
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psnet.ahrq.gov/node/43731/psn-pdf
December 03, 2014 - Detection of missed injuries in a pediatric trauma center
with the addition of acute care pediatric nurse
practitioners.
December 3, 2014
Resler J, Hackworth J, Mayo E, et al. Detection of missed injuries in a pediatric trauma center with the
addition of acute care pediatric nurse practitioners. J Trauma Nurs. 201…
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psnet.ahrq.gov/node/74130/psn-pdf
December 01, 2021 - Malpractice cases in breast surgery: an assessment of
litigation involving surgeons.
December 1, 2021
Fan B, Pardo J, Yu-Moe CW, et al. Malpractice cases in breast surgery: an assessment of litigation
involving surgeons. Ann Surg Oncol. 2021;28(13):8109-8115. doi:10.1245/s10434-021-10236-2.
https://psnet.ahrq.gov/…
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psnet.ahrq.gov/node/34670/psn-pdf
January 01, 2006 - Hindsight ? foresight: the effect of outcome knowledge
on judgment under uncertainty.
March 7, 2005
Fischhoff B. Hindsight is not equal to foresight: The effect of outcome knowledge on judgment under
uncertainty. Journal of Experimental Psychology: Human Perception and Performance. 2006;1(3).
doi:10.1037/0096-1523…
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psnet.ahrq.gov/node/43005/psn-pdf
March 05, 2014 - "Chance favors only the prepared mind": preparing minds
to systematically reduce hazards in the testing process in
primary care.
March 5, 2014
Singh R, Hickner J, Mold J, et al. "Chance favors only the prepared mind": preparing minds to
systematically reduce hazards in the testing process in primary care. J Patien…
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psnet.ahrq.gov/node/73164/psn-pdf
April 21, 2021 - Effectiveness of communication interventions in
obstetrics--a systematic review.
April 21, 2021
Lippke S, Derksen C, Keller FM, et al. Effectiveness of communication interventions in obstetrics--a
systematic review. Int J Environ Res Public Health. 2021;18(5):2616. doi:10.3390/ijerph18052616.
https://psnet.ahrq.go…
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psnet.ahrq.gov/node/844768/psn-pdf
September 11, 2019 - Standardized orders for titrating vasopressors: do efforts
to improve safety slow delivery of care?
September 11, 2019
Baker DW, Campbell R. Standardized Orders for Titrating Vasopressors: Do Efforts to Improve Safety Slow
Delivery of Care? Jt Comm J Qual Patient Saf. 2019;45(9):589-590. doi:10.1016/j.jcjq.2019.07.…
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psnet.ahrq.gov/node/47013/psn-pdf
April 07, 2019 - An electronic intervention to improve safety for pain
patients co-prescribed chronic opioids and
benzodiazepines.
April 7, 2019
Zaman T, Rife TL, Batki SL, et al. An electronic intervention to improve safety for pain patients co-
prescribed chronic opioids and benzodiazepines. Subst Abus. 2018;39(4):441-448.
doi:…
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psnet.ahrq.gov/node/47869/psn-pdf
April 17, 2019 - Minimizing Opioid Prescribing in Surgery (MOPiS)
initiative: an analysis of implementation barriers.
April 17, 2019
Coughlin JM, Shallcross ML, Schäfer WLA, et al. Minimizing Opioid Prescribing in Surgery (MOPiS)
Initiative: An Analysis of Implementation Barriers. J Surg Res. 2019;239:309-319.
doi:10.1016/j.jss.20…
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psnet.ahrq.gov/node/47257/psn-pdf
September 26, 2018 - The Psychiatry Morbidity and Mortality Incident Reporting
Tool increases psychiatrist participation in reporting
adverse events.
September 26, 2018
Kroll DS, Shellman AD, Gitlin DF. The Psychiatry Morbidity and Mortality Incident Reporting Tool Increases
Psychiatrist Participation in Reporting Adverse Events. J Pa…
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psnet.ahrq.gov/node/45464/psn-pdf
September 07, 2016 - Measuring adverse events in hospitalized patients: an
administrative method for measuring harm.
September 7, 2016
Martin J, Benjamin EM, Craver C, et al. Measuring Adverse Events in Hospitalized Patients: An
Administrative Method for Measuring Harm. J Patient Saf. 2016;12(3):125-31.
doi:10.1097/PTS.000000000000007…
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psnet.ahrq.gov/node/60577/psn-pdf
June 10, 2020 - Assuring safe patient care in a level III NICU in
anticipation of hospital closure.
June 10, 2020
Fleishman R, Anday E, Bhandari V. Assuring safe patient care in a level III NICU in anticipation of hospital
closure. J Perinatol. 2020. doi:10.1038/s41372-020-0648-7.
https://psnet.ahrq.gov/issue/assuring-safe-patien…