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psnet.ahrq.gov/node/862986/psn-pdf
February 21, 2024 - Essential elements nurses have to address to promote a
safe discharge in paediatrics: a systematic review and
narrative synthesis.
February 21, 2024
Rossi S, Hayter M, Zuco A, et al. Essential elements nurses have to address to promote a safe discharge
in paediatrics: a systematic review and narrative synthesis. N…
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psnet.ahrq.gov/node/836988/psn-pdf
April 27, 2022 - Effect of the surgical safety checklist on provider and
patient outcomes: a systematic review.
April 27, 2022
Armstrong BA, Dutescu IA, Nemoy L, et al. Effect of the surgical safety checklist on provider and patient
outcomes: a systematic review. BMJ Qual Saf. 2022;31(6):463-478. doi:10.1136/bmjqs-2021-014361.
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psnet.ahrq.gov/node/44773/psn-pdf
January 13, 2016 - A tool for the concise analysis of patient safety incidents.
January 13, 2016
Pham JC, Hoffman C, Popescu I, et al. A Tool for the Concise Analysis of Patient Safety Incidents. Jt
Comm J Qual Patient Saf. 2016;42(1):26-33.
https://psnet.ahrq.gov/issue/tool-concise-analysis-patient-safety-incidents
Once identified,…
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psnet.ahrq.gov/node/45537/psn-pdf
July 27, 2018 - Patient Safety in Ambulatory Settings.
July 27, 2018
Shekelle PG, Sarkar U, Shojania K, et al. Technical Brief No. 27. Rockville, MD: Agency for Healthcare
Research and Quality; October 2016. AHRQ Publication No. 16-EHC033-EF.
https://psnet.ahrq.gov/issue/patient-safety-ambulatory-settings
Most patient safety rese…
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psnet.ahrq.gov/node/72648/psn-pdf
January 20, 2021 - Nurse burnout predicts self-reported medication
administration errors in acute care hospitals.
January 20, 2021
Montgomery AP, Azuero A, Baernholdt MB, et al. Nurse burnout predicts self-reported medication
administration errors in acute care hospitals. J Healthc Qual. 2020;43(1):13-23.
doi:10.1097/jhq.00000000000…
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psnet.ahrq.gov/node/837896/psn-pdf
January 01, 2023 - Helping healthcare teams to debrief effectively:
associations of debriefers' actions and participants'
reflections during team debriefings.
August 24, 2022
Kolbe M, Grande B, Lehmann-Willenbrock N, et al. Helping healthcare teams to debrief effectively:
associations of debriefers’ actions and participants’ reflect…
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psnet.ahrq.gov/node/47273/psn-pdf
September 05, 2018 - Natural language processing and its implications for the
future of medication safety: a narrative review of recent
advances and challenges.
September 5, 2018
Wong A, Plasek JM, Montecalvo SP, et al. Natural Language Processing and Its Implications for the Future
of Medication Safety: A Narrative Review of Recent A…
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psnet.ahrq.gov/node/838129/psn-pdf
September 21, 2022 - Variation in detected adverse events using trigger tools: a
systematic review and meta-analysis.
September 21, 2022
Eggenschwiler LC, Rutjes AWS, Musy SN, et al. Variation in detected adverse events using trigger tools: a
systematic review and meta-analysis. PLoS ONE. 2022;17(9):e0273800.
doi:10.1371/journal.pone.…
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psnet.ahrq.gov/node/50860/psn-pdf
February 05, 2020 - Does team reflexivity impact teamwork and
communication in interprofessional hospital-based
healthcare teams? A systematic review and narrative
synthesis.
February 5, 2020
McHugh SK, Lawton R, O'Hara JK, et al. Does team reflexivity impact teamwork and communication in
interprofessional hospital-based healthcare …
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psnet.ahrq.gov/node/34651/psn-pdf
March 04, 2011 - Incidence and types of preventable adverse events in
elderly patients: population based review of medical
records.
March 4, 2011
Thomas EJ, Brennan TA. Incidence and types of preventable adverse events in elderly patients: population
based review of medical records. BMJ. 2000;320(7237):741-4.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/34769/psn-pdf
March 28, 2005 - The Challenger Launch Decision: Risky Technology,
Culture, and Deviance at NASA.
March 28, 2005
Vaughan D. Chicago, IL: University of Chicago Press; 1996. ISBN 9780226851754.
https://psnet.ahrq.gov/issue/challenger-launch-decision-risky-technology-culture-and-deviance-nasa
A model of root cause analysis on a syste…
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psnet.ahrq.gov/node/865525/psn-pdf
April 10, 2024 - Standardizing patient safety event reporting between care
delivered or purchased by the Veterans Health
Administration (VHA).
April 10, 2024
Rosen AK, Beilstein-Wedel E, Chan J, et al. Standardizing patient safety event reporting between care
delivered or purchased by the Veterans Health Administration (VHA). Jt C…
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psnet.ahrq.gov/node/37869/psn-pdf
February 17, 2011 - Electronic health records in ambulatory care- a national
survey of physicians.
February 17, 2011
DesRoches CM, Campbell EG, Rao SR, et al. Electronic health records in ambulatory care--a national
survey of physicians. N Engl J Med. 2008;359(1):50-60. doi:10.1056/NEJMsa0802005.
https://psnet.ahrq.gov/issue/electron…
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psnet.ahrq.gov/node/60053/psn-pdf
January 01, 2021 - A review of adverse event reports from emergency
departments in the Veterans Health Administration.
March 18, 2020
Gill S, Mills PD, Watts BV, et al. A Review of Adverse Event Reports From Emergency Departments in the
Veterans Health Administration. J Patient Saf. 2021;17(8):e898-e903. doi:10.1097/pts.0000000000000…
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psnet.ahrq.gov/node/867446/psn-pdf
January 08, 2025 - Methodological approaches for analyzing medication
error reports in patient safety reporting systems: a
scoping review.
January 8, 2025
Tchijevitch O, Hansen SM-B, Hallas J, et al. Methodological approaches for analyzing medication error
reports in patient safety reporting systems: a scoping review. Jt Comm J Qual…
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psnet.ahrq.gov/node/47880/psn-pdf
June 18, 2019 - A multidisciplinary model for reviewing severe maternal
morbidity cases and teaching residents patient safety
principles.
June 18, 2019
Ogunyemi D, Hage N, Kim SK, et al. A Multidisciplinary Model for Reviewing Severe Maternal Morbidity
Cases and Teaching Residents Patient Safety Principles. Jt Comm J Qual Patient…
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psnet.ahrq.gov/node/72724/psn-pdf
February 10, 2021 - How satisfied are patients and surgeons with
telemedicine in orthopaedic care during the COVID-19
pandemic? A systematic review and meta-analysis.
February 10, 2021
Chaudhry H, Nadeem S, Mundi R. How Satisfied Are Patients and Surgeons with Telemedicine in
Orthopaedic Care During the COVID-19 Pandemic? A Systemati…
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psnet.ahrq.gov/node/73281/psn-pdf
May 19, 2021 - Measuring safety in older adult care homes: a scoping
review of the international literature.
May 19, 2021
Rand S, Smith N, Jones K, et al. Measuring safety in older adult care homes: a scoping review of the
international literature. BMJ Open. 2021;11(3):e043206. doi:10.1136/bmjopen-2020-043206.
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psnet.ahrq.gov/node/844049/psn-pdf
February 08, 2023 - A scoping review of adverse incidents research in aged
care homes: learnings, gaps, and challenges.
February 8, 2023
St Clair B, Jorgensen M, Nguyen A, et al. A scoping review of adverse incidents research in aged care
homes: learnings, gaps, and challenges. Gerontol Geriatr Med. 2022;8:23337214221144192.
doi:10.1…
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psnet.ahrq.gov/node/73855/psn-pdf
January 01, 2022 - The impact of coronavirus disease 2019 (COVID-19) on
healthcare-associated infections in 2020: a summary of
data reported to the National Healthcare Safety Network.
September 22, 2021
Weiner-Lastinger LM, Pattabiraman V, Konnor RY, et al. The impact of coronavirus disease 2019 (COVID-
19) on healthcare-associated …