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psnet.ahrq.gov/node/843084/psn-pdf
January 25, 2023 - A scoping review of non-professional medication
practices and medication safety outcomes during public
health emergencies.
January 25, 2023
Kelly D, Koay A, Mineva G, et al. A scoping review of non-professional medication practices and
medication safety outcomes during public health emergencies. Public Health. 202…
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psnet.ahrq.gov/node/43383/psn-pdf
August 13, 2014 - Risk factors for retained surgical items: a meta-analysis
and proposed risk stratification system.
August 13, 2014
Moffatt-Bruce SD, Cook CH, Steinberg SM, et al. Risk factors for retained surgical items: a meta-analysis
and proposed risk stratification system. J Surg Res. 2014;190(2):429-36. doi:10.1016/j.jss.2014…
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psnet.ahrq.gov/node/60868/psn-pdf
September 02, 2020 - Association between implementing comprehensive
learning collaborative strategies in a statewide
collaborative and changes in hospital safety culture.
September 2, 2020
Yuce TK, Yang AD, Johnson JK, et al. Association between implementing comprehensive learning
collaborative strategies in a statewide collaborative …
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psnet.ahrq.gov/node/838009/psn-pdf
September 07, 2022 - High-risk medication in home care nursing: a Delphi
study.
September 7, 2022
Dumitrescu I, Casteels M, De Vliegher K, et al. High-risk medication in home care nursing: a Delphi study.
J Patient Saf. 2022;18(5):435-443. doi:10.1097/pts.0000000000001023.
https://psnet.ahrq.gov/issue/high-risk-medication-home-care-nu…
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psnet.ahrq.gov/node/861778/psn-pdf
January 31, 2024 - Care Deficiencies and Leaders' Inadequate Reviews of a
Patient Who Died at the Lt. Col. Luke Weathers, Jr. VA
Medical Center in Memphis, Tennessee.
January 31, 2024
Washington, DC: The Veterans Affairs Inspector General; January 10, 2024. Report No. 23-00777-52.
https://psnet.ahrq.gov/issue/care-deficiencies-and-l…
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psnet.ahrq.gov/node/845073/psn-pdf
February 22, 2023 - Nursing student errors and near misses: three years of
data.
February 22, 2023
Silvestre JH, Spector ND. Nursing student errors and near misses: three years of data. J Nurs Educ.
2023;62(1):12-19. doi:10.3928/01484834-20221109-05.
https://psnet.ahrq.gov/issue/nursing-student-errors-and-near-misses-three-years-data…
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psnet.ahrq.gov/node/844989/psn-pdf
February 22, 2023 - Defining and enhancing collaboration between
community pharmacists and primary care providers to
improve medication safety.
February 22, 2023
White A, Fulda KG, Blythe R, et al. Defining and enhancing collaboration between community pharmacists
and primary care providers to improve medication safety. Expert Opin D…
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psnet.ahrq.gov/node/43266/psn-pdf
June 18, 2014 - That's the way we do things around here! Your actions
speak louder than words when it comes to patient safety.
June 18, 2014
Grissinger M. That's the Way We Do Things Around Here!: Your Actions Speak Louder Than Words When
It Comes To Patient Safety. P T. 2014;39(5):308-44.
https://psnet.ahrq.gov/issue/thats-way-w…
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psnet.ahrq.gov/node/47215/psn-pdf
September 19, 2018 - The application of system dynamics modelling to system
safety improvement: present use and future potential.
September 19, 2018
Ibrahim M; Gyuchan S; Jun GT; Robinson S. Safety Sci. 2018;106:104-120.
https://psnet.ahrq.gov/issue/application-system-dynamics-modelling-system-safety-improvement-present-
use-and-futur…
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psnet.ahrq.gov/node/72477/psn-pdf
January 01, 2021 - Inpatient patient safety events in vulnerable populations:
a retrospective cohort study.
November 18, 2020
Schulson LB, Novack V, Folcarelli PH, et al. Inpatient patient safety events in vulnerable populations: a
retrospective cohort study. BMJ Qual Saf. 2021;30(5):372-379. doi:10.1136/bmjqs-2020-011920.
https://p…
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psnet.ahrq.gov/node/864377/psn-pdf
March 13, 2024 - Patients' experiences of dental diagnostic failures: a
qualitative study using social media.
March 13, 2024
Obadan-Udoh E, Howard R, Valmadrid LC, et al. Patients' experiences of dental diagnostic failures: a
qualitative study using social media. J Patient Saf. 2024;20(3):177-185.
doi:10.1097/pts.0000000000001198.…
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psnet.ahrq.gov/node/41954/psn-pdf
November 26, 2014 - Decoding laboratory test names: a major challenge to
appropriate patient care.
November 26, 2014
Passiment E, Meisel JL, Fontanesi J, et al. Decoding laboratory test names: a major challenge to
appropriate patient care. J Gen Intern Med. 2013;28(3):453-8. doi:10.1007/s11606-012-2253-8.
https://psnet.ahrq.gov/issue…
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psnet.ahrq.gov/node/47494/psn-pdf
January 01, 2020 - Race differences in reported harmful patient safety events
in healthcare system high reliability organizations.
January 23, 2019
Thomas AD, Pandit C, Krevat SA. Race Differences in Reported Harmful Patient Safety Events in
Healthcare System High Reliability Organizations. J Patient Saf. 2020;16(4):e235-e239.
doi:1…
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psnet.ahrq.gov/node/856634/psn-pdf
January 01, 2024 - Perspectives on perioperative team-based morbidity and
mortality conferences: a mixed-methods study.
November 29, 2023
Samost-Williams A, Rosen R, Cummins E, et al. Perspectives on Perioperative Team-Based Morbidity and
Mortality Conferences: A Mixed Methods Study. Jt Comm J Qual Patient Saf. 2024;50(2):139-148.
d…
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psnet.ahrq.gov/node/36515/psn-pdf
May 27, 2011 - Nurses' perceptions of causes of medication errors and
barriers to reporting.
May 27, 2011
Ulanimo VM, O'Leary-Kelley C, Connolly PM. Nurses' perceptions of causes of medication errors and
barriers to reporting. J Nurs Care Qual. 2007;22(1):28-33.
https://psnet.ahrq.gov/issue/nurses-perceptions-causes-medication-e…
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psnet.ahrq.gov/node/847723/psn-pdf
April 19, 2023 - Efforts to improve the safety culture of the elderly in
nursing homes: a qualitative study.
April 19, 2023
Indarwati R, Efendi F, Fauziningtyas R, et al. Efforts to improve the safety culture of the elderly in nursing
homes: a qualitative study. Risk Manag Healthc Policy. 2023;16:393-400. doi:10.2147/rmhp.s399826.
…
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psnet.ahrq.gov/node/837802/psn-pdf
August 10, 2022 - Tipping the balance: a systematic review and meta-
ethnography to unfold the complexity of surgical
antimicrobial prescribing behavior in hospital settings.
August 10, 2022
Parker H, Frost J, Day J, et al. Tipping the balance: a systematic review and meta-ethnography to unfold
the complexity of surgical antimicrob…
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psnet.ahrq.gov/node/47093/psn-pdf
July 02, 2019 - Effects of computerized decision support system
implementations on patient outcomes in inpatient care: a
systematic review.
July 2, 2019
Varghese J, Kleine M, Gessner SI, et al. Effects of computerized decision support system implementations
on patient outcomes in inpatient care: a systematic review. J Am Med Info…
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psnet.ahrq.gov/node/852451/psn-pdf
August 16, 2023 - The impact of transition to a digital hospital on
medication errors (TIME study).
August 16, 2023
Engstrom T, McCourt E, Canning M, et al. The impact of transition to a digital hospital on medication errors
(TIME study). NPJ Digit Med. 2023;6(1):133. doi:10.1038/s41746-023-00877-w.
https://psnet.ahrq.gov/issue/imp…
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psnet.ahrq.gov/node/73485/psn-pdf
July 14, 2021 - The RCA ReCAst: a root cause analysis simulation for the
interprofessional clinical learning environment.
July 14, 2021
Ziemba JB, Berns JS, Huzinec JG, et al. The RCA ReCAst: a root cause analysis simulation for the
interprofessional clinical learning environment. Acad Med. 2021;96(7):997-1001.
doi:10.1097/acm.00…