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psnet.ahrq.gov/node/42547/psn-pdf
May 19, 2014 - Using AHRQ Patient Safety Indicators to detect
postdischarge adverse events in the Veterans Health
Administration.
May 19, 2014
Mull HJ, Borzecki A, Chen Q, et al. Using AHRQ patient safety indicators to detect postdischarge adverse
events in the Veterans Health Administration. Am J Med Qual. 2014;29(3):213-9.
do…
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psnet.ahrq.gov/node/43669/psn-pdf
November 12, 2014 - Multiple interacting factors influence adherence, and
outcomes associated with surgical safety checklists: a
qualitative study.
November 12, 2014
Gagliardi AR, Straus SE, Shojania KG, et al. Multiple interacting factors influence adherence, and
outcomes associated with surgical safety checklists: a qualitative stu…
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psnet.ahrq.gov/node/841472/psn-pdf
December 14, 2022 - Reducing potential errors associated with insulin
administration: an integrative review.
December 14, 2022
Alqahtani N. Reducing potential errors associated with insulin administration: an integrative review. J Eval
Clin Pract. 2022;28(6):1037-1049. doi:10.1111/jep.13668.
https://psnet.ahrq.gov/issue/reducing-pote…
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psnet.ahrq.gov/node/60281/psn-pdf
April 29, 2020 - How can task shifting put patient safety at risk? A
qualitative study of experiences among general
practitioners in Norway.
April 29, 2020
Malterud K, Aamland A, Fosse A. How can task shifting put patient safety at risk? A qualitative study of
experiences among general practitioners in Norway. Scand J Prim Health …
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psnet.ahrq.gov/node/43828/psn-pdf
January 14, 2015 - Tragic error with neuromuscular blocker should prompt
risk assessment by all hospitals.
January 14, 2015
ISMP Medication Safety Alert! Acute Care Edition. December 18, 2014;19:1,4.
https://psnet.ahrq.gov/issue/tragic-error-neuromuscular-blocker-should-prompt-risk-assessment-all-
hospitals
This newsletter article …
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psnet.ahrq.gov/node/867018/psn-pdf
October 23, 2024 - Parents' perceptions of patient safety in paediatric
hospital care-a mixed-methods systematic review.
October 23, 2024
Witkowska MI, Janhunen K, Sak?Dankosky N, et al. Parents' perceptions of patient safety in paediatric
hospital care—a mixed?methods systematic review. J Adv Nurs. 2024;Epub Aug 9. doi:10.1111/jan.1…
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psnet.ahrq.gov/node/863208/psn-pdf
February 28, 2024 - Exploring clinical lessons learned by experienced
hospitalists from diagnostic errors and successes.
February 28, 2024
Kotwal S, Howell M, Zwaan L, et al. Exploring clinical lessons learned by experienced hospitalists from
diagnostic errors and successes. J Gen Intern Med. 2024;39(8):1386-1392. doi:10.1007/s11606-0…
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psnet.ahrq.gov/node/836995/psn-pdf
April 27, 2022 - Multifactorial interventions to reduce duration and
variability in delays to identification of serious injury after
falls in hospital inpatients.
April 27, 2022
Saleem J, Sarma D, Wright H, et al. Multifactorial interventions to reduce duration and variability in delays
to identification of serious injury after fa…
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psnet.ahrq.gov/node/50414/psn-pdf
September 04, 2019 - Rating the raters: an evaluation of publicly reported
hospital quality rating systems.
September 4, 2019
Bilimoria KY, Birkmeyer JD, Burstin H, et al. NEJM Catalyst. August 14, 2019.
https://psnet.ahrq.gov/issue/rating-raters-evaluation-publicly-reported-hospital-quality-rating-systems
Numerous publicly available …
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psnet.ahrq.gov/node/36068/psn-pdf
September 28, 2010 - Getting doctors to report medical errors: project
DISCLOSE.
September 28, 2010
King ES, Moyer D, Couturie MJ, et al. Getting doctors to report medical errors: project DISCLOSE. Jt
Comm J Qual Patient Saf. 2006;32(7):382-392.
https://psnet.ahrq.gov/issue/getting-doctors-report-medical-errors-project-disclose
This …
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psnet.ahrq.gov/node/861279/psn-pdf
January 24, 2024 - Mistreatment in health care among women in Appalachia.
January 24, 2024
Alspaugh A, Swan LET, Auerbach SL, et al. Mistreatment in health care among women in Appalachia. Cult
Health Sex. 2023;25(12):1690-1706. doi:10.1080/13691058.2023.2176547.
https://psnet.ahrq.gov/issue/mistreatment-health-care-among-women-appala…
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psnet.ahrq.gov/node/47715/psn-pdf
June 05, 2019 - Making infection prevention and control everyone's
business? Hospital staff views on patient involvement.
June 5, 2019
Sutton E, Brewster L, Tarrant C. Making infection prevention and control everyone's business? Hospital
staff views on patient involvement. Health Expect. 2019;22(4):650-656. doi:10.1111/hex.12874.
…
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psnet.ahrq.gov/node/73565/psn-pdf
August 04, 2021 - Healthcare worker serious safety events: applying
concepts from patient safety to improve healthcare
worker safety.
August 4, 2021
Foster C, Doud L, Palangyo T, et al. Healthcare worker serious safety events: applying concepts from
patient safety to improve healthcare worker safety. Pediatr Qual Saf. 2021;6(4):e43…
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psnet.ahrq.gov/node/46048/psn-pdf
July 05, 2017 - Association between elements of electronic health record
systems and the weekend effect in urgent general
surgery.
July 5, 2017
Kothari A, Brownlee SA, Blackwell RH, et al. Association Between Elements of Electronic Health Record
Systems and the Weekend Effect in Urgent General Surgery. JAMA Surg. 2017;152(6):602-…
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psnet.ahrq.gov/node/47688/psn-pdf
March 19, 2019 - Evaluation of an electronic health record structured
discharge summary to provide real time adverse event
reporting in thoracic surgery.
March 19, 2019
Graham AJ, Ocampo W, Southern DA, et al. Evaluation of an electronic health record structured discharge
summary to provide real time adverse event reporting in tho…
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psnet.ahrq.gov/node/46215/psn-pdf
June 14, 2017 - The role of informal dimensions of safety in high-volume
organisational routines: an ethnographic study of test
results handling in UK general practice.
June 14, 2017
Grant S, Checkland K, Bowie P, et al. The role of informal dimensions of safety in high-volume
organisational routines: an ethnographic study of tes…
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psnet.ahrq.gov/node/60336/psn-pdf
May 13, 2020 - Selecting Safe and Easier to Use Products for Healthcare
Using Human Factors Specification and Checklists.
May 13, 2020
Buckinghamshire, UK. Clinical Human Factors Group. April 2020.
https://psnet.ahrq.gov/issue/selecting-safe-and-easier-use-products-healthcare-using-human-factors-
specification-and
Poor eq…
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psnet.ahrq.gov/node/72594/psn-pdf
December 23, 2020 - A qualitative study of prescribing errors among multi-
professional prescribers within an e-prescribing system.
December 23, 2020
Alshahrani F, Marriott JF, Cox AR. A qualitative study of prescribing errors among multi-professional
prescribers within an e-prescribing system. Int J Clin Pharm. 2020;43(4):884-892. do…
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psnet.ahrq.gov/node/867010/psn-pdf
October 23, 2024 - Patient safety culture in hospital settings across
continents: a systematic review.
October 23, 2024
Alabdullah H, Karwowski W. Patient safety culture in hospital settings across continents: a systematic
review. Appl Sci. 2024;14(18):8496. doi:10.3390/app14188496.
https://psnet.ahrq.gov/issue/patient-safety-cultur…
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psnet.ahrq.gov/node/46228/psn-pdf
August 23, 2017 - Technology-induced errors associated with computerized
provider order entry software for older patients.
August 23, 2017
Vélez-Díaz-Pallarés M, Díaz AMÁ, Caro TG, et al. Technology-induced errors associated with
computerized provider order entry software for older patients. Int J Clin Pharm. 2017;39(4):729-742.
do…