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psnet.ahrq.gov/node/45725/psn-pdf
December 21, 2016 - The patient reporting and action for a safe environment
(PRASE) intervention: a feasibility study.
December 21, 2016
O'Hara JK, Lawton R, Armitage G, et al. The patient reporting and action for a safe environment (PRASE)
intervention: a feasibility study. BMC Health Serv Res. 2016;16(1):676.
https://psnet.ahrq.gov…
-
psnet.ahrq.gov/node/838023/psn-pdf
September 07, 2022 - Postdischarge adverse events among neonates admitted
to the neonatal intensive care unit.
September 7, 2022
Tsilimingras D, Natarajan G, Bajaj M, et al. Postdischarge adverse events among neonates admitted to the
neonatal intensive care unit. J Patient Saf. 2022;18(5):462-469. doi:10.1097/pts.0000000000000960.
htt…
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psnet.ahrq.gov/node/50802/psn-pdf
January 15, 2020 - Use of error management theory to quantify and
characterize residents' error recovery strategies.
January 15, 2020
Pugh CM, Law KE, Cohen ER, et al. Use of error management theory to quantify and characterize
residents’ error recovery strategies. Am J Surg. 2020;219(2):214-220. doi:10.1016/j.amjsurg.2019.11.013.
h…
-
psnet.ahrq.gov/node/838181/psn-pdf
September 28, 2022 - Factors associated with potentially harmful medication
prescribing in nursing homes: a scoping review.
September 28, 2022
Lipori JP, Tu E, Shireman TI, et al. Factors associated with potentially harmful medication prescribing in
nursing homes: a scoping review. J Am Med Dir Assoc. 2022;23(9):1589.e1-1589.e10.
doi:…
-
psnet.ahrq.gov/node/837977/psn-pdf
August 31, 2022 - The diagnostic and triage accuracy of digital and online
symptom checker tools: a systematic review.
August 31, 2022
Wallace W, Chan C, Chidambaram S, et al. The diagnostic and triage accuracy of digital and online
symptom checker tools: a systematic review. NPJ Digit Med. 2022;5(1). doi:10.1038/s41746-022-00667-w.…
-
psnet.ahrq.gov/node/851925/psn-pdf
August 02, 2023 - Deficiencies in Emergency Department Care for a Patient
Who Died by Suicide at the John Cochran Division of the
VA St. Louis Health Care System in Missouri.
August 2, 2023
Washington DC: Department of Veterans Affairs, Office of Inspector General; June 29, 2023. Report no.
22-01540-146.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/858170/psn-pdf
December 13, 2023 - Unsafe care in residential settings for older adults. A
content analysis of accreditation reports.
December 13, 2023
Hibbert PD, Ash R, Molloy CJ, et al. Unsafe care in residential settings for older adults: a content analysis
of accreditation reports. Int J Qual Health Care. 2023;35(4):mzad085. doi:10.1093/intqhc/…
-
psnet.ahrq.gov/node/72473/psn-pdf
January 01, 2021 - Resilience vs. vulnerability: psychological safety and
reporting of near misses with varying proximity to harm in
radiation oncology.
November 18, 2020
Jung OS, Kundu P, Edmondson AC, et al. Resilience vs. vulnerability: psychological safety and reporting of
near misses with varying proximity to harm in radiation …
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psnet.ahrq.gov/node/850170/psn-pdf
June 07, 2023 - A scoping review of distributed cognition in acute care
clinical decision-making.
June 7, 2023
Wilson E, Daniel M, Rao A, et al. A scoping review of distributed cognition in acute care clinical decision-
making. Diagnosis (Berl). 2023;10(2):68-88. doi:10.1515/dx-2022-0095.
https://psnet.ahrq.gov/issue/scoping-revi…
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psnet.ahrq.gov/node/74240/psn-pdf
January 01, 2024 - Use and impact of virtual primary care on quality and
safety: the public's perspectives during the COVID-19
pandemic.
January 12, 2022
Neves AL, van Dael J, O’Brien N, et al. Use and impact of virtual primary care on quality and safety: The
public's perspectives during the COVID-19 pandemic. J Telemed Telecare. 20…
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psnet.ahrq.gov/node/50866/psn-pdf
February 05, 2020 - Effectiveness of acute care remote triage systems: a
systematic review.
February 5, 2020
Boggan JC, Shoup JP, Whited JD, et al. Effectiveness of acute care remote triage systems: a systematic
review. J Gen Intern Med. 2020;35(7):2136-2145. doi:10.1007/s11606-019-05585-4.
https://psnet.ahrq.gov/issue/effectiveness-…
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psnet.ahrq.gov/node/43130/psn-pdf
September 27, 2017 - Barriers to the reporting of medication administration
errors and near misses: an interview study of nurses at a
psychiatric hospital.
September 27, 2017
Haw C, Stubbs J, Dickens GL. Barriers to the reporting of medication administration errors and near
misses: an interview study of nurses at a psychiatric hospita…
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psnet.ahrq.gov/node/61067/psn-pdf
January 01, 2021 - A program to provide clinicians with feedback on their
diagnostic performance in a learning health system.
October 28, 2020
Meyer AND, Upadhyay DK, Collins CA, et al. A program to provide clinicians with feedback on their
diagnostic performance in a learning health system. Jt Comm J Qual Patient Saf. 2021;47(2):120…
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psnet.ahrq.gov/node/74086/psn-pdf
November 17, 2021 - Review of reported adverse events occurring among the
homeless veteran population in the Veterans Health
Administration.
November 17, 2021
Soncrant C, Mills PD, Pendley Louis RP, et al. Review of reported adverse events occurring among the
homeless veteran population in the Veterans Health Administration. J Patien…
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psnet.ahrq.gov/node/864849/psn-pdf
March 20, 2024 - Medication errors in pediatric emergency departments: a
systematic review and recommendations for enhancing
medication safety.
March 20, 2024
Alsabri M, Eapen D, Sabesan V, et al. Medication errors in pediatric emergency departments: a systematic
review and recommendations for enhancing medication safety. Pediatr …
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psnet.ahrq.gov/node/73283/psn-pdf
May 19, 2021 - Assessment of overuse of medical tests and treatments at
US hospitals using Medicare claims.
May 19, 2021
Chalmers K, Smith P, Garber J, et al. Assessment of overuse of medical tests and treatments at US
hospitals using Medicare claims. JAMA Netw Open. 2021;4(4):e218075.
doi:10.1001/jamanetworkopen.2021.8075.
htt…
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psnet.ahrq.gov/node/845304/psn-pdf
March 01, 2023 - For children admitted to hospital, what interventions
improve medication safety on ward rounds?
March 1, 2023
King C, Dudley J, Mee A, et al. For children admitted to hospital, what interventions improve medication
safety on ward rounds? A systematic review. Arch Dis Child. 2023;108(7):583-588.
doi:10.1136/archdis…
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psnet.ahrq.gov/node/73621/psn-pdf
August 25, 2021 - Association of dose tapering with overdose or mental
health crisis among patients prescribed long-term
opioids.
August 25, 2021
Agnoli A, Xing G, Tancredi DJ, et al. Association of dose tapering with overdose or mental health crisis
among patients prescribed long-term opioids. JAMA. 2021;326(5):411-419. doi:10.100…
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psnet.ahrq.gov/node/74062/psn-pdf
January 01, 2022 - Perceptions of providing safe care for frail older people at
home: a qualitative study based on focus group
interviews with home care staff.
November 10, 2021
Silverglow A, Johansson L, Lidén E, et al. Perceptions of providing safe care for frail older people at home:
a qualitative study based on focus group inter…
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psnet.ahrq.gov/node/866558/psn-pdf
August 21, 2024 - Near-miss and maternal sepsis mortality: a qualitative
study of survivors and support persons.
August 21, 2024
Bauer ME, Perez SL, Main EK, et al. Near-miss and maternal sepsis mortality: a qualitative study of
survivors and support persons. Eur J Obstet Gynecol Reprod Biol. 2024;299:136-142.
doi:10.1016/j.ejogrb.…