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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/39216/psn-pdf
January 13, 2010 - How valid is the ICD-9-CM based AHRQ Patient Safety
Indicator for postoperative venous thromboembolism?
January 13, 2010
White RH, Sadeghi B, Tancredi DJ, et al. How Valid is the ICD-9-CM Based AHRQ Patient Safety Indicator
for Postoperative Venous Thromboembolism? Med Care. 2009;47(12):1237-1243.
doi:10.1097/mlr.…
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psnet.ahrq.gov/node/866157/psn-pdf
June 19, 2024 - Incidence of drug-related adverse events related to the
use of high-alert drugs: a systematic review of
randomized controlled trials.
June 19, 2024
Menezes MS, Doria GAA, Valença-Feitosa F, et al. Incidence of drug-related adverse events related to the
use of high-alert drugs: a systematic review of randomized con…
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psnet.ahrq.gov/node/72757/psn-pdf
February 17, 2021 - Prolonged diagnostic intervals as marker of missed
diagnostic opportunities in bladder and kidney cancer
patients with alarm features: a longitudinal linked data
study.
February 17, 2021
Zhou Y, Walter FM, Singh H, et al. Prolonged diagnostic intervals as marker of missed diagnostic
opportunities in bladder and k…
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psnet.ahrq.gov/node/836712/psn-pdf
March 09, 2022 - Predictive power of the "trigger tool" for the detection of
adverse events in general surgery: a multicenter
observational validation study.
March 9, 2022
Pérez Zapata AI, Rodríguez Cuéllar E, de la Fuente Bartolomé M, et al. Predictive power of the "Trigger
Tool" for the detection of adverse events in general sur…
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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/859302/psn-pdf
December 20, 2023 - Drivers of unprofessional behaviour between staff in
acute care hospitals: a realist review.
December 20, 2023
Aunger JA, Maben J, Abrams R, et al. Drivers of unprofessional behaviour between staff in acute care
hospitals: a realist review. BMC Health Serv Res. 2023;23(1):1326. doi:10.1186/s12913-023-10291-3.
http…
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psnet.ahrq.gov/node/867685/psn-pdf
March 05, 2025 - Understanding factors influencing safety and team
functionality at operative vaginal birth through
multidisciplinary perspectives: a mixed methods study.
March 5, 2025
Skinner SM, Kippen E, Rolnik DL, et al. Understanding factors influencing safety and team functionality at
operative vaginal birth through multidis…
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psnet.ahrq.gov/node/867687/psn-pdf
March 05, 2025 - Simulation-debriefing enhanced needs assessment to
address quality markers in health care: an innovation for
prospective hazard analysis.
March 5, 2025
Barker LT, Bond WF, Willemsen-Dunlap AM, et al. Simulation-debriefing enhanced needs assessment to
address quality markers in health care: an innovation for prospe…
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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.
https://psnet.ahrq…
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psnet.ahrq.gov/node/837800/psn-pdf
August 10, 2022 - Preferences and perceptions of medical error disclosure
among marginalized populations: a narrative review.
August 10, 2022
Olazo K, Wang K, Sierra M, et al. Preferences and perceptions of medical error disclosure among
marginalized populations: a narrative review. Jt Comm J Qual Patient Saf. 2022;48(10):539-548.
…
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psnet.ahrq.gov/node/73424/psn-pdf
June 23, 2021 - The psychological experiences of nurses after inpatient
suicide: a meta-synthesis of qualitative research studies.
June 23, 2021
Shao Q, Wang Y, Hou K, et al. The psychological experiences of nurses after inpatient suicide: a meta?
synthesis of qualitative research studies. J Adv Nurs. 2021;77(10):4005-4016. doi:10…
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psnet.ahrq.gov/node/837594/psn-pdf
June 29, 2022 - Machine learning models outperform manual result
review for the identification of wrong blood in tube errors
in complete blood count results.
June 29, 2022
Farrell C?JL, Giannoutsos J. Machine learning models outperform manual result review for the
identification of wrong blood in tube errors in complete blood cou…
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psnet.ahrq.gov/node/42954/psn-pdf
December 04, 2016 - "Please describe from your point of view a typical case of
an error in palliative care": qualitative data from an
exploratory cross-sectional survey study among palliative
care professionals.
December 4, 2016
Dietz I, Plog A, Jox RJ, et al. "Please describe from your point of view a typical case of an error in pal…
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psnet.ahrq.gov/node/61069/psn-pdf
October 28, 2020 - Exploring psychological safety in healthcare teams to
inform the development of interventions: combining
observational, survey and interview data.
October 28, 2020
O’Donovan R, McAuliffe E. Exploring psychological safety in healthcare teams to inform the development
of interventions: combining observational, surve…
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psnet.ahrq.gov/node/74151/psn-pdf
January 01, 2022 - Nursing interventions to reduce medication errors in
paediatrics and neonates: systematic review and meta-
analysis.
December 8, 2021
Marufu TC, Bower R, Hendron E, et al. Nursing interventions to reduce medication errors in paediatrics and
neonates: systematic review and meta-analysis. J Pediatr Nurs. 2022;62:e13…
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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/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/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/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…