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psnet.ahrq.gov/node/838019/psn-pdf
September 07, 2022 - Strength of safety measures introduced by medical
practices to prevent a recurrence of patient safety
incidents: an observational study.
September 7, 2022
Müller BS, Lüttel D, Schütze D, et al. Strength of safety measures introduced by medical practices to
prevent a recurrence of patient safety incidents: an obser…
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psnet.ahrq.gov/node/34888/psn-pdf
March 11, 2019 - "I wish I had seen this test result earlier!": dissatisfaction
with test result management systems in primary care.
March 11, 2019
Poon EG, Gandhi TK, Sequist TD, et al. "I wish I had seen this test result earlier!": Dissatisfaction with test
result management systems in primary care. Arch Intern Med. 2004;164(20):…
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psnet.ahrq.gov/node/837859/psn-pdf
August 17, 2022 - The barriers and enhancers to trust in a just culture in
hospital settings: a systematic review.
August 17, 2022
van Marum S, Verhoeven D, de Rooy D. The barriers and enhancers to trust in a just culture in hospital
settings: a systematic review. J Patient Saf. 2022;18(7):e1067-e1075. doi:10.1097/pts.00000000000010…
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May 11, 2022 - Moving on after critical incidents in health care: a
qualitative study of the perspectives and experiences of
second victims
May 11, 2022
Buhlmann M, Ewens B, Rashidi A. Moving on after critical incidents in health care: a qualitative study of the
perspectives and experiences of second victims. J Adv Nurs. 2022;78…
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psnet.ahrq.gov/node/34070/psn-pdf
February 18, 2011 - Effect of reducing interns' work hours on serious medical
errors in intensive care units.
February 18, 2011
Landrigan CP, Rothschild JM, Cronin JW, et al. Effect of reducing interns' work hours on serious medical
errors in intensive care units. N Engl J Med. 2004;351(18):1838-48.
https://psnet.ahrq.gov/issue/effec…
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psnet.ahrq.gov/node/862131/psn-pdf
February 07, 2024 - Prospective study of the multisite spread of a medication
safety intervention: factors common to hospitals with
improved outcomes.
February 7, 2024
Kaplan HC, Goldstein SL, Rubinson C, et al. Prospective study of the multisite spread of a medication
safety intervention: factors common to hospitals with improved ou…
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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/837150/psn-pdf
May 18, 2022 - Video-based communication assessment of physician
error disclosure skills by crowdsourced laypeople and
patient advocates who experienced medical harm:
reliability assessment with generalizability theory.
May 18, 2022
White AA, King AM, D’Addario AE, et al. Video-based communication assessment of physician error
…
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psnet.ahrq.gov/node/47248/psn-pdf
September 26, 2018 - Frequency and nature of potentially harmful preventable
problems in primary care from the patient's perspective
with clinician review: a population-level survey in Great
Britain.
September 26, 2018
Stocks SJ, Donnelly A, Esmail A, et al. Frequency and nature of potentially harmful preventable problems
in primary …
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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/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/853064/psn-pdf
August 30, 2023 - Barriers and facilitators to implementing interventions for
reducing avoidable hospital readmission: systematic
review of qualitative studies.
August 30, 2023
Fu BQ, Zhong CCW, Wong CHL, et al. Barriers and facilitators to implementing interventions for reducing
avoidable hospital readmission: systematic review of…
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psnet.ahrq.gov/node/38693/psn-pdf
June 15, 2011 - Specialty-based, voluntary incident reporting in neonatal
intensive care: description of 4846 incident reports.
June 15, 2011
Snijders C, van Lingen RA, Klip H, et al. Specialty-based, voluntary incident reporting in neonatal intensive
care: description of 4846 incident reports. Arch Dis Child Fetal Neonatal Ed. 20…
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psnet.ahrq.gov/node/60681/psn-pdf
January 01, 2022 - Failure to rescue deteriorating patients: a systematic
review of root causes and improvement strategies.
July 16, 2020
Burke JR, Downey C, Almoudaris AM. Failure to rescue deteriorating patients: a systematic review of root
causes and improvement strategies. J Patient Saf. 2022;18(1):e140-e155.
doi:10.1097/pts.000…
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psnet.ahrq.gov/node/836987/psn-pdf
April 27, 2022 - Longitudinal evaluation of a pediatric rapid response
system with realist evaluation framework.
April 27, 2022
Acorda DE, Bracken J, Abela K, et al. Longitudinal evaluation of a pediatric rapid response system with
realist evaluation framework. Jt Comm J Qual Patient Saf. 2022;48(4):196-204.
doi:10.1016/j.jcjq.202…
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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/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/45674/psn-pdf
September 29, 2017 - Pain Management and Prescription Opioid-related Harms:
Exploring the State of the Evidence: Proceedings of a
Workshop—in Brief.
September 29, 2017
Forstag EH; Committee on Pain Management and Regulatory Strategies to Address Prescription Opioid
Abuse; Health and Medicine Division. Washington, DC: National Academy …
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psnet.ahrq.gov/node/866684/psn-pdf
September 11, 2024 - Components of pharmacist-led medication reviews and
their relationship to outcomes: a systematic review and
narrative synthesis.
September 11, 2024
Craske ME, Hardeman W, Steel N, et al. Components of pharmacist-led medication reviews and their
relationship to outcomes: a systematic review and narrative synthesis.…
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psnet.ahrq.gov/node/60317/psn-pdf
May 13, 2020 - The nurse's experience of decision-making processes in
missed nursing care: a qualitative study.
May 13, 2020
Abdelhadi N, Drach?Zahavy A, Srulovici E. The nurse’s experience of decision?making processes in
missed nursing care: a qualitative study. J Adv Nurs. 2020;76(8):2161-2170. doi:10.1111/jan.14387.
https://p…