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psnet.ahrq.gov/node/860725/psn-pdf
January 17, 2024 - Abusive supervision and its relationship with nursing
workforce and patient safety outcomes: a systematic
review.
January 17, 2024
Labrague LJ. Abusive supervision and its relationship with nursing workforce and patient safety outcomes:
a systematic review. West J Nurs Res. 2023;46(1):52-63. doi:10.1177/0193945923…
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psnet.ahrq.gov/node/840151/psn-pdf
November 16, 2022 - Unintended consequences of patient online access to
health records: a qualitative study in UK primary care.
November 16, 2022
Turner A, Morris R, McDonagh L, et al. Unintended consequences of patient online access to health
records: a qualitative study in UK primary care. Br J Gen Pract. 2022;73(726):e67-e74.
doi:…
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psnet.ahrq.gov/node/860722/psn-pdf
January 17, 2024 - Ten years of incident reports on in-hospital cardiac arrest
- Are they useful for improvements?
January 17, 2024
Djärv T. Ten years of incident reports on in-hospital cardiac arrest – Are they useful for improvements?
Resusc Plus. 2023;17:100525. doi:10.1016/j.resplu.2023.100525.
https://psnet.ahrq.gov/issue/ten-y…
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psnet.ahrq.gov/node/73239/psn-pdf
May 12, 2021 - Patient factors associated with new prescribing of
potentially inappropriate medications in multimorbid US
older adults using multiple medications.
May 12, 2021
Jungo KT, Streit S, Lauffenburger JC. Patient factors associated with new prescribing of potentially
inappropriate medications in multimorbid US older adu…
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psnet.ahrq.gov/node/866107/psn-pdf
June 12, 2024 - Hospital inpatient nutrition service errors and patient
safety interventions: a scoping review.
June 12, 2024
Austria D, McConnell C, Pope C. Hospital inpatient nutrition service errors and patient safety interventions:
a scoping review. J Patient Saf. 2024;20(4):272-278. doi:10.1097/pts.0000000000001223.
https://…
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psnet.ahrq.gov/node/41465/psn-pdf
January 31, 2013 - Emergency department discharge prescription
interventions by emergency medicine pharmacists.
January 31, 2013
Cesarz JL, Steffenhagen AL, Svenson J, et al. Emergency department discharge prescription interventions
by emergency medicine pharmacists. Ann Emerg Med. 2013;61(2):209-214.e1.
doi:10.1016/j.annemergmed.20…
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psnet.ahrq.gov/node/72677/psn-pdf
January 27, 2021 - An implementation science approach to promote optimal
implementation, adoption, use, and spread of continuous
clinical monitoring system technology.
January 27, 2021
Dykes PC, Lowenthal G, Faris A, et al. An Implementation Science Approach to Promote Optimal
Implementation, Adoption, Use, and Spread of Continuous …
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psnet.ahrq.gov/node/48032/psn-pdf
July 10, 2019 - Putting out fires: a qualitative study exploring the use of
patient complaints to drive improvement at three
academic hospitals.
July 10, 2019
Liu JJ, Rotteau L, Bell CM, et al. Putting out fires: a qualitative study exploring the use of patient complaints
to drive improvement at three academic hospitals. BMJ Qual…
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psnet.ahrq.gov/node/845348/psn-pdf
February 02, 2012 - Liquid-based Papanicolaou tests in endometrial
carcinoma diagnosis: performance, error root cause
analysis, and quality improvement.
February 2, 2012
Sams SB, Currens HS, Raab SS. Liquid-based Papanicolaou tests in endometrial carcinoma diagnosis:
performance, error root cause analysis, and quality improvement. Am…
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psnet.ahrq.gov/node/35577/psn-pdf
April 06, 2011 - Safety culture assessment in community pharmacy:
development, face validity, and feasibility of the
Manchester Patient Safety Assessment Framework.
April 6, 2011
Ashcroft DM, Morecroft C, Parker D, et al. Safety culture assessment in community pharmacy:
development, face validity, and feasibility of the Manchester…
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psnet.ahrq.gov/node/73492/psn-pdf
July 14, 2021 - How can regulatory authorities improve safety in
organizations by influencing safety culture? A conceptual
model of the relationships and a discussion of
implications.
July 14, 2021
Nævestad T-O, Storesund Hesjevoll I, Elvik R. How can regulatory authorities improve safety in
organizations by influencing safety c…
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psnet.ahrq.gov/node/74202/psn-pdf
December 22, 2021 - Prevalence of potentially harmful multidrug interactions
on medication lists of elderly ambulatory patients.
December 22, 2021
Anand TV, Wallace BK, Chase HS. Prevalence of potentially harmful multidrug interactions on medication
lists of elderly ambulatory patients. BMC Geriatr. 2021;21(1):648. doi:10.1186/s12877-…
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psnet.ahrq.gov/node/47919/psn-pdf
April 03, 2019 - How to Talk About Patient Safety.
April 3, 2019
Hendricks R, O'Neil M, Volmert A. Boston, MA: Betsy Lehman Center for Patient Safety; March 2019.
https://psnet.ahrq.gov/issue/how-talk-about-patient-safety
This report suggests that the field of patient safety needs to be reframed for the public. The report
recommen…
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psnet.ahrq.gov/node/46924/psn-pdf
March 07, 2018 - Factors influencing the reporting of adverse medical
device events: qualitative interviews with physicians
about higher risk implantable devices.
March 7, 2018
Gagliardi AR, Ducey A, Lehoux P, et al. Factors influencing the reporting of adverse medical device events:
qualitative interviews with physicians about hi…
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psnet.ahrq.gov/node/47046/psn-pdf
April 18, 2018 - Smart pumps in practice: survey results reveal
widespread use, but optimization is challenging.
April 18, 2018
ISMP Medication Safety Alert! Acute Care Edition. April 5, 2018;23:1-5.
https://psnet.ahrq.gov/issue/smart-pumps-practice-survey-results-reveal-widespread-use-optimization-
challenging
Smart pumps are co…
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psnet.ahrq.gov/node/61095/psn-pdf
November 04, 2020 - Assessing adverse events after chiropractic care at a
chiropractic teaching clinic: an active-surveillance pilot
study.
November 4, 2020
Pohlman KA, Funabashi M, Ndetan H, et al. Assessing adverse events after chiropractic care at a
chiropractic teaching clinic: an active-surveillance pilot study. J Manipulative P…
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psnet.ahrq.gov/node/42964/psn-pdf
May 10, 2014 - What is learning? A review of the safety literature to
define learning from incidents, accidents and disasters.
May 10, 2014
Drupsteen L, Guldenmund FW. What Is Learning? A Review of the Safety Literature to Define Learning
from Incidents, Accidents and Disasters. J Contingencies Crisis Manage. 2014;22(2):81-96.
d…
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psnet.ahrq.gov/node/47482/psn-pdf
December 05, 2018 - Examining the effects of an obstetrics interprofessional
programme on reductions to reportable events and their
related costs.
December 5, 2018
Geary M, Ruiter PJA, Yasseen AS. Examining the effects of an obstetrics interprofessional programme on
reductions to reportable events and their related costs. J Interprof…
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psnet.ahrq.gov/node/74861/psn-pdf
February 23, 2022 - A concept analysis of psychological safety: further
understanding for application to health care.
February 23, 2022
Ito A, Sato K, Yumoto Y, et al. A concept analysis of psychological safety: further understanding for
application to health care. Nurs Open. 2021;9(1):467-489. doi:10.1002/nop2.1086.
https://psnet.ah…
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psnet.ahrq.gov/node/60297/psn-pdf
January 01, 2021 - A call for the application of patient safety culture in
medical humanitarian action: a literature review.
May 6, 2020
Biquet J-M, Schopper D, Sprumont D, et al. A call for the application of patient safety culture in medical
humanitarian action: a literature review. J Patient Saf. 2021;17(8):e1732-e1737.
doi:10.10…