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psnet.ahrq.gov/node/837735/psn-pdf
July 27, 2022 - A quality improvement initiative using peer audit and
feedback to improve compliance with the surgical safety
checklist.
July 27, 2022
Fridrich A, Imhof A, Staender S, et al. A quality improvement initiative using peer audit and feedback to
improve compliance. Int J Qual Health Care. 2022;34(3). doi:10.1093/intqhc…
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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/47509/psn-pdf
December 21, 2018 - Prevalence and predictors of delayed clinical diagnosis of
Type 2 diabetes: a longitudinal cohort study.
December 21, 2018
Gopalan A, Mishra P, Alexeeff SE, et al. Prevalence and predictors of delayed clinical diagnosis of Type 2
diabetes: a longitudinal cohort study. Diabet Med. 2018;35(12):1655-1662. doi:10.1111/…
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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/863749/psn-pdf
March 06, 2024 - Improving situation awareness to advance patient
outcomes: a systematic literature review.
March 6, 2024
Alqarrain Y, Roudsari A, Courtney KL, et al. Improving situation awareness to advance patient outcomes: a
systematic literature review. Comput Inform Nurs. 2024;42(4):277-288.
doi:10.1097/cin.0000000000001112.
…
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psnet.ahrq.gov/node/73116/psn-pdf
April 07, 2021 - Communication on safe caregiving between community
nurse case managers and family caregivers.
April 7, 2021
Macías-Colorado ME, Rodríguez-Pérez M, Rojas-Ocaña MJ, et al. Communication on safe caregiving
between community nurse case managers and family caregivers. Healthcare (Basel). 2021;9(2):205.
doi:10.3390/heal…
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psnet.ahrq.gov/node/47376/psn-pdf
November 02, 2018 - Assessing information sources to elucidate diagnostic
process errors in radiologic imaging—a human factors
framework.
November 2, 2018
Cochon L, Lacson R, Wang A, et al. Assessing information sources to elucidate diagnostic process errors
in radiologic imaging - a human factors framework. J Am Med Info Asso. 2018;…
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psnet.ahrq.gov/node/836915/psn-pdf
April 13, 2022 - Workarounds in electronic health record systems and the
revised Sociotechnical Electronic Health Record
Workaround Analysis Framework: scoping review.
April 13, 2022
Blijleven V, Hoxha F, Jaspers MWM. Workarounds in electronic health record systems and the revised
sociotechnical Electronic Health Record workaround…
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psnet.ahrq.gov/node/865975/psn-pdf
May 29, 2024 - A systematic review of workplace triggers of emotions in
the healthcare environment, the emotions experienced,
and the impact on patient safety.
May 29, 2024
Sattar R, Lawton R, Janes G, et al. A systematic review of workplace triggers of emotions in the healthcare
environment, the emotions experienced, and the im…
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psnet.ahrq.gov/node/837730/psn-pdf
January 01, 2023 - Factors influencing medication errors in the prehospital
paramedic environment: a mixed method systematic
review.
July 28, 2022
Walker D, Moloney C, SueSee B, et al. Factors influencing medication errors in the prehospital paramedic
environment: a mixed method systematic review. Prehosp Emerg Care. 2023;27(5):669-…
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psnet.ahrq.gov/node/47385/psn-pdf
April 27, 2019 - Reasons for repeat rapid response team calls, and
associations with in-hospital mortality.
April 27, 2019
Chalwin R, Giles L, Salter A, et al. Reasons for Repeat Rapid Response Team Calls, and Associations with
In-Hospital Mortality. Jt Comm J Qual Patient Saf. 2019;45(4):268-275. doi:10.1016/j.jcjq.2018.10.005.
h…
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psnet.ahrq.gov/node/60182/psn-pdf
April 01, 2020 - Listening and question-asking behaviors in resident and
nurse handoff conversations: a prospective observational
study.
April 1, 2020
Kannampallil TG, Abraham J. Listening and question-asking behaviors in resident and nurse handoff
conversations: a prospective observational study. JAMIA Open. 2020;3(1):87-93.
doi…
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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/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/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/44451/psn-pdf
October 14, 2015 - Surgeons in difficulty: an exploration of differences in
assistance-seeking behaviors between male and female
surgeons.
October 14, 2015
Sanfey H, Fromson J, Mellinger JD, et al. Surgeons in Difficulty: An Exploration of Differences in
Assistance-Seeking Behaviors between Male and Female Surgeons. J Am Coll Surg. …
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psnet.ahrq.gov/node/60991/psn-pdf
October 07, 2020 - Nonfatal opioid overdoses at an urban emergency
department during the COVID-19 pandemic.
October 7, 2020
Ochalek TA, Cumpston KL, Wills BK, et al. Nonfatal opioid overdoses at an urban emergency department
during the COVID-19 pandemic. JAMA. 2020;324(16):1673-1674. doi:10.1001/jama.2020.17477.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/837642/psn-pdf
July 06, 2022 - Supplemental Item Set for Nursing Home SOPS: Call for
Pilot Participants.
July 6, 2022
Rockville, MD: Agency for Health Quality and Research; June 2022.
https://psnet.ahrq.gov/issue/supplemental-item-set-nursing-home-sops-call-pilot-participants
The potential for workplace violence degrades patient and staff safet…
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psnet.ahrq.gov/node/73073/psn-pdf
January 01, 2022 - Crossing academic boundaries for diagnostic safety: 10
complex challenges and potential solutions from clinical
perspectives and high-reliability organizing principles.
March 24, 2021
Yousef EA, Sutcliffe KM, McDonald KM, et al. Crossing academic boundaries for diagnostic safety: 10
complex challenges and potentia…