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psnet.ahrq.gov/node/73350/psn-pdf
June 02, 2021 - Learning during crisis: the impact of COVID-19 on
hospital-acquired pressure injury incidence.
June 2, 2021
Polancich S, Hall AG, Miltner RS, et al. Learning during crisis: the impact of COVID-19 on hospital-acquired
pressure injury incidence. J Healthc Qual. 2021;43(3):137-144. doi:10.1097/jhq.0000000000000301.
h…
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psnet.ahrq.gov/node/853620/psn-pdf
September 20, 2023 - Impact of pharmacist-led admission medication
reconciliation on patient outcomes in a large health
system.
September 20, 2023
Kramer JS, Hayley Burgess L, Warren C, et al. Impact of pharmacist-led admission medication
reconciliation on patient outcomes in a large health system. J Patient Saf Risk Manag. 2023;28(6)…
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psnet.ahrq.gov/node/863213/psn-pdf
February 28, 2024 - Electronic medication reconciliation tools aimed at
healthcare professionals to support medication
reconciliation: a systematic review.
February 28, 2024
Ciudad-Gutiérrez P, del Valle-Moreno P, Lora-Escobar SJ, et al. Electronic medication reconciliation tools
aimed at healthcare professionals to support medicatio…
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psnet.ahrq.gov/node/60299/psn-pdf
May 06, 2020 - Impact of multidisciplinary team huddles on patient
safety: a systematic review and proposed taxonomy.
May 6, 2020
Franklin BJ, Gandhi TK, Bates DW, et al. Impact of multidisciplinary team huddles on patient safety: a
systematic review and proposed taxonomy. BMJ Qual Saf. 2020;29(10):844–853. doi:10.1136/bmjqs-2019…
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psnet.ahrq.gov/node/866167/psn-pdf
June 19, 2024 - Risk factors associated with medication administration
errors in children: a prospective direct observational
study of paediatric inpatients.
June 19, 2024
Westbrook JI, Li L, Woods AL, et al. Risk factors associated with medication administration errors in
children: a prospective direct observational study of pae…
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psnet.ahrq.gov/node/60866/psn-pdf
January 01, 2022 - Association of implementation and social network factors
with patient safety culture in medical homes: a
coincidence analysis.
September 2, 2020
Dy SM, Acton RM, Yuan CT, et al. Association of implementation and social network factors with patient
safety culture in medical homes: a coincidence analysis. J Patient …
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psnet.ahrq.gov/node/837960/psn-pdf
August 31, 2022 - Interventions to reduce the incidence of medical error and
its financial burden in health care systems: a systematic
review of systematic reviews.
August 31, 2022
Ahsani-Estahbanati E, Sergeevich Gordeev V, Doshmangir L. Interventions to reduce the incidence of
medical error and its financial burden in health care…
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psnet.ahrq.gov/node/866242/psn-pdf
July 10, 2024 - Evaluating the prevalence of four recommended practices
for suicide prevention following hospital discharge.
July 10, 2024
Chitavi SO, Patrianakos J, Williams SC, et al. Evaluating the prevalence of four recommended practices for
suicide prevention following hospital discharge. Jt Comm J Qual Patient Saf. 2024;50(6…
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psnet.ahrq.gov/node/844539/psn-pdf
February 15, 2023 - Partnering with patients and families living with chronic
conditions to coproduce diagnostic safety through
OurDX: a previsit online engagement tool.
February 15, 2023
Bell SK, Dong ZJ, DesRoches CM, et al. Partnering with patients and families living with chronic conditions
to coproduce diagnostic safety through …
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psnet.ahrq.gov/node/36634/psn-pdf
March 03, 2011 - Surgeon information transfer and communication: factors
affecting quality and efficiency of inpatient care.
March 3, 2011
Williams RG, Silverman R, Schwind C, et al. Surgeon information transfer and communication: factors
affecting quality and efficiency of inpatient care. Ann Surg. 2007;245(2):159-69.
https://psn…
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psnet.ahrq.gov/node/72792/psn-pdf
March 03, 2021 - Avoiding a Med-Wreck: a structured medication
reconciliation framework and standardized auditing tool
utilized to optimize patient safety and reallocate hospital
resources.
March 3, 2021
Elbeddini A, Almasalkhi S, Prabaharan T, et al. Avoiding a Med-Wreck: a structured medication
reconciliation framework and stan…
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psnet.ahrq.gov/node/47291/psn-pdf
October 31, 2018 - Incidence and method of suicide in hospitals in the United
States.
October 31, 2018
Williams SC, Schmaltz SP, Castro GM, et al. Incidence and Method of Suicide in Hospitals in the United
States. Jt Comm J Qual Patient Saf. 2018;44(11):643-650. doi:10.1016/j.jcjq.2018.08.002.
https://psnet.ahrq.gov/issue/incidence-…
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psnet.ahrq.gov/node/60657/psn-pdf
July 08, 2020 - Predictors of serious opioid-related adverse drug events
in hospitalized patients.
July 8, 2020
Minhaj FS, Rappaport SH, Foster J, et al. Predictors of serious opioid-related adverse drug events in
hospitalized patients. J Patient Saf. 2020;17(8):e1585-e1588. doi:10.1097/pts.0000000000000735.
https://psnet.ahrq.go…
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psnet.ahrq.gov/node/837067/psn-pdf
May 11, 2022 - Responding to safe care: healthcare staff experiences
caring for a child with intellectual disability in hospital.
Implications for practice and training.
May 11, 2022
Ong N, Long JC, Weise J, et al. Responding to safe care: healthcare staff experiences caring for a child
with intellectual disability in hospital. …
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psnet.ahrq.gov/node/38749/psn-pdf
April 08, 2011 - Parental misinterpretations of over-the-counter pediatric
cough and cold medication labels.
April 8, 2011
Lokker N, Sanders LM, Perrin EM, et al. Parental misinterpretations of over-the-counter pediatric cough
and cold medication labels. Pediatrics. 2009;123(6):1464-1471. doi:10.1542/peds.2008-0854.
https://psnet.…
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psnet.ahrq.gov/node/61020/psn-pdf
October 14, 2020 - Variability in collection and use of race/ethnicity and
language data in 93 pediatric hospitals.
October 14, 2020
Cowden JD, Flores G, Chow T, et al. Variability in collection and use of race/ethnicity and language data in
93 pediatric hospitals. J Racial Ethn Health Disparities. 2020;7(5):928-936. doi:10.1007/s406…
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psnet.ahrq.gov/node/47069/psn-pdf
June 18, 2021 - Physical and verbal violence against health care workers.
June 18, 2021
Physical and verbal violence against health care workers. Sentinel Event Alert. 2018;59:1-9 (revised June
18, 2021).
https://psnet.ahrq.gov/issue/physical-and-verbal-violence-against-health-care-workers
The Joint Commission issues sentinel eve…
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psnet.ahrq.gov/node/851919/psn-pdf
August 02, 2023 - A data-driven approach to evaluate barcode-assisted
medication preparation alerts at a large academic medical
center.
August 2, 2023
Joshi RN, Kalaminsky S, Feemster A-A, et al. A data-driven approach to evaluate barcode-assisted
medication preparation alerts at a large academic medical center. Jt Comm J Qual Pati…
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psnet.ahrq.gov/node/35050/psn-pdf
May 27, 2011 - High rates of adverse drug events in a highly
computerized hospital.
May 27, 2011
Nebeker JR, Hoffman JM, Weir C, et al. High rates of adverse drug events in a highly computerized
hospital. Arch Intern Med. 2005;165(10):1111-6.
https://psnet.ahrq.gov/issue/high-rates-adverse-drug-events-highly-computerized-hospita…
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psnet.ahrq.gov/node/866523/psn-pdf
August 14, 2024 - The impact of burnout on paediatric nurses' attitudes
about patient safety in the acute hospital setting: a
systematic review.
August 14, 2024
Flynn C, Watson C, Patton D, et al. The impact of burnout on paediatric nurses' attitudes about patient
safety in the acute hospital setting: a systematic review. J Pediatr…