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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/843083/psn-pdf
January 25, 2023 - Use of recalled devices in new device authorizations
under the US Food and Drug Administration's 510(k)
pathway and risk of subsequent recalls.
January 25, 2023
Kramer DB, Yeh RW. Use of recalled devices in new device authorizations under the US Food and Drug
Administration's 510(k) pathway and risk of subsequent …
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psnet.ahrq.gov/node/60522/psn-pdf
May 27, 2020 - Nursing turbulence in critical care: relationships with
nursing workload and patient safety.
May 27, 2020
Browne J, Braden CJ. Nursing turbulence in critical care: relationships with nursing workload and patient
safety. Am J Crit Care. 2020;29(3):182-191. doi:10.4037/ajcc2020180.
https://psnet.ahrq.gov/issue/nursi…
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psnet.ahrq.gov/node/47566/psn-pdf
January 30, 2019 - Important factors for effective patient safety governance
auditing: a questionnaire survey.
January 30, 2019
van Gelderen SC, Zegers M, Robben PB, et al. Important factors for effective patient safety governance
auditing: a questionnaire survey. BMC Health Serv Res. 2018;18(1):798. doi:10.1186/s12913-018-3577-9.
h…
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psnet.ahrq.gov/node/35405/psn-pdf
December 14, 2007 - Use of administrative data to find substandard care:
validation of the complications screening program.
December 14, 2007
Weingart SN, Iezzoni LI, Davis RB, et al. Use of Administrative Data to Find Substandard Care. Med Care.
2003;38(8):796-806. doi:10.1097/00005650-200008000-00004.
https://psnet.ahrq.gov/issue/u…
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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/35877/psn-pdf
July 23, 2010 - National Quality Forum 30 safe practices: priority and
progress in Iowa hospitals.
July 23, 2010
Ward MM, Evans TC, Spies AJ, et al. National Quality Forum 30 safe practices: priority and progress in
Iowa hospitals. Am J Med Qual. 2006;21(2):101-8.
https://psnet.ahrq.gov/issue/national-quality-forum-30-safe-practi…
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psnet.ahrq.gov/node/839321/psn-pdf
November 02, 2022 - What is the evidence that a pharmacy team working in an
acute or emergency medicine department improves
outcomes for patients: a systematic review.
November 2, 2022
Punj E, Collins A, Agravedi N, et al. What is the evidence that a pharmacy team working in an acute or
emergency medicine department improves outcomes…
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psnet.ahrq.gov/node/46979/psn-pdf
January 01, 2021 - Improving patient safety in public hospitals: developing
standard measures to track medical errors and process
breakdowns.
April 4, 2018
Ackerman SL, Gourley G, Le G, et al. Improving Patient Safety in Public Hospitals: Developing Standard
Measures to Track Medical Errors and Process Breakdowns. J Patient Saf. 202…
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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/43644/psn-pdf
April 22, 2015 - SIMMEON-Prep study: SIMulation of Medication Errors in
ONcology: prevention of antineoplastic preparation
errors.
April 22, 2015
Sarfati L, Ranchon F, Vantard N, et al. SIMMEON-Prep study: SIMulation of Medication Errors in
ONcology: prevention of antineoplastic preparation errors. J Clin Pharm Ther. 2015;40(1):55…
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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/43281/psn-pdf
May 28, 2015 - A method for prioritizing interventions following root
cause analysis (RCA): lessons from philosophy.
May 28, 2015
Boyd M. A method for prioritizing interventions following root cause analysis (RCA): lessons from
philosophy. J Eval Clin Pract. 2015;21(3):461-9. doi:10.1111/jep.12272.
https://psnet.ahrq.gov/issue/m…
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psnet.ahrq.gov/node/60054/psn-pdf
March 18, 2020 - Ensuring successful implementation of communication-
and-resolution programmes.
March 18, 2020
Mello MM, Roche S, Greenberg Y, et al. Ensuring successful implementation of communication-and-
resolution programmes. BMJ Qual Saf. 2020;29(11):895-904. doi:10.1136/bmjqs-2019-010296.
https://psnet.ahrq.gov/issue/ensuri…
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psnet.ahrq.gov/node/837498/psn-pdf
June 22, 2022 - Racial and ethnic discrepancy in pulse oximetry and
delayed identification of treatment eligibility among
patients with COVID-19.
June 22, 2022
Fawzy A, Wu TD, Wang K, et al. Racial and ethnic discrepancy in pulse oximetry and delayed identification
of treatment eligibility among patients with COVID-19. JAMA Inter…
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psnet.ahrq.gov/node/60015/psn-pdf
March 04, 2020 - Uncertainty in decision making in medicine: a scoping
review and thematic analysis of conceptual models.
March 4, 2020
Helou MA, DiazGranados D, Ryan MS, et al. Uncertainty in Decision Making in Medicine. Acad Med.
2020;95(1):157-165. doi:10.1097/acm.0000000000002902.
https://psnet.ahrq.gov/issue/uncertainty-decis…
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psnet.ahrq.gov/node/50655/psn-pdf
January 01, 2020 - Reflections on implementing a hospital-wide provider-
based electronic inpatient mortality review system:
lessons learnt.
November 13, 2019
Mendu ML, Lu Y, Petersen A, et al. Reflections on implementing a hospital-wide provider-based electronic
inpatient mortality review system: lessons learnt. BMJ Qual Saf. 2020;…
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psnet.ahrq.gov/node/851450/psn-pdf
July 19, 2023 - Patient safety for people experiencing advanced dementia
in hospital: a video reflexive ethnography.
July 19, 2023
Dadich A, Rodrigues J, De Bellis A, et al. Patient safety for people experiencing advanced dementia in
hospital: a video reflexive ethnography. Dementia (London). 2023;22(5):1057-1076.
doi:10.1177/147…
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psnet.ahrq.gov/node/838068/psn-pdf
September 14, 2022 - Potentially inappropriate medication administration is
associated with adverse postoperative outcomes in older
surgical patients: a retrospective cohort study.
September 14, 2022
Burfeind KG, Zarnegarnia Y, Tekkali P, et al. Potentially inappropriate medication administration is
associated with adverse postoperati…
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psnet.ahrq.gov/node/852796/psn-pdf
August 23, 2023 - Women with large vessel occlusion acute ischemic stroke
are less likely to be routed to comprehensive stroke
centers.
August 23, 2023
Tariq MB, Ali I, Salazar?Marioni S, et al. Women with large vessel occlusion acute ischemic stroke are less
likely to be routed to comprehensive stroke centers. J Am Heart Assoc. 20…