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psnet.ahrq.gov/node/73188/psn-pdf
April 28, 2021 - Enhancing patient safety by integrating ethical
dimensions to critical incident reporting systems.
April 28, 2021
Wehkamp K, Kuhn E, Petzina R, et al. Enhancing patient safety by integrating ethical dimensions to Critical
Incident Reporting Systems. BMC Med Ethics. 2021;22(1):26. doi:10.1186/s12910-021-00593-8.
ht…
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psnet.ahrq.gov/node/41211/psn-pdf
January 03, 2017 - He thought the "lady in the door" was the "lady in the
window": a qualitative study of patient identification
practices.
January 3, 2017
Phipps E, Turkel M, Mackenzie ER, et al. He thought the "lady in the door" was the "lady in the window": a
qualitative study of patient identification practices. Jt Comm J Qual P…
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psnet.ahrq.gov/node/37745/psn-pdf
May 07, 2008 - Clinical outcomes of a home-based medication
reconciliation program after discharge from a skilled
nursing facility.
May 7, 2008
Delate T, Chester EA, Stubbings TW, et al. Clinical outcomes of a home-based medication reconciliation
program after discharge from a skilled nursing facility. Pharmacotherapy. 2008;28(4…
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psnet.ahrq.gov/node/839816/psn-pdf
January 01, 2023 - Gender bias in risk management reports involving
physicians in training - a retrospective qualitative study.
November 9, 2022
Andraska EA, Phillips AR, Asaadi S, et al. Gender bias in risk management reports involving physicians in
training - a retrospective qualitative study. J Surg Educ. 2023;80(1):102-109.
doi:…
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psnet.ahrq.gov/node/48186/psn-pdf
August 28, 2019 - Inappropriate prescribing defined by STOPP and START
criteria and its association with adverse drug events
among hospitalized older patients: a multicentre,
prospective study.
August 28, 2019
Fahrni ML, Azmy MT, Usir E, et al. Inappropriate prescribing defined by STOPP and START criteria and its
association with …
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psnet.ahrq.gov/node/39236/psn-pdf
May 25, 2010 - Do emergency physicians attribute drug-related
emergency department visits to medication-related
problems?
May 25, 2010
Hohl CM, Zed PJ, Brubacher JR, et al. Do emergency physicians attribute drug-related emergency
department visits to medication-related problems? Ann Emerg Med. 2010;55(6):493-502.e4.
doi:10.1016…
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psnet.ahrq.gov/node/47505/psn-pdf
March 19, 2019 - Measuring the teamwork performance of teams in crisis
situations: a systematic review of assessment tools and
their measurement properties.
March 19, 2019
Boet S, Etherington N, Larrigan S, et al. Measuring the teamwork performance of teams in crisis situations:
a systematic review of assessment tools and their me…
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psnet.ahrq.gov/node/50862/psn-pdf
February 05, 2020 - Assessment of nursing home reporting of major injury
falls for quality measurement on Nursing Home Compare.
February 5, 2020
Sanghavi P, Pan S, Caudry D. Assessment of nursing home reporting of major injury falls for quality
measurement on nursing home compare. Health Serv Res. 2020;55(2):201-210. doi:10.1111/1475-…
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psnet.ahrq.gov/node/764398/psn-pdf
March 02, 2022 - What do we really know about crew resource
management in healthcare?: An umbrella review on crew
resource management and its effectiveness.
March 2, 2022
Buljac-Samardzic M, Dekker-van Doorn CM, Maynard MT. What do we really know about crew resource
management in healthcare?: An umbrella review on crew resource ma…
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psnet.ahrq.gov/node/839323/psn-pdf
November 02, 2022 - Comparison of quality measures from US hospitals with
physician vs nonphysician chief executive officers.
November 2, 2022
See H, Shreve L, Hartzell S, et al. Comparison of quality measures from US hospitals with physician vs
nonphysician chief executive officers. JAMA Netw Open. 2022;5(10):e2236621.
doi:10.1001/j…
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psnet.ahrq.gov/node/35407/psn-pdf
September 11, 2009 - Liability reform should make patients safer: "Avoidable
classes of events" are a key improvement.
September 11, 2009
Bovbjerg RR, Tancredi LR. Liability reform should make patients safer: "avoidable classes of events" are a
key improvement. J Law Med Ethics. 2005;33(3):478-500.
https://psnet.ahrq.gov/issue/liabili…
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psnet.ahrq.gov/node/39533/psn-pdf
May 25, 2015 - The relationship between patient safety culture and the
implementation of organizational patient safety defences
at emergency departments.
May 25, 2015
van Noord I, de Bruijne M, Twisk JWR. The relationship between patient safety culture and the
implementation of organizational patient safety defences at emergency…
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psnet.ahrq.gov/node/43856/psn-pdf
March 18, 2015 - Factors contributing to Registered Nurse medication
administration error: a narrative review.
March 18, 2015
Parry AM, Barriball L, While AE. Factors contributing to registered nurse medication administration error: a
narrative review. Int J Nurs Stud. 2015;52(1):403-20. doi:10.1016/j.ijnurstu.2014.07.003.
https:/…
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psnet.ahrq.gov/node/45171/psn-pdf
August 01, 2016 - Weekly variation in health-care quality by day and time of
admission: a nationwide, registry-based, prospective
cohort study of acute stroke care.
August 1, 2016
Bray BD, Cloud GC, James MA, et al. Weekly variation in health-care quality by day and time of admission:
a nationwide, registry-based, prospective cohor…
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psnet.ahrq.gov/node/43363/psn-pdf
September 12, 2016 - Escalation of care and failure to rescue: a multicenter,
multiprofessional qualitative study.
September 12, 2016
Johnston MJ, Arora S, King D, et al. Escalation of care and failure to rescue: a multicenter,
multiprofessional qualitative study. Surgery. 2014;155(6):989-94. doi:10.1016/j.surg.2014.01.016.
https://ps…
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psnet.ahrq.gov/node/838138/psn-pdf
September 21, 2022 - Impact of medication reviews on potentially inappropriate
medications and associated costs among older women in
aged care.
September 21, 2022
Thiruchelvam K, Byles J, Hasan SS, et al. Impact of medication reviews on potentially inappropriate
medications and associated costs among older women in aged care. Res Soci…
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psnet.ahrq.gov/node/866076/psn-pdf
June 05, 2024 - Locum doctor working and quality and safety: a
qualitative study in English primary and secondary care.
June 5, 2024
Ferguson J, Stringer G, Walshe K, et al. Locum doctor working and quality and safety: a qualitative study in
English primary and secondary care. BMJ Qual Saf. 2024;33(6):354-362. doi:10.1136/bmjqs-20…
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psnet.ahrq.gov/node/849120/psn-pdf
May 17, 2023 - Systematic literature review on the effectiveness and
safety of paediatric hospital-at-home care as a substitute
for hospital care.
May 17, 2023
Detollenaere J, Van Ingelghem I, Van den Heede K, et al. Systematic literature review on the effectiveness
and safety of paediatric hospital-at-home care as a substitute …
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psnet.ahrq.gov/node/74268/psn-pdf
January 19, 2022 - Potentially inappropriate prescribing and its associations
with health-related and system-related outcomes in
hospitalised older adults: a systematic review and meta-
analysis.
January 19, 2022
Mekonnen AB, Redley B, Courten B, et al. Potentially inappropriate prescribing and its associations with
health?related …
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psnet.ahrq.gov/node/73490/psn-pdf
July 14, 2021 - Use of prescribing safety quality improvement reports in
UK general practices: a qualitative assessment.
July 14, 2021
Khan NF, Booth HP, Myles P, et al. Use of prescribing safety quality improvement reports in UK general
practices: a qualitative assessment. BMC Health Serv Res. 2021;21(1). doi:10.1186/s12913-021-0…