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psnet.ahrq.gov/node/857444/psn-pdf
December 06, 2023 - The relationship between nursing home staffing and
resident safety outcomes: a systematic review of reviews.
December 6, 2023
Blatter C, Osi?ska M, Simon M, et al. The relationship between nursing home staffing and resident safety
outcomes: a systematic review of reviews. Int J Nurs Stud. 2023;150:104641.
doi:10.1…
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psnet.ahrq.gov/node/39655/psn-pdf
July 07, 2010 - Errors of diagnosis in pediatric practice: a multisite
survey.
July 7, 2010
Singh H, Thomas EJ, Wilson L, et al. Errors of diagnosis in pediatric practice: a multisite survey. Pediatrics.
2010;126(1):70-9. doi:10.1542/peds.2009-3218.
https://psnet.ahrq.gov/issue/errors-diagnosis-pediatric-practice-multisite-survey…
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psnet.ahrq.gov/node/853428/psn-pdf
September 13, 2023 - Intensive care unit critical incident analysis as an
objective tool to select content for a simulation
curriculum.
September 13, 2023
Yartsev A, Yang F. Intensive care unit critical incident analysis as an objective tool to select content for a
simulation curriculum. Simul Healthc. 2023;18(4):279-282. doi:10.1097/…
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psnet.ahrq.gov/node/60680/psn-pdf
July 15, 2020 - Contributing factors for pediatric ambulatory diagnostic
process errors: Project RedDE.
July 15, 2020
Dadlez NM, Adelman JS, Bundy DG, et al. Contributing factors for pediatric ambulatory diagnostic process
errors: Project RedDE. Ped Qual Saf. 2020;5(3):e299-e305. doi:10.1097/pq9.0000000000000299.
https://psnet.ah…
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psnet.ahrq.gov/node/45907/psn-pdf
December 22, 2017 - Primary care collaboration to improve diagnosis and
screening for colorectal cancer.
December 22, 2017
Schiff G, Bearden T, Hunt LS, et al. Primary Care Collaboration to Improve Diagnosis and Screening for
Colorectal Cancer. Jt Comm J Qual Patient Saf. 2017;43(7):338-350. doi:10.1016/j.jcjq.2017.03.004.
https://ps…
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psnet.ahrq.gov/node/867089/psn-pdf
November 06, 2024 - Focused team engagements to enhance interprofessional
collaboration and safety behaviors among novice nurses
and medical residents.
November 6, 2024
Manuel R, Barber A, Kern J, et al. Focused team engagements to enhance interprofessional collaboration
and safety behaviors among novice nurses and medical residents.…
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psnet.ahrq.gov/node/43072/psn-pdf
November 21, 2016 - Physician attitudes toward family-activated medical
emergency teams for hospitalized children.
November 21, 2016
Paciotti B, Roberts KE, Tibbetts KM, et al. Physician attitudes toward family-activated medical emergency
teams for hospitalized children. Jt Comm J Qual Patient Saf. 2014;40(4):187-192.
https://psnet.a…
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psnet.ahrq.gov/node/764402/psn-pdf
March 02, 2022 - A systematic review of methods for medical record
analysis to detect adverse events in hospitalized patients.
March 2, 2022
Klein DO, Rennenberg RJMW, Koopmans RP, et al. A systematic review of methods for medical record
analysis to detect adverse events in hospitalized patients. J Patient Saf. 2021;17(8):e1234-e12…
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psnet.ahrq.gov/node/72784/psn-pdf
February 24, 2021 - Advancing diagnostic safety research: results of a
systematic research priority setting exercise.
February 24, 2021
Zwaan L, El-Kareh R, Meyer AND, et al. Advancing diagnostic safety research: results of a systematic
research priority setting exercise. J Gen Intern Med. 2021;36(10):2943-2951. doi:10.1007/s11606-020…
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psnet.ahrq.gov/node/46450/psn-pdf
August 20, 2018 - Improving Diagnostic Quality and Safety Final Report.
August 20, 2018
Washington, DC: National Quality Forum. September 19, 2017.
https://psnet.ahrq.gov/issue/improving-diagnostic-quality-and-safety-final-report
Although diagnostic error is a well-recognized source of preventable patient harm, measuring and
mitiga…
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psnet.ahrq.gov/node/48008/psn-pdf
May 22, 2019 - Patients as diagnostic collaborators: sharing visit notes
to promote accuracy and safety.
May 22, 2019
Blease CR, Bell SK. Patients as diagnostic collaborators: sharing visit notes to promote accuracy and
safety. Diagnosis (Berl). 2019;6(3):213-221. doi:10.1515/dx-2018-0106.
https://psnet.ahrq.gov/issue/patients-d…
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psnet.ahrq.gov/node/47529/psn-pdf
January 21, 2019 - Community-acquired and hospital-acquired medication
harm among older inpatients and impact of a state-wide
medication management intervention.
January 21, 2019
Pellegrin K, Lozano A, Miyamura J, et al. Community-acquired and hospital-acquired medication harm
among older inpatients and impact of a state-wide medica…
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psnet.ahrq.gov/node/72825/psn-pdf
March 10, 2021 - The burden of opioid-related adverse drug events on
hospitalized previously opioid-free surgical patients.
March 10, 2021
Urman RD, Seger DL, Fiskio JM, et al. The burden of opioid-related adverse drug events on hospitalized
previously opioid-free surgical patients. J Patient Saf. 2021;17(2):e76-e83.
doi:10.1097/p…
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psnet.ahrq.gov/node/842416/psn-pdf
January 11, 2023 - A failure in the medication delivery system-how
disclosure and systems investigation improve patient
safety.
January 11, 2023
Lucas SR, Pollak E, Makowski C. A failure in the medication delivery system—how disclosure and systems
investigation improve patient safety. J Healthc Risk Manag. 2023;42(3-4):30-39. doi:10…
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psnet.ahrq.gov/node/848314/psn-pdf
May 03, 2023 - Medicines related problems (MRPs) originating in primary
care settings in older adults - a systematic review.
May 3, 2023
Ude-Okeleke RC, Aslanpour Z, Dhillon S, et al. Medicines related problems (MRPs) originating in primary
care settings in older adults - a systematic review. J Pharm Pract. 2023;36(2):357-369.
d…
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psnet.ahrq.gov/node/39402/psn-pdf
August 08, 2010 - The quest to eliminate intrathecal vincristine errors: a 40-
year journey.
August 8, 2010
Noble DJ, Donaldson LJ. The quest to eliminate intrathecal vincristine errors: a 40-year journey. Qual Saf
Health Care. 2010;19(4):323-326. doi:10.1136/qshc.2008.030874.
https://psnet.ahrq.gov/issue/quest-eliminate-intratheca…
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psnet.ahrq.gov/node/41942/psn-pdf
July 24, 2017 - Improving situation awareness to reduce unrecognized
clinical deterioration and serious safety events.
July 24, 2017
Brady PW, Muething S, Kotagal U, et al. Improving situation awareness to reduce unrecognized clinical
deterioration and serious safety events. Pediatrics. 2013;131(1):e298-308. doi:10.1542/peds.2012-…
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psnet.ahrq.gov/node/61113/psn-pdf
January 01, 2021 - Do falls and other safety issues occur more often during
handovers when nurses are away from patients? Findings
from a retrospective study design.
November 11, 2020
Demaria J, Valent F, Danielis M, et al. Do falls and other safety issues occur more often during handovers
when nurses are away from patients? Finding…
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psnet.ahrq.gov/node/60342/psn-pdf
May 20, 2020 - Occurrence, prevention, and management of the
psychological effects of emerging virus outbreaks on
healthcare workers: rapid review and meta-analysis.
May 20, 2020
Kisely S, Warren N, McMahon L, et al. Occurrence, prevention, and management of the psychological
effects of emerging virus outbreaks on healthcare wor…
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psnet.ahrq.gov/node/850162/psn-pdf
June 07, 2023 - Understanding medication safety involving patient
transfer from intensive care to hospital ward: a qualitative
sociotechnical factor study.
June 7, 2023
Bourne RS, Jeffries M, Phipps DL, et al. Understanding medication safety involving patient transfer from
intensive care to hospital ward: a qualitative sociotechn…