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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/45500/psn-pdf
September 28, 2016 - PIPc study: development of indicators of potentially
inappropriate prescribing in children (PIPc) in primary
care using a modified Delphi technique.
September 28, 2016
Barry E, O'Brien K, Moriarty F, et al. PIPc study: development of indicators of potentially inappropriate
prescribing in children (PIPc) in primary…
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psnet.ahrq.gov/node/44577/psn-pdf
October 21, 2015 - Improving patient safety in clinical oncology: applying
lessons from Normal Accident Theory.
October 21, 2015
Chera BS, Mazur L, Buchanan I, et al. Improving Patient Safety in Clinical Oncology: Applying Lessons
From Normal Accident Theory. JAMA Oncol. 2015;1(7):958-64. doi:10.1001/jamaoncol.2015.0891.
https://psn…
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psnet.ahrq.gov/node/846440/psn-pdf
March 22, 2023 - "Are we there yet?" Ten persistent hazards and
inefficiencies with the use of medication administration
technology from the perspective of practicing nurses.
March 22, 2023
Taft T, Rudd EA, Thraen I, et al. “Are we there yet?” Ten persistent hazards and inefficiencies with the use
of medication administration tech…
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psnet.ahrq.gov/node/60223/psn-pdf
January 01, 2021 - The effects of harm events on 30-day readmission in
surgical patients.
April 15, 2020
Kandagatla P, Su W-TK, Adrianto I, et al. The effects of harm events on 30-day readmission in surgical
patients. J Healthc Qual. 2021;43(2):101-109. doi:10.1097/jhq.0000000000000261.
https://psnet.ahrq.gov/issue/effects-harm-even…
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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/844544/psn-pdf
February 15, 2023 - Involving patients and carers in patient safety in primary
care: a qualitative study of a co-designed patient safety
guide.
February 15, 2023
Morris RL, Giles SJ, Campbell S. Involving patients and carers in patient safety in primary care: a
qualitative study of a co?designed patient safety guide. Health Expect. 2…
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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/838126/psn-pdf
September 21, 2022 - Sustained improvement in quality of patient handoffs
after orthopaedic surgery I-PASS intervention.
September 21, 2022
Stenquist DS, Yeung CM, Szapary HJ, et al. Sustained improvement in quality of patient handoffs after
orthopaedic surgery I-PASS intervention. J Am Acad Orthop Surg Glob Res Rev. 2022;6(9):e22.0007…
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psnet.ahrq.gov/node/866079/psn-pdf
June 05, 2024 - Evolution of intravenous medication errors and
preventive systemic defenses in hospital settings-a
narrative review of recent evidence.
June 5, 2024
Kuitunen S, Airaksinen M, Holmström A-R. Evolution of intravenous medication errors and preventive
systemic defenses in hospital settings-a narrative review of recent…
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psnet.ahrq.gov/node/61043/psn-pdf
October 21, 2020 - Clinical predictors for unsafe direct discharge home
patients from intensive care units.
October 21, 2020
Lau VI, Priestap FA, Lam JNH, et al. Clinical predictors for unsafe direct discharge home patients from
intensive care units. J Intensive Care Med. 2020;35(10):1067-1073. doi:10.1177/0885066618811810.
https://…
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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/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/843055/psn-pdf
January 25, 2023 - Assessing experiences of racism among Black and White
patients in the emergency department.
January 25, 2023
Agarwal AK, Sagan C, Gonzales R, et al. Assessing experiences of racism among Black and White
patients in the emergency department. J Am Coll Emerg Physicians Open. 2022;3(6):e12870.
doi:10.1002/emp2.12870.…
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psnet.ahrq.gov/node/73662/psn-pdf
September 01, 2021 - Trauma Resuscitation Using in situ Simulation Team
Training (TRUST) study: latent safety threat evaluation
using framework analysis and video review.
September 1, 2021
Petrosoniak A, Fan M, Hicks CM, et al. Trauma Resuscitation Using in situ Simulation Team Training
(TRUST) study: latent safety threat evaluation u…
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psnet.ahrq.gov/node/42542/psn-pdf
March 17, 2014 - Surgical checklists: a systematic review of impacts and
implementation.
March 17, 2014
Treadwell JR, Lucas S, Tsou AY. Surgical checklists: a systematic review of impacts and implementation.
BMJ Qual Saf. 2014;23(4):299-318. doi:10.1136/bmjqs-2012-001797.
https://psnet.ahrq.gov/issue/surgical-checklists-systematic…
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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/47202/psn-pdf
November 16, 2018 - Implementation, evaluation, and recommendations for
extension of AHRQ Common Formats to capture patient-
and carepartner-generated safety data.
November 16, 2018
Collins S, Couture B, Dykes PC, et al. Implementation, evaluation, and recommendations for extension of
AHRQ Common Formats to capture patient- and carep…
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psnet.ahrq.gov/node/45861/psn-pdf
April 05, 2017 - Assessing content validity and user perspectives on the
Team Check-up Tool: expert survey and user focus
groups.
April 5, 2017
Marsteller JA, Hsu Y-J, Chan KS, et al. Assessing content validity and user perspectives on the Team
Check-up Tool: expert survey and user focus groups. BMJ Qual Saf. 2017;26(4):288-295.
…
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psnet.ahrq.gov/node/853965/psn-pdf
September 27, 2023 - Patients' negative experiences with health care settings
brought to light by formal complaints: a qualitative
metasynthesis.
September 27, 2023
Eriksen AA, Fegran L, Fredwall TE, et al. Patients' negative experiences with health care settings brought
to light by formal complaints: a qualitative metasynthesis. J Cl…