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psnet.ahrq.gov/node/38759/psn-pdf
April 05, 2010 - Perceptions of the impact of a large-scale collaborative
improvement programme: experience in the UK Safer
Patients Initiative.
April 5, 2010
Benn J, Burnett S, Parand A, et al. Perceptions of the impact of a large-scale collaborative improvement
programme: experience in the UK Safer Patients Initiative. J Eval Cl…
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psnet.ahrq.gov/node/848035/psn-pdf
April 26, 2023 - Diagnostic error among vulnerable populations
presenting to the emergency department with
cardiovascular and cerebrovascular or neurological
symptoms: a systematic review.
April 26, 2023
Herasevich S, Soleimani J, Huang C, et al. Diagnostic error among vulnerable populations presenting to
the emergency department…
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psnet.ahrq.gov/node/849596/psn-pdf
May 31, 2023 - Patients admitted on weekends have higher in-hospital
mortality than those admitted on weekdays: analysis of
national inpatient sample.
May 31, 2023
Manadan A, Arora S, Whittier M, et al. Patients admitted on weekends have higher in-hospital mortality
than those admitted on weekdays: analysis of national inpatient…
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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/45944/psn-pdf
August 15, 2018 - Orders on file but no labs drawn: investigation of machine
and human errors caused by an interface idiosyncrasy.
August 15, 2018
Schreiber R, Sittig DF, Ash JS, et al. Orders on file but no labs drawn: investigation of machine and human
errors caused by an interface idiosyncrasy. J Am Med Inform Assoc. 2017;24(5):9…
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psnet.ahrq.gov/node/848315/psn-pdf
May 03, 2023 - Nurse staffing and inpatient mortality in the English
National Health Service: a retrospective longitudinal
study.
May 3, 2023
Zaranko B, Sanford NJ, Kelly E, et al. Nurse staffing and inpatient mortality in the English National Health
Service: a retrospective longitudinal study. BMJ Qual Saf. 2023;32(5):254-263. …
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psnet.ahrq.gov/node/38205/psn-pdf
November 12, 2008 - Characteristics of medication errors and adverse drug
events in hospitals participating in the California Pediatric
Patient Safety Initiative.
November 12, 2008
Takata GS, Taketomo CK, Waite S, et al. Characteristics of medication errors and adverse drug events in
hospitals participating in the California Pediatri…
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psnet.ahrq.gov/node/42854/psn-pdf
March 20, 2014 - Medication event huddles: a tool for reducing adverse
drug events.
March 20, 2014
Morvay S, Lewe D, Stewart B, et al. Medication event huddles: a tool for reducing adverse drug events. Jt
Comm J Qual Patient Saf. 2014;40(1):39-45.
https://psnet.ahrq.gov/issue/medication-event-huddles-tool-reducing-adverse-drug-eve…
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psnet.ahrq.gov/node/37499/psn-pdf
January 10, 2017 - Medicare's decision to withhold payment for hospital
errors: the devil is in the details.
January 10, 2017
Wachter R, Foster NE, Dudley A. Medicare's decision to withhold payment for hospital errors: the devil is in
the det. Jt Comm J Qual Patient Saf. 2008;34(2):116-23.
https://psnet.ahrq.gov/issue/medicares-deci…
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psnet.ahrq.gov/node/74139/psn-pdf
December 01, 2021 - Situation awareness and the mitigation of risk associated
with patient deterioration: a meta-narrative review of
theories and models and their relevance to nursing
practice.
December 1, 2021
Walshe N, Ryng S, Drennan J, et al. Situation awareness and the mitigation of risk associated with patient
deterioration: a…
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psnet.ahrq.gov/node/60812/psn-pdf
January 01, 2021 - A clinical pharmacist-led integrated approach for
evaluation of medication errors among medical intensive
care unit patients.
August 19, 2020
Aghili M, Neelathahalli Kasturirangan M. A clinical pharmacist-led integrated approach for evaluation of
medication errors among medical intensive care unit patients. JBI Ev…
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psnet.ahrq.gov/node/74864/psn-pdf
February 23, 2022 - Exploring changes in patient safety incidents during the
COVID-19 pandemic in a Canadian regional hospital
system: a retrospective time series analysis.
February 23, 2022
Lombardi J, Strobel S, Pullar V, et al. Exploring changes in patient safety incidents during the COVID-19
pandemic in a Canadian regional hospit…
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psnet.ahrq.gov/node/857453/psn-pdf
December 06, 2023 - Post-implementation optimization of medication alerts in
hospital computerized provider order entry systems: a
scoping review.
December 6, 2023
Ledger TS, Brooke-Cowden K, Coiera E. Post-implementation optimization of medication alerts in hospital
computerized provider order entry systems: a scoping review. J Am M…
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psnet.ahrq.gov/node/72500/psn-pdf
January 01, 2021 - Survey of cancer care providers' attitude toward care for
older adults with cancer during the COVID-19 pandemic.
November 25, 2020
BrintzenhofeSzoc K. Survey of cancer care providers' attitude toward care for older adults with cancer
during the COVID-19 pandemic. J Geriatr Onco. 2021;12(2):196-205. doi:10.1016/j.jg…
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psnet.ahrq.gov/node/38608/psn-pdf
January 02, 2017 - Using consumer-based kiosk technology to improve and
standardize medication reconciliation in a specialty care
setting.
January 2, 2017
Lesselroth B, Adams S, Felder R, et al. Using consumer-based kiosk technology to improve and
standardize medication reconciliation in a specialty care setting. Jt Comm J Qual Pati…
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psnet.ahrq.gov/node/862608/psn-pdf
February 14, 2024 - Communication and birth experiences among Black
birthing people who experienced preterm birth.
February 14, 2024
Gregory EF, Johnson GT, Barreto A, et al. Communication and birth experiences among Black birthing
people who experienced preterm birth. Ann Fam Med. 2024;22(1):31-36. doi:10.1370/afm.3048.
https://psne…
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psnet.ahrq.gov/node/39748/psn-pdf
August 11, 2010 - Information transfer and communication in surgery: a
systematic review.
August 11, 2010
Nagpal K, Vats A, Lamb B, et al. Information transfer and communication in surgery: a systematic review.
Ann Surg. 2010;252(2):225-39. doi:10.1097/SLA.0b013e3181e495c2.
https://psnet.ahrq.gov/issue/information-transfer-and-comm…
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psnet.ahrq.gov/node/837807/psn-pdf
August 10, 2022 - Concordance with urgent referral guidelines in patients
presenting with any of six ‘alarm’ features of possible
cancer: a retrospective cohort study using linked primary
care records.
August 10, 2022
Wiering B, Lyratzopoulos G, Hamilton W, et al. Concordance with urgent referral guidelines in patients
presenting …
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psnet.ahrq.gov/node/42515/psn-pdf
October 24, 2013 - Using four-phased unit-based patient safety walkrounds
to uncover correctable system flaws.
October 24, 2013
Taylor AM, Chuo J, Figueroa-Altmann A, et al. Using four-phased unit-based patient safety walkrounds to
uncover correctable system flaws. Jt Comm J Qual Patient Saf. 2013;39(9):396-403.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/40993/psn-pdf
December 14, 2011 - Anticoagulation-associated adverse drug events.
December 14, 2011
Piazza G, Nguyen TN, Cios D, et al. Anticoagulation-associated Adverse Drug Events. Am J Med.
2011;124(12). doi:10.1016/j.amjmed.2011.06.009.
https://psnet.ahrq.gov/issue/anticoagulation-associated-adverse-drug-events
Warfarin and other anticoagulan…