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psnet.ahrq.gov/node/47988/psn-pdf
June 12, 2019 - Impact of the World Health Organization surgical safety
checklist on patient safety.
June 12, 2019
Haugen AS, Sevdalis N, Søfteland E. Impact of the World Health Organization Surgical Safety Checklist on
Patient Safety. Anesthesiology. 2019;131(2):420-425. doi:10.1097/ALN.0000000000002674.
https://psnet.ahrq.gov/i…
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psnet.ahrq.gov/node/60791/psn-pdf
August 12, 2020 - Adaptive design: adaptation and adoption of patient
safety practices in daily routines, a multi-site study.
August 12, 2020
Dekker - van Doorn C, Wauben LSGL, van Wijngaarden JDH, et al. Adaptive design: adaptation and
adoption of patient safety practices in daily routines, a multi-site study. BMC Health Serv Res.
…
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psnet.ahrq.gov/node/44361/psn-pdf
November 20, 2015 - Communication in healthcare: a narrative review of the
literature and practical recommendations.
November 20, 2015
Vermeir P, Vandijck D, Degroote S, et al. Communication in healthcare: a narrative review of the literature
and practical recommendations. Int J Clin Pract. 2015;69(11):1257-67. doi:10.1111/ijcp.12686.…
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psnet.ahrq.gov/node/73595/psn-pdf
August 11, 2021 - Safety committees need to proactively address the risk of
accidental cerebral injection of intravenous (IV) drugs.
August 11, 2021
ISMP Medication Safety Alert! Acute care edition. July 29, 2021;26(15);1-5.
https://psnet.ahrq.gov/issue/safety-committees-need-proactively-address-risk-accidental-cerebral-injection-
…
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psnet.ahrq.gov/node/45729/psn-pdf
September 20, 2017 - Maximize benefits of IV workflow management systems
by addressing workarounds and errors.
September 20, 2017
ISMP Medication Safety Alert! Acute care edition. September 7, 2017;22:1-4.
https://psnet.ahrq.gov/issue/maximize-benefits-iv-workflow-management-systems-addressing-
workarounds-and-errors
Workflow process…
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psnet.ahrq.gov/node/44430/psn-pdf
October 28, 2015 - The role of dynamic trade-offs in creating safety—a
qualitative study of handover across care boundaries in
emergency care.
October 28, 2015
Sujan M, Spurgeon P, Cooke M. The role of dynamic trade-offs in creating safety—A qualitative study of
handover across care boundaries in emergency care. Reliab Eng Syst Saf.…
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psnet.ahrq.gov/node/36276/psn-pdf
October 21, 2010 - Effects of nursing rounds on patients' call light use,
satisfaction, and safety.
October 21, 2010
Meade CM, Bursell AL, Ketelsen L. Effects of nursing rounds: on patients' call light use, satisfaction, and
safety. Am J Nurs. 2006;106(9):58-71.
https://psnet.ahrq.gov/issue/effects-nursing-rounds-patients-call-light…
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psnet.ahrq.gov/node/41643/psn-pdf
September 05, 2012 - A Randomized Field Study of a Leadership WalkRounds-
Based Intervention.
September 5, 2012
Tucker AL, Singer SJ. Cambridge, MA: Harvard Business School; June 25, 2012. HBS Working Paper No.
12-113.
https://psnet.ahrq.gov/issue/randomized-field-study-leadership-walkrounds-based-intervention
Leadership WalkRounds h…
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psnet.ahrq.gov/node/46706/psn-pdf
March 20, 2018 - Realizing e-prescribing's potential to reduce outpatient
psychiatric medication errors.
March 20, 2018
Hirschtritt ME, Chan S, Ly WO. Realizing E-Prescribing's Potential to Reduce Outpatient Psychiatric
Medication Errors. Psychiatr Serv. 2018;69(2):129-132. doi:10.1176/appi.ps.201700269.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/47759/psn-pdf
February 06, 2019 - California doctors alarmed as state links their opioid
prescriptions to deaths.
February 6, 2019
Dembosky A. All Things Considered and KQED. January 23, 2019.
https://psnet.ahrq.gov/issue/california-doctors-alarmed-state-links-their-opioid-prescriptions-deaths
Policy, practice, and communication strategies have be…
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psnet.ahrq.gov/node/72797/psn-pdf
March 03, 2021 - Evaluating the impact of a pharmacist-led prescribing
feedback intervention on prescribing errors in a hospital
setting.
March 3, 2021
Lloyd M, Watmough SD, O'Brien SV, et al. Evaluating the impact of a pharmacist-led prescribing feedback
intervention on prescribing errors in a hospital setting. Res Social Adm Pha…
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psnet.ahrq.gov/node/45436/psn-pdf
August 31, 2016 - Improving the communication between teams managing
boarded patients on a surgical specialty ward.
August 31, 2016
Puvaneswaralingam S, Ross D. Improving the communication between teams managing boarded patients
on a surgical specialty ward. BMJ Qual Improv Rep. 2016;5(1). doi:10.1136/bmjquality.u209186.w3750.
http…
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psnet.ahrq.gov/node/46215/psn-pdf
June 14, 2017 - The role of informal dimensions of safety in high-volume
organisational routines: an ethnographic study of test
results handling in UK general practice.
June 14, 2017
Grant S, Checkland K, Bowie P, et al. The role of informal dimensions of safety in high-volume
organisational routines: an ethnographic study of tes…
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psnet.ahrq.gov/node/46421/psn-pdf
November 08, 2017 - A novel ICU hand-over tool: the glass door of the patient
room.
November 8, 2017
Wessman BT, Sona C, Schallom M. A Novel ICU Hand-Over Tool: The Glass Door of the Patient Room. J
Intensive Care Med. 2017;32(8):514-519. doi:10.1177/0885066616653947.
https://psnet.ahrq.gov/issue/novel-icu-hand-over-tool-glass-door-p…
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psnet.ahrq.gov/node/35210/psn-pdf
June 24, 2009 - Hospitalwide adverse drug events before and after
limiting weekly work hours of medical residents to 80.
June 24, 2009
Mycyk MB, McDaniel MR, Fotis MA, et al. Hospitalwide adverse drug events before and after limiting
weekly work hours of medical residents to 80. Am J Health Syst Pharm. 2005;62(15):1592-5.
https:/…
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psnet.ahrq.gov/node/35089/psn-pdf
August 05, 2009 - Teaching medical students about medical errors and
patient safety: evaluation of a required curriculum.
August 5, 2009
Halbach JL, Sullivan LL. Teaching medical students about medical errors and patient safety: evaluation of
a required curriculum. Acad Med. 2005;80(6):600-6.
https://psnet.ahrq.gov/issue/teaching-m…
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psnet.ahrq.gov/node/850171/psn-pdf
June 07, 2023 - Impact of a computerized physician order entry system
on medication safety in pediatrics-The AVOID study.
June 7, 2023
Wimmer S, Toni I, Botzenhardt S, et al. Impact of a computerized physician order entry system on
medication safety in pediatrics-The AVOID study. Pharmacol Res Perspect. 2023;11(3):e01092.
doi:10.…
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psnet.ahrq.gov/node/72636/psn-pdf
January 13, 2021 - Resident-faculty overnight discrepancy rates as a
function of number of consecutive nights during a week
of night float.
January 13, 2021
Peterson C, Moore M, Sarwani N, et al. Resident-faculty overnight discrepancy rates as a function of
number of consecutive nights during a week of night float. Diagnosis (Berl).…
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psnet.ahrq.gov/node/851056/psn-pdf
June 28, 2023 - Introducing second-year medical students to diagnostic
reasoning concepts and skills via a virtual curriculum.
June 28, 2023
Chang C, Varghese N, Machiorlatti M. Introducing second-year medical students to diagnostic reasoning
concepts and skills via a virtual curriculum. Diagnosis (Berl). 2023;10(2):105-109. doi:1…
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psnet.ahrq.gov/node/45044/psn-pdf
May 11, 2016 - Creating a nurse-led culture to minimize horizontal
violence in the acute care setting: a multi-interventional
approach.
May 11, 2016
Parker KM, Harrington A, Smith CM, et al. Creating a Nurse-Led Culture to Minimize Horizontal Violence in
the Acute Care Setting: A Multi-Interventional Approach. J Nurses Prof Dev.…