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psnet.ahrq.gov/node/837599/psn-pdf
June 29, 2022 - Differences in medication reconciliation interventions
between six hospitals: a mixed method study.
June 29, 2022
Stuijt CCM, van den Bemt BJF, Boerlage VE, et al. Differences in medication reconciliation interventions
between six hospitals: a mixed method study. BMC Health Serv Res. 2022;22(1):722. doi:10.1186/s12…
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psnet.ahrq.gov/node/34707/psn-pdf
September 29, 2017 - National Patient Safety Foundation agenda for research
and development in patient safety.
September 29, 2017
Cooper JB, Gaba DM, Liang B, et al. The National Patient Safety Foundation agenda for research and
development in patient safety. MedGenMed. 2000;2(3):E38.
https://psnet.ahrq.gov/issue/national-patient-safe…
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psnet.ahrq.gov/node/838917/psn-pdf
October 26, 2022 - The e-Autopsy/e-Biopsy: a systematic chart review to
increase safety and diagnostic accuracy.
October 26, 2022
Kanter MH, Ghobadi A, Lurvey LD, et al. The e-Autopsy/e-Biopsy: a systematic chart review to increase
safety and diagnostic accuracy. Diagnosis (Berl). 2022;9(4):430-436. doi:10.1515/dx-2022-0083.
https:/…
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psnet.ahrq.gov/node/840171/psn-pdf
November 16, 2022 - Critical care resource nurse team: a patient safety and
quality outcomes model.
November 16, 2022
https://psnet.ahrq.gov/innovation/critical-care-resource-nurse-team-patient-safety-and-quality-outcomes-
model
Rapid response teams (RRTs) are intended to improve timely identification and management of clinically
de…
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psnet.ahrq.gov/node/45268/psn-pdf
September 27, 2016 - The role of radio frequency detection system embedded
surgical sponges in preventing retained surgical
sponges: a prospective evaluation in patients undergoing
emergency surgery.
September 27, 2016
Inaba K, Okoye O, Aksoy H, et al. The Role of Radio Frequency Detection System Embedded Surgical
Sponges in Preventi…
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psnet.ahrq.gov/node/60297/psn-pdf
January 01, 2021 - A call for the application of patient safety culture in
medical humanitarian action: a literature review.
May 6, 2020
Biquet J-M, Schopper D, Sprumont D, et al. A call for the application of patient safety culture in medical
humanitarian action: a literature review. J Patient Saf. 2021;17(8):e1732-e1737.
doi:10.10…
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psnet.ahrq.gov/node/47853/psn-pdf
April 10, 2019 - Does a unit shift report "blackout" period improve patient
safety?
April 10, 2019
Olmstead J. Does a unit shift report "blackout" period improve patient safety? Nurs Manage. 2019;50(3):8-
10. doi:10.1097/01.NUMA.0000553500.85897.51.
https://psnet.ahrq.gov/issue/does-unit-shift-report-blackout-period-improve-patien…
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psnet.ahrq.gov/node/836960/psn-pdf
April 20, 2022 - Effect of a multispecialty faculty handoff initiative on
safety culture and handoff quality.
April 20, 2022
Fitzgerald KM, Banerjee TR, Starmer AJ, et al. Effect of a multispecialty faculty handoff initiative on safety
culture and handoff quality. Pediatr Qual Saf. 2022;7(2):e539. doi:10.1097/pq9.0000000000000539.
…
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psnet.ahrq.gov/node/60295/psn-pdf
May 06, 2020 - 2019 Novel Coronavirus (COVID-19) pandemic: built
environment considerations to reduce transmission.
May 6, 2020
Dietz L, Horve PF, Coil DA, et al. 2019 Novel Coronavirus (COVID-19) pandemic: built environment
considerations to reduce transmission. mSystems. 2020;5(2):e00245-20. doi:10.1128/msystems.00245-20.
http…
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psnet.ahrq.gov/node/45106/psn-pdf
August 16, 2017 - The 'go-between' study: a simulation study comparing the
'Traffic Lights' and 'SBAR' tools as a means of
communication between anaesthetic staff.
August 16, 2017
MacDougall-Davis SR, Kettley L, Cook TM. The 'go-between' study: a simulation study comparing the
'Traffic Lights' and 'SBAR' tools as a means of communi…
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psnet.ahrq.gov/node/45680/psn-pdf
February 22, 2017 - Pediatric medication safety in adult community hospital
settings: a glimpse into nationwide practice.
February 22, 2017
Alvarez F, Ismail L, Markowsky A. Pediatric Medication Safety in Adult Community Hospital Settings: A
Glimpse Into Nationwide Practice. Hosp Pediatr. 2016;6(12):744-749.
https://psnet.ahrq.gov/is…
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psnet.ahrq.gov/node/60637/psn-pdf
July 01, 2020 - Impact of a pharmacist-administered deprescribing
intervention on nursing home residents: a randomized
controlled trial.
July 1, 2020
Balsom C, Pittman N, King R, et al. Impact of a pharmacist-administered deprescribing intervention on
nursing home residents: a randomized controlled trial. Int J Clin Pharm. 2020;4…
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psnet.ahrq.gov/node/45605/psn-pdf
November 30, 2016 - Advancing interprofessional patient safety education for
medical, nursing, and pharmacy learners during clinical
rotations.
November 30, 2016
Thom KA, Heil EL, Croft LD, et al. Advancing interprofessional patient safety education for medical,
nursing, and pharmacy learners during clinical rotations. J Interprof Ca…
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psnet.ahrq.gov/node/37348/psn-pdf
March 28, 2012 - Impact of duty hours restrictions on quality of care and
clinical outcomes.
March 28, 2012
Bhavsar J, Montgomery D, Li J, et al. Impact of duty hours restrictions on quality of care and clinical
outcomes. Am J Med. 2007;120(11):968-74.
https://psnet.ahrq.gov/issue/impact-duty-hours-restrictions-quality-care-and-cl…
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psnet.ahrq.gov/node/853236/psn-pdf
September 06, 2023 - Video review of simulated pediatric cardiac arrest to
identify errors/latent safety threats: a mixed methods
study.
September 6, 2023
Garcia-Jorda D, Nikitovic D, Gilfoyle E. Video review of simulated pediatric cardiac arrest to identify
errors/latent safety threats: a mixed methods study. Simul Healthc. 2023;18(4…
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psnet.ahrq.gov/node/43815/psn-pdf
February 04, 2015 - Patient safety skills in primary care: a national survey of
GP educators.
February 4, 2015
Ahmed M, Arora S, McKay J, et al. Patient safety skills in primary care: a national survey of GP educators.
BMC Fam Pract. 2014;15:206. doi:10.1186/s12875-014-0206-5.
https://psnet.ahrq.gov/issue/patient-safety-skills-primar…
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psnet.ahrq.gov/node/837677/psn-pdf
July 13, 2022 - Multiple Failures in Test Results Follow-up for a Patient
Diagnosed with Prostate Cancer at the Hampton VA
Medical Center in Virginia.
July 13, 2022
Washington, DC: VA Office of the Inspector General; June 28, 2022. Report No 21-03349-186.
https://psnet.ahrq.gov/issue/multiple-failures-test-results-follow-patient-…
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psnet.ahrq.gov/node/41245/psn-pdf
March 29, 2012 - The occurrence of wrong-site surgery self-reported by
candidates for certification by the American Board of
Orthopaedic Surgery.
March 29, 2012
James MA, Seiler JG, Harrast JJ, et al. The occurrence of wrong-site surgery self-reported by candidates
for certification by the American Board of Orthopaedic Surgery. J …
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psnet.ahrq.gov/node/45374/psn-pdf
April 24, 2018 - Two-year longitudinal assessment of physicians'
perceptions after replacement of a longstanding
homegrown electronic health record: does a J-curve of
satisfaction really exist?
April 24, 2018
Hanauer DA, Branford GL, Greenberg G, et al. Two-year longitudinal assessment of physicians'
perceptions after replacement…
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psnet.ahrq.gov/node/72523/psn-pdf
December 02, 2020 - Clinical decision support improves the appropriateness of
laboratory test ordering in primary care without
increasing diagnostic error: the ELMO cluster randomized
trial.
December 2, 2020
Delvaux N, Piessens V, Burghgraeve TD, et al. Clinical decision support improves the appropriateness of
laboratory test orderi…